Incidence of HIV infection at the time of incident reporting, in victims of sexual assault, between 2000 and 2004, in Transkei, Eastern Cape, South Africa

Background: HIV/AIDS epidemic and sexual assault have emerged as the most serious public health problems in South Africa. The country has about 5-million HIV infected individuals. About a million women are raped every year. Objective: To study the incidence of HIV infection in victims of sexual assaults. Methods: This is a retrospective descriptive study. There were 831 victims of sexual assault, who attended the Sinawe Centre during the 5-year (2000-2004) study period. Sinawe Centre is the only unit in this area which deals with cases of sexual assaults. Data were analyzed using PRISM R computer program. Results: Eight hundred and thirty one cases of sexual assaults (rape) were reported in last 5-years (2000-2004). Increase in sexual assaults by three-times, and one-and-half-fold increase in HIV seropositivity has recorded over the period of 5 years. In 2000, 76 (9.7%) sexual assault cases were registered, and in 2004, 237 (28.5%) cases. Of them, 443 (53.3%) were children under 15-years of age. A total of 114 (13.7%) tested positive for HIV, and 23 (2.7%) were children less than 15 years. In 2000, only 8 (10.5%) tested positive for HIV, and this had climbed to 39 (16.5%) in 2004. There is significant difference in HIV seropositivity among children compared to adults, p 0.05, and Paired t=3.45 with 3df. Conclusion: There is an increasing incidence of HIV infection among victims of sexual assaults in this study.