Prevalence and Factors Associated with Sexually Transmitted Infections among HIV Positive Women Opting for Intrauterine Contraception
Identifieur interne : 002F31 ( Ncbi/Checkpoint ); précédent : 002F30; suivant : 002F32Prevalence and Factors Associated with Sexually Transmitted Infections among HIV Positive Women Opting for Intrauterine Contraception
Auteurs : Othman Kakaire [Ouganda] ; Josaphat Kayogoza Byamugisha [Ouganda] ; Nazarius Mbona Tumwesigye ; Kristina Gamzell-Danielsson [Suède]Source :
- PLoS ONE [ 1932-6203 ] ; 2015.
Abstract
Women living with HIV/AIDS (WLHA) are a high risk group for sexually transmitted infections (STIs). However, the majority of women with STIs are asymptomatic. Data on prevalence of STIs among WLHA in Uganda are limited. The objective of the study was to determine prevalence and factors associated with STIs among WLHA opting for intrauterine contraceptive device (IUD).
Three hundred fifty one WLHA deemed free of STIs using a syndromic logarithm were enrolled into the study. Endo-cervical swabs were taken before IUD insertion and PCR test for Nisseria gonorrhea (NG), Trichomonas vaginalis (TV) and Chlamydia trachomatis (CT) infections conducted.
Participants’ mean age was 29.4 ± 6.2 years, 83% were under 35years, 50% had secondary education and 73% were married. The majority (69%) had disclosed their HIV sero status to their spouses, 82% used Cotrimoxazole prophylaxis, 70% were on antiretroviral therapy, 90% had CD4 count greater than 350, about 60% reported condoms use and 70% were of parity 2-4. Over 50% of the participants’ spouses were older than 35 years and 72% had attained secondary education. STIs prevalence was 11.1%, (95% CI 7.8-14.4) and individual prevalence for TV, NG, and CT was 5.9%, 5.4% and 0.9% respectively. Factors independently associated with STI were having primary or less education (OR= 2.3, 95% CI: 1.09 - 4.85) having a spouse of primary or less education (OR= 3.3, 95% CI: 1.6 - 6.78) and muslim faith (OR= 0.2, 95% CI: 0.04 - 0.78).
STI prevalence was 11.1%. TV and NG were the commonest STIs in this population. Having primary or less education for both participant and spouse was associated with increased risk while being of muslim faith was associated with reduced risk of STI.
Url:
DOI: 10.1371/journal.pone.0122400
PubMed: 25859659
PubMed Central: 4393084
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Prevalence and Factors Associated with Sexually Transmitted Infections among HIV Positive Women Opting for Intrauterine Contraception</title><author><name sortKey="Kakaire, Othman" sort="Kakaire, Othman" uniqKey="Kakaire O" first="Othman" last="Kakaire">Othman Kakaire</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Department of Obstetrics and Gynecology, Makerere University College of Health Sciences, Mulago Hospital Complex, Old Mulago Hill, Kampala, Uganda</addr-line></nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Department of Obstetrics and Gynecology, Makerere University College of Health Sciences, Mulago Hospital Complex, Old Mulago Hill, Kampala</wicri:regionArea><wicri:noRegion>Kampala</wicri:noRegion></affiliation></author><author><name sortKey="Byamugisha, Josaphat Kayogoza" sort="Byamugisha, Josaphat Kayogoza" uniqKey="Byamugisha J" first="Josaphat Kayogoza" last="Byamugisha">Josaphat Kayogoza Byamugisha</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Department of Obstetrics and Gynecology, Makerere University College of Health Sciences, Mulago Hospital Complex, Old Mulago Hill, Kampala, Uganda</addr-line></nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Department of Obstetrics and Gynecology, Makerere University College of Health Sciences, Mulago Hospital Complex, Old Mulago Hill, Kampala</wicri:regionArea><wicri:noRegion>Kampala</wicri:noRegion></affiliation></author><author><name sortKey="Tumwesigye, Nazarius Mbona" sort="Tumwesigye, Nazarius Mbona" uniqKey="Tumwesigye N" first="Nazarius Mbona" last="Tumwesigye">Nazarius Mbona Tumwesigye</name><affiliation><nlm:aff id="aff002"><addr-line>School of Public Health, Makerere University College of Health Sciences, Mulago Hospital Complex, Old Mulago Hill, Kampala Uganda</addr-line></nlm:aff><wicri:noCountry code="subfield">Kampala Uganda</wicri:noCountry></affiliation></author><author><name sortKey="Gamzell Danielsson, Kristina" sort="Gamzell Danielsson, Kristina" uniqKey="Gamzell Danielsson K" first="Kristina" last="Gamzell-Danielsson">Kristina Gamzell-Danielsson</name><affiliation wicri:level="3"><nlm:aff id="aff003"><addr-line>Department of Women’s and Children’s Health, Division of Obstetrics and Gynecology, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden</addr-line></nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Women’s and Children’s Health, Division of Obstetrics and Gynecology, Karolinska Institutet, Karolinska University Hospital, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25859659</idno><idno type="pmc">4393084</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4393084</idno><idno type="RBID">PMC:4393084</idno><idno type="doi">10.1371/journal.pone.0122400</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000149</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000149</idno><idno type="wicri:Area/Pmc/Curation">000149</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000149</idno><idno type="wicri:Area/Pmc/Checkpoint">000B23</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000B23</idno><idno type="wicri:Area/Ncbi/Merge">002F31</idno><idno type="wicri:Area/Ncbi/Curation">002F31</idno><idno type="wicri:Area/Ncbi/Checkpoint">002F31</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Prevalence and Factors Associated with Sexually Transmitted Infections among HIV Positive Women Opting for Intrauterine Contraception</title><author><name sortKey="Kakaire, Othman" sort="Kakaire, Othman" uniqKey="Kakaire O" first="Othman" last="Kakaire">Othman Kakaire</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Department of Obstetrics and Gynecology, Makerere University College of Health Sciences, Mulago Hospital Complex, Old Mulago Hill, Kampala, Uganda</addr-line></nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Department of Obstetrics and Gynecology, Makerere University College of Health Sciences, Mulago Hospital Complex, Old Mulago Hill, Kampala</wicri:regionArea><wicri:noRegion>Kampala</wicri:noRegion></affiliation></author><author><name sortKey="Byamugisha, Josaphat Kayogoza" sort="Byamugisha, Josaphat Kayogoza" uniqKey="Byamugisha J" first="Josaphat Kayogoza" last="Byamugisha">Josaphat Kayogoza Byamugisha</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Department of Obstetrics and Gynecology, Makerere University College of Health Sciences, Mulago Hospital Complex, Old Mulago Hill, Kampala, Uganda</addr-line></nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Department of Obstetrics and Gynecology, Makerere University College of Health Sciences, Mulago Hospital Complex, Old Mulago Hill, Kampala</wicri:regionArea><wicri:noRegion>Kampala</wicri:noRegion></affiliation></author><author><name sortKey="Tumwesigye, Nazarius Mbona" sort="Tumwesigye, Nazarius Mbona" uniqKey="Tumwesigye N" first="Nazarius Mbona" last="Tumwesigye">Nazarius Mbona Tumwesigye</name><affiliation><nlm:aff id="aff002"><addr-line>School of Public Health, Makerere University College of Health Sciences, Mulago Hospital Complex, Old Mulago Hill, Kampala Uganda</addr-line></nlm:aff><wicri:noCountry code="subfield">Kampala Uganda</wicri:noCountry></affiliation></author><author><name sortKey="Gamzell Danielsson, Kristina" sort="Gamzell Danielsson, Kristina" uniqKey="Gamzell Danielsson K" first="Kristina" last="Gamzell-Danielsson">Kristina Gamzell-Danielsson</name><affiliation wicri:level="3"><nlm:aff id="aff003"><addr-line>Department of Women’s and Children’s Health, Division of Obstetrics and Gynecology, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden</addr-line></nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Women’s and Children’s Health, Division of Obstetrics and Gynecology, Karolinska Institutet, Karolinska University Hospital, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="sec001"><title>Background</title><p>Women living with HIV/AIDS (WLHA) are a high risk group for sexually transmitted infections (STIs). However, the majority of women with STIs are asymptomatic. Data on prevalence of STIs among WLHA in Uganda are limited. The objective of the study was to determine prevalence and factors associated with STIs among WLHA opting for intrauterine contraceptive device (IUD).</p></sec><sec id="sec002"><title>Methods</title><p>Three hundred fifty one WLHA deemed free of STIs using a syndromic logarithm were enrolled into the study. Endo-cervical swabs were taken before IUD insertion and PCR test for Nisseria gonorrhea (NG), Trichomonas vaginalis (TV) and Chlamydia trachomatis (CT) infections conducted.</p></sec><sec id="sec003"><title>Results</title><p>Participants’ mean age was 29.4 ± 6.2 years, 83% were under 35years, 50% had secondary education and 73% were married. The majority (69%) had disclosed their HIV sero status to their spouses, 82% used Cotrimoxazole prophylaxis, 70% were on antiretroviral therapy, 90% had CD4 count greater than 350, about 60% reported condoms use and 70% were of parity 2-4. Over 50% of the participants’ spouses were older than 35 years and 72% had attained secondary education. STIs prevalence was 11.1%, (95% CI 7.8-14.4) and individual prevalence for TV, NG, and CT was 5.9%, 5.4% and 0.9% respectively. Factors independently associated with STI were having primary or less education (OR= 2.3, 95% CI: 1.09 - 4.85) having a spouse of primary or less education (OR= 3.3, 95% CI: 1.6 - 6.78) and muslim faith (OR= 0.2, 95% CI: 0.04 - 0.78).</p></sec><sec id="sec004"><title>Conclusion</title><p>STI prevalence was 11.1%. TV and NG were the commonest STIs in this population. 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sortKey="Sewankambo, Nk" uniqKey="Sewankambo N">NK Sewankambo</name></author><author><name sortKey="Serwadda, D" uniqKey="Serwadda D">D Serwadda</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Turner, An" uniqKey="Turner A">AN Turner</name></author><author><name sortKey="Morrison, Cs" uniqKey="Morrison C">CS Morrison</name></author><author><name sortKey="Padian, Ns" uniqKey="Padian N">NS Padian</name></author><author><name sortKey="Kaufman, Js" uniqKey="Kaufman J">JS Kaufman</name></author><author><name sortKey="Behets, Fm" uniqKey="Behets F">FM Behets</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Holmes, K S" uniqKey="Holmes K">K S Holmes</name></author><author><name sortKey="Pf" uniqKey="Pf">PF</name></author><author><name sortKey="Mardh, P" uniqKey="Mardh P">P. Mardh</name></author><author><name sortKey="Lemon, Sm" uniqKey="Lemon S">SM. Lemon</name></author><author><name sortKey="Stamm, We" uniqKey="Stamm W">WE. Stamm</name></author><author><name sortKey="Piot, P" uniqKey="Piot P">P. Piot</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chanakira, E" uniqKey="Chanakira E">E Chanakira</name></author><author><name sortKey="Goyder, E" uniqKey="Goyder E">E Goyder</name></author><author><name sortKey="Freeman, J" uniqKey="Freeman J">J Freeman</name></author><author><name sortKey="O Cathain, A" uniqKey="O Cathain A">A O'Cathain</name></author><author><name sortKey="Kinghorn, G" uniqKey="Kinghorn G">G Kinghorn</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Seth, P" uniqKey="Seth P">P Seth</name></author><author><name sortKey="Wingood, Gm" uniqKey="Wingood G">GM Wingood</name></author><author><name sortKey="Diclemente, Rj" uniqKey="Diclemente R">RJ DiClemente</name></author><author><name sortKey="Robinson, Ls" uniqKey="Robinson L">LS Robinson</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Ouganda</li><li>Suède</li></country><region><li>Svealand</li></region><settlement><li>Stockholm</li></settlement></list><tree><noCountry><name sortKey="Tumwesigye, Nazarius Mbona" sort="Tumwesigye, Nazarius Mbona" uniqKey="Tumwesigye N" first="Nazarius Mbona" last="Tumwesigye">Nazarius Mbona Tumwesigye</name></noCountry><country name="Ouganda"><noRegion><name sortKey="Kakaire, Othman" sort="Kakaire, Othman" uniqKey="Kakaire O" first="Othman" last="Kakaire">Othman Kakaire</name></noRegion><name sortKey="Byamugisha, Josaphat Kayogoza" sort="Byamugisha, Josaphat Kayogoza" uniqKey="Byamugisha J" first="Josaphat Kayogoza" last="Byamugisha">Josaphat Kayogoza Byamugisha</name></country><country name="Suède"><region name="Svealand"><name sortKey="Gamzell Danielsson, Kristina" sort="Gamzell Danielsson, Kristina" uniqKey="Gamzell Danielsson K" first="Kristina" last="Gamzell-Danielsson">Kristina Gamzell-Danielsson</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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