Identification of Novel Risks for Non-Ulcerative Sexually Transmitted Infections Among Young Men in Kisumu, Kenya
Identifieur interne : 006476 ( Main/Curation ); précédent : 006475; suivant : 006477Identification of Novel Risks for Non-Ulcerative Sexually Transmitted Infections Among Young Men in Kisumu, Kenya
Auteurs : Supriya D. Mehta [États-Unis] ; Stephen Moses [Canada] ; Jeckoniah O. Ndinya-Achola [Kenya] ; Kawango Agot [Kenya] ; Ian Maclean [Canada] ; Robert C. Bailey [États-Unis]Source :
- Sexually transmitted diseases [ 0148-5717 ] ; 2007.
Abstract
STI prevention interventions often aim to reduce HIV incidence. Understanding STI risks may lead to more effective HIV prevention.
To identify STI risks among men aged 18–24 in Kisumu, Kenya.
We analyzed baseline data from a randomized trial of male circumcision. Participants were interviewed for socio-demographic and behavioral risks.
Among 2,743 men, 214 (7.8%; 95% CI: 6.8 – 8.8%) were infected with any STI. In multivariable analysis, statistically significant risks for infection were: living one’s whole life in Kisumu (OR=1.50; 95% CI: 1.12 – 2.01), preferring “dry” sex (OR=1.47; 95% CI: 1.05 – 2.07), HSV-2 seropositivity (OR=1.37; 95% CI: 1.01 – 1.86), and inability to ejaculate during sex (OR=2.04; 95% CI: 1.15 – 3.62). Risk decreased with increasing age and education, and cleaning one’s penis < 1 hour after sex (OR=0.51; 95% CI: 0.33 – 0.80).
Understanding how post-coital cleaning, “dry” sex, and sexual dysfunction relate to STI acquisition may improve STI and HIV prevention.
We identify novel risks for non-ulcerative STI among young men in Kisumu, Kenya. Understanding how post-coital cleaning, preferring “dry” sex, and sexual dysfunction relate to STI acquisition may lead to improved STI and HIV prevention.
Url:
DOI: 10.1097/OLQ.0b013e318063c75d
PubMed: 17507834
PubMed Central: 2587300
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<series><title level="j">Sexually transmitted diseases</title>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objectives</title>
<p id="P1">STI prevention interventions often aim to reduce HIV incidence. Understanding STI risks may lead to more effective HIV prevention.</p>
</sec>
<sec id="S2"><title>Goal</title>
<p id="P2">To identify STI risks among men aged 18–24 in Kisumu, Kenya.</p>
</sec>
<sec id="S3"><title>Study Design</title>
<p id="P3">We analyzed baseline data from a randomized trial of male circumcision. Participants were interviewed for socio-demographic and behavioral risks. <italic>Neisseria gonorrhoeae</italic>
(NG) and <italic>Chlamydia trachomatis</italic>
(CT) were diagnosed by polymerase chain reaction assay and <italic>Trichomonas vaginalis</italic>
(TV) by culture. The outcome for logistic regression analysis was infection with NG, CT, or TV.</p>
</sec>
<sec id="S4"><title>Results</title>
<p id="P4">Among 2,743 men, 214 (7.8%; 95% CI: 6.8 – 8.8%) were infected with any STI. In multivariable analysis, statistically significant risks for infection were: living one’s whole life in Kisumu (OR=1.50; 95% CI: 1.12 – 2.01), preferring “dry” sex (OR=1.47; 95% CI: 1.05 – 2.07), HSV-2 seropositivity (OR=1.37; 95% CI: 1.01 – 1.86), and inability to ejaculate during sex (OR=2.04; 95% CI: 1.15 – 3.62). Risk decreased with increasing age and education, and cleaning one’s penis < 1 hour after sex (OR=0.51; 95% CI: 0.33 – 0.80).</p>
</sec>
<sec id="S5"><title>Conclusion</title>
<p id="P5">Understanding how post-coital cleaning, “dry” sex, and sexual dysfunction relate to STI acquisition may improve STI and HIV prevention.</p>
</sec>
<sec id="S6"><title>Short Summary</title>
<p id="P6">We identify novel risks for non-ulcerative STI among young men in Kisumu, Kenya. Understanding how post-coital cleaning, preferring “dry” sex, and sexual dysfunction relate to STI acquisition may lead to improved STI and HIV prevention.</p>
</sec>
</div>
</front>
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