Correlates of prevalent sexually transmitted infections among participants screened for an HIV incidence cohort study in Kisumu, Kenya
Identifieur interne : 001F06 ( Main/Exploration ); précédent : 001F05; suivant : 001F07Correlates of prevalent sexually transmitted infections among participants screened for an HIV incidence cohort study in Kisumu, Kenya
Auteurs : Fredrick Odhiambo Otieno [Kenya] ; Richard Ndivo [Kenya] ; Simon Oswago [Kenya] ; Sherri Pals [États-Unis] ; Robert Chen [États-Unis] ; Timothy Thomas [États-Unis] ; Ernesta Kunneke [Afrique du Sud] ; Lisa A. Mills [États-Unis] ; Eleanor Mclellan-Lemal [États-Unis]Source :
- International journal of STD & AIDS [ 0956-4624 ] ; 2014.
Abstract
We determined the prevalence of four sexually transmitted infections and the demographic and behavioural correlates associated with having one or more sexually transmitted infections among participants in an HIV incidence cohort study in Kisumu, western Kenya.
Participants were enrolled from a convenience sample and underwent aetiologic sexually transmitted infection investigation. Demographic and behavioural information were collected and basic clinical evaluation performed. Multiple regression analysis was done to determine variables associated with having one or more sexually transmitted infections.
We screened 846, 18- to 34-year-olds. One-third had at least one sexually transmitted infection with specific prevalence being, syphilis; 1.6%, gonorrhoea; 2.4%, herpes simplex virus type-2; 29.1%, chlamydia; 2.8%, and HIV; 14.8%. Odds of having any sexually transmitted infection were higher among participants who were women, were aged 20–24 or 30–34 years compared to 18–19 years, had secondary or lower education compared to tertiary education, were divorced, widowed or separated compared to singles, reported having unprotected sex compared to those who did not, reported previous sexually transmitted infection treatment, and tested HIV-positive.
Multiple strategies are needed to address the overall high prevalence of sexually transmitted infections as well as the gender disparity found in this Kenyan population. Structural interventions may be beneficial in addressing educational and socio-economic barriers, and increasing the uptake of health-promoting practices.
Url:
DOI: 10.1177/0956462414532447
PubMed: 24810218
PubMed Central: 4709839
Affiliations:
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Centers for Disease Control and Prevention, Office of Infectious Diseases, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Division of HIV/AIDS Prevention, Atlanta</wicri:regionArea>
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<country xml:lang="fr">Afrique du Sud</country>
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<wicri:noRegion>Atlanta</wicri:noRegion>
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<author><name sortKey="Mclellan Lemal, Eleanor" sort="Mclellan Lemal, Eleanor" uniqKey="Mclellan Lemal E" first="Eleanor" last="Mclellan-Lemal">Eleanor Mclellan-Lemal</name>
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<country xml:lang="fr">États-Unis</country>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title>
<p id="P1">We determined the prevalence of four sexually transmitted infections
and the demographic and behavioural correlates associated with having one or
more sexually transmitted infections among participants in an HIV incidence
cohort study in Kisumu, western Kenya.</p>
</sec>
<sec id="S2"><title>Methods</title>
<p id="P2">Participants were enrolled from a convenience sample and underwent
aetiologic sexually transmitted infection investigation. Demographic and
behavioural information were collected and basic clinical evaluation
performed. Multiple regression analysis was done to determine variables
associated with having one or more sexually transmitted infections.</p>
</sec>
<sec id="S3"><title>Results</title>
<p id="P3">We screened 846, 18- to 34-year-olds. One-third had at least one
sexually transmitted infection with specific prevalence being, syphilis;
1.6%, gonorrhoea; 2.4%, herpes simplex virus type-2;
29.1%, chlamydia; 2.8%, and HIV; 14.8%. Odds of
having any sexually transmitted infection were higher among participants who
were women, were aged 20–24 or 30–34 years compared to
18–19 years, had secondary or lower education compared to tertiary
education, were divorced, widowed or separated compared to singles, reported
having unprotected sex compared to those who did not, reported previous
sexually transmitted infection treatment, and tested HIV-positive.</p>
</sec>
<sec id="S4"><title>Conclusion</title>
<p id="P4">Multiple strategies are needed to address the overall high prevalence
of sexually transmitted infections as well as the gender disparity found in
this Kenyan population. Structural interventions may be beneficial in
addressing educational and socio-economic barriers, and increasing the
uptake of health-promoting practices.</p>
</sec>
</div>
</front>
</TEI>
<affiliations><list><country><li>Afrique du Sud</li>
<li>Kenya</li>
<li>États-Unis</li>
</country>
</list>
<tree><country name="Kenya"><noRegion><name sortKey="Otieno, Fredrick Odhiambo" sort="Otieno, Fredrick Odhiambo" uniqKey="Otieno F" first="Fredrick Odhiambo" last="Otieno">Fredrick Odhiambo Otieno</name>
</noRegion>
<name sortKey="Ndivo, Richard" sort="Ndivo, Richard" uniqKey="Ndivo R" first="Richard" last="Ndivo">Richard Ndivo</name>
<name sortKey="Oswago, Simon" sort="Oswago, Simon" uniqKey="Oswago S" first="Simon" last="Oswago">Simon Oswago</name>
</country>
<country name="États-Unis"><noRegion><name sortKey="Pals, Sherri" sort="Pals, Sherri" uniqKey="Pals S" first="Sherri" last="Pals">Sherri Pals</name>
</noRegion>
<name sortKey="Chen, Robert" sort="Chen, Robert" uniqKey="Chen R" first="Robert" last="Chen">Robert Chen</name>
<name sortKey="Mclellan Lemal, Eleanor" sort="Mclellan Lemal, Eleanor" uniqKey="Mclellan Lemal E" first="Eleanor" last="Mclellan-Lemal">Eleanor Mclellan-Lemal</name>
<name sortKey="Mills, Lisa A" sort="Mills, Lisa A" uniqKey="Mills L" first="Lisa A" last="Mills">Lisa A. Mills</name>
<name sortKey="Thomas, Timothy" sort="Thomas, Timothy" uniqKey="Thomas T" first="Timothy" last="Thomas">Timothy Thomas</name>
</country>
<country name="Afrique du Sud"><noRegion><name sortKey="Kunneke, Ernesta" sort="Kunneke, Ernesta" uniqKey="Kunneke E" first="Ernesta" last="Kunneke">Ernesta Kunneke</name>
</noRegion>
</country>
</tree>
</affiliations>
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