Identification of Novel Risks for Non-Ulcerative Sexually Transmitted Infections Among Young Men in Kisumu, Kenya
Identifieur interne : 000399 ( Ncbi/Merge ); précédent : 000398; suivant : 000400Identification 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.
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DOI: 10.1097/OLQ.0b013e318063c75d
PubMed: 17507834
PubMed Central: 2587300
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Mehta</name><affiliation wicri:level="2"><nlm:aff id="A1"> Department of Epidemiology and Biostatistics, University of Illinois Chicago School of Public Health, Illinois, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea> Department of Epidemiology and Biostatistics, University of Illinois Chicago School of Public Health, Illinois</wicri:regionArea><placeName><region type="state">Illinois</region></placeName></affiliation></author><author><name sortKey="Moses, Stephen" sort="Moses, Stephen" uniqKey="Moses S" first="Stephen" last="Moses">Stephen Moses</name><affiliation wicri:level="4"><nlm:aff id="A2"> Departments of Medical Microbiology, Community Health Sciences and Medicine, University of Manitoba, Winnipeg, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea> Departments of Medical Microbiology, Community Health Sciences and Medicine, University of Manitoba, Winnipeg</wicri:regionArea><orgName type="university">Université du Manitoba</orgName><placeName><settlement type="city">Winnipeg</settlement><region type="state">Manitoba</region></placeName></affiliation></author><author><name sortKey="Ndinya Achola, Jeckoniah O" sort="Ndinya Achola, Jeckoniah O" uniqKey="Ndinya Achola J" first="Jeckoniah O." last="Ndinya-Achola">Jeckoniah O. 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Mehta</name><affiliation wicri:level="2"><nlm:aff id="A1"> Department of Epidemiology and Biostatistics, University of Illinois Chicago School of Public Health, Illinois, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea> Department of Epidemiology and Biostatistics, University of Illinois Chicago School of Public Health, Illinois</wicri:regionArea><placeName><region type="state">Illinois</region></placeName></affiliation></author><author><name sortKey="Moses, Stephen" sort="Moses, Stephen" uniqKey="Moses S" first="Stephen" last="Moses">Stephen Moses</name><affiliation wicri:level="4"><nlm:aff id="A2"> Departments of Medical Microbiology, Community Health Sciences and Medicine, University of Manitoba, Winnipeg, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea> Departments of Medical Microbiology, Community Health Sciences and Medicine, University of Manitoba, Winnipeg</wicri:regionArea><orgName type="university">Université du Manitoba</orgName><placeName><settlement type="city">Winnipeg</settlement><region type="state">Manitoba</region></placeName></affiliation></author><author><name sortKey="Ndinya Achola, Jeckoniah O" sort="Ndinya Achola, Jeckoniah O" uniqKey="Ndinya Achola J" first="Jeckoniah O." last="Ndinya-Achola">Jeckoniah O. Ndinya-Achola</name><affiliation wicri:level="1"><nlm:aff id="A3"> Department of Medical Microbiology, University of Nairobi, Nairobi, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea> Department of Medical Microbiology, University of Nairobi, Nairobi</wicri:regionArea><wicri:noRegion>Nairobi</wicri:noRegion></affiliation></author><author><name sortKey="Agot, Kawango" sort="Agot, Kawango" uniqKey="Agot K" first="Kawango" last="Agot">Kawango Agot</name><affiliation wicri:level="1"><nlm:aff id="A4"> UNIM Project, Kisumu, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea> UNIM Project, Kisumu</wicri:regionArea><wicri:noRegion>Kisumu</wicri:noRegion></affiliation></author><author><name sortKey="Maclean, Ian" sort="Maclean, Ian" uniqKey="Maclean I" first="Ian" last="Maclean">Ian Maclean</name><affiliation wicri:level="4"><nlm:aff id="A5"> Department of Medical Microbiology, University of Manitoba, Winnipeg, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea> Department of Medical Microbiology, University of Manitoba, Winnipeg</wicri:regionArea><orgName type="university">Université du Manitoba</orgName><placeName><settlement type="city">Winnipeg</settlement><region type="state">Manitoba</region></placeName></affiliation></author><author><name sortKey="Bailey, Robert C" sort="Bailey, Robert C" uniqKey="Bailey R" first="Robert C." last="Bailey">Robert C. Bailey</name><affiliation wicri:level="2"><nlm:aff id="A1"> Department of Epidemiology and Biostatistics, University of Illinois Chicago School of Public Health, Illinois, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea> Department of Epidemiology and Biostatistics, University of Illinois Chicago School of Public Health, Illinois</wicri:regionArea><placeName><region type="state">Illinois</region></placeName></affiliation></author></analytic><series><title level="j">Sexually transmitted diseases</title><idno type="ISSN">0148-5717</idno><idno type="eISSN">1537-4521</idno><imprint><date when="2007">2007</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><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></TEI><pmc article-type="research-article" xml:lang="EN"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">7705941</journal-id><journal-id journal-id-type="pubmed-jr-id">7382</journal-id><journal-id journal-id-type="nlm-ta">Sex Transm Dis</journal-id><journal-title>Sexually transmitted diseases</journal-title><issn pub-type="ppub">0148-5717</issn><issn pub-type="epub">1537-4521</issn></journal-meta><article-meta><article-id pub-id-type="pmid">17507834</article-id><article-id pub-id-type="pmc">2587300</article-id><article-id pub-id-type="doi">10.1097/OLQ.0b013e318063c75d</article-id><article-id pub-id-type="manuscript">NIHMS54112</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Identification of Novel Risks for Non-Ulcerative Sexually Transmitted Infections Among Young Men in Kisumu, Kenya</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Mehta</surname><given-names>Supriya D.</given-names></name><degrees>MHS, PhD</degrees><xref rid="A1" ref-type="aff">1</xref></contrib><contrib contrib-type="author"><name><surname>Moses</surname><given-names>Stephen</given-names></name><degrees>MD, MPH</degrees><xref rid="A2" ref-type="aff">2</xref></contrib><contrib contrib-type="author"><name><surname>Ndinya-Achola</surname><given-names>Jeckoniah O.</given-names></name><degrees>MBCHB, MSc</degrees><xref rid="A3" ref-type="aff">3</xref></contrib><contrib contrib-type="author"><name><surname>Agot</surname><given-names>Kawango</given-names></name><degrees>PhD</degrees><xref rid="A4" ref-type="aff">4</xref></contrib><contrib contrib-type="author"><name><surname>Maclean</surname><given-names>Ian</given-names></name><degrees>PhD</degrees><xref rid="A5" ref-type="aff">5</xref></contrib><contrib contrib-type="author"><name><surname>Bailey</surname><given-names>Robert C.</given-names></name><degrees>PhD</degrees><xref rid="A1" ref-type="aff">1</xref></contrib></contrib-group><aff id="A1"><label>1</label> Department of Epidemiology and Biostatistics, University of Illinois Chicago School of Public Health, Illinois, USA</aff><aff id="A2"><label>2</label> Departments of Medical Microbiology, Community Health Sciences and Medicine, University of Manitoba, Winnipeg, Canada</aff><aff id="A3"><label>3</label> Department of Medical Microbiology, University of Nairobi, Nairobi, Kenya</aff><aff id="A4"><label>4</label> UNIM Project, Kisumu, Kenya</aff><aff id="A5"><label>5</label> Department of Medical Microbiology, University of Manitoba, Winnipeg, Canada</aff><author-notes><corresp id="FN1">Corresponding Author: Dr. Supriya Mehta, 958 SPHPI M/C 923; 1603 W. Taylor St.; Chicago, IL 60622; phone: (312) 413-7485; fax (312) 996-0064; email: <email>supriyad@uic.edu</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>17</day><month>6</month><year>2008</year></pub-date><pub-date pub-type="ppub"><month>11</month><year>2007</year></pub-date><pub-date pub-type="pmc-release"><day>25</day><month>11</month><year>2008</year></pub-date><volume>34</volume><issue>11</issue><fpage>892</fpage><lpage>899</lpage><abstract><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></abstract><contract-num rid="AI1">U01 AI050440-07</contract-num><contract-sponsor id="AI1">National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID</contract-sponsor></article-meta></front></pmc><affiliations><list><country><li>Canada</li><li>Kenya</li><li>États-Unis</li></country><region><li>Illinois</li><li>Manitoba</li></region><settlement><li>Winnipeg</li></settlement><orgName><li>Université du Manitoba</li></orgName></list><tree><country name="États-Unis"><region name="Illinois"><name sortKey="Mehta, Supriya D" sort="Mehta, Supriya D" uniqKey="Mehta S" first="Supriya D." last="Mehta">Supriya D. Mehta</name></region><name sortKey="Bailey, Robert C" sort="Bailey, Robert C" uniqKey="Bailey R" first="Robert C." last="Bailey">Robert C. Bailey</name></country><country name="Canada"><region name="Manitoba"><name sortKey="Moses, Stephen" sort="Moses, Stephen" uniqKey="Moses S" first="Stephen" last="Moses">Stephen Moses</name></region><name sortKey="Maclean, Ian" sort="Maclean, Ian" uniqKey="Maclean I" first="Ian" last="Maclean">Ian Maclean</name></country><country name="Kenya"><noRegion><name sortKey="Ndinya Achola, Jeckoniah O" sort="Ndinya Achola, Jeckoniah O" uniqKey="Ndinya Achola J" first="Jeckoniah O." last="Ndinya-Achola">Jeckoniah O. Ndinya-Achola</name></noRegion><name sortKey="Agot, Kawango" sort="Agot, Kawango" uniqKey="Agot K" first="Kawango" last="Agot">Kawango Agot</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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