Sexually transmitted diseases and risk of HIV infection in men attending a sexually transmitted diseases clinic in Dakar, Senegal.
Identifieur interne : 001C51 ( PubMed/Corpus ); précédent : 001C50; suivant : 001C52Sexually transmitted diseases and risk of HIV infection in men attending a sexually transmitted diseases clinic in Dakar, Senegal.
Auteurs : I. Thior ; G. Diouf ; I K Diaw ; A D Sarr ; C C Hsieh ; I. Ndoye ; S. Mboup ; L. Chen ; M. Essex ; R. Marlink ; P. KankiSource :
- African journal of reproductive health [ 1118-4841 ] ; 1997.
English descriptors
- KwdEn :
- Adult, Ambulatory Care Facilities (utilization), Cross-Sectional Studies, HIV Infections (epidemiology), HIV Infections (etiology), HIV Seroprevalence, Health Knowledge, Attitudes, Practice, Humans, Male, Multivariate Analysis, Risk Factors, Senegal (epidemiology), Sex Work, Sexually Transmitted Diseases (epidemiology), Sexually Transmitted Diseases (etiology), Socioeconomic Factors, Surveys and Questionnaires, Urban Health, Urban Health Services (utilization).
- MESH :
- epidemiology : HIV Infections, Senegal, Sexually Transmitted Diseases.
- etiology : HIV Infections, Sexually Transmitted Diseases.
- utilization : Ambulatory Care Facilities, Urban Health Services.
- Adult, Cross-Sectional Studies, HIV Seroprevalence, Health Knowledge, Attitudes, Practice, Humans, Male, Multivariate Analysis, Risk Factors, Sex Work, Socioeconomic Factors, Surveys and Questionnaires, Urban Health.
Abstract
This cross-sectional study was carried out among male outpatients with symptoms of STDs at the STD reference centre at the Institute of Social Hygiene (IHS), Dakar, Senegal, from March 1989 through May 1991. This study was used to determine the prevalence of STDs and HIV among male patients attending an STD clinic and to identify their socio-demographic characteristics and risk factors. A total of 975 patients were enrolled in the study. The most common syndromes were urethritis (76%) and genital ulcers (22%). Considering single infections, the major STD agents were Neisseria gonorrheae (N.gonorrheae, 30%), Chlamydia trachomatis (C.trachomatis, 15%), Treponema pallidum (T.pallidum, 12%), and Haemophilus ducreyi (H.ducreyi, 7%). HIV prevalence was 2.6 percent (25/975). After multivariate analysis, the risk factors associated with HIV infection were a history of sex with prostitutes (odds ratio [OR] = 8.6, 95% confidence interval [CI] = 2.0-37.8), unprotected sexual contact (OR = 5.6, 95% CI = 1.2-25.0), a history of urethritis (OR = 3.4, 95% CI = 1.3-8.9), current STDs due to H.ducreyi or T.pallidum (OR = 6.1, 95% CI = 2-18.8), and mixed STD infection (OR = 5.3, 95% CI = 1.3-21.8). HIV prevalence was quite low in this population compared to similar studies of STD patients from other sub-Saharan African countries. Neisseria gonorrheae and Chlamydia trachomatis were the leading causes of STDs. A history of risky sexual behaviour, previous STDs, current genital ulcers, and mixed STD infections were associated with HIV infection. Further studies are necessary to determine changes in the relationship of STDs and HIV infection in this population.
PubMed: 10214412
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Diouf</name></author><author><name sortKey="Diaw, I K" sort="Diaw, I K" uniqKey="Diaw I" first="I K" last="Diaw">I K Diaw</name></author><author><name sortKey="Sarr, A D" sort="Sarr, A D" uniqKey="Sarr A" first="A D" last="Sarr">A D Sarr</name></author><author><name sortKey="Hsieh, C C" sort="Hsieh, C C" uniqKey="Hsieh C" first="C C" last="Hsieh">C C Hsieh</name></author><author><name sortKey="Ndoye, I" sort="Ndoye, I" uniqKey="Ndoye I" first="I" last="Ndoye">I. Ndoye</name></author><author><name sortKey="Mboup, S" sort="Mboup, S" uniqKey="Mboup S" first="S" last="Mboup">S. Mboup</name></author><author><name sortKey="Chen, L" sort="Chen, L" uniqKey="Chen L" first="L" last="Chen">L. Chen</name></author><author><name sortKey="Essex, M" sort="Essex, M" uniqKey="Essex M" first="M" last="Essex">M. Essex</name></author><author><name sortKey="Marlink, R" sort="Marlink, R" uniqKey="Marlink R" first="R" last="Marlink">R. Marlink</name></author><author><name sortKey="Kanki, P" sort="Kanki, P" uniqKey="Kanki P" first="P" last="Kanki">P. Kanki</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1997">1997</date><idno type="RBID">pubmed:10214412</idno><idno type="pmid">10214412</idno><idno type="wicri:Area/PubMed/Corpus">001C51</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001C51</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Sexually transmitted diseases and risk of HIV infection in men attending a sexually transmitted diseases clinic in Dakar, Senegal.</title><author><name sortKey="Thior, I" sort="Thior, I" uniqKey="Thior I" first="I" last="Thior">I. Thior</name><affiliation><nlm:affiliation>Harvard AIDS Institute, Harvard School of Public Health, Boston 02115, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Diouf, G" sort="Diouf, G" uniqKey="Diouf G" first="G" last="Diouf">G. Diouf</name></author><author><name sortKey="Diaw, I K" sort="Diaw, I K" uniqKey="Diaw I" first="I K" last="Diaw">I K Diaw</name></author><author><name sortKey="Sarr, A D" sort="Sarr, A D" uniqKey="Sarr A" first="A D" last="Sarr">A D Sarr</name></author><author><name sortKey="Hsieh, C C" sort="Hsieh, C C" uniqKey="Hsieh C" first="C C" last="Hsieh">C C Hsieh</name></author><author><name sortKey="Ndoye, I" sort="Ndoye, I" uniqKey="Ndoye I" first="I" last="Ndoye">I. Ndoye</name></author><author><name sortKey="Mboup, S" sort="Mboup, S" uniqKey="Mboup S" first="S" last="Mboup">S. Mboup</name></author><author><name sortKey="Chen, L" sort="Chen, L" uniqKey="Chen L" first="L" last="Chen">L. Chen</name></author><author><name sortKey="Essex, M" sort="Essex, M" uniqKey="Essex M" first="M" last="Essex">M. Essex</name></author><author><name sortKey="Marlink, R" sort="Marlink, R" uniqKey="Marlink R" first="R" last="Marlink">R. Marlink</name></author><author><name sortKey="Kanki, P" sort="Kanki, P" uniqKey="Kanki P" first="P" last="Kanki">P. Kanki</name></author></analytic><series><title level="j">African journal of reproductive health</title><idno type="ISSN">1118-4841</idno><imprint><date when="1997" type="published">1997</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Ambulatory Care Facilities (utilization)</term><term>Cross-Sectional Studies</term><term>HIV Infections (epidemiology)</term><term>HIV Infections (etiology)</term><term>HIV Seroprevalence</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Male</term><term>Multivariate Analysis</term><term>Risk Factors</term><term>Senegal (epidemiology)</term><term>Sex Work</term><term>Sexually Transmitted Diseases (epidemiology)</term><term>Sexually Transmitted Diseases (etiology)</term><term>Socioeconomic Factors</term><term>Surveys and Questionnaires</term><term>Urban Health</term><term>Urban Health Services (utilization)</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>HIV Infections</term><term>Senegal</term><term>Sexually Transmitted Diseases</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>HIV Infections</term><term>Sexually Transmitted Diseases</term></keywords><keywords scheme="MESH" qualifier="utilization" xml:lang="en"><term>Ambulatory Care Facilities</term><term>Urban Health Services</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Cross-Sectional Studies</term><term>HIV Seroprevalence</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Male</term><term>Multivariate Analysis</term><term>Risk Factors</term><term>Sex Work</term><term>Socioeconomic Factors</term><term>Surveys and Questionnaires</term><term>Urban Health</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This cross-sectional study was carried out among male outpatients with symptoms of STDs at the STD reference centre at the Institute of Social Hygiene (IHS), Dakar, Senegal, from March 1989 through May 1991. This study was used to determine the prevalence of STDs and HIV among male patients attending an STD clinic and to identify their socio-demographic characteristics and risk factors. A total of 975 patients were enrolled in the study. The most common syndromes were urethritis (76%) and genital ulcers (22%). Considering single infections, the major STD agents were Neisseria gonorrheae (N.gonorrheae, 30%), Chlamydia trachomatis (C.trachomatis, 15%), Treponema pallidum (T.pallidum, 12%), and Haemophilus ducreyi (H.ducreyi, 7%). HIV prevalence was 2.6 percent (25/975). After multivariate analysis, the risk factors associated with HIV infection were a history of sex with prostitutes (odds ratio [OR] = 8.6, 95% confidence interval [CI] = 2.0-37.8), unprotected sexual contact (OR = 5.6, 95% CI = 1.2-25.0), a history of urethritis (OR = 3.4, 95% CI = 1.3-8.9), current STDs due to H.ducreyi or T.pallidum (OR = 6.1, 95% CI = 2-18.8), and mixed STD infection (OR = 5.3, 95% CI = 1.3-21.8). HIV prevalence was quite low in this population compared to similar studies of STD patients from other sub-Saharan African countries. Neisseria gonorrheae and Chlamydia trachomatis were the leading causes of STDs. A history of risky sexual behaviour, previous STDs, current genital ulcers, and mixed STD infections were associated with HIV infection. Further studies are necessary to determine changes in the relationship of STDs and HIV infection in this population.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">10214412</PMID><DateCreated><Year>1999</Year><Month>05</Month><Day>06</Day></DateCreated><DateCompleted><Year>1999</Year><Month>05</Month><Day>06</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>24</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1118-4841</ISSN><JournalIssue CitedMedium="Print"><Volume>1</Volume><Issue>2</Issue><PubDate><Year>1997</Year><Month>Sep</Month></PubDate></JournalIssue><Title>African journal of reproductive health</Title><ISOAbbreviation>Afr J Reprod Health</ISOAbbreviation></Journal><ArticleTitle>Sexually transmitted diseases and risk of HIV infection in men attending a sexually transmitted diseases clinic in Dakar, Senegal.</ArticleTitle><Pagination><MedlinePgn>26-35</MedlinePgn></Pagination><Abstract><AbstractText>This cross-sectional study was carried out among male outpatients with symptoms of STDs at the STD reference centre at the Institute of Social Hygiene (IHS), Dakar, Senegal, from March 1989 through May 1991. This study was used to determine the prevalence of STDs and HIV among male patients attending an STD clinic and to identify their socio-demographic characteristics and risk factors. A total of 975 patients were enrolled in the study. The most common syndromes were urethritis (76%) and genital ulcers (22%). Considering single infections, the major STD agents were Neisseria gonorrheae (N.gonorrheae, 30%), Chlamydia trachomatis (C.trachomatis, 15%), Treponema pallidum (T.pallidum, 12%), and Haemophilus ducreyi (H.ducreyi, 7%). HIV prevalence was 2.6 percent (25/975). After multivariate analysis, the risk factors associated with HIV infection were a history of sex with prostitutes (odds ratio [OR] = 8.6, 95% confidence interval [CI] = 2.0-37.8), unprotected sexual contact (OR = 5.6, 95% CI = 1.2-25.0), a history of urethritis (OR = 3.4, 95% CI = 1.3-8.9), current STDs due to H.ducreyi or T.pallidum (OR = 6.1, 95% CI = 2-18.8), and mixed STD infection (OR = 5.3, 95% CI = 1.3-21.8). HIV prevalence was quite low in this population compared to similar studies of STD patients from other sub-Saharan African countries. Neisseria gonorrheae and Chlamydia trachomatis were the leading causes of STDs. A history of risky sexual behaviour, previous STDs, current genital ulcers, and mixed STD infections were associated with HIV infection. Further studies are necessary to determine changes in the relationship of STDs and HIV infection in this population.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Thior</LastName><ForeName>I</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Harvard AIDS Institute, Harvard School of Public Health, Boston 02115, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Diouf</LastName><ForeName>G</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Diaw</LastName><ForeName>I K</ForeName><Initials>IK</Initials></Author><Author ValidYN="Y"><LastName>Sarr</LastName><ForeName>A D</ForeName><Initials>AD</Initials></Author><Author ValidYN="Y"><LastName>Hsieh</LastName><ForeName>C C</ForeName><Initials>CC</Initials></Author><Author ValidYN="Y"><LastName>Ndoye</LastName><ForeName>I</ForeName><Initials>I</Initials></Author><Author ValidYN="Y"><LastName>Mboup</LastName><ForeName>S</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Chen</LastName><ForeName>L</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Essex</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Marlink</LastName><ForeName>R</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Kanki</LastName><ForeName>P</ForeName><Initials>P</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>D43-TW-0004</GrantID><Acronym>TW</Acronym><Agency>FIC NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType><PublicationType UI="D013487">Research Support, U.S. Gov't, P.H.S.</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Nigeria</Country><MedlineTA>Afr J Reprod Health</MedlineTA><NlmUniqueID>9712263</NlmUniqueID><ISSNLinking>1118-4841</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CitationSubset>X</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000554" MajorTopicYN="N">Ambulatory Care Facilities</DescriptorName><QualifierName UI="Q000656" MajorTopicYN="N">utilization</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015658" MajorTopicYN="N">HIV Infections</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015528" MajorTopicYN="Y">HIV Seroprevalence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007722" MajorTopicYN="N">Health Knowledge, Attitudes, Practice</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015999" MajorTopicYN="N">Multivariate Analysis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012675" MajorTopicYN="N">Senegal</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011477" MajorTopicYN="N">Sex Work</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012749" MajorTopicYN="N">Sexually Transmitted Diseases</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012959" MajorTopicYN="N">Socioeconomic Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014504" MajorTopicYN="N">Urban Health</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019037" MajorTopicYN="N">Urban Health Services</DescriptorName><QualifierName UI="Q000656" MajorTopicYN="N">utilization</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1999</Year><Month>4</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1999</Year><Month>4</Month><Day>24</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate 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