Correlates of prevalent sexually transmitted infections among participants screened for an HIV incidence cohort study in Kisumu, Kenya
| Autor: | Richard Ndivo, Fredrick Otieno, Ernesta Kunneke, Timothy K. Thomas, Eleanor McLellan-Lemal, Simon Oswago, Sherri L. Pals, Lisa A. Mills, Robert T. Chen |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Sexual Behavior Population Gonorrhea Sexually Transmitted Diseases HIV Infections Dermatology Article Cohort Studies Condoms Young Adult Risk Factors Prevalence medicine Humans Pharmacology (medical) Syphilis Young adult education Gynecology education.field_of_study Herpes Genitalis Chlamydia business.industry Incidence Incidence (epidemiology) Public Health Environmental and Occupational Health Chlamydia Infections medicine.disease Health Surveys Kenya Sexual Partners Infectious Diseases Socioeconomic Factors Regression Analysis Marital status Female business Demography Cohort study |
| Zdroj: | International Journal of STD & AIDS. 26:225-237 |
| ISSN: | 1758-1052 0956-4624 |
| Popis: | Background: We determined the prevalence of four sexually transmitted infections and the demographic and behav- ioural correlates associated with having one or more sexually transmitted infections among participants in an HIV incidence cohort study in Kisumu, western Kenya. Methods: Participants were enrolled from a convenience sample and underwent aetiologic sexually transmitted infec- tion 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. Results: 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. Conclusion: 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. |
| Databáze: | OpenAIRE |
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