Prevalence and risk assessment for sexually transmitted infections in pregnant women and female sex workers in Mali: is syndromic approach suitable for screening?
| Autor: | Claire Mulanga-Kabeya, Ibrahima Ndoye, F Bougoudogo, Eric Delaporte, S Garangué, Y I Maiga, Etienne Morel, Z Diawara, D. Henzel, D Patrel |
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| Rok vydání: | 2000 |
| Předmět: |
Sexually transmitted disease
Adult medicine.medical_specialty Cross-sectional study Population Sexually Transmitted Diseases Dermatology Mali Risk Assessment law.invention Condom law Pregnancy Risk Factors Epidemiology medicine Prevalence Humans Risk factor Pregnancy Complications Infectious education Sex work Gynecology education.field_of_study business.industry Age Factors Original Articles Sex Work Infectious Diseases Health education Female business Demography |
| Zdroj: | Sexually transmitted infections. 75(5) |
| ISSN: | 1368-4973 |
| Popis: | Vaginal and cervical infections were common in asymptomatic pregnant women and sex workers in Mali. The overall prevalence of cervical infections (9%) in sex workers was relatively lower compared with what has been reported in the same population groups in other west African countries such as in Cote d’Ivoire 35% and Senegal 25%. This may be explained by the fact that all prostitutes enrolled in the study were also included in the health project of DANAYASO; where health education and condom promotion are provided. Regional difference was observed in relation to HIV prevalence among sex workers in particular. The reason for this regional difference is not clear since our study did not show any major difference in the characteristics of sex workers in terms of age length of prostitution and sexual behavior. Nevertheless the HIV epidemic might be more recent in Sikasso a rural area resulting in a lower number of contacts with infected individuals. Factors which elsewhere have been associated with cervical or vaginal infections were not found to be so in our study especially among pregnant women. Our data indicate that low prevalence of STIs and lack of symptoms among infected women even in the high risk group are real constraints in the development of a suitable tool for STI screening. These findings suggest that syndromic approaches may not be suitable for screening cervical or vaginal infections in this setting. (excerpt) |
| Databáze: | OpenAIRE |
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