Syndemics of Sexually Transmitted Infections in a Sample of Racially Diverse Pregnant Young Women

Abstract Background: Female adolescents and young women have the highest risk of curable sexually transmitted infections (STIs) globally. Data on the prevalence of STIs among young women in Uganda are limited. In this study, we investigated the time trends and determinants of STIs among adolescent girls and young women (15-24 years) in Uganda. Methods: We estimated the percentage of women 15-24 years from three recent consecutive Uganda Demographic and Health Surveys (2006, 2011, and 2016), who reported acquiring an STI within 12 months of the studies and examined the changes over time. A pooled multivariable logistic regression was used to examine predictors of actors associated with reporting an STI were assessed using.Results: The pooled STI prevalence was 26.0%. About 22.0% of youths reported an STI in 2006. This increased to 36.3% in 2011, before declining to 23.1% in 2016. Youths aged 20-24 years reported a higher STI prevalence (27.3%) compared to young participants (23.6%). Prevalence of STIs was significantly higher among female youths with multiple total lifetime partners (adjusted odds ratio (aOR 1.6, 95% CI 1.4-1.6). Similarly, women who were sexually active in the last 4 weeks prior to the interview (aOR 1.3, 95% CI 1.1-1.6), and women affiliated to Islam (aOR 1.3, 95% CI 1.1-1.6) or other religions (aOR 1.8, 95% CI 1.1-2.9) were more likely to report an STI. Living in Northern Uganda was found protective against STIs (aOR 0.5, 95% CI 0.3-0.7).Conclusion: The prevalence of STIs was high among female youths, 15-24 years. There is a need to adopt a holistic approach to the diagnosis and management of STIs among youths, as well as the integration of STI services in daily health care systems to increase their access to sexual and reproductive health services.

Download Full-text

Trends and correlates of sexually transmitted infections among sexually active Ugandan female youths: evidence from three demographic and health surveys, 2006-2016

10.21203/rs.3.rs-44742/v3 ◽

2021 ◽

Author(s):

Veronicah Masanja ◽

Solomon Tsebeni Wafula ◽

Tonny Ssekamatte ◽

John Bosco Isunju ◽

Richard K Mugambe ◽

...

Keyword(s):

Sexually Transmitted Infections ◽

Young Women ◽

Health Surveys ◽

Demographic And Health Surveys ◽

Sexually Active ◽

Transmitted Infection ◽

Sexually Transmitted ◽

Rural And Urban ◽

Kampala City ◽

Changes Over Time

Abstract Background: Female adolescents and young women have the highest risk of curable sexually transmitted infections (STIs) globally. Data on the prevalence of STIs among young women in Uganda are limited. In this study, we investigated the time trends and correlates of STIs among adolescent girls and young women (15-24 years) in Uganda.Methods: We estimated the percentage of women 15-24 years from three recent consecutive Uganda Demographic and Health Surveys (2006, 2011, and 2016), who reported suffering from genital sores, and or genital discharge or any other varginal complaints acquired after sexual intercourse within 12 months of the studies and examined the changes over time. A pooled multivariable logistic regression was used to examine the correlates of reporting an STI in the last 12 months preceding the study. Svyset command in Stata was used to cater for the survey sample design.Results: The pooled self-reported STI prevalence was 26.0%. Among these young women, 22.0%, 36.3%, and 23.1% reported a sexually transmitted infection in 2006, 2011, and 2016 respectively. Between 2006 and 2011, there was evidence of change (+14.3%, p < 0.001) in STI prevalence before a significant reduction (-12.0%, p<0.001). Youths aged 20-24 years reported a higher STI prevalence (27.3%) compared to young participants (23.6%). Correlates of reporting an STI among rural and urban young women were: having multiple total lifetime partners (adjusted odds ratio (aOR 1.6, 95% CI 1.4-1.6), being sexually active in the last 4 weeks (aOR 1.3, 95% CI 1.1-1.6), and being affiliated to Muslim faith (aOR 1.3, 95% CI 1.1-1.6) or other religions (aOR 1.8, 95% CI 1.1-2.9) as compared to Christian were more likely to report an STI. Living in Northern Uganda compared to living in Kampala city was found protective against STIs (aOR 0.5, 95% CI 0.3-0.7).Conclusion: The prevalence of STIs was high among female youths, 15-24 years. This highlights the need for a comprehensive STIs screening, surveillance, and treatment programme to potentially reduce the burden of STIs in the country.

Download Full-text

CONSERVATIVE METHODS OF TREATMENT OF ECTOPIA OF THE CERVIX, CAUSED BY SOME SEXUALLY TRANSMITTED INFECTIONS

Natural resources of the Earth and environmental protection ◽

10.26787/nydha-2713-203x-2020-1-10-11-12-81-83 ◽

2020 ◽

pp. 81-83

Author(s):

Kalinkina O.B.

Keyword(s):

Sexually Transmitted Infections ◽

Young Women ◽

Conservative Therapy ◽

Surgical Interventions ◽

Sexually Transmitted ◽

Methods Of Treatment ◽

Infectious Etiology ◽

Management Tactics

The aim of this study was to prove the effectiveness of differentiated conservative therapy, taking into account the type of pathogen and reducing the volume of surgical interventions in young women with cervical ectopia associated with STIs and CIN 1. 50 patients aged 20 to 32 years with identified cervical ectopia of infectious etiology were examined. As a result of the proposed management tactics, the pathology was cured in 89 % of patients.

Download Full-text