scholarly journals Risk factors of sexually transmitted infections among migrant and non-migrant sexual partnerships from rural South Africa

2005 ◽  
Vol 133 (3) ◽  
pp. 421-428 ◽  
Author(s):  
K. ZUMA ◽  
M. N. LURIE ◽  
B. G. WILLIAMS ◽  
D. MKAYA-MWAMBURI ◽  
G. P. GARNETT ◽  
...  

In October 1998, cohorts of circular migrant men and their non-migrant sexual partners, and non-migrant men and their non-migrant sexual partners from rural South Africa were recruited and followed-up every 4 months until October 2001. At each visit, information on socio-demographic, sexual behaviour, sexually transmitted infections (STIs) and HIV was collected. In total, 553 individuals aged between 18 and 69 years were recruited. A man and his sexual partner(s) form a sexual partnership. Migration status, age, marital status, age at sexual debut, recent sexual partners and HIV status were found to be important determinants of STI. The risk of STI varies (σ2=1·45, P<0·001) significantly across sexual partnerships even after controlling for important determinants. The variance implies substantial correlation (0·59) between members of the same sexual partnership. Ignoring this correlation leads to incorrect inference. Migration contributes significantly to the spread of STIs. Community interventions of HIV/STI should target co-transmitter sexual partnerships rather than high-risk individuals.

2007 ◽  
Vol 60 (4) ◽  
pp. 377-383 ◽  
Author(s):  
J.A. Frohlich ◽  
Q. Abdool Karim ◽  
M.M. Mashego ◽  
A.W. Sturm ◽  
S.S. Abdool Karim

1998 ◽  
Vol 25 (1) ◽  
pp. 20-23 ◽  
Author(s):  
DAVID WILKINSON ◽  
ANNE-MARIE CONNOLLY ◽  
ABIGAIL HARRISON ◽  
MARK LURIE ◽  
S. S.ABDOOL KARIM

2017 ◽  
Vol 76 (5) ◽  
pp. e107-e114 ◽  
Author(s):  
Marie C. D. Stoner ◽  
Jessie K. Edwards ◽  
William C. Miller ◽  
Allison E. Aiello ◽  
Carolyn T. Halpern ◽  
...  

2018 ◽  
Author(s):  
mathildah mpata mokgatle ◽  
Sphiwe Madiba

Background In South Africa, utilization of patient-initiated partner-notification (PN) using referral-slip in the management of sexually transmitted infections (STIs) is limited and only a limited number of sexual partners are ever notified. The study assessed the use of patient-initiated PN method using notification and referral slips and measured the level of acceptability of provider-initiated PN using short-message-service (SMS) to personal mobile phones of sexual partners. Methods A quantitative survey using anonymous structured self-administered and researcher assisted questionnaires was conducted among minibus taxi drivers in the nine major taxi ranks in Gauteng province, South Africa. Results The sample consisted of 722 minibus taxi drivers with a mean age of 37.2 years old, 284 (59.5%) had multiple sexual partners, 368 (52.2%) did not use a condom during last sexual act, 286 (42.8%) reported inconsistent use of condoms, and 459 (65%) tested for HIV in the past 12 months. Majority (n=709, 98.2%) understood the importance of PN once diagnosed with STI, but would prefer delivering PN referral slip (n=670, 93.2%) over telling a partner face to face if they themselves were diagnosed with STI. Acceptability of provider-initiated PN using SMS was 452 (62.7%) and associated with history of HIV testing in the past year (OR=1.72, p=0.002, CI: 1.21-2.45). The perceived use of PN referral-slip from sexual partner to seek treatment was 91.8% (n=659). About a third (n=234, 32.5%) were not in favor of provider-initiated PN by SMS and preferred telling partners face to face. Conclusion There were contrasting findings on the acceptability and utilization of existing patient-initiated PN and the proposed PN using SMS from health providers. The preference of delivering PN referral slip to sexual partner over face-to-face PN renders communicating about STIs the responsibility of health providers. Therefore, they have an opportunity to provide patients with options to choose a PN method that is best suited to their relationships and circumstances and modify PN messages to encourage partners to use the different PN to prevent STIs.


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