Prevalence of sexually transmitted infections and bacterial vaginosis among women in sub-Saharan Africa: An individual participant data meta-analysis of 18 HIV prevention studies

Abstract Background Despite the numerous studies on hypertension, the current literature reveals little about the relationship between patient comorbidities and uncontrolled hypertension in sub-Saharan Africa (SSA). We aimed to assess the associations between body size, dyslipidemia, diabetes and uncontrolled hypertension. Methods We harmonised and pooled individual-level data from 25 cross-sectional studies. We did a meta-analysis of individual participant data to assess the association between uncontrolled hypertension with body size, diabetes and dyslipidemia using a logistic regression while adjusting for potential confounders. Results The pooled dataset included 107,339 participants, of whom 64,811 were women and 42,528 were men. The pooled prevalence of uncontrolled hypertension (UHTN) among those on treatment was (3,449) 59.89%. The UHTN estimate ranged from 47.0% in Malawi to 80.0% in Guinea. Significant association were noted between UHTN and diabetes for all countries. The overall pooled estimate for UHTN among patients with diabetes was OR = 1.49 (95% CI 1.30 to 1.67). All countries had significant associations between UHTN and central obesity except for Gambia, Kenya and Tanzania. Study participants from Uganda with central obesity had the highest likelihood of UHTN OR = 1.14 (95% CI 0.38 to 1.89). All countries had significant associations between UHTN and general obesity except for Kenya, Tanzania and Uganda. Conclusions The prevalence of uncontrolled hypertension among patients with comorbidities is high in SSA. Key messages Effective strategies to improve blood pressure control among patients with chronic comorbidities are needed.

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Sociodemographic inequities associated with participation in leisure-time physical activity in sub-Saharan Africa: an individual participant data meta-analysis

BMC Public Health ◽

10.1186/s12889-020-08987-w ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Anna Louise Barr ◽

Uttara Partap ◽

Elizabeth H. Young ◽

Kokou Agoudavi ◽

Naby Balde ◽

...

Keyword(s):

Physical Activity ◽

Leisure Time ◽

Leisure Time Physical Activity ◽

Meta Analysis ◽

Sub Saharan Africa ◽

Individual Participant Data ◽

Individual Participant ◽

Sub Saharan

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Clinical burden of viral sexually transmitted infections in adolescents and young adults with HIV attending an urban clinic in sub-Saharan Africa

10.37532/fmcp.2019.16(5).1267-1271 ◽

2019 ◽

Vol 16 (5) ◽

Author(s):

Christine Katusiime

Keyword(s):

Young Adults ◽

Sexually Transmitted Infections ◽

Sub Saharan Africa ◽

Adolescents And Young Adults ◽

Sexually Transmitted ◽

Clinical Burden ◽

Sub Saharan ◽

Urban Clinic

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Effectiveness of HIV prevention for youth in sub-Saharan Africa: systematic review and meta-analysis of randomized and nonrandomized trials

AIDS ◽

10.1097/qad.0b013e3283384791 ◽

2010 ◽

Vol 24 (8) ◽

pp. 1193-1202 ◽

Cited By ~ 123

Author(s):

Kristien Michielsen ◽

Matthew F Chersich ◽

Stanley Luchters ◽

Petra De Koker ◽

Ronan Van Rossem ◽

...

Keyword(s):

Systematic Review ◽

Hiv Prevention ◽

Meta Analysis ◽

Sub Saharan Africa ◽

Sub Saharan

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Sexual Autonomy and Self-reported Sexually Transmitted Infections Among Sub-saharan African Women in Sexual Unions

10.21203/rs.3.rs-639480/v1 ◽

2021 ◽

Author(s):

Collins Adu ◽

Aliu Mohammed ◽

Eugene Budu ◽

James Boadu Frimpong ◽

Justice Kannor Tetteh ◽

...

Keyword(s):

Sexually Transmitted Infections ◽

Rural Areas ◽

Urban Areas ◽

Study Data ◽

Sub Saharan Africa ◽

African Women ◽

Odds Ratios ◽

Sexual Autonomy ◽

Sexually Transmitted ◽

Sub Saharan

Abstract Background Sexually transmitted infections (STIs) remain a major public health challenge worldwide. Despite the importance of sexual autonomy in the prevention and control of sexual and reproductive health disorders such as STIs, there are limited studies on the possible relationship between women’s sexual autonomy and self-reported STIs, especially in sub-Saharan Africa (SSA). This study, therefore, examined the association between sexual autonomy and self-reported STIs among women in sexual unions in SSA.Methods Data from the Demographic and Health Survey (DHS) of 31 countries in SSA conducted between 2010 and 2019 were analysed. A total of 234,310 women in sexual unions were included in the study. Data were analysed using binary logistic regression models and the results were presented as crude odds ratios (cORs) and adjusted odds ratios (aORs) at 95% confidence interval (CI). Results The prevalence of self-reported STIs among women in sexual unions in SSA was 5.8%. Approximately 83.0% of the women surveyed had sexual autonomy. Women who had no sexual autonomy were less likely to have self-reported STIs (cOR=0.52, CI: 0.46-0.54), compared to those who had sexual autonomy. Additionally, higher odds of self-reported STIs were found among women aged 25-29, compared to those aged 15-19 (aOR= 1.21, CI: 1.09-1.35); those who reside in urban areas, compared to those who reside in rural areas (aOR= 1.51, CI: 1.37-1.66) and those who were cohabiting, compared to those who were married (aOR= 1.65, CI: 1.52-1.79). On the other hand, lower odds of self-reported STIs were found among women who were exposed to newspapers (aOR= 0.89, CI: 0.82-0.95), those whose partners had primary education (aOR= 0.84, CI: 0.78-0.91), those who were not exposed to radio (aOR= 0.84, CI: 0.79-0.89), and working women (aOR= 0.86, CI: 0.80-0.93). Conclusion Findings from this study suggest that sexual autonomy is a significant predictor of self-reported STIs among women in sexual unions in SSA. Thus, instituting policies and programs that empower women and improve their levels of sexual autonomy may result in increased self-reporting of symptoms associated with STIs which subsequently help in minimising STI-related complications. Also, policies aimed at enhancing women’s sexual autonomy may reduce the burden of STIs in SSA, especially among women in sexual unions.

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Sexually transmitted infections in an African migrant population in Portugal: a base-line study

The Journal of Infection in Developing Countries ◽

10.3855/jidc.372 ◽

2007 ◽

Vol 1 (03) ◽

pp. 326-328 ◽

Cited By ~ 6

Author(s):

Luis Távora-Tavira ◽

Rosa Teodósio ◽

Jorge Seixas ◽

Emília Prieto ◽

Rita Castro ◽

...

Keyword(s):

Hiv Infection ◽

Sexually Transmitted Infections ◽

Sub Saharan Africa ◽

Chlamydia Infection ◽

Base Line ◽

Transmitted Infection ◽

Prevalence Studies ◽

Sexually Transmitted ◽

Starting Point ◽

Sub Saharan

Background: For geographical and recent historic reasons, Portugal is a gateway and home for immigration from sub-Saharan countries. Misconceptions related to these populations often lead to consider them as high-frequency clusters for dissemination of sexually transmitted infections (STIs). Epidemiological evidence-based data is needed to elucidate these issues and baseline prevalence studies are the starting point for this. Methodology: A prospective study was conducted in 220 African migrants (171 men and 49 women), recently arrived in Portugal, at the time of their first consultation. The presence of STIs was evaluated using a clinical syndromic approach and biological confirmation for gonorrhoea, Chlamydia trachomatis genital infection, syphilis, Hepatitis B and Human Immunodeficiency Virus (HIV) infection. Results: Global prevalence of the targeted infections were 1.8% for gonorrhoea, 0 % for Chlamydia infection, 4.1% for Syphilis, 5.9% for HBsAg presence and 7.3% for HIV infection. Globally, 16.4% of the studied persons had at least one sexually transmitted infection. Conclusions: We concluded that prevalence rates encountered in this population is similar to that of non-migrant Portuguese populations with a high risk for sexually transmitted diseases. Therefore migration from sub-Saharan Africa doesn’t seem to constitute a particularly critical isolated factor for public health risk of STIs in the community.

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Exploring enablers of sexually transmitted infections among illegal gold miners in the midlands region of Zimbabwe

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20211106 ◽

2021 ◽

Vol 10 (4) ◽

pp. 1321

Author(s):

Nyanshanu Mattew ◽

Chireshe Rumbidzai ◽

Jidong Dung ◽

Nyashanu Wendy ◽

Ekpenyong Mandu Stephen

Keyword(s):

Sexual Health ◽

Sexually Transmitted Infections ◽

Health Knowledge ◽

Sub Saharan Africa ◽

Health Concern ◽

Structured Interviews ◽

Prolonged Stay ◽

Sexually Transmitted ◽

Gold Miners ◽

Sub Saharan

Background: Sub-Saharan Africa faces by far the highest rate of HIV and other Sexually Transmitted Infections (STIs). Illegal mineworkers are considered at risk for HIV and sexually transmitted infections (STIs). Men are generally not receptive to health promotion messages.Methods: This study explored the enablers of sexually transmitted infections. The study utilized a qualitative approach. A total of 40 participants were recruited. Semi structured interviews were used to collect data. A thematic approach was used to analyze the data. Zimbabwe, like any other country in the sub-Saharan region of Africa, has been affected by the epidemic of HIV/AIDS and other STIs, because of poor sexual health education.Results: The study found that the enablers of STIs included poor sexual health knowledge, substance misuse, prolonged stay from family, stigma, lack of entertainment, cultural status, and poor sexual health services.Conclusions: STIs among illegal gold miners is a public health concern that needs urgent attention in many developing countries.

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