scholarly journals Estimating the Impact of School Education on Contraception Use among Adolescents Aged 15–19 in Burkina Faso and Nigeria: Evidence from a Heckman Two-Step Correction Model

2018 ◽  
Author(s):  
Jean-Louis Bago ◽  
Miaba Louise Lompo ◽  
Wamadini dite Minata Souratié
Keyword(s):  
Burkina Faso ◽  
Sexually Transmitted Infections ◽  
School Education ◽  
Sexually Active ◽  
Demographic Health Survey ◽  
Correction Model ◽  
Sexually Transmitted ◽  
Percentage Points ◽  
Contraception Use ◽  
The Impact

Sexually Transmitted Infections (STIs) still raise serious concerns for adolescents’ sexual health in west-Africandeveloping countries. To this extent, promoting contraception use among sexually active adolescents is a major key to addressing this problem. Yet, the rate of contraception use by adolescents remains surprisingly low in these countries. Using the Demographic Health Survey of Burkina Faso (2014) and Nigeria (2013), this paper examines the influence of school education on contraception use among sexually active male and femaleadolescents aged 15-19 in Burkina Faso and Nigeria. The standard estimates using Probit regressions suggestthat achieving a primary school education increases the probability of a sexually active adolescent to usecontraception by 8.26 percentage points (Burkina Faso) and 17.2 percentage points (Nigeria). This effectincreases to 20.3 percentage points (Burkina Faso) and 34.7 percentage points (Nigeria) for adolescents with asecondary or higher school education. However, these baseline estimates are biased because adolescents’decision to engage into sexual activity is not random. In light of this, a Heckman Correction Model (HCM) hasbeen applied to account for this selection bias. The results show that the Probit regressions underestimate theeffect of education on adolescents’ likelihood to use contraception in Burkina Faso and overestimate this effect in Nigeria. In fact, compared to adolescents with no school education, HCM estimates show that adolescentswith primary and secondary (or higher) school education have respectively 10.2 and 24.4 percentage points morein the use of contraception in Burkina Faso and 15.1 and 34 percentage points in Nigeria. Together, these resultssuggest that the exposure to school education increases contraception use among the adolescents in both BurkinaFaso and Nigeria.

scholarly journals Estimating the Impact of School Education on Contraception Use among Adolescents Aged 15–19 in Burkina Faso and Nigeria: Evidence from a Heckman Two-Step Correction Model

2018 ◽  
Vol 7 (5) ◽  
pp. 31 ◽  
Author(s):  
Miaba Louise Lompo ◽  
Jean-Louis Bago ◽  
Wamadini Souratie
Keyword(s):  
Burkina Faso ◽  
West African ◽  
School Education ◽  
Female Adolescents ◽  
Sexually Active ◽  
Correction Model ◽  
Sexually Transmitted ◽  
Percentage Points ◽  
Contraception Use ◽  
The Impact

Sexually Transmitted Infections (STIs) still raise serious concerns for adolescents’ sexual health in west-African developing countries. To this extent, promoting contraception use among sexually active adolescents is a major key to addressing this problem. Yet, the rate of contraception use by adolescents remains surprisingly low in these countries. Using the Demographic Health Survey of Burkina Faso (2014) and Nigeria (2013), this paper examines the influence of school education on contraception use among sexually active male and female adolescents aged 15-19 in Burkina Faso and Nigeria. The standard estimates using Probit regressions suggest that achieving a primary school education increases the probability of a sexually active adolescent to use contraception by 8.26 percentage points (Burkina Faso) and 17.2 percentage points (Nigeria). This effect increases to 20.3 percentage points (Burkina Faso) and 34.7 percentage points (Nigeria) for adolescents with a secondary or higher school education. However, these baseline estimates are biased because adolescents’ decision to engage into sexual activity is not random. In light of this, a Heckman Correction Model (HCM) has been applied to account for this selection bias. The results show that the Probit regressions underestimate the effect of education on adolescents’ likelihood to use contraception in Burkina Faso and overestimate this effect in Nigeria. In fact, compared to adolescents with no school education, HCM estimates show that adolescents with primary and secondary (or higher) school education have respectively 10.2 and 24.4 percentage points more in the use of contraception in Burkina Faso and 15.1 and 34 percentage points in Nigeria. Together, these results suggest that the exposure to school education increases contraception use among the adolescents in both Burkina Faso and Nigeria.

scholarly journals Association of malaria and curable sexually transmitted infections with pregnancy outcomes in rural Burkina Faso

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Serge Henri Zango ◽  
Moussa Lingani ◽  
Innocent Valea ◽  
Ouindpanga Sekou Samadoulougou ◽  
Biebo Bihoun ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Antenatal Care ◽  
Burkina Faso ◽  
Pregnant Women ◽  
Sexually Transmitted Infections ◽  
Pregnancy Outcomes ◽  
Rural Setting ◽  
Sexually Transmitted ◽  
The Impact

Abstract Background Malaria and curable sexually transmitted infections (STIs) are severe infections associated with poor pregnancy outcomes in sub-Saharan countries. These infections are responsible for low birth weight, preterm birth, and miscarriage. In Burkina Faso, many interventions recommended by the World Health Organization were implemented to control the impact of these infections. After decades of intervention, we assessed the impact of these infections on pregnancy outcomes in rural setting of Burkina Faso. Methods Antenatal care and delivery data of pregnant women attending health facilities in 2016 and 2017 were collected in two rural districts namely Nanoro and Yako, in Burkina Faso. Regression models with likelihood ratio test were used to assess the association between infections and pregnancy outcomes. Results During the two years, 31639 pregnant women received antenatal care. Malaria without STI, STI without malaria, and their coinfections were reported for 7359 (23.3%), 881 (2.8 %), and 388 (1.2%) women, respectively. Low birth weight, miscarriage, and stillbirth were observed in 2754 (10.5 %), 547 (2.0 %), and 373 (1.3 %) women, respectively. Our data did not show an association between low birth weight and malaria [Adjusted OR: 0.91 (0.78 – 1.07)], STIs [Adjusted OR: 0.74 (0.51 – 1.07)] and coinfection [Adjusted OR: 1.15 (0.75 – 1.78)]. Low birth weight was strongly associated with primigravidae [Adjusted OR: 3.53 (3.12 – 4.00)]. Both miscarriage and stillbirth were associated with malaria [Adjusted OR: 1.31 (1.07 – 1.59)], curable STI [Adjusted OR: 1.65 (1.06 – 2.59)], and coinfection [Adjusted OR: 2.00 (1.13 – 3.52)]. Conclusion Poor pregnancy outcomes remained frequent in rural Burkina Faso. Malaria, curable STIs, and their coinfections were associated with both miscarriage and stillbirth in rural Burkina. More effort should be done to reduce the proportion of pregnancies lost associated with these curable infections by targeting interventions in primigravidae women.

scholarly journals A risk-based model for predicting the impact of using condoms on the spread of sexually transmitted infections

2017 ◽  
Vol 2 (1) ◽  
pp. 100-112 ◽  
Author(s):  
Asma Azizi ◽  
Karen Ríos-Soto ◽  
Anuj Mubayi ◽  
James M. Hyman
Keyword(s):  
Sexually Transmitted Infections ◽  
Sexually Transmitted ◽  
The Impact

scholarly journals Male Urethritis Caused by Trichomonas vaginalis

2021 ◽  
Vol 79 (1) ◽  
pp. 71-73
Author(s):  
Ângela Roda ◽  
João Borges-Costa
Keyword(s):  
Sexually Transmitted Infections ◽  
Sexually Transmitted Diseases ◽  
Trichomonas Vaginalis ◽  
Unusual Case ◽  
Parasitic Infection ◽  
Men And Women ◽  
Sexually Transmitted ◽  
Molecular Assays ◽  
The Past ◽  
The Impact

Trichomoniasis is one of the most common sexually transmitted infections worldwide. In women, Trichomonas vaginalis infection may present with vaginitis, cervicitis, or pelvic inflammatory disease, while in men it is mainly asymptomatic or causes mild and transient symptoms of urethritis, epididymitis, or prostatitis. In the past, little importance had been given to the impact of T. vaginalis infection on men’s health, since it was believed to be a self-limited condition without sequelae. However, there is growing evidence it is associated with more serious disorders in both men and women and efforts to diagnose and treat this parasitic infection have increased. Recent advances in testing for sexually transmitted diseases using multiplex molecular assays have increased diagnostic opportunities for T. vaginalis infection, especially in men, as detection of the parasite by traditional methods is much more challenging. We describe an unusual case of male urethritis caused by T. vaginalis observed in our consultation of Sexually Transmitted Infections.

scholarly journals 423. Self-Reported Screening for Rectal Sexually Transmitted Infections Among Men Who Have Sex with Men

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S212-S213
Author(s):  
Timothy William. Menza ◽  
Lauren Lipira ◽  
Amisha Bhattarai ◽  
Joseph Ramirez ◽  
Roberto Orellana
Keyword(s):  
Sexually Transmitted Infections ◽  
Multivariable Analysis ◽  
Prevalence Ratio ◽  
Hiv Positive ◽  
Sexually Active ◽  
Hiv Status ◽  
Sexually Transmitted ◽  
Sex With Men ◽  
Hiv Negative ◽  
Hiv Positive Men

Abstract Background Rectal gonorrhea and Chlamydia are common and predict HIV acquisition among men who have sex with men (MSM); however, screening for rectal sexually transmitted infections (STIs) is not routine. Methods In 2017, we recruited sexually-active MSM in the Portland, Oregon metropolitan area through venue-based sampling. Our outcome of interest was self-reported rectal STI screening in the prior 12 months. Stratified by HIV status, we assessed the prevalence and demographic, healthcare, clinical, and behavioral predictors of screening. Results Of 448 participants, 168 (37.5%) reported rectal STI screening. One hundred twenty-seven (35.8%) of 355 HIV-negative men, 41 (58.6%) of 70 HIV-positive men, and none of 23 men who did not know their HIV status reported screening. Among HIV-negative men, having a healthcare provider who offered HIV testing (adjusted prevalence ratio [aPR]=2.09; 95% confidence interval [CI]: 1.43, 3.04), a syphilis diagnosis (aPR=1.32; 95% CI: 1.03, 1.69), use of pre-exposure prophylaxis (aPR=1.57; 95% CI 1.21, 2.04), and condomless anal sex with casual partners in the prior 12 months (aPR=1.74; 95% CI: 1.36, 2.22) independently predicted screening for rectal STI in multivariable analysis. HIV-positive men who reported having a provider who always or often initiates conversations about sex were significantly more likely to report screening compared with men who did not have such a provider (aPR=1.48; 95% CI: 1.06, 2.06). Conclusion Rectal STI screening is not universal in a venue-based sample of sexually-active MSM. Implementing innovative, acceptable, and accessible screening practices and improving provider comfort with talking about sex are paramount to increasing rectal STI screening. Disclosures All authors: No reported disclosures.

scholarly journals Impact of chemokine C–C ligand 27, foreskin anatomy and sexually transmitted infections on HIV-1 target cell availability in adolescent South African males

2019 ◽  
Vol 13 (1) ◽  
pp. 118-127
Author(s):  
Clive M. Gray ◽  
Kyle L. O’Hagan ◽  
Ramon Lorenzo-Redondo ◽  
Abraham J. Olivier ◽  
Sylvie Amu ◽  
...  
Keyword(s):  
Gene Expression ◽  
Sexually Transmitted Infections ◽  
Target Cell ◽  
Langerhans Cells ◽  
Medical Male Circumcision ◽  
Sexually Transmitted ◽  
T Cell Migration ◽  
Cell Changes ◽  
The Impact ◽  
Hiv 1

Abstract We compared outer and inner foreskin tissue from adolescent males undergoing medical male circumcision to better understand signals that increase HIV target cell availability in the foreskin. We measured chemokine gene expression and the impact of sexually transmitted infections (STIs) on the density and location of T and Langerhans cells. Chemokine C–C ligand 27 (CCL27) was expressed 6.94-fold higher in the inner foreskin when compared with the outer foreskin. We show that the density of CD4+CCR5+ cells/mm2 was higher in the epithelium of the inner foreskin, regardless of STI status, in parallel with higher CCL27 gene expression. In the presence of STIs, there were higher numbers of CD4+CCR5+ cells/mm2 cells in the sub-stratum of the outer and inner foreskin with concurrently higher number of CD207+ Langerhans cells (LC) in both tissues, with the latter cells being closer to the keratin surface of the outer FS in the presence of an STI. When we tested the ability of exogenous CCL27 to induce T-cell migration in foreskin tissue, CD4 + T cells were able to relocate to the inner foreskin epithelium in response. We provide novel insight into the impact CCL27 and STIs on immune and HIV-1 target cell changes in the foreskin.

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