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

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

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

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.

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

2007 ◽  
Vol 1 (03) ◽  
pp. 326-328 ◽  
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.

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

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.

scholarly journals Curable sexually transmitted infections among women with HIV in sub-Saharan Africa

AIDS ◽  
2022 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Jana Jarolimova ◽  
Laura R. Platt ◽  
Megan R. Curtis ◽  
Lisa L. Philpotts ◽  
Linda-Gail Bekker ◽  
...  
Keyword(s):  
Sexually Transmitted Infections ◽  
Sub Saharan Africa ◽  
Sexually Transmitted ◽  
Women With Hiv ◽  
Sub Saharan

scholarly journals The Risk of Sexually Transmitted Infections Following First-Episode Schizophrenia Among Adolescents and Young Adults: A Cohort Study of 220 545 Subjects

2020 ◽  
Vol 46 (4) ◽  
pp. 795-803 ◽  
Author(s):  
Chih-Sung Liang ◽  
Ya-Mei Bai ◽  
Ju-Wei Hsu ◽  
Kai-Lin Huang ◽  
Nai-Ying Ko ◽  
...  
Keyword(s):  
Young Adults ◽  
Young People ◽  
Sexually Transmitted Infections ◽  
Adolescents And Young Adults ◽  
First Episode ◽  
Antipsychotic Treatment ◽  
Research Database ◽  
Cox Regression Analysis ◽  
Sexually Transmitted ◽  
First Episode Schizophrenia

Abstract Young people are disproportionately affected by sexually transmitted infections (STIs). The risk of STIs in young people following first-episode schizophrenia is unknown. This study using Taiwan’s National Health Insurance Research Database enrolled 44 109 adolescents and young adults with first-episode schizophrenia and 176 436 age- and sex-matched controls without schizophrenia from 2001 through 2009 and followed to the end of 2011. New-onset STIs were identified. Survival analysis was performed. Cox regression analysis was used to examine the effects of comorbid substance use disorder (SUD), schizophrenia medications, and schizophrenia severity. The E value for causality of evidence was calculated. We found that young people had a higher risk of STIs following first-episode schizophrenia compared with controls without schizophrenia (hazard ratio [HR] = 2.35, 95% CI = 2.08–2.64); these STIs included human immunodeficiency virus (HIV) (3.70, 2.60–5.28) and syphilis (5.35, 3.96–7.23). They also showed a disproportionate distribution of STIs, with an increased proportion of syphilis (20.4% vs 8.2%) and HIV (9.1% vs 6.0%). When presenting with SUD, the risks of HIV (11.00, 7.02–17.25) and syphilis (9.11, 6.16–13.47) were further increased. The severe schizophrenia group had an extremely high risk of syphilis (41.26, 27.69–61.47) and HIV (7.50, 3.85–14.62). Schizophrenia medications may provide beneficial effects against contracting STIs (0.77, 0.68–0.89). We concluded that following first-episode schizophrenia, young patients are at higher risk of STIs, particularly HIV and syphilis. The risk further increased when subjects presented with SUD or severe schizophrenia. Importantly, antipsychotic treatment may lower the risk of STIs.

scholarly journals A multi-country cross-sectional study of self-reported sexually transmitted infections among sexually active men in sub-Saharan Africa

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Abdul-Aziz Seidu ◽  
Bright Opoku Ahinkorah ◽  
Louis Kobina Dadzie ◽  
Justice Kanor Tetteh ◽  
Ebenezer Agbaglo ◽  
...  
Keyword(s):  
Sexually Transmitted Infections ◽  
Hiv And Aids ◽  
Sub Saharan Africa ◽  
Outcome Variable ◽  
Sexually Active ◽  
First Sex ◽  
Sexually Transmitted ◽  
Aids Knowledge ◽  
Sub Saharan ◽  
Hiv Aids

Abstract Background Despite the importance of self-reporting health in sexually transmitted infections (STIs) control, studies on self-reported sexually transmitted infections (SR-STIs) are scanty, especially in sub-Saharan Africa (SSA). This study assessed the prevalence and factors associated with SR-STIs among sexually active men (SAM) in SSA. Methods Analysis was done based on the current Demographic and Health Survey of 27 countries in SSA conducted between 2010 and 2018. A total of 130,916 SAM were included in the analysis. The outcome variable was SR-STI. Descriptive and inferential statistics were performed with a statistical significance set at p < 0.05. Results On the average, the prevalence of STIs among SAM in SSA was 3.8%, which ranged from 13.5% in Liberia to 0.4% in Niger. Sexually-active men aged 25–34 (AOR = 1.77, CI:1.6–1.95) were more likely to report STIs, compared to those aged 45 or more years. Respondents who were working (AOR = 1.24, CI: 1.12–1.38) and those who had their first sex at ages below 20 (AOR = 1.20, CI:1.11–1.29) were more likely to report STIs, compared to those who were not working and those who had their first sex when they were 20 years and above. Also, SAM who were not using condom had higher odds of STIs (AOR = 1.35, CI: 1.25–1.46), compared to those who were using condom. Further, SAM with no comprehensive HIV and AIDS knowledge had higher odds (AOR = 1.43, CI: 1.08–1.22) of STIs, compared to those who reported to have HIV/AIDS knowledge. Conversely, the odds of reporting STIs was lower among residents of rural areas (AOR = 0.93, CI: 0.88–0.99) compared to their counterparts in urban areas, respondents who had no other sexual partner (AOR = 0.32, CI: 0.29–0.35) compared to those who had 2 or more sexual partners excluding their spouses, those who reported not paying for sex (AOR = 0.55, CI: 0.51–0.59) compared to those who paid for sex, and those who did not read newspapers (AOR = 0.93, CI: 0.86–0.99) compared to those who read. Conclusion STIs prevalence across the selected countries in SSA showed distinct cross-country variations. Current findings suggest that STIs intervention priorities must be given across countries with high prevalence. Several socio-demographic factors predicted SR-STIs. To reduce the prevalence of STIs among SAM in SSA, it is prudent to take these factors (e.g., age, condom use, employment status, HIV/AIDS knowledge) into consideration when planning health education and STIs prevention strategies among SAM.

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