Pattern of sexually transmitted diseases and risk factors among women attending an STD referral clinic in Nairobi, Kenya
Pattern of sexually transmitted diseases and risk factors among women attending an STD referral clinic in Nairobi, Kenya
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DOI：
10.1097/00007435-200008000-00007
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发表时间：
2000-08-01
影响因子：
3.1
通讯作者：
Temmerman, M
中科院分区：
文献类型：
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作者：
Fonck, K;Kidula, N;Temmerman, M
背景：在肯尼亚，性传播疾病（STD）诊所为大量有STD相关体征和症状的患者提供护理。然而，不同的性病病原体的病原学分数仍有待确定，特别是在women.Goal：该研究的目的是确定性病和宫颈发育不良的患病率及其风险标志物在妇女参加性病诊所在内罗毕，研究设计：一个横截面的妇女进行了采访和检查;样本被采取。520名妇女的平均年龄为26岁，54%有稳定的关系，38%怀孕，47%使用过安全套（1%作为避孕方法），11%报告在过去3个月内有多个伴侣，32%有性病史，1型艾滋病毒性病患病率为29%，念珠菌病占35%，滴虫病占25%，细菌性阴道病占16%，淋病占6%，衣原体感染占4%，梅毒血清学阳性占6%，生殖器疣占6%，生殖器溃疡占12%，宫颈发育不良占13%，与性行为有关的因素，特别是性伴侣的数量，与几种性病，淋病，细菌性阴道病，宫颈发育不良、生殖器疣或溃疡与HIV感染独立相关。结论：大多数女性报告低风险的性行为，并可能被他们的经常性伙伴感染。如果不解决伴侣之间的传播问题，艾滋病毒和性传播疾病预防运动就不会产生重大影响。
Background: In Kenya, sexually transmitted disease (STD) clinics care for large numbers of patients with STD-related signs and symptoms. Yet, the etiologic fraction of the different STD pathogens remains to be determined, particularly in women.Goal: The aim of the study was to determine the prevalence of STDs and of cervical dysplasia and their risk markers among women attending the STD clinic in Nairobi,Study Design: A cross-section of women were interviewed and examined; samples were taken.Results: The mean age of 520 women was 26 years, 54% had a stable relationship, 38% were pregnant, 47% had ever used condoms (1% as a method of contraception), 11% reported multiple partners in the previous 3 months, and 32% had a history of STDs, The prevalence of STDs was 29% for HIV type 1, 35% for candidiasis, 25% for trichomoniasis, 16% for bacterial vaginosis, 6% for gonorrhea, 4% for chlamydia, 6% for a positive syphilis serology, 6% for genital warts, 12% for genital ulcers, and 13% for cervical dysplasia, Factors related to sexual behavior, especially the number of sex partners, were associated with several STDs, Gonorrhea, bacterial vaginosis, cervical dysplasia, and genital warts or ulcers were independently associated with HIV infection. Partners of circumcised men had less-prevalent HIV infection.Conclusion: Most women reported low-risk sexual behavior and were likely to be infected by their regular partner. HIV and STD prevention campaigns will not have a significant impact if the transmission between partners is not addressed.