Knowledge and Experience of STIs Among Female Sexual Workers in an African Rural Community: The Impact of Community-based Interventions

A. Onoja, J. Shaibu, F. Sanni, D. Oguche, Imam Adamu, P. Abiodun, S. Onoja
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Abstract

Backgrounds: Sufficient knowledge of STIs is important in the prevention and control of HIV. This study compares the knowledge and experience of STIs among female sex workers (FSW) in a rural community with and without intervention. Methodology: The study is a quantitative study involving FSW in Bonny Kingdom. A structured questionnaire was used to obtain the demographics, knowledge and symptoms of STI. Data were analysed using SPSS version 25. Results: There were 261 respondents in the pre-intervention and 186 in post-intervention surveys. Knowledge of STIs was 86.6% in the pre-intervention and 97.3% in the post-intervention surveys. Knowledge of STI symptoms in women ranged from 23.7% to 32.5% in pre-intervention and 65.3 to 93.9% in post-intervention. Knowledge of STI symptoms in men ranged from 25.6%-37.9% in pre-intervention and 62.5%-93.8% in the post-intervention. In pre-intervention, 44.7% experienced STI symptoms within 12 months and 9.3% in the last two-months as compared to 6 3.2% and 1.1% in post-intervention survey. Conclusion: This study showed a significant reduction of STI among FSW due to interventions. Intervention is an important tool in the prevention and control of STIs and HIV in rural communities where there are limited and poor health facilities.
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非洲农村社区女性性工作者的性传播感染知识和经验:社区干预的影响
背景:充分了解性传播感染对预防和控制艾滋病毒至关重要。本研究比较了有干预和没有干预的农村社区女性性工作者(FSW)对性传播感染的知识和经验。方法:本研究是一项涉及邦尼王国FSW的定量研究。采用结构化问卷调查获得性传播感染的人口统计、知识和症状。数据分析采用SPSS 25。结果:干预前调查被调查者261人,干预后调查被调查者186人。干预前性传播感染知晓率为86.6%,干预后为97.3%。干预前妇女对性传播感染症状的知晓率为23.7%至32.5%,干预后为65.3至93.9%。干预前男性对性传播感染症状的了解程度为25.6%-37.9%,干预后为62.5%-93.8%。在干预前,44.7%的人在12个月内出现性传播感染症状,9.3%的人在最后两个月内出现性传播感染症状,而在干预后调查中,这一比例分别为6.3.2%和1.1%。结论:本研究表明,由于干预措施,FSW中STI的发生率显著降低。在卫生设施有限和薄弱的农村社区,干预是预防和控制性传播感染和艾滋病毒的重要工具。
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