Hellen Carolyne Awuoche, Rachael H Joseph, Faith Magut, Sammy Khagayi, Fredrick S Odongo, Moses Otieno, Aoko Appolonia, Elijah Odoyo-June, Daniel O Kwaro
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We calculated weighted self-reported STI prevalence, by sex, age, and HIV status and explored associated factors using multivariable logistic regression.</p><p><strong>Results: </strong>Median age was 37 years and 59.9% were female; HIV prevalence was 18.0%. Overall STI prevalence was 1.8%; 1.5-fold higher among males vs. females, and 2.6-fold higher among participants living with HIV vs. those without. HIV status and multiple sexual partners were independently associated with STI in both sexes. Mind-altering substance use and being circumcised were associated with STI among males.</p><p><strong>Conclusions: </strong>This study estimates STI prevalence in the setting of high HIV prevalence. Findings underscore the importance of: effective STI screening in HIV clinics and HIV testing and counseling in STI clinics; screening and counseling on substance use, and HIV pre-exposure prophylaxis; and intensive sexual health counseling in male circumcision programmes.</p>","PeriodicalId":14408,"journal":{"name":"International Journal of STD & AIDS","volume":null,"pages":null},"PeriodicalIF":1.4000,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11047016/pdf/","citationCount":"0","resultStr":"{\"title\":\"Prevalence and risk factors of sexually transmitted infections in the setting of a generalized HIV epidemic-a population-based study, western Kenya.\",\"authors\":\"Hellen Carolyne Awuoche, Rachael H Joseph, Faith Magut, Sammy Khagayi, Fredrick S Odongo, Moses Otieno, Aoko Appolonia, Elijah Odoyo-June, Daniel O Kwaro\",\"doi\":\"10.1177/09564624241226487\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Sexually transmitted infections (STIs) cause adverse health outcomes, including increasing HIV acquisition/transmission risk. 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引用次数: 0
摘要
背景:性传播感染(STI)会导致不良的健康后果,包括增加 HIV 感染/传播的风险。我们分析了一项艾滋病毒生物标志物和行为调查的数据,以估计性传播感染的流行率,并探讨肯尼亚西部西亚县艾滋病毒普遍流行背景下的相关因素:数据收集工作于 2022 年 3 月至 9 月进行,采用结构化问卷进行面对面访谈,分析对象包括 9643 名年龄在 13 岁以上、性生活活跃的参与者。我们按性别、年龄和艾滋病感染状况计算了加权自我报告的性传播感染率,并使用多变量逻辑回归法探讨了相关因素:中位年龄为 37 岁,59.9% 为女性;HIV 感染率为 18.0%。性传播感染的总体流行率为 1.8%;男性比女性高 1.5 倍,感染 HIV 的参与者比未感染 HIV 的参与者高 2.6 倍。艾滋病毒感染状况和多个性伴侣与男女性传播疾病都有独立的关联。在男性中,使用改变心智的药物和包皮环切术与性传播感染有关:这项研究估计了在艾滋病毒高发的情况下性传播感染的流行率。研究结果强调了以下工作的重要性:在艾滋病诊所进行有效的性传播感染筛查,在性传播感染诊所进行艾滋病检测和咨询;对药物使用进行筛查和咨询,进行艾滋病暴露前预防;在男性包皮环切术方案中提供强化性健康咨询。
Prevalence and risk factors of sexually transmitted infections in the setting of a generalized HIV epidemic-a population-based study, western Kenya.
Background: Sexually transmitted infections (STIs) cause adverse health outcomes, including increasing HIV acquisition/transmission risk. We analyzed data from an HIV biomarker and behavioral survey to estimate STI prevalence, and explore associated factors in the setting of a generalized HIV epidemic in Siaya County, western Kenya.
Methods: Data were collected in March-September 2022 through face-to-face interviews using structured questionnaires; records from 9643 sexually active participants aged 13+ years were included in the analysis. We calculated weighted self-reported STI prevalence, by sex, age, and HIV status and explored associated factors using multivariable logistic regression.
Results: Median age was 37 years and 59.9% were female; HIV prevalence was 18.0%. Overall STI prevalence was 1.8%; 1.5-fold higher among males vs. females, and 2.6-fold higher among participants living with HIV vs. those without. HIV status and multiple sexual partners were independently associated with STI in both sexes. Mind-altering substance use and being circumcised were associated with STI among males.
Conclusions: This study estimates STI prevalence in the setting of high HIV prevalence. Findings underscore the importance of: effective STI screening in HIV clinics and HIV testing and counseling in STI clinics; screening and counseling on substance use, and HIV pre-exposure prophylaxis; and intensive sexual health counseling in male circumcision programmes.
期刊介绍:
The International Journal of STD & AIDS provides a clinically oriented forum for investigating and treating sexually transmissible infections, HIV and AIDS. Publishing original research and practical papers, the journal contains in-depth review articles, short papers, case reports, audit reports, CPD papers and a lively correspondence column. This journal is a member of the Committee on Publication Ethics (COPE).