撒哈拉以南国家育龄妇女性传播感染表现为阴道炎的亚区域差异

Michael Ekholuenetale, CHIMEZIE IGWEGBE NZOPUTAM, Osaretin Christabel Okonji
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引用次数: 1

摘要

性传播感染是指由细菌、真菌、病毒和寄生虫等多种病原体引起的一组可通过性活动获得和传播的临床综合征。方法:本研究分析了涉及15-49岁女性的人口与健康调查数据。调查于2006年至2021年间进行。统计学意义确定为p<0.05。结果:从结果来看,利比里亚(33.0%)、马里(14.0%)、几内亚(13%)、乌干达和塞拉利昂(各12.0%)的STI患病率最高。特别是在撒哈拉以南非洲西部次区域,利比里亚(40.0%)、几内亚(31.0%)、马里(28.0%)、科特迪瓦(24.0%)、加纳(23.0%)和毛里塔尼亚(22.0%)的生殖器分泌物臭味或异常报告率最高。此外,利比里亚(30.0%)、乌干达(13.0%)和马拉维(10.0%)报告生殖器溃疡或溃疡的患病率最高。利比里亚(48.0%)、几内亚(34.0%)、马里(32.0%)、加纳和毛里塔尼亚(各25.0%)以及乌干达(24.0%)报告了STI、生殖器分泌物或疼痛或溃疡的主要流行率。结论:阴道炎的患病率因女性的特点而异。在许多国家,年轻女性、城市居民、受过教育的女性、富人和未婚女性报告说,性传播感染、生殖器分泌物或疼痛或溃疡的患病率较高。应当对妇女进行适当卫生以及预防和控制性传播感染的好处教育。方案规划者和政策制定者应评估和改进旨在解决妇女健康问题的营养和家庭健康方案的合作与协调。
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Sub-Regional Variations in Sexually Transmitted Infections Manifesting as Vaginitis among Reproductive-Aged Women in Sub-Saharan Countries
Sexually transmitted infection refers to a group of clinical syndromes that can be acquired and transmitted through sexual activity and are caused by a variety of pathogens such as bacteria, fungi, viruses, and parasites. Methods: Demographic and Health Survey data involving women aged 15–49 years were analyzed for this study. The surveys were conducted between 2006–2021. Statistical significance was determined at p < 0.05. Results: From the results, Liberia (33.0%), Mali (14.0%), Guinea (13%), Uganda, and Sierra Leone (12.0% each) had the highest STI prevalence. Prominently from Western sub-Saharan Africa sub-region, Liberia (40.0%), Guinea (31.0%), Mali (28.0%), Cote d’Ivoire (24.0%), Ghana (23.0%) and Mauritania (22.0%) have the highest prevalence of reporting a bad smelling or abnormal genital discharge. In addition, Liberia (30.0%), Uganda (13.0%) and Malawi (10.0%) have the highest prevalence of reporting genital sores or ulcers. Liberia (48.0%), Guinea (34.0%), Mali (32.0%), Ghana and Mauritania (25.0% each) and Uganda (24.0%) reported the leading prevalence of STI, genital discharge, or a sore or ulcer. Conclusion: The prevalence of vaginitis varied according to women’s characteristics. In many countries, younger women, urban dwellers, educated women, rich and unmarried women reported a higher prevalence of STI, genital discharge, or a sore or ulcer. Women should be educated on the advantages of proper hygiene, and prevention and control of STIs. Program planners and policymakers should assess and improve the collaboration and coordination of nutritional and family health programs aimed at addressing women’s health issues.
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