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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Factors associated with sexually transmitted infections among care-seeking adults in the African Cohort Study
BMC Public Health, Volume 21, No. 1, Article 738, Year 2021
Notification
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Description
Objectives: Sexually transmitted infections (STIs) are a major cause of morbidity. Understanding drivers of transmission can inform effective prevention programs. We describe STI prevalence and identify factors associated with STIs in four African countries. Methods: The African Cohort Study is an ongoing, prospective cohort in Kenya, Nigeria, Tanzania and Uganda. At enrollment, a physical exam was conducted and STI diagnosis made by a clinician using a syndromic management approach. Multivariable logistic regression was used to estimate adjusted odds ratios (aORs) and 95% confidence intervals (95% CIs) for factors associated with an STI diagnosis. Results: As of June 2020, 3544 participants were enrolled. STI prevalence was 7.7% and did not differ by HIV status (p = 0.30). Prevalence differed by syndrome (3.5% vaginal discharge, 1.5% genital ulcer, 2.1% lower abdominal pain, 0.2% inguinal bubo). The odds of having an STI were higher at all sites compared to Kisumu West, Kenya, and among those with a primary level education or below compared to those with secondary or higher (aOR: 1.77; 95% CI: 1.32–2.38). The odds of an STI diagnosis was higher among participants 18–29 years (aOR: 2.29; 95% CI: 1.35–3.87), females (aOR: 2.64; 95% CI: 1.94–3.59), and those with depression (aOR: 1.78; 95% CI: 1.32–2.38). Among PLWH, similar factors were independently associated with an STI diagnosis. Viral suppression was protective against STIs (aOR: 2.05; 95% CI: 1.32–3.20). Conclusions: Prevalence of STIs varied by site with young people and females most at risk for STIs. Mental health is a potential target area for intervention. © 2021, The Author(s).
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC8052711/bin/12889_2021_10762_MOESM1_ESM.docx
Authors & Co-Authors
Semwogerere, Michael
Uganda, Kampala
Makerere University
Dear, Nicole F.
United States, Silver Spring
Walter Reed Army Institute of Research
United States, Rockville
Hjf
Tunnage, Joshua
United States, Silver Spring
Walter Reed Army Institute of Research
Reed, Domonique M.
United States, Silver Spring
Walter Reed Army Institute of Research
United States, Rockville
Hjf
Kibuuka, Hannah N.
Uganda, Kampala
Makerere University
Kiweewa, Francis
Uganda, Kampala
Makerere University
Iroezindu, Michael Onyebuchi
United States, Silver Spring
Walter Reed Army Institute of Research
Nigeria, Abuja
Hjf Medical Research International
Bahemana, Emmanuel
United States, Silver Spring
Walter Reed Army Institute of Research
Tanzania, Mbeya
Hjf Medical Research International
Maswai, Jonah K.
United States, Silver Spring
Walter Reed Army Institute of Research
Kenya, Nairobi
Kenya Medical Research Institute
Kenya, Kericho
Hjf Medical Research International
Owuoth, John Kevin
United States, Silver Spring
Walter Reed Army Institute of Research
Kenya, Nairobi
Kenya Medical Research Institute
Kenya, Kisumu
Hjf Medical Research International
Crowell, Trevor A.
United States, Silver Spring
Walter Reed Army Institute of Research
United States, Rockville
Hjf
Ake, Julie A.
United States, Silver Spring
Walter Reed Army Institute of Research
Polyak, Christina S.
United States, Silver Spring
Walter Reed Army Institute of Research
United States, Rockville
Hjf
Esber, Allahna L.
United States, Silver Spring
Walter Reed Army Institute of Research
United States, Rockville
Hjf
Bartolanzo, Danielle
Unknown Affiliation
Reynolds, Alexus
Unknown Affiliation
Song, Katherine X.
Unknown Affiliation
Milazzo, Mark J.
Unknown Affiliation
Francisco, Leilani V.
Unknown Affiliation
Mankiewicz, Shauna
Unknown Affiliation
Schech, Steven
Unknown Affiliation
Golway, Alexandra
Unknown Affiliation
Omar, Badryah
Unknown Affiliation
Mebrahtu, Tsedal
Unknown Affiliation
Lee, Elizabeth H.
Unknown Affiliation
Bohince, Kimberly
Unknown Affiliation
Parikh, Ajay P.
Unknown Affiliation
Hern, Jaclyn
Unknown Affiliation
Duff, Emma
Unknown Affiliation
Lombardi, Kara
Unknown Affiliation
Imbach, Michelle
Unknown Affiliation
Eller, Leigh Anne
Unknown Affiliation
Naluyima, Prossy
Unknown Affiliation
Zziwa, Godfrey
Unknown Affiliation
Tindikahwa, Allan
Unknown Affiliation
Mutebe, Hilda
Unknown Affiliation
Kafeero, Cate
Unknown Affiliation
Baghendaghe, Enos
Unknown Affiliation
Lwebuge, William
Unknown Affiliation
Ssentogo, Freddie
Unknown Affiliation
Birungi, Hellen
Unknown Affiliation
Tegamanyi, Josephine
Unknown Affiliation
Wangiri, Paul
Unknown Affiliation
Nabanoba, Christine T.
Unknown Affiliation
Namulondo, Phiona
Unknown Affiliation
Tumusiime, Richard
Unknown Affiliation
Musingye, Ezra
Unknown Affiliation
Nanteza, Christina
Unknown Affiliation
Wandege, Joseph
Unknown Affiliation
Waiswa, Michael
Unknown Affiliation
Najjuma, Evelyn
Unknown Affiliation
Maggaga, Olive
Unknown Affiliation
Kenoly, Isaac Kato
Unknown Affiliation
Mukanza, Barbara
Unknown Affiliation
Langat, Rither C.
Unknown Affiliation
Ngeno, Aaron
Unknown Affiliation
Korir, Lucy
Unknown Affiliation
Langat, Raphael K.
Unknown Affiliation
Opiyo, Francis E.O.
Unknown Affiliation
Kasembeli, Alex N.
Unknown Affiliation
Ochieng, Christopher
Unknown Affiliation
Towett, Japhet
Unknown Affiliation
Kimetto, Jane
Unknown Affiliation
Omondi, Brighton
Unknown Affiliation
Leelgo, Mary
Unknown Affiliation
Obonyo, Michael
Unknown Affiliation
Rotich, Linner
Unknown Affiliation
Tonui, Enock
Unknown Affiliation
Chelangat, Ella
Unknown Affiliation
Kapkiai, Joan
Unknown Affiliation
Wangare, Salome
Unknown Affiliation
Kesi, Zeddy Bett
Unknown Affiliation
Ngeno, Janet
Unknown Affiliation
Langat, Edwin
Unknown Affiliation
Labosso, Kennedy
Unknown Affiliation
Rotich, Joshua
Unknown Affiliation
Cheruiyot, Leonard
Unknown Affiliation
Changwony, Enock
Unknown Affiliation
Bii, Mike
Unknown Affiliation
Chumba, Ezekiel
Unknown Affiliation
Ontango, Susan
Unknown Affiliation
Gitonga, Danson
Unknown Affiliation
Kiprotich, Samuel
Unknown Affiliation
Ngtech, Bornes
Unknown Affiliation
Engoke, Grace
Unknown Affiliation
Metet, Irene
Unknown Affiliation
Airo, Alice
Unknown Affiliation
Kiptoo, Ignatius N.
Unknown Affiliation
Sing’oei, Valentine
Unknown Affiliation
Rehema, Winne
Unknown Affiliation
Otieno, Solomon
Unknown Affiliation
Ogari, Celine
Unknown Affiliation
Modi, Elkanah
Unknown Affiliation
Adimo, Oscar
Unknown Affiliation
Okwaro, Charles
Unknown Affiliation
Lando, Christine
Unknown Affiliation
Onyango, Margaret
Unknown Affiliation
Aoko, Iddah
Unknown Affiliation
Obambo, Kennedy
Unknown Affiliation
Meyo, Joseph
Unknown Affiliation
Suja, George
Unknown Affiliation
Adamu, Yakubu
Unknown Affiliation
Azuakola, Nnamdi
Unknown Affiliation
Asuquo, Mfreke
Unknown Affiliation
Tiamiyu, Abdulwasiu Bolaji
Unknown Affiliation
Kokogho, Afoke
Unknown Affiliation
Mohammed, Samirah Sani
Unknown Affiliation
Okoye, Ifeanyi
Unknown Affiliation
Odeyemi, Sunday O.
Unknown Affiliation
Suleiman, Aminu
Unknown Affiliation
Parker, Zahra F.
Unknown Affiliation
Ochai, Inalegwu
Unknown Affiliation
Maganga, Lucas Henze
Unknown Affiliation
Khamadi, Samoel Ashimosi
Unknown Affiliation
Kisinda, Abisai
Unknown Affiliation
Mwamwaja, Jaquiline
Unknown Affiliation
Gervas, Reginald
Unknown Affiliation
Mkondoo, Dorothy
Unknown Affiliation
Somi, Nancy
Unknown Affiliation
Mwaisanga, Gwamaka
Unknown Affiliation
Olomi, Willyhelmina
Unknown Affiliation
Statistics
Citations: 10
Authors: 121
Affiliations: 8
Identifiers
Doi:
10.1186/s12889-021-10762-4
ISSN:
14712458
Research Areas
Infectious Diseases
Mental Health
Sexual And Reproductive Health
Study Design
Randomised Control Trial
Cross Sectional Study
Cohort Study
Study Approach
Quantitative
Study Locations
Kenya
Nigeria
Tanzania
Uganda
Participants Gender
Female