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Titre du document / Document title

Pattern of sexually transmitted diseases and risk factors among women attending an STD referral clinic in Nairobi, Kenya

Auteur(s) / Author(s)

FONCK Karoline (1 2) ; KIDULA Nancy (3 4) ; KIRUI Patrick ; NDINYA-ACHOLA Jeconiah (2) ; BWAYO Job (2) ; CLAEYS Patricia (1) ; TEMMERMAN Marleen (1) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) International Centre for Reproductive Health, Ghent University, Ghent, BELGIQUE
(2) Department of Medical Microbiology, University of Nairobi, KENYA
(3) Kenya Medical Women's Association, Nairobi, KENYA
(4) Public Health Department, Nairobi City Council, Nairobi, KENYA

Résumé / Abstract

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.

Revue / Journal Title

Sexually transmitted diseases    ISSN  0148-5717   CODEN STRDDM 

Source / Source

2000, vol. 27, no7, pp. 417-423 (32 ref.)

Langue / Language

Anglais

Editeur / Publisher

Lippincott Williams & Wilkins, Hagerstown, MD, ETATS-UNIS  (1977) (Revue)

Mots-clés anglais / English Keywords

Sexually transmitted disease

;

Human

;

Epidemiology

;

Kenya

;

Risk factor

;

Prevalence

;

Cervical dysplasia

;

Premalignant lesion

;

Africa

;

Female genital diseases

;

Uterine cervix diseases

;

Mots-clés français / French Keywords

Maladie sexuellement transmissible

;

Homme

;

Epidémiologie

;

Kenya

;

Facteur risque

;

Prévalence

;

Dysplasie col utérus

;

Lésion précancéreuse

;

Afrique

;

Appareil génital femelle pathologie

;

Col utérus pathologie

;

Mots-clés espagnols / Spanish Keywords

Enfermedad de transmisión sexual

;

Hombre

;

Epidemiología

;

Kenya

;

Factor riesgo

;

Prevalencia

;

Displasia cuello útero

;

Lesión precancerosa

;

Africa

;

Aparato genital hembra patología

;

Cuello útero patología

;

Localisation / Location

INIST-CNRS, Cote INIST : 18921, 35400009038226.0070

Nº notice refdoc (ud4) : 1455493



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