Prevalence and risk factors associated with sexually transmitted infections (STIs) among women of reproductive age in Swaziland

• DOI: 10.1186/s13027-017-0140-y
• Publication Date: 2017-05-25T12:18:46Z
• Authors: Themba G. Ginindza; Cristina D. Stefan; Joyce M. Tsoka-Gw...; Xolisile Dlamini; Pauline E. Jolly; Elisabete Weiderpass; Nathalie Broutet; Benn Sartorius
• Keywords: Rapid plasma reagin; Tropical Medicine; Neisseria gonorrhoeae; Genital warts; GeneXpert MTB/RIF

Sexually transmitted infections (STIs) remain an important public health problem with approximately half a billion new cases annually among persons aged 15–49 years. Epidemiological data on STIs women of reproductive age in Swaziland are limited. The availability epidemiological and associated risk factors this population is essential for the development successful prevention, diagnosis management strategies country. study aimed to determine prevalence STIs. A total 655 years were systematically enrolled from five facilities using cross-sectional design. Cervical specimen tested GeneXpert CT/NG Assays Chlamydia trachomatis (CT) Neisseria gonorrhoeae (NG), GeneXpertTV Assay Trichomonas vaginalis (TV), HPV hr-HPV. Blood samples Alere Determine HIV-1/2Ag/Ab Combo Trinity Biotech Uni-Gold Recombigen HIV test confirmation HIV, Rapid Plasma Reagin TPHA Treponema pallidum (syphilis). Genital warts assessed prior collection. Survey weighted analyses done estimate burden four most common curable STIs: CT, NG, TV, (syphilis), as well genital considered study. overall any these was 19.4% (95% CI: 14.9–24.8), corresponding 72 990 Swaziland. estimated prevalences 7.0% 4.1–11.2) 6.0% 3.8–8.8) 8.4% 5.4–12.8) 1.4% 1.1–10.2) syphilis 2.0% 1.0–11.4) warts. 42.7% (95%CI: 35.7–46.2). Among hr-HPV positive women, 18.8% 13.1–26.3) had one STI, while 6.3% 3.3–11.7) multiple Risk being employed (OR = 2.2, 95% 1.0–4.7), self-employed 2.8, 1.5–5.5) 2.0, 1.3–3.1). Age (0.9, 0.8–0.9), married 0.4, 0.3–0.7) not condoms regular partners 0.5, 0.3–0.9) inversely highly prevalent Thus, comprehensive screening, surveillance treatment programme would be justified could potentially lower