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Risk Factors for Incidence of Sexually Transmitted Infections Among Women in a Human Immunodeficiency Virus Chemoprevention Trial: VOICE (MTN-003).
- Source :
-
Sexually transmitted diseases [Sex Transm Dis] 2017 Mar; Vol. 44 (3), pp. 135-140. - Publication Year :
- 2017
-
Abstract
- Background: In sub-Saharan Africa, there are limited data on the incidence of sexually transmitted infections (STIs) among women, largely because routine screening for asymptomatic infection is not performed. We conducted a secondary analysis to measure STI incidence rates and determine risk factors for new STI acquisition among women enrolled in the VOICE trial.<br />Methods: We analyzed data from 4843 women screened for chlamydia, gonorrhoea, syphilis, and trichomonas infection at baseline, annually, at interim visits when clinically indicated and at their study termination visit. Risk reduction counseling and condoms were provided throughout the trial.<br />Results: Twenty percent of evaluable participants had one or more curable STIs at baseline. Over 5660 person-years at risk (PYAR) of observation, incidence rates were 13.8% (95% confidence interval [CI], 12.7-14.8) PYAR for chlamydia, 3.5% (95% CI, 3.0-4.1) PYAR gonorrhea, 0.1% (95% CI, 0.6-1.1) PYAR syphilis, and 6.6% (95% CI, 5.8-7.2) PYAR trichomoniasis. South African sites had the highest incidence of chlamydia. The Uganda site had the highest incidence of gonorrhoea and syphilis, and Zimbabwe the lowest incidence overall. The majority of these cases were diagnosed at a routine scheduled testing visit. In multivariate analysis, positive baseline STI, younger than 25 years, being unmarried, and some alcohol consumption were associated with acquiring a new STI.<br />Conclusions: We observed high rates of STIs during follow up among women in the VOICE study. Women living in human immunodeficiency virus endemic countries should be screened for common STIs.
- Subjects :
- Adolescent
Adult
Africa South of the Sahara epidemiology
Chemoprevention
Condoms statistics & numerical data
Female
Follow-Up Studies
Humans
Incidence
Prospective Studies
Risk Factors
Risk Reduction Behavior
Sexually Transmitted Diseases etiology
Sexually Transmitted Diseases prevention & control
Uganda epidemiology
Young Adult
Zimbabwe epidemiology
HIV Infections prevention & control
Sexually Transmitted Diseases epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1537-4521
- Volume :
- 44
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Sexually transmitted diseases
- Publication Type :
- Academic Journal
- Accession number :
- 28178109
- Full Text :
- https://doi.org/10.1097/OLQ.0000000000000568