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Converging epidemics of sexually transmitted infections and bacterial vaginosis in southern African female adolescents at risk of HIV
- Source :
- International Journal of STD & AIDS. 29:531-539
- Publication Year :
- 2017
- Publisher :
- SAGE Publications, 2017.
-
Abstract
- Adolescents in Africa are at high risk for HIV infection, other sexually transmitted infections (STIs) and bacterial vaginosis (BV). Since behavior and burden of STIs/BV may influence HIV risk, behavioral risk factors and prevalence of STIs/BV were compared in HIV-seronegative adolescent females (n = 298; 16–22 years) from two South African communities (Soweto and Cape Town). STIs ( Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, Mycoplasma genitalium, herpes simplex virus (HSV)-1, HSV-2, Treponema pallidum, and Haemophilus ducreyi) were detected by multiplex polymerase chain reaction, human papillomavirus (HPV) by Roche Linear Array, and BV by Nugent scoring. Rates of BV (Nugent ≥7; 46.6%) and HPV (66.8%) were high in both communities. Prevalence of C. trachomatis and N. gonorrhoeae were >2-fold higher in Cape Town than Soweto (Chlamydia: 42% [62/149] versus 18% [26/148], p 70% of young women with treatable conditions that could enhance HIV risk would have been missed because they lacked symptoms associated with syndromic management.
- Subjects :
- 0301 basic medicine
medicine.medical_specialty
Adolescent
Sexually Transmitted Diseases
Prevalence
Human immunodeficiency virus (HIV)
HIV Infections
Dermatology
urologic and male genital diseases
Hiv risk
medicine.disease_cause
South Africa
Young Adult
03 medical and health sciences
0302 clinical medicine
Vaginal disease
Risk groups
HIV Seronegativity
Poverty Areas
Internal medicine
Epidemiology
Humans
Medicine
Pharmacology (medical)
030212 general & internal medicine
Epidemics
business.industry
Public Health, Environmental and Occupational Health
virus diseases
Vaginosis, Bacterial
medicine.disease
female genital diseases and pregnancy complications
030104 developmental biology
Infectious Diseases
medicine.anatomical_structure
Vagina
Female
Bacterial vaginosis
business
Subjects
Details
- ISSN :
- 17581052 and 09564624
- Volume :
- 29
- Database :
- OpenAIRE
- Journal :
- International Journal of STD & AIDS
- Accession number :
- edsair.doi.dedup.....e1fb04102d2fb895b3dd7c54dffca611