Details:

Alternative Title:
BMC Public Health
Publisher's site:
http://dx.doi.org/10.1186/1471-2458-13-373
Personal Author:
Asavapiriyanont, Suvanna ; Lolekha, Rangsima ; Roongpisuthipong, Anuvat ; Wiratchai, Amornpan ; Kaoiean, Surasak ; ... More +
Asavapiriyanont, Suvanna ; Lolekha, Rangsima ; Roongpisuthipong, Anuvat ; Wiratchai, Amornpan ; Kaoiean, Surasak ; Suksripanich, Orapin ; Chalermchockcharoenkit, Amphan ; Ausavapipit, Jaruensook ; Srifeungfung, Somporn ; Pattanasin, Sarika ; Katz, Kenneth A Less -
Description:
Background

Data on sexually transmitted infections (STI) prevalence among HIV-infected women in Thailand are limited. We studied, among HIV-infected women, prevalence of STI symptoms and signs; prevalence and correlates of having any STI; prevalence and correlates of Chlamydia trachomatis (CT) or Neisseria gonorrhoeae (GC) among women without CT and/or GC symptoms or signs; and number of women without CT and/or GC symptoms or signs needed to screen (NNS) to detect one woman with CT and/or GC overall, among pregnant women, and among women ≤25 years.

Methods

During October 2004–September 2006, HIV-infected women at 3 obstetrics and gynecology clinics were asked about sexual behaviors and STI symptoms, physically examined, and screened for chlamydia, gonorrhea, trichomoniasis, and syphilis. Multivariate logistic regression was used to identify correlates of infections. NNS was calculated using standard methods.

Results

Among 1,124 women, 526 (47.0%) had STI symptoms or signs, 469 (41.7%) had CT and/or GC symptoms or signs, and 133 (11.8%) had an STI. Correlates of having an STI included pregnancy and having STI signs. Among 469 women and 655 women with vs. without CT and/or GC symptoms or signs, respectively, 43 (9.2%) vs. 31 (4.7%), 2 (0.4%) vs. 9 (1.4%), and 45 (9.6%) vs. 38 (5.8%) had CT, GC, or “CT or GC”, respectively; correlates included receiving care at university hospitals and having sex with a casual partner within 3 months. NNS for women overall and women ≤25 years old were 18 (95% CI, 13-25) and 11 (95% CI, 6-23), respectively; and for pregnant and non-pregnant women, 8 (95% CI, 4-24) and 19 (95% CI, 14-27), respectively.

Conclusions

STI prevalence among HIV-infected women, including CT and GC among those without symptoms or signs, was substantial. Screening for CT and GC, particularly for pregnant women, should be considered.


Subject:
[+]
Adult
Chlamydia Infections
Female
HIV Infections
Humans
Prevalence
Sexual Behavior
Sexually Transmitted Diseases
Women's Health

Source:
BMC Public Health. 2013; 13:373.
Series:
PEPFAR
Pubmed ID:
23601556
Pubmed Central ID:
PMC3653681
Document Type:
Journal Article
Funding:
PEPFAR/United States
Place as Subject:
Thailand
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:2aeba0e575e5264d72393d73905497f9e7930e5a1c32545bbc780051dad9c61b
File Type:

Supporting Files

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