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Bogale EK, Anagaw TF, Tiruneh MG, Fenta ET, Endeshaw D, Delie AM, Adal O, Tareke AA. Prevalence of sexually transmitted infections, and its associated factors among students in Ethiopia: a systematic review and meta-analysis study. BMC Public Health 2024; 24:1976. [PMID: 39049035 PMCID: PMC11267747 DOI: 10.1186/s12889-024-19548-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2023] [Accepted: 07/22/2024] [Indexed: 07/27/2024] Open
Abstract
BACKGROUND Sexually transmitted infections (STIs) are illnesses mainly spread through unprotected sexual activity. There is a scarcity of aggregate evidence in Ethiopia. The aim of this review was to assess the pooled prevalence of STI, and its associated factors among students in Ethiopia to fill the aforementioned gap. METHODS We extensively searched the bibliographic databases of PubMed, Scopus, and Google Scholar to obtain eligible studies. Further screening for a reference list of articles was also done. The Microsoft Excel Spreadsheet was used to extract data, and Stata 17 was used for analysis. The PRISMA-guidline and Newcastle-Ottawa quality assessment scale were used for quality appraisal. To check heterogeneity, the Higgs I2 and Cochran's Q tests were employed. Sensitivity and subgroup analysis were implemented. To detect publication bias, Egger's test and funnel plots were used. RESULTS The pooled prevalence of STI among students in Ethiopia was 13.6% with a 95% CI (10.2, 17). Findings from sub group analysis based on student category shows that the pooled prevalence of STI were 14.5% among University students, 14.2% among college students and 10.6% among high school students. Having multiple sexual partners (AOR 3.31; 95% CI: 2.40-4.57), not using condoms during sexual intercourse (AOR 2.56; 95% CI: 1.72-3.81), and having poor knowledge about sexually transmitted infections were 3.08 times (AOR 3.08; 95% CI: 1.84-5.15) significantly associated with STI. CONCLUSION The pooled prevalence of STIs among students in Ethiopia was high, and factors like having multiple sexual partners, not using condoms during sexual intercourse, and having poor knowledge about sexually transmitted infections were significantly associated with STIs. Hence, reduce STIs among students, strengthening sexual and reproductive health services, raising awareness about transmission and prevention, and promoting consistent condom use through health information dissemination is crucial. Further qualitative studies are suggested to explore the barriers and facilitators of STI prevention.
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Affiliation(s)
- Eyob Ketema Bogale
- Department of Health Promotion and Behavioral Science, School of Public Health, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.
| | - Tadele Fentabel Anagaw
- Department of Health Promotion and Behavioral Science, School of Public Health, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia
| | - Misganaw Guadie Tiruneh
- Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Eneyew Talie Fenta
- Department of Public Health, College of Medicine and Health Sciences, Injibara University, Injibara, Ethiopia
| | - Destaw Endeshaw
- Department of Adult Health Nursing, School of Health Sciences, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia
| | - Amare Mebrat Delie
- Lecturer of Biostatistics, Department of Public Health, College of Medicine and Health Science, Injibara University, Injibara, Ethiopia
| | - Ousman Adal
- College of Medicine and Health Sciences, Department of Emergeny, Bahir Dar University, Bahir Dar, Ethiopia
| | - Abiyu Abadi Tareke
- Amref Health Africa in Ethiopia, COVID-19 Vaccine/EPI Technical Assistant at West Gondar Zonal Health Department, Gondar, Ethiopia
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Sexually Transmitted Infections in Pregnancy, Screening and Treatment. CURRENT OBSTETRICS AND GYNECOLOGY REPORTS 2021. [DOI: 10.1007/s13669-021-00318-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Abstract
Donovanosis is a chronic, progressive, and indolent bacterial disease that affects the skin and mucous membranes of the genital and perigenital regions, often associated with sexual transmission, and with low infectivity. The malignant transformation of donovanosis lesions occurs exceptionally, as is usually seen in long-term ulcerations.
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Affiliation(s)
- Walter Belda Junior
- Department of Dermatology, Faculty of Medicine, Universidade de São Paulo, São Paulo, SP, Brazil.
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Azevedo MJND, Nunes SDS, Oliveira FGD, Rocha DAP. High prevalence of Chlamydia trachomatis in pregnant women attended at Primary Health Care services in Amazon, Brazil. Rev Inst Med Trop Sao Paulo 2019; 61:e6. [PMID: 30785560 PMCID: PMC6376923 DOI: 10.1590/s1678-9946201961006] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2018] [Accepted: 11/26/2018] [Indexed: 11/21/2022] Open
Abstract
Chlamydia trachomatis (CT) infection is often silent and can
lead to long-term reproductive complications in women. In this study, we
determined the prevalence of CT infection and possible associations between the
presence of the infection and clinical-epidemiological variables in pregnant
women attended at the Basic Health Units of the Coari city, Amazonas, Brazil.
From July 2016 to March 2017, 164 pregnant women undergoing prenatal care were
recruited. One hundred of these women were tested for CT infection using two
types of samples: cervico-vaginal and urine. The diagnosis was confirmed by PCR
with primers specific for the omp1 gene of CT chromosomal DNA. Of the 100
pregnant women, 18 (18%) had CT infection, 8 (8%) of which were positive in both
samples, 7 (7%) only in the urine sample and 3 (3%) only in cervical-vaginal
sample. There was moderate agreement (Kappa=0.55) and no statistically
significant difference between sample types (p = 0.400). The mean age of
infected women was 21.1 years (SD = 4.6). Of the clinical-epidemiological
variables analyzed, “more than 2 partners in the last 12 months” (p = 0.022) and
gynecological complaint of “pain after intercourse” (p = 0.020) were associated
with CT infection. This study showed a high prevalence (18%) of CT infection
among pregnant women in Coari / Amazonas. Urine sampales were as good as
cervical-vaginal ones for the screening of CT infection during the prenatal
period.
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Affiliation(s)
| | - Suzana Dos Santos Nunes
- Universidade Federal do Amazonas, Instituto de Saúde e Biotecnologia, Coari, Amazonas, Brazil
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Magalhães BM, Veasey JV, Mayor SAS, Lellis RF. Donovanosis in a child victim of sexual abuse: response to doxycycline treatment. An Bras Dermatol 2018; 93:592-594. [PMID: 30066775 PMCID: PMC6063095 DOI: 10.1590/abd1806-4841.20187948] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2017] [Accepted: 03/06/2018] [Indexed: 11/21/2022] Open
Abstract
Donovanosis is a chronic infectious disease caused by the Gram-negative bacteria Klebsiella granulomatis, which mainly affects the skin and mucous membranes of the genital, perigenital, and inguinal regions. Also known as venereal granuloma or granuloma inguinale, it is endemic in tropical and subtropical regions of the globe and often associated with sexual transmission. We report the case of an 11-year-old female victim of chronic sexual abuse, who was diagnosed with donovanosis and presented a good therapeutic response to doxycycline.
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Chen S, Zhu R, Zhu H, Yang H, Gong F, Wang L, Jiang Y, Lian BQ, Yan C, Li J, Wang Q, Zhang SK, Pan H. The prevalence and risk factors of preterm small-for-gestational-age infants: a population-based retrospective cohort study in rural Chinese population. BMC Pregnancy Childbirth 2017; 17:237. [PMID: 28728571 PMCID: PMC5520343 DOI: 10.1186/s12884-017-1412-7] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2016] [Accepted: 07/05/2017] [Indexed: 12/23/2022] Open
Abstract
Background Preterm birth and small for gestational age (SGA) are strong indicators of neonatal adverse outcomes. With the growing importance of preterm SGA infants, we aim to evaluate the prevalence and risk factors for preterm SGA in China. Method We analyzed the data of parents and infants from a population-based cohort research of the free National Pre-pregnancy Checkups Project (NPCP) in rural China. Only singleton live births that occurred between 24 weeks +0 days and 36 weeks +6 days of pregnancy were included in this study. SGA was defined as birth weight less than the 10th percentile of the reference birth-weight-for-gestational-age population. A multiple logistic regression model was built using the statistically significant variables from the 371 variables in the questionnaire. Results A total of 11,474 singleton, preterm, live-birth infants were included. Of the total infants, 317 (2.77%) were preterm SGA infants. A higher risk of preterm SGA infants was observed among mothers who were on oral contraceptives (OR: 8.162, 95% CI: 1.622–41.072), mothers who had syphilis (OR: 12.800, 95% CI: 1.250–131.041), and mothers with a high eosinophil percentage (OR: 13.292, 95% CI: 1.282–135.796). Maternal intake of folic acid at least 3 months before pregnancy (OR: 0.284, 95% CI:0.124–0.654) and paternal intake of egg and meat (OR: 0.097,95% CI:0.030–0.315) were protective factors. Compared with North China, the incidence of preterm SGA infants was higher in South China. Conclusion Preterm SGA infants were associated with both maternal and paternal factors.
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Affiliation(s)
- Shi Chen
- Department of Endocrinology, Key Laboratory of Endocrinology of Ministry of Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Peking Union Medical College Hospital, No.1, Shuaifuyuan Road, Beijing, Dongcheng district, 100730, China
| | - Rong Zhu
- Intern of medicine, PUMCH, Beijing, 100730, China.,Department of Gynaecology and Obsterics, Peking University First Hospital, Beijing, 100034, China
| | - Huijuan Zhu
- Department of Endocrinology, Key Laboratory of Endocrinology of Ministry of Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Peking Union Medical College Hospital, No.1, Shuaifuyuan Road, Beijing, Dongcheng district, 100730, China
| | - Hongbo Yang
- Department of Endocrinology, Key Laboratory of Endocrinology of Ministry of Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Peking Union Medical College Hospital, No.1, Shuaifuyuan Road, Beijing, Dongcheng district, 100730, China
| | - Fengying Gong
- Department of Endocrinology, Key Laboratory of Endocrinology of Ministry of Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Peking Union Medical College Hospital, No.1, Shuaifuyuan Road, Beijing, Dongcheng district, 100730, China
| | - Linjie Wang
- Department of Endocrinology, Key Laboratory of Endocrinology of Ministry of Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Peking Union Medical College Hospital, No.1, Shuaifuyuan Road, Beijing, Dongcheng district, 100730, China
| | - Yu Jiang
- School of public health, PUMC, Beijing, 100730, China
| | - Bill Q Lian
- University of Massachusetts Medical Center, 55 Lake Ave., North Worcester, MA, 01655, USA
| | - Chengsheng Yan
- Hebei Center for women and children's health, Shijiazhuang, 050031, China
| | - Jianqiang Li
- School of Software Engineering, Beijing University of Technology, Beijing, 100124, China
| | - Qing Wang
- Tsinghua National Laboratory for Info. Science and Technology, Tsinghua University, Beijing, 100084, China
| | - Shi-Kun Zhang
- Research association for women and children's health, Beijing, 100081, China
| | - Hui Pan
- Department of Endocrinology, Key Laboratory of Endocrinology of Ministry of Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Peking Union Medical College Hospital, No.1, Shuaifuyuan Road, Beijing, Dongcheng district, 100730, China.
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Corrêa AD, Caminha JDR, Souza CAMD, Alves LA. Uma abordagem sobre o uso de medicamentos nos livros didáticos de biologia como estratégia de promoção de saúde. CIENCIA & SAUDE COLETIVA 2013; 18:3071-81. [DOI: 10.1590/s1413-81232013001000032] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2012] [Accepted: 03/21/2012] [Indexed: 11/22/2022] Open
Abstract
O uso inadequado de medicamentos constitui uma grande ameaça à saúde pública e os medicamentos ocupam a primeira posição dentre os agentes causadores de intoxicação no Brasil, à frente de venenos para roedores e insetos, drogas ilícitas, agrotóxicos, produtos de limpeza e alimentos estragados. Os Parâmetros Curriculares Nacionais do Ensino Médio (PCN+) dão grande ênfase à saúde, uma vez que encontramos o tema Medicamentos mencionado repetidas vezes em seus conteúdos. O objetivo da pesquisa foi estudar as abordagens sobre o uso de medicamentos nos livros didáticos. Foram analisados onze livros didáticos de biologia, sendo seis constituídos de volumes únicos e cinco com três volumes cada, num total de vinte e um volumes. O uso racional de medicamentos deve ser considerado um tópico importante da promoção da saúde que atinge todos os setores da sociedade, devendo ser enfatizado na educação básica. Diante disso, e com base nos presentes resultados, sugerimos que os livros didáticos analisados sejam adequados às novas legislações e que os conteúdos o URM, atendendo assim as recomendações dos PCN+. Para tanto, os livros poderiam tratar de forma concisa os temas: automedicação, adesão ao tratamento medicamentoso, propagandas e reportagens sobre medicamentos entre outros.
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Safety of Common Medications for Treating Dermatology Disorders in Pregnant Women. CURRENT DERMATOLOGY REPORTS 2013. [DOI: 10.1007/s13671-013-0062-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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Hypertrophic donavanosis in a young pregnant woman. J Pediatr Adolesc Gynecol 2012; 25:e81-3. [PMID: 22840941 DOI: 10.1016/j.jpag.2011.10.002] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/29/2011] [Revised: 10/03/2011] [Accepted: 10/03/2011] [Indexed: 11/22/2022]
Abstract
BACKGROUND Donovanosis is a chronic bacterial illness, progressive and indolent, which normally attacks the skin and mucous membranes in the genital and perigenital regions. CASE An 18-year-old pregnant female presented with large, hypertrophic lesions in the ano-genital region. HIV serology was negative. Pap smear revealed a CIN 1 associated with HPV infection. Biopsy yielded macrophages laden with Gram-negative Donovan bodies. SUMMARY AND CONCLUSION A diagnosis of vulvar and perianal donovanosis was reached; the patient decided to terminate the pregnancy and was treated with azithromycin, which led to clinical resolution.
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Abraham LS, Costa MC, Agozzino M, Amorosi B, Cota C, Ardigo M. In vivo reflectance confocal microscopy for varicella prompt diagnosis and treatment in a severely immunosuppressed patient. Skin Res Technol 2011; 18:386-8. [DOI: 10.1111/j.1600-0846.2011.00581.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/09/2011] [Indexed: 12/01/2022]
Affiliation(s)
| | | | | | | | - Carlo Cota
- IRCCS - San Gallicano Dermatological Institute; Rome; Italy
| | - Marco Ardigo
- IRCCS - San Gallicano Dermatological Institute; Rome; Italy
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