Prevalence and Factors Associated with Sexually Transmitted Infections among HIV Positive Women Opting for Intrauterine Contraception

作者: Othman Kakaire , Josaphat Kayogoza Byamugisha , Nazarius Mbona Tumwesigye , Kristina Gamzell-Danielsson

DOI: 10.1371/JOURNAL.PONE.0122400

关键词: SpouseGynecologyObstetricsGonorrheaOdds ratioFamily planningPopulationCoinfectionMedicineChlamydia trachomatisAcquired immunodeficiency syndrome (AIDS)

摘要: Background Women living with HIV/AIDS (WLHA) are a high risk group for sexually transmitted infections (STIs). However, the majority of women STIs asymptomatic. Data on prevalence among WLHA in Uganda limited. The objective study was to determine and factors associated opting intrauterine contraceptive device (IUD). Methods Three hundred fifty one deemed free using syndromic logarithm were enrolled into study. Endo-cervical swabs taken before IUD insertion PCR test Nisseria gonorrhea (NG), Trichomonas vaginalis (TV) Chlamydia trachomatis (CT) conducted. Results Participants’ mean age 29.4 ± 6.2 years, 83% under 35years, 50% had secondary education 73% married. (69%) disclosed their HIV sero status spouses, 82% used Cotrimoxazole prophylaxis, 70% antiretroviral therapy, 90% CD4 count greater than 350, about 60% reported condoms use parity 2-4. Over participants’ spouses older 35 years 72% attained education. 11.1%, (95% CI 7.8-14.4) individual TV, NG, CT 5.9%, 5.4% 0.9% respectively. Factors independently STI having primary or less (OR= 2.3, 95% CI: 1.09 - 4.85) spouse 3.3, 1.6 6.78) muslim faith 0.2, 0.04 0.78). Conclusion STI 11.1%. TV NG commonest this population. Having both participant increased while being reduced STI.

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