埃塞俄比亚东部吉吉加市公共卫生机构成年客户性传播疾病的程度和相关因素

Mahamed Abib, Abdinasir Abdilahi
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摘要

简介:性传播感染(STIs)一词是指由病原体引起的各种临床症状,这些症状可以通过性活动获得和传播。性传播感染由30多种不同的病原体引起,包括细菌、病毒、原生动物、真菌和体外寄生虫。性传播疾病可导致严重的健康并发症,影响个人未来的生殖计划,占疾病总负担的17%。在埃塞俄比亚的大多数地区,特别是在索马里地区,对性传播疾病进行的研究有限,在埃塞俄比亚进行的大多数研究都是基于社区的研究。因此,本研究的目的是评估2021年在埃塞俄比亚东部吉吉加镇公共卫生机构就诊的成年客户中性传播疾病的严重程度和相关因素。方法与材料:采用基于机构的横断面研究方法,对2021年6月15日至7月15日在吉吉加市公共卫生机构就诊的成年病人进行调查。采用系统抽样技术,按比例分配每个卫生机构的规模,从398名答复者中收集数据。采用结构化访谈问卷收集数据。使用Epi-data 3.1软件将数据输入计算机,导出到Statistical package for social science version 20.0进行分析。采用二元logistic回归模型进行分析,识别p值为0.25的独立预测因子。结果:报告曾有性传播疾病的患病率为34.5%(95%CI, 29.8 ~ 39.2);在评估性传播疾病感染的独立预测因素时,有过酒后性行为者(AOR= 2.4;95%CI: 1.0-6.0),一生中有多个性伴侣的患者(AOR=10.2;95%CI: 3.6-28.3),避孕套使用与性病有显著相关性(AOR=0.064 95%CI;0.023 - -0.17)。结论:本研究显示调查对象中性传播疾病的患病率较高。有多个性伴侣、酒后性交等性行为风险;多个性伴侣和性交时使用避孕套与性传播疾病有显著关系。因此,每次性传播疾病咨询都应包括预防教育,例如减少性伴侣的数量以降低患性病的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Magnitude and Associated Factors of Sexually Transmitted Diseases Among Adult Clients Attending Public Health Facilities in Jigjiga City, Eastern Ethiopia
Introduction: The term sexually transmitted infections (STIs) refers to a variety of clinical syndromes caused by pathogens that can be acquired and transmitted through sexual activity. STIs are caused by more than 30 different pathogens including bacteria, viruses, protozoa, fungus, and ectoparasites. Sexual transmitted diseases can lead to serious health complications and affect individual’s future reproductive plans and responsible for 17% of the total burden of disease, There is limited study done about Sexual transmitted diseases on most of regions in Ethiopia specifically in Somali region and most studies that have been done in Ethiopia were community based studies. Therefore the aim of this study was to assess magnitude and associated factors of sexual transmitted diseases among adult clients attending at public health facilities in Jigjiga town eastern Ethiopia 2021. Methods and Materials: An institution based cross sectional study was conducted among adult clients attending Public health facilities in Jigjiga city Administrative from June 15 to july15, 2021. Data were collected from 398 respondents by using systematic sampling technique with proportional allocation of size employed to each health facilities. Structured interview questionnaires were used to collect the data. Data were entered into the computer using Epi-data 3.1 software and exported to Statistical package for social science version 20.0 for analysis. Binary logistic regression model was carried out for analysis to identify independent predictors at p-value 0.25. Results: The prevalence of reported ever had sexual transmitted diseases was found to be 34.5%(95%CI, 29.8-39.2) ,While assessing the independent predictors for acquiring STIs, clients who had sexual intercourse after having alcohol (AOR= 2.4; 95%CI: 1.0-6.0), clients who had multiple sexual partner in their life time (AOR=10.2; 95%CI: 3.6-28.3), as well as condom utilization was significantly associated with STD (AOR=0.064 95% CI; 0.023-0.17). Conclusion: This study shows high prevalence of STDs among respondents. Risky of sexual behaviors like having multiple sexual partners, sexual intercourse after having alcohol; multiple sexual partners and condom utilization during intercourse were significantly associated with STDs. As a result, every STDs consultation should include preventive education, such as reducing the number of sexual partners to reduce the risk of STD.
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