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Control of Sexually Transmitted Diseases in Haiti: Results and Implications of a Baseline Study among Pregnant Women Living in Cite Soleil Shantytowns
- Source :
- The Journal of Infectious Diseases; September 1995, Vol. 172 Issue: 3 p764-764, 1p
- Publication Year :
- 1995
-
Abstract
- Women attending Haitian slum-based antenatal clinics were evaluated for sexually transmitted diseases (STDs): 110 (11%) of 996 were syphilis seroreactive, 313 (35%) of 903 had trichomoniasis, 110 (12%) of 897 had gonococcal or chlamydial cervical infection (or both), and 418 (47%) of 891 had at least one STD. Syphilis seroreactivity was associated with illiteracy (P</it> = .007), lower socioeconomic status (P</it> < .001), and a history of spontaneous abortion (P</it> = .02). Of 663 evaluated sera, 56 (8%) had human immunodeficiency virus (HIV) antibodies. In multivariate analysis, positive HIV serostatus was associated with syphilis seroreactivity (P</it> = .006), partner's unemployment (P</it> = .002), and history of a previous sex partner (P</it> = .04). Risk factors for gonococcal or chlamydial cervical infection were evaluated. Clinical assessment of cervical discharge, a World Health Organization algorithm, and a decision model based on local risk factors were 64%, 77%, and 89% sensitive, respectively, and 44%, 38%, and 43% specific, respectively, for predicting cervical infection. Alternative treatment approaches should be validated while waiting for affordable, simple, rapid, and accurate laboratory diagnostic tests for gonococcal and chlamydial cervical infections.
Details
- Language :
- English
- ISSN :
- 00221899 and 15376613
- Volume :
- 172
- Issue :
- 3
- Database :
- Supplemental Index
- Journal :
- The Journal of Infectious Diseases
- Publication Type :
- Periodical
- Accession number :
- ejs23152106
- Full Text :
- https://doi.org/10.1093/infdis/172.3.764