关键词: Elimination MTCT STIs Southern Ethiopia Triple pregnant woman

来  源:   DOI:10.3389/fgwh.2023.1190170   PDF(Pubmed)

Abstract:
UNASSIGNED: Sexually transmitted infections (STIs) cause a wide range of public health problems if left untreated. They can lead to adverse birth outcomes, including stillbirth, fetal loss, neonatal death, preterm birth, and low birth weight. Although great efforts have been made to reduce STIs nationally, their incidence remains high in Ethiopia, and their co-infection calls for urgent action. Therefore, this study aimed to identify the determinants of three STIs among pregnant women attending antenatal care (ANC) in the context of the elimination of mother-to-child transmission in public health facilities in Sawla Town, Gofa zone, Southern Ethiopia.
UNASSIGNED: A cross-sectional study design was conducted among pregnant women attending antenatal care in public health facilities in Sawla Town, Southern Ethiopia, from May to July 2022. Data were collected from pregnant women\'s serum using an HIV rapid test, an HBsAg rapid test device, and a VDRL for HIV, HBV, and syphilis, respectively. Descriptive statistics, such as frequencies and percentages, were used to describe each relevant variable. Logistic regression analyses were used to identify the determinants of STIs.
UNASSIGNED: A total of 484 pregnant women attending antenatal care were screened. The mean age of the women was 24.0 ± 4.6 years, and nearly half of the participants had completed secondary school or higher. The overall seroprevalence of three STIs (HIV, HBV, and syphilis) among pregnant women was 6.8%. These three sexually transmitted infections were shown to be more common among pregnant women who were not able to read and write, had tattoos, had previously had an abortion, and had a history of multiple sexual partners.
UNASSIGNED: The seroprevalence found in this study was intermediate in comparison with the WHO standard. Efforts should be made to strengthen the existing health education and RH service integration on STI screening, and treatment that further eliminates vertical infection.
摘要:
性传播感染(STIs)如果不及时治疗会导致广泛的公共卫生问题。它们会导致不良的分娩结果,包括死产,胎儿丢失,新生儿死亡,早产,低出生体重。尽管在全国范围内努力减少性传播感染,他们在埃塞俄比亚的发病率仍然很高,他们的共同感染需要采取紧急行动。因此,这项研究旨在确定在Sawla镇公共卫生设施中消除母婴传播的背景下,参加产前保健(ANC)的孕妇中三种性传播感染的决定因素,高法区,埃塞俄比亚南部。
对在索拉镇公共卫生机构接受产前护理的孕妇进行了横断面研究设计,埃塞俄比亚南部,2022年5月至7月。使用HIV快速检测从孕妇血清中收集数据,HBsAg快速检测装置,和艾滋病毒的VDRL,HBV,还有梅毒,分别。描述性统计,例如频率和百分比,用于描述每个相关变量。Logistic回归分析用于确定性传播感染的决定因素。
共筛查了484名产前保健的孕妇。妇女平均年龄为24.0±4.6岁,近一半的参与者完成了中学或更高的学业。三种性传播感染(艾滋病毒,HBV,和梅毒)在孕妇中占6.8%。这三种性传播感染在不能读写的孕妇中更常见,有纹身,以前有过流产,有多个性伴侣的病史.
与WHO标准相比,本研究中发现的血清阳性率处于中等水平。应努力加强现有的关于性传播感染筛查的健康教育和生殖健康服务整合,和进一步消除垂直感染的治疗。
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