METHODS: Data were collected in March-September 2022 through face-to-face interviews using structured questionnaires; records from 9643 sexually active participants aged 13+ years were included in the analysis. We calculated weighted self-reported STI prevalence, by sex, age, and HIV status and explored associated factors using multivariable logistic regression.
RESULTS: Median age was 37 years and 59.9% were female; HIV prevalence was 18.0%. Overall STI prevalence was 1.8%; 1.5-fold higher among males vs. females, and 2.6-fold higher among participants living with HIV vs. those without. HIV status and multiple sexual partners were independently associated with STI in both sexes. Mind-altering substance use and being circumcised were associated with STI among males.
CONCLUSIONS: This study estimates STI prevalence in the setting of high HIV prevalence. Findings underscore the importance of: effective STI screening in HIV clinics and HIV testing and counseling in STI clinics; screening and counseling on substance use, and HIV pre-exposure prophylaxis; and intensive sexual health counseling in male circumcision programmes.
方法:数据是在2022年3月至9月通过使用结构化问卷的面对面访谈收集的;分析中包括了9643名13岁以上的性活跃参与者的记录。我们计算了加权自我报告的性传播感染患病率,按性别,年龄,和艾滋病毒状况,并使用多变量逻辑回归分析相关因素。
结果:中位年龄为37岁,女性占59.9%;HIV患病率为18.0%。总体性传播感染患病率为1.8%;男性比男性高出1.5倍女性,感染艾滋病毒的参与者比感染艾滋病毒的参与者高出2.6倍那些没有。艾滋病毒状况和多个性伴侣与两性性传播感染独立相关。在男性中,改变精神的物质使用和割礼与性传播感染有关。
结论:本研究估计了HIV高流行背景下的性传播感染患病率。调查结果强调了以下方面的重要性:在艾滋病毒诊所进行有效的性传播感染筛查,在性传播感染诊所进行艾滋病毒检测和咨询;对药物使用进行筛查和咨询,和艾滋病毒暴露前预防;以及男性包皮环切计划中的强化性健康咨询。