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Abstract：
BACKGROUND: Sexually transmitted infections (STIs) cause adverse health outcomes, including increasing HIV acquisition/transmission risk. We analyzed data from an HIV biomarker and behavioral survey to estimate STI prevalence, and explore associated factors in the setting of a generalized HIV epidemic in Siaya County, western Kenya.
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.
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.
摘要：
背景：性传播感染（STIs）会导致不良的健康结果，包括增加艾滋病毒感染/传播风险。我们分析了来自HIV生物标志物和行为调查的数据来估计性传播感染的患病率，并探索Siaya县艾滋病毒普遍流行的背景下的相关因素，肯尼亚西部。
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。
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。
