PDF(Pubmed)
Abstract：
BACKGROUND: Sexually transmitted infection is a common public health issue, and it is characteristically transmitted through sexual intercourse. Around the globe, particularly in less developed countries, delayed treatment of this infection could lead to a health and economic burden. Even though the health and economic burden of sexually transmitted infections is high, studies to identify the pooled proportion and the possible factor of delayed treatment seeking are rare in sub-Saharan African countries.
OBJECTIVE: To assess the prevalence of delayed treatment for STIs and its determinants in sub-Saharan African countries.
METHODS: Articles searched on search engines like Medline via PubMed, HINARI, Embase, Scopus, Cochrane Library, Science Direct, and websites like Google Scholar. The searching mechanism was using keywords and medical subject heading terms by combining the key terms of the title. To assure the quality of the included articles, Joana Brigg\'s Institute critical appraisal checklist was used. To assess the heterogeneity of the studies, a sensitivity analysis was conducted. The PRISMA checklist was used, and to estimate the pooled odds ratio, a random effect model was considered. The pooled odds ratio of 95% CL was used to identify the factors.
RESULTS: About 13 studies with 46,722 participants were incorporated. Despite considerable heterogeneity, the pooled prevalence of delayed treatment for STI in Sub-Saharan Africa was 47% (95% CI: 42%-51%, I2 = 98.42, p<0.001). Geographically, the higher pooled prevalence of delayed treatment for STI was in the eastern part of Africa (50%) (95% CI: 41%-59%, I2 = 98.42, p<0.001). Rural residence (OR = 1.44, 95% CI: 1.03-2.01, I2 = 39.3%, p-value = 0.19), poor knowledge about STI (OR = 1.49, 95% CI: 1.04-2.13, I2 = 93.1%, p-value = <0.001), perceived as STIs not serious (OR = 2.1, 95% CI: 1.86-2.36, I2 = 73.7%, p-value = 0.022), misconception for STD cause (OR = 1.39, 95% CI: 1.12-1.72), no education (OR = 4.1, 95% CI: 3.4-5.1), primary education (OR = 3.17, 95% CI: 2.23-4.2), and secondary education (OR = 1.57, 95% CI: 1.1-2.76) as compared to secondary and above education were factors associated with delayed treatment for STIs.
CONCLUSIONS: The pooled prevalence of delayed treatment for STIs in Sub-Saharan African countries was high. Poor knowledge, attitude, and educational status affect the treatment delay for STIs. Thus, improving knowledge, educational status, and attitude are highly recommended to reduce the delayed treatment of STIs.
OBJECTIVE: To assess the prevalence of delayed treatment for STIs and its determinants in sub-Saharan African countries.
METHODS: Articles searched on search engines like Medline via PubMed, HINARI, Embase, Scopus, Cochrane Library, Science Direct, and websites like Google Scholar. The searching mechanism was using keywords and medical subject heading terms by combining the key terms of the title. To assure the quality of the included articles, Joana Brigg\'s Institute critical appraisal checklist was used. To assess the heterogeneity of the studies, a sensitivity analysis was conducted. The PRISMA checklist was used, and to estimate the pooled odds ratio, a random effect model was considered. The pooled odds ratio of 95% CL was used to identify the factors.
RESULTS: About 13 studies with 46,722 participants were incorporated. Despite considerable heterogeneity, the pooled prevalence of delayed treatment for STI in Sub-Saharan Africa was 47% (95% CI: 42%-51%, I2 = 98.42, p<0.001). Geographically, the higher pooled prevalence of delayed treatment for STI was in the eastern part of Africa (50%) (95% CI: 41%-59%, I2 = 98.42, p<0.001). Rural residence (OR = 1.44, 95% CI: 1.03-2.01, I2 = 39.3%, p-value = 0.19), poor knowledge about STI (OR = 1.49, 95% CI: 1.04-2.13, I2 = 93.1%, p-value = <0.001), perceived as STIs not serious (OR = 2.1, 95% CI: 1.86-2.36, I2 = 73.7%, p-value = 0.022), misconception for STD cause (OR = 1.39, 95% CI: 1.12-1.72), no education (OR = 4.1, 95% CI: 3.4-5.1), primary education (OR = 3.17, 95% CI: 2.23-4.2), and secondary education (OR = 1.57, 95% CI: 1.1-2.76) as compared to secondary and above education were factors associated with delayed treatment for STIs.
CONCLUSIONS: The pooled prevalence of delayed treatment for STIs in Sub-Saharan African countries was high. Poor knowledge, attitude, and educational status affect the treatment delay for STIs. Thus, improving knowledge, educational status, and attitude are highly recommended to reduce the delayed treatment of STIs.
摘要：
背景：性传播感染是一个常见的公共卫生问题，它的特点是通过性交传播。在世界各地,特别是在欠发达国家，这种感染的延迟治疗可能导致健康和经济负担。尽管性传播感染的健康和经济负担很高，在撒哈拉以南非洲国家,很少有研究确定合并比例和延迟寻求治疗的可能因素.
目的：评估撒哈拉以南非洲国家性传播感染延迟治疗的患病率及其决定因素。
方法：通过PubMed在Medline等搜索引擎上搜索的文章，Hinari,Embase,Scopus,科克伦图书馆,科学直接，和像谷歌学者这样的网站。搜索机制是通过组合标题的关键术语来使用关键字和医学主题标题术语。为了保证所含物品的质量，使用了JoanaBrigg研究所的关键评估清单。为了评估研究的异质性，进行了敏感性分析。使用了PRISMA检查表，估计合并的赔率比，考虑了随机效应模型。95%CL的合并比值比用于识别因素。
结果：纳入了约13项46,722名参与者的研究。尽管存在相当大的异质性，撒哈拉以南非洲性传播感染延迟治疗的合并患病率为47%(95%CI:42%-51%,I2=98.42,p<0.001)。地理上,性传播感染延迟治疗的合并患病率较高的是非洲东部（50％）（95％CI：41％-59％，I2=98.42,p<0.001)。农村住宅（OR=1.44，95%CI：1.03-2.01，I2=39.3%，p值=0.19)，对性传播感染的了解不足(OR=1.49，95%CI：1.04-2.13，I2=93.1%，p值=<0.001)，被认为是性传播感染不严重(OR=2.1，95%CI：1.86-2.36，I2=73.7%，p值=0.022),对性病原因的误解(OR=1.39，95%CI：1.12-1.72)，没有受过教育（OR=4.1，95%CI：3.4-5.1），小学教育（OR=3.17，95%CI：2.23-4.2），与中学及以上教育相比，中学教育（OR=1.57，95％CI：1.1-2.76）是与性传播感染延迟治疗相关的因素。
结论：撒哈拉以南非洲国家性传播感染延迟治疗的合并患病率很高。知识贫乏,态度,教育状况影响性传播感染的治疗延迟。因此，提高知识，教育状况,和态度强烈建议减少性传播感染的延迟治疗。
目的：评估撒哈拉以南非洲国家性传播感染延迟治疗的患病率及其决定因素。
方法：通过PubMed在Medline等搜索引擎上搜索的文章，Hinari,Embase,Scopus,科克伦图书馆,科学直接，和像谷歌学者这样的网站。搜索机制是通过组合标题的关键术语来使用关键字和医学主题标题术语。为了保证所含物品的质量，使用了JoanaBrigg研究所的关键评估清单。为了评估研究的异质性，进行了敏感性分析。使用了PRISMA检查表，估计合并的赔率比，考虑了随机效应模型。95%CL的合并比值比用于识别因素。
结果：纳入了约13项46,722名参与者的研究。尽管存在相当大的异质性，撒哈拉以南非洲性传播感染延迟治疗的合并患病率为47%(95%CI:42%-51%,I2=98.42,p<0.001)。地理上,性传播感染延迟治疗的合并患病率较高的是非洲东部（50％）（95％CI：41％-59％，I2=98.42,p<0.001)。农村住宅（OR=1.44，95%CI：1.03-2.01，I2=39.3%，p值=0.19)，对性传播感染的了解不足(OR=1.49，95%CI：1.04-2.13，I2=93.1%，p值=<0.001)，被认为是性传播感染不严重(OR=2.1，95%CI：1.86-2.36，I2=73.7%，p值=0.022),对性病原因的误解(OR=1.39，95%CI：1.12-1.72)，没有受过教育（OR=4.1，95%CI：3.4-5.1），小学教育（OR=3.17，95%CI：2.23-4.2），与中学及以上教育相比，中学教育（OR=1.57，95％CI：1.1-2.76）是与性传播感染延迟治疗相关的因素。
结论：撒哈拉以南非洲国家性传播感染延迟治疗的合并患病率很高。知识贫乏,态度,教育状况影响性传播感染的治疗延迟。因此，提高知识，教育状况,和态度强烈建议减少性传播感染的延迟治疗。
