TY - JOUR
T1 - Sexually transmitted infections in rural Madagascar at an early stage of the HIV epidemic
T2 - a 6-month community-based follow-up study
AU - Leutscher, Peter
AU - Jensen, Jorgen Skov
AU - Hoffmann, Steen
AU - Berthelsen, Lene
AU - Ramarakoto, Charles-Emile
AU - Ramaniraka, Vero
AU - Randrianasolo, Bodo
AU - Raharisolo, Clairette
AU - Böttiger, Blenda
AU - Rousset, Dominique
AU - Grosjean, Pierre
AU - McGrath, Moriah McSharry
AU - Christensen, Niels
AU - Migliani, Rene
PY - 2005/3
Y1 - 2005/3
N2 - BACKGROUND AND OBJECTIVES: Sexually transmitted infections (STIs) in Madagascar have primarily been monitored in selected groups of patients attending STI clinics in major cities as part of the HIV surveillance program in Madagascar.GOAL OF THE STUDY: The aim of the study was to provide complementary data related to STI prevalence in a general rural population.STUDY DESIGN: STIs were investigated in 643 subjects aged 15 to 49 years as part of a cross-sectional morbidity study of urogenital schistosomiasis. Infection rates were reassessed 3 weeks and 6 months after systematic STI treatment at baseline.RESULTS: Neisseria gonorrhoeae (Ng), Chlamydia trachomatis (Ct), Mycoplasma genitalium (Mg), Trichomonas vaginalis (Tv), and/or antibodies to Treponema pallidum (Tp) were diagnosed in 125 (37.5%) of 333 women and in 83 (26.8%) of 310 men. In addition, 49% of the women and 28% of the men were infected with herpes simplex virus-2. Six (0.9%) subjects were found HIV-antibody positive. Between the 3-week and 6-month follow-up surveys Ng, Ct, and/or Mg prevalence increased most prominently in women aged 15 to 24 years.CONCLUSION: Study findings suggest that rural areas in Madagascar should be as closely monitored and assisted in STI and HIV control as their urban counterparts. Following the current consensus, young adults should constitute a priority target group in the control programs.
AB - BACKGROUND AND OBJECTIVES: Sexually transmitted infections (STIs) in Madagascar have primarily been monitored in selected groups of patients attending STI clinics in major cities as part of the HIV surveillance program in Madagascar.GOAL OF THE STUDY: The aim of the study was to provide complementary data related to STI prevalence in a general rural population.STUDY DESIGN: STIs were investigated in 643 subjects aged 15 to 49 years as part of a cross-sectional morbidity study of urogenital schistosomiasis. Infection rates were reassessed 3 weeks and 6 months after systematic STI treatment at baseline.RESULTS: Neisseria gonorrhoeae (Ng), Chlamydia trachomatis (Ct), Mycoplasma genitalium (Mg), Trichomonas vaginalis (Tv), and/or antibodies to Treponema pallidum (Tp) were diagnosed in 125 (37.5%) of 333 women and in 83 (26.8%) of 310 men. In addition, 49% of the women and 28% of the men were infected with herpes simplex virus-2. Six (0.9%) subjects were found HIV-antibody positive. Between the 3-week and 6-month follow-up surveys Ng, Ct, and/or Mg prevalence increased most prominently in women aged 15 to 24 years.CONCLUSION: Study findings suggest that rural areas in Madagascar should be as closely monitored and assisted in STI and HIV control as their urban counterparts. Following the current consensus, young adults should constitute a priority target group in the control programs.
KW - Adolescent
KW - Adult
KW - Age Distribution
KW - Disease Outbreaks
KW - Female
KW - HIV Infections/epidemiology
KW - Humans
KW - Madagascar/epidemiology
KW - Male
KW - Middle Aged
KW - Rural Health
KW - Sex Distribution
KW - Sexually Transmitted Diseases/epidemiology
KW - Socioeconomic Factors
U2 - 10.1097/01.olq.0000152820.17242.17
DO - 10.1097/01.olq.0000152820.17242.17
M3 - Article
C2 - 15729151
SN - 0148-5717
VL - 32
SP - 150
EP - 155
JO - Sexually Transmitted Diseases
JF - Sexually Transmitted Diseases
IS - 3
ER -
