Changing patterns of knowledge, reported behaviour and sexually transmitted infections in a South African gold mining community

Williams, Brian G.; Taljaard, Dirk; Campbell, Catherine; Gouws, Eleanor; Ndhlovu, Lewis; Dam, Johannes van; Caraël, Michel; Auvert, Bertran

doi:10.1097/00002030-200309260-00011

Cited by 102 publications

(99 citation statements)

References 10 publications

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“…Vuylsteke et al reported the prevalence of C. trachomatis infection to be 7.1% and 12% respectively for males and females during a survey in rural Mozambique [11]. However, our data correspond with results from other studies in Africa [6,8,[20][21][22][23][24].…”

Section: Discussionsupporting

confidence: 88%

Aetiology of sexually transmitted infections in Maputo, Mozambique

Zimba

Apalata

Sturm

et al. 2010

J Infect Dev Ctries

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Introduction: The study sought to ascertain the prevalence of the aetiological agents of genital discharge and genital ulcer diseases in Maputo, Mozambique. Methodology: Consecutive consenting patients presenting to the Centro de Saúde do Porto in Maputo between March and April 2005 with genital discharge syndrome and/or genital ulcer diseases were recruited. Specimens were collected for the identification of STI pathogens. Results: Of 346 recruited patients, 164 were male and 182 female. The prevalence of confirmed single aetiological agents for male urethritis was as follows: N. gonorrhoeae, 35%; C. trachomatis, 10%; and M. genitalium 4%. For vaginal discharge, N. gonorrhoeae was found in11% of the women tested, followed by C. trachomatis (6.5%), bacterial vaginosis (34%), and T. vaginalis (2%). The prevalence of genital ulcers was as follows: Herpes simplex virus type 2, 62%; H. ducreyi 4 %; and C. trachomatis biovar LGV, 4%. Five percent of patients with genital ulcers had a positive syphilis serology (RPR ≥ 1:8 and confirmed by TPHA) and 35% of all tested patients were HIV-1/2 infected. Cases of mixed infections were present in 5%, 11% and 3% of patients with male urethritis, vaginal discharge, and genital ulcers respectively. Conclusion: The classic sexually transmitted infection aetiologies are still prevalent in Maputo. The study highlights the need for a periodic surveillance to inform syndromic management protocols.

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Section: Discussionsupporting

confidence: 88%

Aetiology of sexually transmitted infections in Maputo, Mozambique

Zimba

Apalata

Sturm

et al. 2010

J Infect Dev Ctries

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“…Despite all these efforts, however, biomedical outcome measures showed that after 3 years the project had had no impact on levels of STIs (Williams et al, 2003). The peer educators' role remained a difficult one, as their peers were often suspicious of their motives, or simply had insufficient control over their own sexual encounters to be able to put the peer educators' advice into practice.…”

Section: The Summertown Projectmentioning

confidence: 99%

“…In social terms, it has empowered and mobilised sex workers to run a longstanding sexual health project, with significant impacts on sex workers' safety (Cornish, programmes produce an inconsistent pattern, with small effects on some outcome measures but not others (e.g. Bryan, Robbins, Ruiz & O'Neill, 2006;Merakou & KoureaKremastinou, 2006), and it is not unusual for a programme to achieve no positive health effects at all (Elford, Bolding & Sherr, 2001;Sloan & Myers, 2005;Williams et al, 2003).…”

mentioning

confidence: 99%

The Social Conditions for Successful Peer Education: A Comparison of Two HIV Prevention Programs Run by Sex Workers in India and South Africa

Cornish

Campbell

2009

American J of Comm Psychol

105

122

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“…Four studies from Cote d'Ivoire (Ghys et al 2002), Benin , Bolivia (Levine et al 1998) and South Africa (Williams et al 2003) compared the situation before and after introducing similar combinations of peer education, condom promotion and regular STI care. In South Africa this was part of a larger intervention that also targeted miners and youth.…”

Section: Treatment Of Bacterial Sexually Transmitted Infections Combimentioning

confidence: 99%

Effectiveness of interventions for the prevention of HIV and other sexually transmitted infections in female sex workers in resource poor setting: a systematic review

Shahmanesh

Patel

Mabey

et al. 2008

Tropical Med Int Health

212

156

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Summaryobjective To systematically review the evidence for effectiveness of HIV and sexually transmitted infection (STI) prevention interventions in female sex workers in resource poor settings.method Published and unpublished studies were identified through electronic databases (Cochrane database, Medline, Embase, and Web of Science), hand searching and contacting experts. Randomizedcontrolled-trials and quasi-experimental studies were included if they were conducted in female sex workers from low and middle income settings; if the exposure was described; if the outcome was externally measurable, it was after the discovery of HIV, and if follow-up was longer than 6 months. A priori criteria were used to extract data. Meta-analysis was not performed due to the heterogeneity of studies.results Twenty-eight interventions were included. Despite methodological limitations, the evidence suggested that combining sexual risk reduction, condom promotion and improved access to STI treatment reduces HIV and STI acquisition in sex workers receiving the intervention. Strong evidence that regular STI screening or periodic treatment of STIs confers additional protection against HIV was lacking. It appears that structural interventions, policy change or empowerment of sex workers, reduce the prevalence of STIs and HIV.conclusion Rigorous evaluation of HIV ⁄ STI prevention interventions in sex workers is challenging. There is some evidence for the efficacy of multi-component interventions, and ⁄ or structural interventions. The effect of these interventions on the wider population has rarely been evaluated.

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Changing patterns of knowledge, reported behaviour and sexually transmitted infections in a South African gold mining community

Cited by 102 publications

References 10 publications

Aetiology of sexually transmitted infections in Maputo, Mozambique

Aetiology of sexually transmitted infections in Maputo, Mozambique

The Social Conditions for Successful Peer Education: A Comparison of Two HIV Prevention Programs Run by Sex Workers in India and South Africa

Effectiveness of interventions for the prevention of HIV and other sexually transmitted infections in female sex workers in resource poor setting: a systematic review

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