Knowledge gaps of STIs in Africa; Systematic review

Badawi, Marwan Mustafa; SalahEldin, Maryam Atif; Idris, Alaa B.; Hasabo, Elfatih A.; Osman, Zeinab H.; Osman, Widad M.

doi:10.1371/journal.pone.0213224

Cited by 28 publications

(39 citation statements)

References 91 publications

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“…This is less important for adult women where HIV efficacy is more important. It is uncertain why adult women do not view STI protection as importantly as HIV protection when choosing between products, although it may be partly due to having less knowledge about STIs [61] and/or HIV being seen as a more serious disease than other STIs. It is also important that the full range of products are available to women for maximising uptake, with injectable ARV agents probably being most popular for adolescent and adult women.…”

Section: Implications and Conclusionmentioning

confidence: 99%

HIV prevention is not all about HIV – using a discrete choice experiment among women to model how the uptake and effectiveness of HIV prevention products may also rely on pregnancy and STI protection

et al. 2020

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Introduction In sub-Saharan Africa, considerable HIV-burden exists among women. Anti-retroviral (ARV) based prevention products could decrease this burden, and their uptake could be increased if they also protect against pregnancy and sexually transmitted infections (STI). Methods A discrete choice experiment (DCE) was undertaken in South Africa (2015) through a household survey of adult females (n = 158) and adolescent girls (n = 204) who self-reported HIV-negative status. The DCE was used to project the uptake (percentage using product) of oral pre-exposure prophylaxis (PrEP), vaginal rings, and injectable long-lasting ARV agents among these women, and how uptake could depend on whether these products protect against pregnancy or STI acquisition. Uptake estimates were used to model how each product could decrease a women’s HIV acquisition risk. Results In adolescent women, there will be limited uptake (< 6% for any product) and impact (< 4% decrease in HIV acquisition risk) of new products unless they provide pregnancy protection, which could quadruple use and impact. Adult women have weaker preference for pregnancy protection, with moderate use (< 17% for each) and impact (< 14 percentage point decrease) if they only provide HIV protection. All women had highest preference for injectable ARVs, with oral PrEP having high preference if injectable ARVs are not available. Adult women will use the ring, but adolescent women will not. Importantly, even with three additional prevention products, all providing pregnancy and STI protection, > 14% of women will remain unprotected and > 31% of the baseline acquisition risk will remain. Conclusions Incorporating multiple prevention components into new ARV-based prevention products may increase their uptake and impact among women.

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Section: Implications and Conclusionmentioning

confidence: 99%

HIV prevention is not all about HIV – using a discrete choice experiment among women to model how the uptake and effectiveness of HIV prevention products may also rely on pregnancy and STI protection

et al. 2020

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“…Female participants showed a significantly higher mean of STDs-KS compared to males (8.51 ± 4.14 vs. 7.32 ± 4.38, p < 0.0001) (see Table 2, Figures 1 and 2). Median (interquartile range) for STDs-KS was 8 (5)(6)(7)(8)(9)(10)(11). Analysis indicates that the type of program in which the participant was registered, and gender, have a significant influence on the STDs-KS (p < 0.0001).…”

Section: Knowledge Of Sexually Transmitted Diseasementioning

confidence: 99%

“…Moreover, the World Health Organization emphasizes the value of knowledge and awareness of the population, as this promotes a drop in the rate of STD incidences and prevalence in the long-run [2]. Research indicates overall low levels of awareness and knowledge of STDs among people in Europe, Africa, and the Middle East; however, evidence from previous research suggests that the majority of people showed the highest awareness and knowledge of AIDS compared to another STDs [3][4][5][6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

A Cross-Sectional Study on the Knowledge of Sexually Transmitted Diseases among Young Adults Living in Albaha, Saudi Arabia

Albanghali

Othman

2020

IJERPH

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Background: Sexually transmitted diseases (STDs) remain one of the most important health challenges in not only developing countries but also developed countries. Discussing STDs in the Saudi society is considered taboo, as social factors and ethics give rise to many obstacles. This study evaluates the knowledge of STDs among young adult students enrolled in Albaha University. Methods: This research is a cross-sectional study involving 1902 young adult students registered at Albaha University. STDs knowledge scores (STDs-KSs) were calculated using a predesigned and validated STDs knowledge questionnaire with 27 items adapted from previously developed questionnaires. Results: The estimated overall mean of STDs-KS was 7.95 ± 4.29. Female participants showed a significantly higher mean of STDs-KS, compared to males (8.51 ± 4.14 vs. 7.32 ± 4.38, p < 0.0001). Participants registered in health sciences programs showed higher STDs-KS, compared to participants from arts and sciences programs (p < 0.0001). Conclusions: Evidence from this study suggests a lack of STDs knowledge among young adults. To promote STDs awareness among this population, more health educational programs should be included in school curricula at the late stages of secondary education.

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“…Through several evidence-based strategies, such as ensuring community awareness on risks, prevention strategies, and treatment of STIs, this high burden of STIs and their effects are largely preventable. (2,4,13) The major components of Uganda's current strategy on STI management include primary prevention strategies such as vaccination, male circumcision, behavioral change interventions, and 'syndromic management, which involves the use of signs and symptoms rather than laboratory tests to guide treatment of STIs. (14) Despite these interventions, STIs are on an upward trend (8) and although the incidence is highest among young people, they have the least access to quality STI prevention and management services.…”

Section: Introductionmentioning

confidence: 99%

Trends and Predictors of Sexually Transmitted Infections Among Sexually Active Ugandan Female Youths: Evidence from Three Demographic and Health Surveys, 2006-2016

Masanja

Wafula

Ssekamatte

et al. 2020

Preprint

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Background: Female adolescents and young women have the highest risk of curable sexually transmitted infections (STIs) globally. Data on the prevalence of STIs among young women in Uganda are limited. In this study, we investigated the time trends and determinants of STIs among adolescent girls and young women (15-24 years) in Uganda. Methods: We estimated the percentage of women 15-24 years from three recent consecutive Uganda Demographic and Health Surveys (2006, 2011, and 2016), who reported acquiring an STI within 12 months of the studies and examined the changes over time. A pooled multivariable logistic regression was used to examine predictors of actors associated with reporting an STI were assessed using.Results: The pooled STI prevalence was 26.0%. About 22.0% of youths reported an STI in 2006. This increased to 36.3% in 2011, before declining to 23.1% in 2016. Youths aged 20-24 years reported a higher STI prevalence (27.3%) compared to young participants (23.6%). Prevalence of STIs was significantly higher among female youths with multiple total lifetime partners (adjusted odds ratio (aOR 1.6, 95% CI 1.4-1.6). Similarly, women who were sexually active in the last 4 weeks prior to the interview (aOR 1.3, 95% CI 1.1-1.6), and women affiliated to Islam (aOR 1.3, 95% CI 1.1-1.6) or other religions (aOR 1.8, 95% CI 1.1-2.9) were more likely to report an STI. Living in Northern Uganda was found protective against STIs (aOR 0.5, 95% CI 0.3-0.7).Conclusion: The prevalence of STIs was high among female youths, 15-24 years. There is a need to adopt a holistic approach to the diagnosis and management of STIs among youths, as well as the integration of STI services in daily health care systems to increase their access to sexual and reproductive health services.

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Knowledge gaps of STIs in Africa; Systematic review

Cited by 28 publications

References 91 publications

HIV prevention is not all about HIV – using a discrete choice experiment among women to model how the uptake and effectiveness of HIV prevention products may also rely on pregnancy and STI protection

HIV prevention is not all about HIV – using a discrete choice experiment among women to model how the uptake and effectiveness of HIV prevention products may also rely on pregnancy and STI protection

A Cross-Sectional Study on the Knowledge of Sexually Transmitted Diseases among Young Adults Living in Albaha, Saudi Arabia

Trends and Predictors of Sexually Transmitted Infections Among Sexually Active Ugandan Female Youths: Evidence from Three Demographic and Health Surveys, 2006-2016

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