Sexually transmitted diseases in Morocco: gender influences on prevention and health care seeking behavior

Manhart, Lisa E.; Dialmy, Abdessamad; Ryan, Caroline; Mahjour, Jaouad

doi:10.1016/s0277-9536(99)00398-6

Cited by 26 publications

(16 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…19 While data on the reasons behind not seeking treatment was not collected in our study, several studies have reported economic pressure, stigma, accessibility of clinics, confidentiality, quality of services, and attitude of staff as some of the underlying reasons for avoiding seeking care. [20][21][22][23] Our findings also revealed that around 10% of the participants with STIs-associated symptoms had practiced self-medications with OTC drugs or traditional medicines. Similar to other studies' findings, practicing self-medication was higher among women.…”

Section: Discussionmentioning

confidence: 52%

Care Seeking Patterns of STIs-Associated Symptoms in Iran: Findings of a Population-Based Survey

Nasirian

Karamouzian

Kamali

et al. 2015

Int J Health Policy Manag

View full text Add to dashboard Cite

Background: Understanding the prevalence of symptoms associated with sexually transmitted infections (STIs) and how care is sought for those symptoms are important components of STIs control and prevention. People's preference between public and private service providers is another important part of developing a well-functioning STIs surveillance system. Methods: This cross-sectional survey was carried out in spring 2011, using a nonrandom quota sample of 1190 participants (52% female) in 4 densely-populated cities of Tehran, Kerman, Shiraz, and Babol. Two predictive logistic regression models were constructed to assess the association between the socio-demographic determinants (independent variables) and the dependent variables of history of STIs-associated symptom and seeking care. Results: Around 57% (677 out of 1190; men: 29.70% and women: 81.80%) had experienced at least one STIsassociated symptom during the previous year. History of experiencing STIs-associated symptoms among men, was negatively significantly associated with older age (adjusted odds ratio [AOR] = 0.34, CI 95%: 0.17-0.67). Women who were married, in older ages, and had higher educations were more likely to report a recent (past year) STIs symptom, however all were statistically insignificant in both bivariate and multivariable models. Among those who have had STIs-associated symptoms in the last year, 31.15% did nothing to improve their symptoms, 8.03% attempted self-treatment by over-the-counter (OTC) medications or traditional remedies, and 60.93% sought care in health facilities. In both bivariate and multivariable analyses, care seeking among men was insignificantly associated with any of the collected demographic variables. Care seeking among women was positively significantly associated with being married (AOR = 2.48, 95% CI: 1.60-3.84). Conclusion:The reported prevalence of STIs-associated symptoms among our participants is concerning. A considerable number of participants had delayed seeking care and treatment or self-medicated. People should be informed about their sexual health and the consequences of delaying or avoiding seeking care for STIs. Participants preferred seeking care at private sectors which calls for engaging both public and private health sectors for reporting and following up STIs cases. Implications for policy makers• Unfolding these patterns of care seeking for sexually transmitted infections-associated (STIs-associated) symptoms among the general population can help policy-makers improve the quality of STIs care and treatment and provide a better provision over STIs services. • Policy-makers should prioritize establishment of a sentinel-based STIs case reporting system. • STIs prevalence assessment surveys among the general population would be a valuable asset in monitoring the trend of STIs across the country.• Policy-makers should monitor the pharmacies effectively and force them to stop selling non-prescribed antibiotics for STIs treatment. •The considerable prevalence of STIs-associated symptoms co...

show abstract

Section: Discussionmentioning

confidence: 52%

Care Seeking Patterns of STIs-Associated Symptoms in Iran: Findings of a Population-Based Survey

Nasirian

Karamouzian

Kamali

et al. 2015

Int J Health Policy Manag

View full text Add to dashboard Cite

show abstract

“…Many approaches were used in the ascertainment of PN outcomes. Most of the studies were descriptive in nature; data were collected from STI patients or from STI service providers [30,32,52] from facility audits [53,54] and/or from qualitative observation of service delivery processes [35,36,53], and none of the review studies was found to be methodologically stronger according to our quality ratings. Ascertainment of PN outcomes came from self-reported data from index patients and from validation of clinic records to verify partner referral or partner treatment.…”

Section: Discussionmentioning

confidence: 99%

Partner notification for sexually transmitted infections in developing countries: a systematic review

et al. 2010

View full text Add to dashboard Cite

BackgroundThe feasibility and acceptability of partner notification (PN) for sexually transmitted infections (STIs) in developing countries was assessed through a comprehensive literature review, to help identify future intervention needs.MethodsThe Medline, Embase, and Google Scholar databases were searched to identify studies published between January 1995 and December 2007 on STI PN in developing countries. A systematic review of the research extracted information on: (1) willingness of index patients to notify partners; (2) the proportion of partners notified or referred; (3) client-reported barriers in notifying partners; (4) infrastructure barriers in notifying partners; and (5) PN approaches that were evaluated in developing countries.ResultsOut of 609 screened articles, 39 met our criteria. PN outcome varied widely and was implemented more often for spousal partners than for casual or commercial partners. Reported barriers included sociocultural factors such as stigma, fear of abuse for having an STI, and infrastructural factors related to the limited number of STD clinics, and trained providers and reliable diagnostic methods. Client-oriented counselling was found to be effective in improving partner referral outcomes.ConclusionsSTD clinics can improve PN with client-oriented counselling, which should help clients to overcome perceived barriers. The authors speculate that well-designed PN interventions to evaluate the impact on STI prevalence and incidence along with cost-effectiveness components will motivate policy makers in developing countries to allocate more resources towards STI management.

show abstract

“…A similar study conducted in Morocco, also pointed out that women are viewed as people who spread STIs thus, so that STIs are viewed as women's illnesses (Manhart, Dialmy, Ryan & Mahjour, 2000:1369.…”

Section: Introductionmentioning

confidence: 89%

The cultural beliefs of the Vhavenda on the causes and transmission of sexually transmitted infections

Mulaudzi

2007

Health SA Gesondheid

View full text Add to dashboard Cite

Cultural and ethnic identity and folk beliefs play a decisive role in perceptions dirt" (uncleanliness) is viewed by the Vhavenda as the main cause of sexually transmitted infections (STIs). The understanding of "dirt" is placed in the context of uncleanliness in the form of vaginal discharges such as menstruation, post-abortion discharges and lochia (post-partum discharges). Women are viewed as carriers of STIs. Knowledge of cultural beliefs of the Vhavenda on the causes and transmission of STIs can serve as a point of departure in providing health

show abstract

Sexually transmitted diseases in Morocco: gender influences on prevention and health care seeking behavior

Cited by 26 publications

References 25 publications

Care Seeking Patterns of STIs-Associated Symptoms in Iran: Findings of a Population-Based Survey

Care Seeking Patterns of STIs-Associated Symptoms in Iran: Findings of a Population-Based Survey

Partner notification for sexually transmitted infections in developing countries: a systematic review

The cultural beliefs of the Vhavenda on the causes and transmission of sexually transmitted infections

Contact Info

Product

Resources

About