Sexually Transmitted Infections in Rural Madagascar at an Early Stage of the HIV Epidemic: A 6-Month Community-Based Follow-Up Study
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 complementa...
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| Veröffentlicht in: | Sexually transmitted diseases 2005-03, Vol.32 (3), p.150-155 |
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| creator | LEUTSCHER, PETER JENSEN, JORGEN SKOV HOFFMANN, STEEN BERTHELSEN, LENE RAMARAKOTO, CHARLES-EMILE RAMANIRAKA, VERO RANDRIANASOLO, BODO RAHARISOLO, CLAIRETTE BOTTIGER, BLENDA ROUSSET, DOMINIQUE GROSJEAN, PIERRE MCGRATH, MORIAH MCSHARRY CHRISTENSEN, NIELS MIGLIANI, RENE |
| description | 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. |
| doi_str_mv | 10.1097/01.olq.0000152820.17242.17 |
| format | Article |
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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.</description><identifier>ISSN: 0148-5717</identifier><identifier>EISSN: 1537-4521</identifier><identifier>DOI: 10.1097/01.olq.0000152820.17242.17</identifier><identifier>PMID: 15729151</identifier><identifier>CODEN: STRDDM</identifier><language>eng</language><publisher>United States: Lippincott Williams & Wilkins</publisher><subject>Adolescent ; Adult ; Age Distribution ; Disease Outbreaks ; Epidemics ; Female ; HIV ; HIV Infections - epidemiology ; HIV Infections - etiology ; Human immunodeficiency virus ; Humans ; Madagascar - epidemiology ; Male ; Middle Aged ; Rural areas ; Rural Health ; Sex Distribution ; Sexually transmitted diseases ; Sexually Transmitted Diseases - epidemiology ; Sexually Transmitted Diseases - etiology ; Socioeconomic Factors ; STD ; Young adults</subject><ispartof>Sexually transmitted diseases, 2005-03, Vol.32 (3), p.150-155</ispartof><rights>Copyright © 2004 American Sexually Transmitted Diseases Association</rights><rights>Copyright Lippincott Williams & Wilkins Mar 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c309t-b10d22a79cb9ff5144236924436e2c86028123d1e9292a4d26240e495551ce753</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/44971171$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/44971171$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,27924,27925,30999,58017,58250</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15729151$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>LEUTSCHER, PETER</creatorcontrib><creatorcontrib>JENSEN, JORGEN SKOV</creatorcontrib><creatorcontrib>HOFFMANN, STEEN</creatorcontrib><creatorcontrib>BERTHELSEN, LENE</creatorcontrib><creatorcontrib>RAMARAKOTO, CHARLES-EMILE</creatorcontrib><creatorcontrib>RAMANIRAKA, VERO</creatorcontrib><creatorcontrib>RANDRIANASOLO, BODO</creatorcontrib><creatorcontrib>RAHARISOLO, CLAIRETTE</creatorcontrib><creatorcontrib>BOTTIGER, BLENDA</creatorcontrib><creatorcontrib>ROUSSET, DOMINIQUE</creatorcontrib><creatorcontrib>GROSJEAN, PIERRE</creatorcontrib><creatorcontrib>MCGRATH, MORIAH MCSHARRY</creatorcontrib><creatorcontrib>CHRISTENSEN, NIELS</creatorcontrib><creatorcontrib>MIGLIANI, RENE</creatorcontrib><title>Sexually Transmitted Infections in Rural Madagascar at an Early Stage of the HIV Epidemic: A 6-Month Community-Based Follow-Up Study</title><title>Sexually transmitted diseases</title><addtitle>Sex Transm Dis</addtitle><description>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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Distribution</subject><subject>Disease Outbreaks</subject><subject>Epidemics</subject><subject>Female</subject><subject>HIV</subject><subject>HIV Infections - epidemiology</subject><subject>HIV Infections - etiology</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Madagascar - epidemiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Rural areas</subject><subject>Rural Health</subject><subject>Sex Distribution</subject><subject>Sexually transmitted diseases</subject><subject>Sexually Transmitted Diseases - epidemiology</subject><subject>Sexually Transmitted Diseases - etiology</subject><subject>Socioeconomic Factors</subject><subject>STD</subject><subject>Young adults</subject><issn>0148-5717</issn><issn>1537-4521</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNpdkU9PGzEQxa2qqATaj9DK4tDbpp5Zex1zgyiUSCAk_vRqObte2GjXDrZXbe794JgmKhI-jDUzv_ds6RFyAmwKTMkfDKa-f56yfEDgDPNYIsdcP5AJiFIWXCB8JBMGfFYICfKQHMW4Zq89g0_kEIREBQIm5O-d_TOavt_S-2BcHLqUbEOXrrV16ryLtHP0dgymp9emMY8m1iZQk6hxdGFClt0l82ipb2l6svRy-YsuNl1jh64-pWe0Kq69S0907odhdF3aFucmZv8L3_f-d_GwyfKx2X4mB63po_2yv4_Jw8Xifn5ZXN38XM7Proq6ZCoVK2ANopGqXqm2FcA5lpVCzsvKYj2rGM4AywasQoWGN1ghZ5YrIQTUVorymHzf-W6Cfx5tTHroYm373jjrx6grySuUnGXw5B249mNw-W8aEctsJVWGTndQHXyMwbZ6E7rBhK0Gpl-D0gx0Dkq_BaX_BZVrFn_bvzCuBtu8SffJZODrDljH5MP_PedKAkgoXwDj2Zb6</recordid><startdate>20050301</startdate><enddate>20050301</enddate><creator>LEUTSCHER, PETER</creator><creator>JENSEN, JORGEN SKOV</creator><creator>HOFFMANN, STEEN</creator><creator>BERTHELSEN, LENE</creator><creator>RAMARAKOTO, CHARLES-EMILE</creator><creator>RAMANIRAKA, VERO</creator><creator>RANDRIANASOLO, BODO</creator><creator>RAHARISOLO, CLAIRETTE</creator><creator>BOTTIGER, BLENDA</creator><creator>ROUSSET, DOMINIQUE</creator><creator>GROSJEAN, PIERRE</creator><creator>MCGRATH, MORIAH MCSHARRY</creator><creator>CHRISTENSEN, NIELS</creator><creator>MIGLIANI, RENE</creator><general>Lippincott Williams & Wilkins</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7QL</scope><scope>7T2</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20050301</creationdate><title>Sexually Transmitted Infections in Rural Madagascar at an Early Stage of the HIV Epidemic: A 6-Month Community-Based Follow-Up Study</title><author>LEUTSCHER, PETER ; 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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.</abstract><cop>United States</cop><pub>Lippincott Williams & Wilkins</pub><pmid>15729151</pmid><doi>10.1097/01.olq.0000152820.17242.17</doi><tpages>6</tpages></addata></record> |
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| ispartof | Sexually transmitted diseases, 2005-03, Vol.32 (3), p.150-155 |
| issn | 0148-5717 1537-4521 |
| language | eng |
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| source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); JSTOR Archive Collection A-Z Listing |
| subjects | Adolescent Adult Age Distribution Disease Outbreaks Epidemics Female HIV HIV Infections - epidemiology HIV Infections - etiology Human immunodeficiency virus Humans Madagascar - epidemiology Male Middle Aged Rural areas Rural Health Sex Distribution Sexually transmitted diseases Sexually Transmitted Diseases - epidemiology Sexually Transmitted Diseases - etiology Socioeconomic Factors STD Young adults |
| title | Sexually Transmitted Infections in Rural Madagascar at an Early Stage of the HIV Epidemic: A 6-Month Community-Based Follow-Up Study |
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