Epidemiology of Treponema pallidum , Chlamydia trachomatis , Neisseria gonorrhoeae , Trichomonas vaginalis , and herpes simplex virus type 2 among female sex workers in the Middle East and North Africa: systematic review and meta-analytics

Journal of Global Health
Hiam ChemaitellyLaith J Abu-Raddad

Abstract

The epidemiology of sexually transmitted infections (STIs) and the role of commercial heterosexual sex networks in driving STI transmission in the Middle East and North Africa (MENA) region remain largely unknown. To characterize the epidemiology of Treponema pallidum (syphilis), Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, and herpes simplex virus type 2 (HSV-2) among female sex workers (FSWs) in MENA using an in-depth quantitative assessment. A systematic review on ten international, regional, and country-level databases was conducted, and reported following PRISMA guidelines. Pooled prevalences of current and/or ever infection for each STI were estimated using random-effects meta-analyses. Sources of between-study heterogeneity were investigated through random-effects meta-regressions. One T. pallidum incidence study and 144 STI prevalence studies were identified for 45 812 FSWs in 13 MENA countries. The pooled prevalence of current infection was 12.7% (95% confidence interval (CI) = 8.5%-17.7%) for T. pallidum, 14.4% (95% CI = 8.2%-22.0%) for C. trachomatis, 5.7% (95% CI = 3.5%-8.4%) for N. gonorrhoeae, and 7.1% (95% CI = 4.3%-10.5%) for T. vaginalis. The pooled prevalence of ever infection (seroposi...Continue Reading

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Citations

Nov 21, 2021·Scientific Reports·Lauren Hernández-BuelvasManuel Alfonso Patarroyo

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Methods Mentioned

BETA
Assay

Software Mentioned

PRISMA
Emtree
Stata
SE
R

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