Prevalence of sexually transmitted infections among young people in South Africa: A nested survey in a health and demographic surveillance site.

PLoS Medicine
Suzanna C FrancisMaryam Shahmanesh

Abstract

Sexually transmitted infections (STIs) and bacterial vaginosis (BV) are associated with increased transmission of HIV, and poor reproductive and sexual health. The burden of STIs/BV among young people is unknown in many high HIV prevalence settings. We conducted an acceptability, feasibility, and prevalence study of home-based sampling for STIs/BV among young men and women aged 15-24 years old in a health and demographic surveillance site (HDSS) in rural KwaZulu-Natal, South Africa. A total of 1,342 young people, stratified by age (15-19 and 20-24 years) and sex were selected from the HDSS sampling frame; 1,171/1,342 (87%) individuals had ≥1 attempted home visit between 4 October 2016 and 31 January 2017, of whom 790 (67%) were successfully contacted. Among the 645 who were contacted and eligible, 447 (69%) enrolled. Consenting/assenting participants were interviewed, and blood, self-collected urine (men), and vaginal swabs (women) were tested for herpes simplex virus type 2 (HSV-2), chlamydia, gonorrhoea, syphilis, trichomoniasis, and BV. Both men and women reported that sample collection was easy. Participants disagreed that sampling was painful; more than half of the participants disagreed that they felt anxious or embarrass...Continue Reading

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Citations

Dec 12, 2018·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Katrina F OrtbladTill Bärnighausen
Feb 10, 2019·Sexually Transmitted Infections·Brendan Maughan-BrownAyesha B M Kharsany
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Jan 1, 2020·International Journal of Adolescence and Youth·Thembelihle ZumaMaryam Shahmanesh

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Methods Mentioned

BETA
circumcision
blood drawn
ELISA
PCR
contraception

Software Mentioned

GeneXpert
REDCap
Stata

Related Concepts

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