Sexually Transmitted Diseases

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Sexually Transmitted Diseases:
Original Article

Risk Factors for Sexually Transmitted Disease in Harare: A Case‐Control Study

WELLINGTON, MAUREEN BSC, MB, CHB, MSC*; NDOWA, FRANCIS MB, CHB, DIP, DERM, DIP GUMED; MBENGERANWA, LOVEMORE MB, CHB, DIP MID CO & G, DIP VEN, MCOMMH

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Abstract

Objective:: To obtain information on risk factors and healthseeking behavior of men with sexually transmitted diseases (STDs) attending primary care clinics.

Study Design:: Unmatched case‐control.

Methods:: Cases consisted of 256 consecutive men with genital ulcer disease (GUD) and 256 with other STDs. Control subjects (N = 256) were recruited from every third man with non‐STD‐related complaints. All subjects were at least 15 years of age. A structured questionnaire was administered.

Results:: Genital ulcer disease cases reported more frequent sexual intercourse with a commercial sex worker (odds ratio [OR] = 17.4; 95% confidence intervals [CI] = 7.8–40.0) and a recent new sexual contact (OR = 6.7; CI = 3.3–14.1). Similarly, STD cases reported more frequent sexual contact with a commercial sex worker (OR = 3.4; CI = 2.0–5.6) and a recent new sexual contact (OR = 7.9; CI = 3.9–16.3). Reported condom use was less than 30% with all partner types. Of all STD cases, 80% sought treatment at the primary care clinics, with 35% delaying more than 7 days before seeking treatment.

Conclusions:: Culturally appropriate behavioral educational programs are advocated to reduce the risk of transmission and the period for seeking treatment for all STDs.

© Copyright 1997 American Sexually Transmitted Diseases Association

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