Sexually Transmitted Diseases

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Sexually Transmitted Diseases:
doi: 10.1097/01.olq.0000222667.42207.08
Article

A Community-Based Study of Risk Factors for Trichomonas vaginalis Infection Among Women and Their Male Partners in Moshi Urban District, Northern Tanzania

Klinger, Elissa V. MS*; Kapiga, Saidi H. MD, ScD*; Sam, Noel E. MD, MMed†; Aboud, Said MS‡; Chen, Cheng-Yen PhD§; Ballard, Ronald C. PhD§; Larsen, Ulla PhD∧

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Abstract

Objective: The objective of this study was to determine predictors of Trichomonas vaginalis among women and their partners in Moshi, Tanzania.

Study Design: Women (N = 1440) and their partners (N = 588) were interviewed and specimens for detection of T. vaginalis and sexually transmitted infections (STIs) were collected.

Results: Prevalence of T. vaginalis was 10.7% in women and 6.3% in men. Having a partner with T. vaginalis was the strongest risk factor in women (adjusted odds ratio [OR], 19.44; 95% confidence interval [CI], 7.84–48.25) and men (adjusted OR, 19.01; 95% CI, 6.8–52.40). Risk of T. vaginalis infection was increased in subjects with less education. Other risk factors in women were daily alcohol consumption, being separated, reporting infertility problems, having a partner who had children with other women, and other STIs; and in men, the risk factor was having no income. T. vaginalis was not associated with HIV-1 in women and men.

Conclusions: Prevention of T. vaginalis and other STIs among couples is a major priority. Reduction of alcohol consumption in women is an important intervention.

© Copyright 2006 American Sexually Transmitted Diseases Association

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