Prevalence of Sexually Transmitted Infections and its Associated factors among women living with HIV/AIDS
Keywords:STIs/RTIs, Syndromic approach, STD, HIV/AIDS, Women, PLHA
Background: Sexually transmitted infections (STIs) are significant public health problem in India. Studies have shown a considerably higher prevalence of STIs among females as well as in high-risk groups. Thus, we conducted this study to estimate the prevalence of STIs and to find out its associated factors among women living with HIV/AIDS. Material & Methods: A cross-sectional study was conducted at the ART centre, Aligarh. A total of 170 HIV positive women were approached with study tools comprising of pre-structured proforma. NACO STIs Syndromes were used to estimate STIs. Data was analyzed using the SPSS version 20.0, keeping significance at p<0.05. Results: We found the self-reported prevalence of STIs in HIV positive women to be 18.2% (31/170) at the time of interview and 49.4% (84/170) ever since the diagnosis of HIV. Most of the HIV women were presently having vaginal/cervical or urethral discharge syndrome (93.5%) and genital ulcer syndrome (16.1%). STIs were significantly associated with uneducated females and with irregular use of condoms. Conclusion: This study found the prevalence of STIs to be still higher among HIV positive women, in spite of years of targeted interventions reducing it. A proper action and further researches are required to explore and manage variables associating STIs for reducing its prevalence
World Health Organization. Global health sector strategy on Sexually Transmitted Infections 2016–2021 towards ending STIs. Geneva: 2016. [cited 2018 Jan 18]. Available from: https://apps.who.int/iris/bitstream/handle/10665/246296/WHO-RHR-16.09-eng.pdf?sequence=1
National AIDS Control Organisation. National Guidelines on Prevention , Management and and Sexually Transmitted Infections. New Delhi: 2014. [cited 2018 Jan 18]. Available from: http://www.naco.gov.in/sites/default/files/National%20RTI%20STI%20technical%20guidelines%20Sep2014_0.pdf
National STI/RTI Control and Prevention Programme, NACP, Phase- III, India. New Delhi: 2012. [cited 2018 Jan 18]. Available from: http://naco.gov.in/sites/default/files/STI-Report_7.pdf
Shukla P, Masood J, Singh J V, Singh VK, Gupta A, Krishna A. Predictors of Sexually Transmitted Infections among Female Sex Workers ( FSWs ) in a City of. Indian Journal of Community Medicine 2015;40:121–6. doi:10.4103/0970-0218.153878.
Dasarathan S, Kalaivani S. Study of prevalence of sexually transmitted infections / human immunodeficiency virus and condom use among male-to-female transgender?: A retrospective analysis from a tertiary care hospital in Chennai. Indian Journal of Sexually Transmitted Diseases and AIDS 2017;38:43–6. doi:10.4103/0253-7184.196889.
Kosambiya JK, Desai VK, Bhardwaj P, Chakraborty T. RTI / STI prevalence among urban and rural women of Surat?: A community-based study. Indian Journal of Sexually Transmitted Diseases and AIDS 2009;30:89–93. doi:10.4103/0253-7184.62764.
Monteiro C-A, Bachmann LH, Desmond RA, Squires KE, Vermund SH, Hook EW, et al. Incidence and Risk Factors for Sexually Transmitted Infections among Women in an Alabama HIV Clinic. AIDS Research and Human Retroviruses 2004;20:577–83. doi:10.1089/0889222041217437.
Sridevi B, Swarnalatha N. Prevalence of RTI / STI among reproductive age women ( 15-49 years ) in urban slums of Tirupati town , Andhra Pradesh. Health and Population- Perspectives and Issues 2007;30:56–70.
Chauhan V, Shah M, Thakkar S, Patel S V, Marfatia Y. Sexually transmitted infections in women?: A correlation of clinical and laboratory diagnosis in cases of vaginal discharge syndrome. Indian Dermatology Online Journal 2014;5:1–5. doi:10.4103/2229-5178.144498.
STDs and HIV – CDC Fact Sheet. Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention n.d. [cited 2017 Dec 7]. Available from: https://www.cdc.gov/std/hiv/stdfact-std-hiv-detailed.htm
National AIDS Control Organization, National Institute of Medical Statistics. Annual report 2016-17. New Delhi: 2017. [cited 2017 Nov 10]. Available from: http://www.naco.gov.in/sites/default/files/NACO%20ANNUAL%20REPORT%202016-17.pdf
IBM SPSS Statistics for Windows 2011.
Rao VG, Anvikar A, Savargaonkar D, Bhat J, Yadav R, Tiwary BK, et al. Prevalence of sexually transmitted disease syndromes in tribal population of central India. J Epidemiol Community Health 2009;63:805–6. doi:10.1136/jech.2008.082909.
Ganta SR, Prasad KKL, Srinivas PJ. To assess the prevalence of STI / RTI using syndromic case management in the urban health centre area of greater Visakhapatnam municipal corporation , Andhra Pradesh. International Journal of Community Medicine and Public Health 2017;4:3247–9.
Desai B, Kosambiya JK, Mulla S, Verma R, Patel B. Study of sexual behavior and prevalence of STIs / RTIs and HIV among female workers of textile industries in Surat city , Gujarat , India. Indian Journal of Sexually Transmitted Diseases and AIDS 2013;34:14–8. doi:10.4103/0253-7184.112864.
Nayyar C, Chander R, Gupta P, Sherwal BL. Evaluation of risk factors in patients attending STI clinic in a tertiary care hospital in North India. Indian Journal of Sexually Transmitted Diseases and AIDS 2015;36:48–52. doi:10.4103/0253-7184.156715.
Prusty RK, Unisa S. Reproductive Tract Infections and Treatment Seeking Behavior among Married Adolescent Women 15-19 Years in India. International Journal of MCH and AIDS 2013;2:103–10.
Pogorzelska J, Grzeszczuk A, Wanda AD, Flisiak R. Prevalence of syphilis among patients living with HIV treated in Bialystok HIV / AIDS Center. HIV & AIDS Review 2017;16:7–10.
Chopra D, Sandhu I, Bahl RK, Bhatia R, Goyal A. Prevalence of sexually transmitted infections in HIV positive and HIV negative females , in a tertiary care hospital ? An observational study. Indian Journal of Sexually Transmitted Diseases and AIDS 2015;36:59–63. doi:10.4103/0253-7184.156730.
Sharma A, Marfatia YS, Modi M. Reproductive tract infections in HIV positive women?: A case control study. Indian Journal of Sexually Transmitted Diseases and AIDS 2009;30:18–8. doi:10.4103/0253-7184.55473.
Panda SC, Sarangi L, Bebartta D, Parida S, Panigrahi OP. Prevalence of RTI / STI among Women of Reproductive Age in District Sundergarh (Orissa). Indian Journal for the Practising Doctor 2017;4:1–5.
Amin SS, Urfi, Sachdeva S, Kirmani S, Kaushal M. Clinico-social profile of sexually transmitted infections and HIV at a tertiary care teaching hospital in India. Community Acquired Infection 2014;1:25–8. doi:10.4103/2225-6482.141750.
Nandan D, Mishra SK, Sharma A, Jain M. Estimation of prevalence of RTi/STIs among women of reproductive age group in Districrt Agra. Indian Journal of Community Medicine 2002;26:110–3.
Thomas K, Thyagarajan SP, Jeyaseelan L, Varghese JC, Krishnamurthy P, Bai L, et al. Community prevalence of sexually transmitted diseases and human immunodeficiency virus infection in Tamil Nadu , India?: A probability proportional to size cluster survey. The National Medical Journal of India 2002;15:135–40.
Bhawsar RD, Singh JP, Khanna A. Determinants of RTIs/STIs among women in Punjab and their health seeking behaviour. Journal of Family Welfare 2005;51:24.
Balamurugan SS, Bendigeri ND. Community-Based Study of Reproductive Tract Infections Among Women of the Reproductive Age Group in the Urban Health Training Centre Area in Hubli , Karnataka. Indian Journal of Community Medicine 2012;37:34–8. doi:10.4103/0970-0218.94020.
Suvirya S, Singh R, Senthamizh P, Sharma V. Treatment seeking behaviour of STI clients in a tertiary care centre of North India?: A cross sectional study. Indian Journal of Sexually Transmitted Diseases and AIDS 2016;37:7–11. doi:10.4103/0253-7184.180284.
Bhilwar M, Lal P, Sharma N, Bhalla P, Kumar A. Prevalence of reproductive tract infections and their determinants in married women residing in an urban slum of North-East Delhi , India. Journal of Natural Science, Biology and Medicine 2015;6:2–7. doi:10.4103/0976-9668.166059.
Marfatia YS, Pandya I, Mehta K. Condoms?: Past , present , and future. Indian Journal of Sexually Transmitted Diseases and AIDS 2015;36:133–9. doi:10.4103/0253-7184.167135.
Naswa S, Marfatia YS. Adolescent HIV / AIDS?: Issues and challenges. Indian Journal of Sexually Transmitted Diseases and AIDS 2010;31:1–10. doi:10.4103/0253-7184.68993.
Chaudhry S, Ramachandran VG, Das S, Bhattacharya SN, Mogha NS. Pattern of sexually transmitted infections and performance of syndromic management against etiological diagnosis in patients attending the sexually transmitted infection clinic of a tertiary care hospital. Indian Journal of Sexually Transmitted Diseases and AIDS 2010;31:104–8. doi:10.4103/0253-7184.7499
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