Risk factors for curable sexually transmitted infections among youth: findings from the STICH population survey in Zimbabwe Article Swipe
Kevin Martin
,
Ethel Dauya
,
Victoria Simms
,
Tsitsi Bandason
,
Steven Chifundo Azizi
,
Anna Machiha
,
Tinei Shamu
,
Primrose Musiyandaka
,
Tinashe Mwaturura
,
Suzanna C. Francis
,
Constance Mackworth-Young
,
Joanna Busza
,
Constancia Mavodza
,
Mandi Tembo
,
Richard Hayes
,
Katharina Kranzer
,
Rashida A. Ferrand
,
Chido Dziva Chikwari
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1136/sextrans-2024-056146
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1136/sextrans-2024-056146
Objectives Youth are at high risk of sexually transmitted infections (STIs) in Africa. We aimed to determine the risk factors for curable STIs in youth in Zimbabwe. Methods A population-based survey was conducted among randomly selected 18–24 year-olds in 16 communities across two provinces in Zimbabwe to ascertain outcomes for a cluster randomised trial investigating the impact of community-based STI screening for youth on population prevalence of STIs. Participants underwent an interviewer-administered questionnaire, HIV testing and screening for Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG) and Trichomonas vaginalis (TV). Risk factors for curable STIs were explored through multivariable logistic regression. Results Of the 5601 participants, 62.5% (n=3500) were female, and the median age was 20 (IQR 19–22) years. HIV prevalence was 6.3% (351/5556), and 55.4% (1939/3501) reported condomless sex at last intercourse. Only 7.2% (401/5599) reported STI symptoms, but CT/NG/TV prevalence was 19.8% (1107/5601). On multivariable analysis, factors associated with STI diagnosis included being aged 21–24 years (adjusted OR (aOR) 1.37, 95% CI 1.17 to 1.61); female sex (aOR 2.11, 95% CI 1.76 to 2.53); being unemployed/informally employed (compared with in education/formal employment) (aOR 1.35, 95% CI 1.13 to 1.61); increasing number of sexual partners in the preceding 12 months (one partner: aOR 2.23, 95% CI 1.73 to 2.88; two partners: aOR 2.39, 95% CI 1.69 to 3.39); living with HIV (aOR 1.44, 95% CI 1.07 to 1.94); and previous attempted suicide (aOR 1.58, 95% CI 1.08 to 2.32). Conclusions The prevalence of STIs among youth in Zimbabwe is high, particularly among those with HIV. In addition to moving away from syndromic STI management and strengthening implementation of existing prevention tools, there is a need for a more holistic focus on broader risk factors such as mental health and employment opportunities, and of integration of HIV and STI programming. Trial registration number ISRCTN15013425 , NCT03719521 .
Related Topics
Concepts
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1136/sextrans-2024-056146
- https://sti.bmj.com/content/sextrans/early/2024/06/12/sextrans-2024-056146.full.pdf
- OA Status
- hybrid
- Cited By
- 2
- References
- 27
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4399621486
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4399621486Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1136/sextrans-2024-056146Digital Object Identifier
- Title
-
Risk factors for curable sexually transmitted infections among youth: findings from the STICH population survey in ZimbabweWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-06-13Full publication date if available
- Authors
-
Kevin Martin, Ethel Dauya, Victoria Simms, Tsitsi Bandason, Steven Chifundo Azizi, Anna Machiha, Tinei Shamu, Primrose Musiyandaka, Tinashe Mwaturura, Suzanna C. Francis, Constance Mackworth-Young, Joanna Busza, Constancia Mavodza, Mandi Tembo, Richard Hayes, Katharina Kranzer, Rashida A. Ferrand, Chido Dziva ChikwariList of authors in order
- Landing page
-
https://doi.org/10.1136/sextrans-2024-056146Publisher landing page
- PDF URL
-
https://sti.bmj.com/content/sextrans/early/2024/06/12/sextrans-2024-056146.full.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
-
https://sti.bmj.com/content/sextrans/early/2024/06/12/sextrans-2024-056146.full.pdfDirect OA link when available
- Concepts
-
Medicine, Demography, Chlamydia, Population, Logistic regression, Chlamydia trachomatis, Trichomonas vaginalis, Gynecology, Gonorrhea, Trichomoniasis, Human immunodeficiency virus (HIV), Family medicine, Environmental health, Internal medicine, Immunology, SociologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
2Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 2Per-year citation counts (last 5 years)
- References (count)
-
27Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.regression. | 98 |
| abstract_inverted_index.trachomatis | 79 |
| abstract_inverted_index.transmitted | 8 |
| abstract_inverted_index.(1107/5601). | 142 |
| abstract_inverted_index.Participants | 68 |
| abstract_inverted_index.intercourse. | 130 |
| abstract_inverted_index.particularly | 249 |
| abstract_inverted_index.programming. | 297 |
| abstract_inverted_index.registration | 299 |
| abstract_inverted_index.investigating | 54 |
| abstract_inverted_index.multivariable | 96, 144 |
| abstract_inverted_index.participants, | 103 |
| abstract_inverted_index.strengthening | 264 |
| abstract_inverted_index.ISRCTN15013425 | 301 |
| abstract_inverted_index.implementation | 265 |
| abstract_inverted_index.opportunities, | 289 |
| abstract_inverted_index.questionnaire, | 72 |
| abstract_inverted_index.community-based | 58 |
| abstract_inverted_index.education/formal | 180 |
| abstract_inverted_index.population-based | 29 |
| abstract_inverted_index.unemployed/informally | 175 |
| abstract_inverted_index.interviewer-administered | 71 |
| cited_by_percentile_year.max | 97 |
| cited_by_percentile_year.min | 95 |
| corresponding_author_ids | https://openalex.org/A5006035487 |
| countries_distinct_count | 3 |
| institutions_distinct_count | 18 |
| corresponding_institution_ids | https://openalex.org/I4210089966 |
| citation_normalized_percentile.value | 0.73384585 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |