Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2007 Nov;34(11):892-9.
doi: 10.1097/OLQ.0b013e318063c75d.

Identification of novel risks for nonulcerative sexually transmitted infections among young men in Kisumu, Kenya

Supriya D Mehta  1 , Stephen Moses, Jeckoniah O Ndinya-Achola, Kawango Agot, Ian Maclean, Robert C Bailey
Affiliations

Identification of novel risks for nonulcerative sexually transmitted infections among young men in Kisumu, Kenya

Supriya D Mehta et al. Sex Transm Dis. 2007 Nov.

Abstract

Objectives: STI prevention interventions often aim to reduce HIV incidence. Understanding STI risks may lead to more effective HIV prevention.

Goal: To identify STI risks among men aged 18-24 in Kisumu, Kenya.

Study design: We analyzed baseline data from a randomized trial of male circumcision. Participants were interviewed for sociodemographic and behavioral risks. Neisseria gonorrhoeae (NG) and Chlamydia trachomatis (CT) were diagnosed by polymerase chain reaction assay and Trichomonas vaginalis (TV) by culture. The outcome for logistic regression analysis was infection with NG, CT, or TV.

Results: Among 2743 men, 214 (7.8%; 95% CI: 6.8%-8.8%) were infected with any STI. In multivariable analysis, statistically significant risks for infection were: living one's whole life in Kisumu (OR = 1.50; 95% CI: 1.12-2.01), preferring "dry" sex (OR = 1.47; 95% CI: 1.05-2.07), HSV-2 seropositivity (OR = 1.37; 95% CI: 1.01-1.86), and inability to ejaculate during sex (OR = 2.04; 95% CI: 1.15-3.62). Risk decreased with increasing age and education, and cleaning one's penis less than 1 hour after sex (OR = 0.51; 95% CI: 0.33-0.80).

Conclusion: Understanding how postcoital cleaning, "dry" sex, and sexual dysfunction relate to STI acquisition may improve STI and HIV prevention.

PubMed Disclaimer

References

    1. World Health Organization. World Health Organization; Geneva: 2001. Global prevalence and incidence of selected curable sexually transmitted infections. Available from http://www.who.int/hiv/pub/sti/who_hiv_aids_2001.02.pdf.
    1. UNAIDS and World Health Organization. Sub-Saharan Africa Fact Sheet. 2005. Available from http://www.who.int/hiv/FS_SubSaharanAfrica_Nov05_en.pdf.
    1. Grosskurth H, Mosha F, Todd J, et al. Impact of improved treatment of sexually transmitted diseases on HIV infection in rural Tanzania: randomised controlled trial. Lancet. 1995;346:530–536. - PubMed
    1. Wawer MJ, Sewankambo NK, Serwadda D, et al. Rakai Project Study Group. Control of sexually transmitted diseases for AIDS prevention in Uganda: a randomised community trial. Lancet. 1999;353:525–535. - PubMed
    1. Kamali A, Quigley M, Nakiyingi J, et al. Syndromic management of sexually-transmitted infections and behaviour change interventions on transmission of HIV-1 in rural Uganda: a community randomised trial. Lancet. 2003;361:645–652. - PubMed

Publication types

MeSH terms