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. 2020 Mar 16;10(3):e033976.
doi: 10.1136/bmjopen-2019-033976.

Prevalence of Neisseria gonorrhoeae and Chlamydia trachomatis in men having sex with men in Port-au-Prince, Haiti: a cross-sectional study

Frantz Jean Louis  1 , Guethina Galbaud  2 , Maureen Leonard  2 , Emmanuel Pericles  2 , Ito Journel  3 , Josiane Buteau  3 , Jacques Boncy  3 , Regine Jean Francois  4 , Jean Wysler Domercant  2
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Prevalence of Neisseria gonorrhoeae and Chlamydia trachomatis in men having sex with men in Port-au-Prince, Haiti: a cross-sectional study

Frantz Jean Louis et al. BMJ Open. .

Abstract

Objectives: Over the last 15 years, the prevalence of HIV in Haiti has stabilised to around 2.0%. However, key populations remain at higher risk of contracting HIV and other sexually transmitted infections (STIs). The prevalence of HIV is 12.9% among men having sex with men (MSM). There is limited information about the prevalence of other STI in the Haitian population in general and even less among key populations. We assessed the burden of Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) and risk factors for infections among MSM in Haiti.

Methods: A cross-sectional study was conducted. MSM were recruited from seven health facilities in Port-au-Prince. All samples were tested by nucleic acid amplification test, using GeneXpert. A survey was administered to the participants to collect socio-demographic, clinical and risk behaviour data.

Results: A total of 216 MSM were recruited in the study. The prevalence rates of CT and NG were 11.1% and 16.2%, respectively. CT NG co-infections were found in 10/216 (4.6%) of the participants. There were 39 MSM with rectal STI compared with 17 with genital infections. Participants between 18-24 and 30-34 years old were significantly more likely to be infected with NG than those aged 35 years or older (OR: 22.96, 95% CI: 2.79 to 188.5; OR: 15.1, 95% CI: 1.68 to 135.4, respectively). Participants who never attended school or had some primary education were significantly more likely to be infected with NG than those with secondary education or higher (OR: 3.38, 95% CI: 1.26 to 9.07). People tested negative for HIV were significantly more likely to be infected with CT than people living with HIV/AIDS (OR: 3.91, 95% CI: 1.37 to 11.2).

Conclusions: Periodic risk assessment and testing for STI should be offered in Haiti as part of a comprehensive strategy to improve the sexual health of key populations.

Keywords: HIV & AIDS; epidemiology; public health.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Gonorrhoea and chlamydia by site of infection. CT, Chlamydia trachomatis; NG, Neisseria gonorrhoeae.
See this image and copyright information in PMC

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References

    1. Ministère de la Santé Publique et de la Population (MSPP) Enquête Mortalité, Morbidité et utilisation des services (EMMUS-VI) 2016-2017, 2018. https://www.dhsprogram.com/pubs/pdf/FR326/FR326.pdf
    1. Deschamps MM, Pape JW, Hafner A, et al. . Heterosexual transmission of HIV in Haiti. Ann Intern Med 1996;125:324–30. 10.7326/0003-4819-125-4-199608150-00011 - DOI - PubMed
    1. Koenig S, Ivers L, Pace S, et al. . Successes and challenges of HIV treatment programs in Haiti: aftermath of the earthquake. HIV Ther 2010;4:145–60. 10.2217/hiv.10.6 - DOI - PMC - PubMed
    1. Ministère de la Sante Publique et de la Population Programme National de Lutte Contre le VIH/Sida Rapport REDES 2014 et 2015 estimation Du flux des ressources et dépenses liées Au VIH/sida, 2016. Available: https://mspp.gouv.ht/site/downloads/Rapport%20Final%20REDES%202016.pdf [Accessed Jul 2019].
    1. FHI 360 LINKAGES Programmatic mapping and size estimation of key populations in Haiti, 2017. Available: https://www.fhi360.org/sites/default/files/media/documents/resource-link... [Accessed Jul 2019].

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