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- Title
Control of Sexually Transmitted Diseases in Haiti: Results and Implications of a Baseline Study among Pregnant Women Living in Cite Soleil Shantytowns.
- Authors
Behets, Frieda M.-T.; Desormeaux, Julio; Joseph, Dania; Adrien, Mario; Coicou, Gessie; Dallabetta, Gina; Hamilton, Holli A.; Moeng, Stoffel; Davis, Homer; Cohen, Myron S.; Boulos, Reginald
- Abstract
Women attending Haitian slum-based antenatal clinics were evaluated for sexually transmitted diseases (STDs): 110 (11%) of 996 were syphilis seroreactive, 313 (35%) of 903 had trichomoniasis, 110 (12%) of 897 had gonococcal or chlamydial cervical infection (or both), and 418 (47%) of 891 had at least one STD. Syphilis seroreactivity was associated with illiteracy (P = .007), lower socioeconomic status (P < .001), and a history of spontaneous abortion (P = .02). Of 663 evaluated sera, 56 (8%) had human immunodeficiency virus (HIV) antibodies. In multivariate analysis, positive HIV serostatus was associated with syphilis seroreactivity (P = .006), partner's unemployment (P = .002), and history of a previous sex partner (P = .04). Risk factors for gonococcal or chlamydial cervical infection were evaluated. Clinical assessment of cervical discharge, a World Health Organization algorithm, and a decision model based on local risk factors were 64%, 77%, and 89% sensitive, respectively, and 44%, 38%, and 43% specific, respectively, for predicting cervical infection. Alternative treatment approaches should be validated while waiting for affordable, simple, rapid, and accurate laboratory diagnostic tests for gonococcal and chlamydial cervical infections.
- Publication
Journal of Infectious Diseases, 1995, Vol 172, Issue 3, p764
- ISSN
0022-1899
- Publication type
Article
- DOI
10.1093/infdis/172.3.764