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Sex Transm Dis. 2004 May;31(5):265-72.

Gender differences in health care-seeking behavior for sexually transmitted diseases: a population-based study in Nairobi, Kenya.

Author information

1
Department of Public Health, Erasmus MC, University Medical Center Rotterdam, The Netherlands. h.voeten@erasmusmc.nl

Abstract

BACKGROUND:

Health care-seeking behavior for sexually transmitted diseases (STDs) is important in STD/HIV control.

GOAL:

The goal of this study was to describe the proportion seeking care, patient delay, and choice of provider among men and women with STD-related complaints in Nairobi, Kenya.

STUDY DESIGN:

A population-based questionnaire was administered in 7 randomly selected clusters (small geographic areas covering approximately 150 households each).

RESULTS:

Of the 291 respondents reporting complaints, 20% of men versus 35% of women did not seek care, mainly because symptoms were not considered severe, symptoms had disappeared, or as a result of lack of money. Of those who sought care, women waited longer than men (41 vs. 16 days). Most men and women went to the private sector (72% and 57%, respectively), whereas the informal sector was rarely visited (13% and 16%, respectively). Relatively more women visited the government sector (28% vs. 15%). Because women were mostly monogamous, they did not relate their complaints to sexual intercourse, which hampered prompt care-seeking.

CONCLUSION:

Women should be convinced to seek care promptly, eg, through health education in communities.

PMID:
15107627
[Indexed for MEDLINE]
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