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Int J STD AIDS. 2015 Sep;26(10):710-5. doi: 10.1177/0956462414551236. Epub 2014 Sep 15.

Epidemiology of sexually transmitted infections in rural Haitian men.

Author information

1
Seattle-King County Disaster Team, Seattle, WA, USA Laboratory Application Services, Sysmex America, Inc., San Diego, CA, USA labboy@earthlink.net.
2
Seattle-King County Disaster Team, Seattle, WA, USA Providence Health and Services, North Coast Urgent Care Clinics, Seaside, OR, USA.
3
Seattle-King County Disaster Team, Seattle, WA, USA Division of Emergency Medicine, University of Washington, Seattle, WA, USA.
4
Seattle-King County Disaster Team, Seattle, WA, USA Department of Emergency Medicine, Oregon Health & Science University, Portland, OR, USA.
5
Seattle-King County Disaster Team, Seattle, WA, USA Department of Social Work, MultiCare Health System, Tacoma, WA, USA.
6
Seattle-King County Disaster Team, Seattle, WA, USA Summit Surgery Center, Flagstaff, AZ, USA.
7
Department of Emergency Medicine, Oregon Health & Science University, Portland, OR, USA.

Abstract

The study attempts to determine the prevalence of organisms associated with urethritis in men in rural southwestern Haiti and to determine the association with demographic, clinical and laboratory variables. A standardised verbal interview was conducted; genital examinations were done; urethral swabs were collected for nucleic acid amplification testing, and first void urine was obtained for urinalysis. The mean participant age was 54; 88.8% lived in a rural area. Swabs were positive for Trichomonas vaginalis in 13.7% (28/205), Mycoplasma genitalium in 6.3% (13/205), Chlamydia trachomatis in 4.4% (9/205) and Neisseria gonorrhoeae in 0% (0/205). Subjects who never reported using condoms were nearly 3.5 times more likely to have any positive swab result (OR: 3.46, 95% CI 1.31-9.14). Subjects who reported their partners had other sexual partners or were unsure were more than three times likely to have any positive swab result (OR: 3.44, 95% CI 1.33-8.92). Infections with Trichomonas vaginalis and Mycoplasma genitalium were the most common.

KEYWORDS:

Chlamydia trachomatis; Haiti; Mycoplasma genitalium; Neisseria gonorrhoeae; Sexually transmitted infection; Trichomonas vaginalis; diagnosis; leukocyte esterase test; men; prevalence; screening; treatment; trichomoniasis; urethritis; urine

PMID:
25228665
DOI:
10.1177/0956462414551236
[Indexed for MEDLINE]

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