Prevalence of five curable sexually transmitted infections and associated risk factors among tertiary student men who have sex with men in Nairobi, Kenya: a respondent-driven sampling survey.
Sex Health
; 20(2): 105-117, 2023 04.
Article
in English
| MEDLINE | ID: covidwho-2303035
ABSTRACT
BACKGROUND:
Young men who have sex with men (MSM) are a key population at high risk of sexually transmitted infections (STIs). We conducted a respondent-driven sampling (RDS) bio-behavioural survey to estimate the prevalence of five curable STIs chlamydia, gonorrhoea, syphilis, trichomoniasis and Mycoplasma genitalium infection, and associated risk factors among tertiary student MSM (TSMSM) in Nairobi, Kenya.METHODS:
Between February and March 2021, we recruited 248 TSMSM aged ≥18years who self-reported engaging in anal and/or oral sex with another man in the past year. Samples collected included urine, anorectal and oropharyngeal swabs for pooled Chlamydia trachomatis , Mycoplasma genitalium , Neisseria gonorrhoeae and Trichomonas vaginalis testing using multiplex nucleic acid amplification tests, and venous blood for serological Treponema pallidum screening and confirmation of current infection. Participants self-completed a behavioural survey on a REDCap digital platform. Data analysis was done using RDS-Analyst (v0.72) and Stata (v15). Differences in proportions were examined using the chi-squared (χ 2 ) test, and unweighted multivariate logistic regression was used to assess factors associated with STI prevalence.RESULTS:
RDS-adjusted prevalence rates of at least one of the five STIs, chlamydia, gonorrhoea, Mycoplasma genitalium infection, trichomoniasis and latent syphilis were 58.8%, 51.0%, 11.3%, 6.0%, 1.5% and 0.7%, respectively. Factors independently associated with STI prevalence were inconsistent condom use (adjusted odds ratio (AOR)=1.89, 95% confidence interval (CI) 1.03-3.47, P =0.038) and the last sex partner being a regular partner (AOR=2.35, 95% CI 1.12-4.92, P =0.023).CONCLUSION:
STI prevalence among TSMSM in Nairobi, Kenya, is disturbingly high, demonstrating urgent need for tailored testing, treatment and prevention interventions for this population.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Trichomonas Infections
/
Chlamydia Infections
/
Gonorrhea
/
Syphilis
/
Sexually Transmitted Diseases
/
Mycoplasma genitalium
/
Sexual and Gender Minorities
/
Mycoplasma Infections
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
/
Randomized controlled trials
Limits:
Humans
/
Male
Country/Region as subject:
Africa
Language:
English
Journal:
Sex Health
Journal subject:
Sexually Transmitted Diseases
Year:
2023
Document Type:
Article
Affiliation country:
SH22114
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