Risk factors for recurrent sexually transmitted infections in Uganda.
OBJECTIVE
To identify predictors of recurrent sexually transmitted infections (STIs).


METHODS
A cross-sectional interview survey.


METHODS
STD Clinic, Old Mulago Hospital, Kampala.


METHODS
Eligible patients answered questions about their socio-demographic situation; STI symptoms; sexual behaviour; sexual partner referral; health seeking behaviour and whether they had a recurrent infection or not. Bivariate and multivariate stepwise logistic regression models were used to identify independent predictors of recurrent STIs.


RESULTS
Fifty two (38%) out of 138 patients had recurrent STIs. On bivariate analysis the predictors of recurrent STIs were: being male; age > or = 25 years; inability to read in English; presenting with genital itching; attributing source of symptoms to sexual partner; not being asked to refer sexual partners at previous treatment site; having more than five lifetime partners; knowing how to use a condom; ever using a condom; and using a condom at least once in the previous three months. On multivariate analysis, independent risk factors for recurrent infection were: age > or = 25 years (Adjusted Odds Ratio [AOR] = 2.70, 95% CI 1.20, 5.88); inability to read English AOR = 3.09, (95% CI 1.38, 6.92); and having more than five, lifetime partners AOR = 2.56 (95% CI 1.11, 5.88).


CONCLUSIONS
Reducing the number of sexual partners and targeting people who do not speak English with health education messages in the local language may reduce the frequency of recurrent STIs.
Nuwaha
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Department of Community Health, Mbarara University, P.O Box 1410, Mbarara, Uganda.
D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012307:Risk Factors; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000453:epidemiology* / Q000635:transmission; D012959:Socioeconomic Factors; D014454:Uganda / Q000453:epidemiology