title: Prevalence and risk factors of sexually transmitted infections and cervical neoplasia in women from a rural area of southern Mozambique.
abstract: There is limited information on the prevalence of sexually transmitted infections and the prevalence of cervical neoplasia in rural sub-Saharan Africa. This study describes the prevalence and the etiology of STIs and the prevalence of cervical neoplasia among women in southern Mozambique. An age-stratified cross-sectional study was performed where 262 women aged 14 to 61 years were recruited at the antenatal clinic (59%), the family-planning clinic (7%), and from the community (34%). At least one active STI was diagnosed in 79% of women. Trichomonas vaginalis was present in 31% of all study participants. The prevalence of Neisseria gonorrhea and Chlamydia trachomatis were 14% and 8%, respectively, and Syphilis was diagnosed in 12% of women. HPV DNA was detected in 40% of women and cervical neoplasia was diagnosed in 12% of all women. Risk factors associated with the presence of some of the STIs were being divorced or widowed, having more than one sexual partner and having the partner living in another area. A higher prevalence was observed in the reproductive age group and some of the STIs were more frequently diagnosed in pregnant women. STI control programs are a priority to reduce the STIs burden, including HIV and cervical neoplasia.
authors: Manhiça Health Research Center, Manhiça, Maputo, Mozambique. menendez@clinic.ub.es
authors: Clara
authors: C
authors: Menéndez
authors: Xavier
authors: X
authors: Castellsagué
authors: Montse
authors: M
authors: Renom
authors: Jahit
authors: J
authors: Sacarlal
authors: Llorenç
authors: L
authors: Quintó
authors: Belen
authors: B
authors: Lloveras
authors: Joellen
authors: J
authors: Klaustermeier
authors: Janet R
authors: JR
authors: Kornegay
authors: Betuel
authors: B
authors: Sigauque
authors: F Xavier
authors: FX
authors: Bosch
authors: Pedro L
authors: PL
authors: Alonso
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D002690:Chlamydia Infections / Q000453:epidemiology; D002692:Chlamydia trachomatis / Q000302:isolation & purification; D004279:DNA, Viral / Q000032:analysis; D005260:Female; D006069:Gonorrhea / Q000453:epidemiology; D006801:Humans; D017533:Marital Status; D008875:Middle Aged; D009073:Mozambique / Q000453:epidemiology; D009344:Neisseria gonorrhoeae / Q000302:isolation & purification; D027383:Papillomaviridae / Q000235:genetics; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000453:epidemiology; D012307:Risk Factors; D012424:Rural Population; D012725:Sexual Behavior; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000453:epidemiology* / Q000209:etiology*; D013587:Syphilis / Q000453:epidemiology; D014245:Trichomonas Infections / Q000453:epidemiology; D014246:Trichomonas vaginalis / Q000302:isolation & purification; D002583:Uterine Cervical Neoplasms / Q000453:epidemiology*
chemical_list: D004279:DNA, Viral