title: Clinical characteristics associated with Mycoplasma genitalium among female sex workers in Nairobi, Kenya.
abstract: The prevalence of Mycoplasma genitalium is high in vulnerable populations of women in low-resource settings. However, the epidemiology of infection in these populations is not well established. To determine the prevalence of Mycoplasma genitalium and its association with cervical cytology and other correlates, we recruited 350 female sex workers (FSW) who were 18 to 50 years old in Nairobi, Kenya, for a cross-sectional study. A questionnaire was administered at baseline to obtain information on sociodemographics and sexual behaviors. Women underwent a pelvic exam, during which a physician collected cervical-exfoliation samples for conventional cytology and sexually transmitted infection (STI) testing. Samples were tested for M. genitalium and other STI organisms (Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis) and the E6/E7 mRNA of human papillomavirus (HPV) by Aptima nucleic amplification assays. The prevalence of M. genitalium was 12.9%. FSW who engaged in sexual intercourse during menses were less likely to have M. genitalium infection than those who did not (odds ratio [OR], 0.3; 95% confidence interval [95% CI], 0.1, 0.9). M. genitalium was also less prevalent among FSW who had worked in prostitution for >5 years (6.2%) than among those who had worked for <3 years (17.6%) (OR, 0.3; 95% CI, 0.1, 0.8). FSW who reported more frequent condom use were more likely to be infected with M. genitalium than those who reported less frequent use (OR, 3.8; 95% CI, 1.2, 11.6). These correlates differ from those found in M. genitalium studies conducted with FSW from West Africa and China. Further longitudinal analyses assessing associations with persistent M. genitalium infection are needed.
authors.affiliation: Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
authors.forename: Ayodele
authors.initials: A
authors.lastname: Gomih-Alakija
authors.affiliation: Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
authors.forename: Jie
authors.initials: J
authors.lastname: Ting
authors.affiliation: Kenyatta National Hospital/University of Nairobi, Nairobi, Kenya.
authors.forename: Nelly
authors.initials: N
authors.lastname: Mugo
authors.affiliation: Kenyatta National Hospital/University of Nairobi, Nairobi, Kenya.
authors.forename: Jessie
authors.initials: J
authors.lastname: Kwatampora
authors.affiliation: Hologic Gen-Probe, San Diego, California, USA.
authors.forename: Damon
authors.initials: D
authors.lastname: Getman
authors.affiliation: Kenyatta National Hospital/University of Nairobi, Nairobi, Kenya.
authors.forename: Michael
authors.initials: M
authors.lastname: Chitwa
authors.affiliation: Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, California, USA.
authors.forename: Suha
authors.initials: S
authors.lastname: Patel
authors.affiliation: Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
authors.forename: Mugdha
authors.initials: M
authors.lastname: Gokhale
authors.affiliation: Kenyatta National Hospital/University of Nairobi, Nairobi, Kenya.
authors.forename: Joshua
authors.initials: J
authors.lastname: Kimani
authors.affiliation: Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
authors.forename: Frieda S
authors.initials: FS
authors.lastname: Behets
authors.affiliation: Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA Lineberger Comprehensive Cancer Center, Chapel Hill, North Carolina, USA jennifers@email.unc.edu.
authors.forename: Jennifer S
authors.initials: JS
authors.lastname: Smith
mesh_terms: D000293:Adolescent; D000328:Adult; D002584:Cervix Uteri / Q000473:pathology; D003584:Cytological Techniques; D003710:Demography; D005260:Female; D006801:Humans; D007630:Kenya / Q000453:epidemiology; D008875:Middle Aged; D009175:Mycoplasma Infections / Q000453:epidemiology* / Q000382:microbiology / Q000473:pathology*; D045704:Mycoplasma genitalium / Q000302:isolation & purification*; D015995:Prevalence; D060386:Sex Workers; D012725:Sexual Behavior; D011795:Surveys and Questionnaires; D055815:Young Adult
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