Title |
Prevalence of sexually transmitted infections, genital symptoms and health-care seeking behaviour among HIV-negative female sex workers in Kigali, Rwanda
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Published in |
International Journal of STD & AIDS, May 2013
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DOI | 10.1177/0956462412472293 |
Pubmed ID | |
Authors |
N J Veldhuijzen, M Van Steijn, J Nyinawabega, E Kestelyn, M Uwineza, J Vyankandondera, J H H M Van De Wijgert |
Abstract |
Timely diagnosis and treatment of sexually transmitted infections (STIs) is often hampered by the lack of symptoms, inadequate diagnostics and/or poor availability, accessibility and quality of treatment in resource-limited settings. Female sex workers (FSW) are highly vulnerable for HIV and key transmitters of STIs. Among FSW (n = 400) participating in a prospective HIV incidence study in Kigali, Rwanda, only 15% (17/116) of women with laboratory-diagnosed non-ulcerative STIs at baseline reported symptoms. Only 27% (20/74) of women self-reporting genital symptoms sought care at enrolment, and 39% (46/117) of women with self-reported genital symptoms during follow-up. During focus group discussions, FSW considered treatment-seeking and partner notification important. Shame and feeling disrespected by doctors or other health-care workers were identified as barriers to seeking health care. A comprehensive STI control programme targeting both symptomatic and asymptomatic FSW should be considered in this setting. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 2 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 2 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Spain | 1 | <1% |
Unknown | 103 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 24 | 23% |
Student > Ph. D. Student | 17 | 16% |
Researcher | 11 | 11% |
Student > Bachelor | 10 | 10% |
Student > Doctoral Student | 8 | 8% |
Other | 18 | 17% |
Unknown | 16 | 15% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 30 | 29% |
Social Sciences | 20 | 19% |
Nursing and Health Professions | 13 | 13% |
Psychology | 8 | 8% |
Immunology and Microbiology | 4 | 4% |
Other | 11 | 11% |
Unknown | 18 | 17% |