Prevalence of sexually transmitted infections among antenatal women in Vanuatu, 1999-2000.

Abstract:

BACKGROUND:The epidemiology of sexually transmitted infections (STIs) and HIV in Vanuatu is poorly defined. GOAL:The goal was to determine the prevalence of laboratory-confirmed gonorrhea, chlamydia, trichomoniasis, syphilis seroreactivity, and HIV among pregnant women in Vila, Vanuatu. STUDY DESIGN:A cross-sectional survey of 547 pregnant women attending a first-visit antenatal hospital clinic in Vila. Laboratory testing included polymerase chain reaction on tampons for chlamydia, gonorrhea, and trichomoniasis; testing of sera for syphilis with rapid plasmid reagin; and enzyme-linked immunosorbent assay for HIV. RESULTS:The prevalence of trichomoniasis was 27.5% (150); of chlamydia, 21.5% (117); of gonorrhea, 5.9% (32); and of syphilis, 13 (2.4%). No HIV cases were detected; 214 women (40%) had > or =1 STI. Young age and single marital status were both significantly associated with infection (P < 0.001). CONCLUSION:Chlamydial infection and trichomoniasis are hyperendemic among pregnant women in Vila. Young, single women are at greatest risk for infection.

journal_name

Sex Transm Dis

authors

Sullivan EA,Abel M,Tabrizi S,Garland SM,Grice A,Poumerol G,Taleo H,Chen S,Kaun K,O'Leary M,Kaldor J

doi

10.1097/00007435-200304000-00017

subject

Has Abstract

pub_date

2003-04-01 00:00:00

pages

362-6

issue

4

eissn

0148-5717

issn

1537-4521

pii

00007435-200304000-00017

journal_volume

30

pub_type

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