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年轻女性性传播感染患者的求医行为:2014 年加纳人口与健康调查分析。

Health-seeking behaviours of young women with sexually transmitted infections: Analysis of the 2014 Ghana Demographic and Health Survey.

机构信息

Department of Public Administration and Health Services Management, University of Ghana Business School, Accra, Ghana.

Ankaful Leprosy/ General Hospital, Ankaful, Central Region-Ghana.

出版信息

PLoS One. 2022 Nov 7;17(11):e0277205. doi: 10.1371/journal.pone.0277205. eCollection 2022.

Abstract

BACKGROUND

Young people are at a disproportionately higher risk for sexually transmitted infections (STIs) due to biological factors, low awareness and limited access to sexual and reproductive health information and services. Untreated STIs can lead to major complications, including HIV, congenital infections, infertility, permanent disability and mortality. This study aimed to identify the salient factors associated with health-seeking behaviours of young women with a history of STIs in Ghana.

METHODS

We analysed data from the 2014 Ghana Demographic and Health Survey. In all, we analysed data from a weighted sample of 742 young women with a history of STIs. At the univariate level, frequencies and percentages were computed, while Chi-square analysis was computed at the bivariate level. Both crude and adjusted odds ratios were computed at the multivariable level using binary logistic regression.

RESULTS

The findings showed that the majority (72%) of the participants sought treatment for STIs. Among the participants who sought treatment for STIs (n = 532), 26% sought treatment at a public hospital/polyclinic, 34% sought treatment at a chemical/drug store and 10% self-medicated. Seeking treatment for STIs was significantly associated with older age (20-24yrs), and higher socioeconomic and educational status.

CONCLUSION

This study demonstrated that majority of the young women sought treatment for STIs. Seeking treatment for STIs was influenced by socio-demographic factors. These findings have implications for sexual and reproductive health policies and interventions in Ghana.

摘要

背景

由于生物学因素、意识水平低以及性与生殖健康信息和服务获取有限,年轻人感染性传播感染(STI)的风险不成比例地更高。未经治疗的 STI 可能导致重大并发症,包括 HIV、先天性感染、不孕、永久性残疾和死亡。本研究旨在确定与加纳有 STI 病史的年轻女性寻求健康行为相关的显著因素。

方法

我们分析了 2014 年加纳人口与健康调查的数据。总共分析了来自 742 名有 STI 病史的加权样本的数据。在单变量水平上,计算了频率和百分比,而在双变量水平上计算了卡方分析。在多变量水平上,使用二元逻辑回归计算了粗和调整后的比值比。

结果

研究结果表明,大多数(72%)参与者寻求了 STI 的治疗。在寻求 STI 治疗的参与者中(n=532),26%在公立医院/综合医院接受治疗,34%在化学/药店接受治疗,10%自行用药。寻求 STI 治疗与年龄较大(20-24 岁)和较高的社会经济和教育地位显著相关。

结论

本研究表明,大多数年轻女性寻求 STI 的治疗。寻求 STI 治疗受到社会人口因素的影响。这些发现对加纳的性与生殖健康政策和干预措施具有影响。

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