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尼日利亚性传播感染治疗寻求行为的决定因素。

Determinants of treatment seeking behaviour for sexually transmitted infections in Nigeria.

作者信息

Ebong Utibe S, Makinde Olusesan A

机构信息

Strategic Research Unit, Technical Services Directorate, Marie Stopes International Nigeria, Abuja, Nigeria.

Viable Knowledge Masters, Gwarinpa, Abuja, Nigeria.

出版信息

Afr J Reprod Health. 2021 Jun;25(3):105-112. doi: 10.29063/ajrh2021/v25i3.12.

Abstract

About 376 million new cases of sexually transmitted infections (STI) are reported annually across the globe. Also, untreated STI result in increased risks of complications including HIV, infertility and congenital infections. In Nigeria, enabling factors for STI transmission has increased in recent times. Thus, good treatment seeking behaviour is critical for the management of STI among people with sexually transmitted infections in Nigeria. Secondary data from the 2018 Nigeria Demographic and Health Survey dataset were used. The survey was conducted across Nigeria following a-2 stage stratified cluster sampling design from a sample of 4,997 women and 653 men aged 15 - 49 years who reported an STI history. Only 46.1% of the men and 55.7% of the women sought treatment for STI. Men who reported having genital ulcer were 3 times more likely to seek treatment, and women with genital ulcers were 2 times more likely to seek treatment than those who did not have genital ulcers. There is the need to reinforce HIV/STI messaging and health education campaigns in order to sensitize more people on transmission, symptoms and treatment of STI. Also, equitable mechanisms for financing STI treatment should be incorporated into the Nigerian health system in order to increase access for people of poorer economic status.

摘要

全球每年报告约3.76亿例性传播感染(STI)新病例。此外,未经治疗的性传播感染会增加包括感染艾滋病毒、不孕不育和先天性感染在内的并发症风险。在尼日利亚,近年来性传播感染传播的促成因素有所增加。因此,良好的求医行为对于尼日利亚性传播感染患者的性传播感染管理至关重要。使用了2018年尼日利亚人口与健康调查数据集的二手数据。该调查在尼日利亚全国范围内按照两阶段分层整群抽样设计进行,样本来自4997名15至49岁有性传播感染病史的女性和653名男性。只有46.1%的男性和55.7%的女性寻求过性传播感染治疗。报告患有生殖器溃疡的男性寻求治疗的可能性是未患生殖器溃疡男性的3倍,患有生殖器溃疡的女性寻求治疗的可能性是未患生殖器溃疡女性的2倍。有必要加强艾滋病毒/性传播感染宣传和健康教育活动,以便让更多人了解性传播感染的传播、症状和治疗方法。此外,应将公平的性传播感染治疗筹资机制纳入尼日利亚卫生系统,以便增加经济状况较差人群获得治疗的机会。

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