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坦桑尼亚 2022 年人口与健康调查:个体和社区因素与坦桑尼亚男性性传播感染的相关性分析。

Individual and community level factors associated with sexually transmitted infections among men in Tanzania: insights from the Tanzania demographic and health survey of 2022.

机构信息

Department of Biomedical Sciences, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia.

Department of Medical Laboratory Sciences, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.

出版信息

BMC Infect Dis. 2024 Jun 12;24(1):580. doi: 10.1186/s12879-024-09470-2.

DOI:10.1186/s12879-024-09470-2
PMID:38867176
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11170883/
Abstract

BACKGROUND

Sexually transmitted infections continue to be a significant public health issue on a global scale. Due to their effects on reproductive and child health as well as their role in facilitating the spread of HIV infection, sexually transmitted infections impose a heavy burden of morbidity and mortality in many developing countries. In addition, stigma, infertility, cancer, and an increased risk of HIV are the primary impacts of STIs on sexual and reproductive health. While numerous studies have been conducted in Tanzania to address this specific topic in various settings, the majority of them weren't representative. Therefore, the main objective of this study was to use data from the most recent Tanzania Demographic and Health Survey in order to evaluate the individual and community-level factors associated with sexually transmitted infections among Tanzanian men at the national level.

METHODS

The most recent datasets from the Tanzania demographic and health survey were used for secondary data analysis. A total of 5763 men participated in this study. The recent Tanzania demographic and health survey provides data for multilevel mixed effect analysis on the variables that contribute to sexually transmitted infections among men in Tanzania. Finally, the percentage and odd ratio were provided, together with their 95% confidence intervals.

RESULT

This study includes a total weighted sample of 5763 men from the Tanzania demographic and health survey. Of the total study participants, 7.5% of men had sexually transmitted infections in the last twelve months. Being married [AOR: 0.531, 95% CI (0.9014, 3.429)] was a factor that reduced the risk of sexually transmitted infections among men. On the other hand, being between the age range of 20 and 24 years [AOR: 6.310, 95% CI (3.514, 11.329)] and having more than one union [AOR: 1.861, 95% CI (1.406, 2.463)] were the factors that increased the risk of sexually transmitted infections among men.

CONCLUSIONS

Men's sexually transmitted infections have been associated with individual-level factors. So, the Tanzanian governments and the concerned stakeholders should provide special attention for men whose age range is 20-24 years old. Promoting marriages and limiting the number of sexual partners should be the main strategies to lower the risk of sexually transmitted infections among men in Tanzania.

摘要

背景

性传播感染仍然是一个在全球范围内具有重要公共卫生意义的问题。由于性传播感染对生殖健康和儿童健康的影响,以及它们在促进艾滋病毒感染传播方面的作用,在许多发展中国家,性传播感染造成了严重的发病率和死亡率负担。此外,耻辱感、不孕、癌症和艾滋病毒感染风险增加是性传播感染对性健康和生殖健康的主要影响。尽管坦桑尼亚已经进行了许多研究来解决这一特定主题在不同环境中的问题,但其中大多数都不具有代表性。因此,本研究的主要目的是利用最近的坦桑尼亚人口与健康调查的数据,评估与全国范围内坦桑尼亚男性性传播感染相关的个人和社区层面因素。

方法

本研究采用了二次数据分析,使用了最近的坦桑尼亚人口与健康调查数据集。共有 5763 名男性参与了这项研究。最近的坦桑尼亚人口与健康调查提供了关于多层面混合效应分析的变量数据,这些变量对坦桑尼亚男性中的性传播感染有影响。最后,提供了百分比和优势比,以及它们的 95%置信区间。

结果

本研究共纳入了 5763 名来自坦桑尼亚人口与健康调查的加权样本男性。在总研究参与者中,7.5%的男性在过去 12 个月中患有性传播感染。已婚[比值比:0.531,95%置信区间(0.9014,3.429)]是降低男性性传播感染风险的因素。另一方面,年龄在 20 至 24 岁之间[比值比:6.310,95%置信区间(3.514,11.329)]和有多个性伴侣[比值比:1.861,95%置信区间(1.406,2.463)]是增加男性性传播感染风险的因素。

结论

男性的性传播感染与个人层面的因素有关。因此,坦桑尼亚政府和有关利益攸关方应特别关注年龄在 20-24 岁之间的男性。促进婚姻和限制性伴侣数量应成为降低坦桑尼亚男性性传播感染风险的主要策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7140/11170883/84b11fa6a83a/12879_2024_9470_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7140/11170883/84b11fa6a83a/12879_2024_9470_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7140/11170883/84b11fa6a83a/12879_2024_9470_Fig1_HTML.jpg

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