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坦桑尼亚育龄妇女中性传播感染的患病率及相关因素:全国数据的横断面分析

Prevalence and Factors Associated With Sexually Transmitted Infections Among Women of Reproductive Age in Tanzania: A Cross-Sectional Analysis of National Data.

作者信息

Moshi Fabiola V, Tibenderana Jovin R, Liganga Thadei, Gimonge Jomo, Kessy Sanun Ally

机构信息

Department of Clinical Nursing, School of Nursing and Public Health University of Dodoma Dodoma Tanzania.

Department of Public Health St. Francis University College of Health and Allied Sciences Ifakara Morogoro Tanzania.

出版信息

Health Sci Rep. 2025 Apr 29;8(5):e70807. doi: 10.1002/hsr2.70807. eCollection 2025 May.

DOI:10.1002/hsr2.70807
PMID:40309643
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12040713/
Abstract

BACKGROUND AND AIMS

Sexually Transmitted Infections (STIs) remain a significant public health concern, particularly among women of reproductive age (WRA) who face heightened vulnerability. Despite remarkable advancements in medicine, 1 million new cases of STIs are recorded daily. In Tanzania, however, data on STIs remains limited. This study seeks to bridge that gap by determining prevalence and factors associated with STIs among WRA in Tanzania.

METHODS

This was analytical cross-sectional study among WRA in Tanzania, using data from the current Demographic and Health Surveys (DHS) 2022. 15,254 weighed sample was analyzed using STATA version 18. Analysis considered the complex survey design through application of weights, clustering and strata. Modified Poisson regression models estimated the factors associated with STIs among WRA in Tanzania. Results were presented using adjusted relative risk (ARR) with a 95% confidence interval.

RESULTS

The prevalence of STIs among WRA in Tanzania was 4.7% After adjusting for other variables, the following factors remained significantly associated with STIs among WRA: women aged 25-34 (ARR = 1.55, 95% CI:1.22-1.95), women from rich household (ARR = 1.39, 95% CI: 1.02-1.89), marriage (ARR = 0.81, 95% CI:0.65-0.99) and multiple sexual partners (ARR = 1.80, 95% CI:1.24-2.63).

CONCLUSION

Although STIs have a relatively low prevalence (4.7%) among Tanzanian WRA, behavioral change campaigns, young adult-friendly health services, routine screening and tailored preventive education are crucial to achieving universal health goals, reducing new infections, and fostering the overall well-being of this vulnerable group.

摘要

背景与目的

性传播感染(STIs)仍然是一个重大的公共卫生问题,尤其是在面临更高脆弱性的育龄妇女(WRA)中。尽管医学取得了显著进展,但每天仍有100万新的性传播感染病例被记录。然而,在坦桑尼亚,性传播感染的数据仍然有限。本研究旨在通过确定坦桑尼亚育龄妇女中性传播感染的患病率及相关因素来填补这一空白。

方法

这是一项对坦桑尼亚育龄妇女进行的分析性横断面研究,使用了2022年当前人口与健康调查(DHS)的数据。使用STATA 18版本对15254个加权样本进行分析。分析通过应用权重、聚类和分层考虑了复杂的调查设计。修正的泊松回归模型估计了坦桑尼亚育龄妇女中性传播感染的相关因素。结果以调整后的相对风险(ARR)及95%置信区间呈现。

结果

坦桑尼亚育龄妇女中性传播感染的患病率为4.7%。在对其他变量进行调整后,以下因素与育龄妇女中性传播感染仍显著相关:年龄在25 - 34岁的女性(ARR = 1.55,95% CI:1.22 - 1.95)、来自富裕家庭的女性(ARR = 1.39,95% CI:1.02 - 1.89)、已婚(ARR = 0.81,95% CI:0.

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a236/12040713/b1c078ff4135/HSR2-8-e70807-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a236/12040713/2e2d351f8659/HSR2-8-e70807-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a236/12040713/b1c078ff4135/HSR2-8-e70807-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a236/12040713/2e2d351f8659/HSR2-8-e70807-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a236/12040713/b1c078ff4135/HSR2-8-e70807-g002.jpg

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Determinants of sexually transmitted infections among female sex workers in Ethiopia: a count regression model approach.埃塞俄比亚女性性工作者中性传播感染的决定因素:计数回归模型方法。
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High prevalence of self-reported sexually transmitted infections among older adults in Tanzania: results from a list experiment in a population-representative survey.
坦桑尼亚老年人中自我报告的性传播感染的高流行率:一项基于代表性人群调查的清单实验结果。
Ann Epidemiol. 2023 Aug;84:48-53. doi: 10.1016/j.annepidem.2023.05.001. Epub 2023 May 16.
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Adolescent Girls and Young Women in Kenya Demonstrate Rapid STI Incidence Following First Sex: Data From a Longitudinal Cohort.肯尼亚青春期女孩和年轻女性首次性行为后性传播感染发病率迅速上升:一项纵向队列研究数据。
J Adolesc Health. 2023 Apr;72(4):568-574. doi: 10.1016/j.jadohealth.2022.10.026. Epub 2023 Jan 17.
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