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首页> 外文期刊>Sexually transmitted diseases >Alcohol abuse, sexual risk behaviors, and sexually transmitted infections in women in Moshi urban district, northern Tanzania.
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Alcohol abuse, sexual risk behaviors, and sexually transmitted infections in women in Moshi urban district, northern Tanzania.

机译：坦桑尼亚北部莫希市区妇女的酗酒，性危险行为和性传播感染。

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BACKGROUND: To assess the covariates of alcohol abuse and the association between alcohol abuse, high-risk sexual behaviors and sexually transmitted infections (STIs). METHODS: Two thousand and nineteen women aged 20 to 44 were randomly selected in a 2-stage sampling from the Moshi urban district of northern Tanzania. Participant's demographic and socio-economic characteristics, alcohol use, sexual behaviors, and STIs were assessed. Blood and urine samples were drawn for testing of human immunodeficiency virus, herpes simplex virus, syphilis, chlamydia, gonorrhea, trichomonas, and mycoplasma genitalium infections. RESULTS: Adjusted analyses showed that a history of physical (OR = 2.05; 95% CI: 1.06-3.98) and sexual violence (OR = 1.63; 95% CI: 1.05-2.51) was associated with alcohol abuse. Moreover, alcohol abuse was associated with number of sexual partners (OR = 1.66; 95% CI: 1.01-2.73). Women who abused alcohol were more likely to report STIs symptoms (OR = 1.61; 95% CI: 1.08-2.40). Women who had multiple sexual partners were more likely to have an STI (OR = 2.41; 95% CI: 1.46-4.00) compared to women with 1 sexual partner. There was no direct association between alcohol abuse and prevalence of STIs (OR = 0.86; 95% CI: 0.55-1.34). However, alcohol abuse was indirectly associated with STIs through its association with multiple sexual partners. CONCLUSIONS: The findings of alcohol abuse among physically and sexually violated women as well as the association between alcohol abuse and a history of symptoms of STIs and testing positive for STIs have significant public health implications. In sub-Saharan Africa, where women are disproportionately affected by the HIV epidemic screening for alcohol use should be part of comprehensive STIs and HIV prevention programs.
机译：背景：评估酒精滥用的协变量以及酒精滥用，高危性行为和性传播感染（STI）之间的关联。方法：从坦桑尼亚北部莫希市区进行的两阶段抽样中，随机抽取了201名年龄在20至44岁之间的女性。评估参与者的人口统计学和社会经济特征，饮酒，性行为和性传播感染。抽取血液和尿液样本以检测人类免疫缺陷病毒，单纯疱疹病毒，梅毒，衣原体，淋病，滴虫和生殖器支原体感染。结果：调整后的分析表明，身体虐待（OR = 2.05; 95％CI：1.06-3.98）和性暴力（OR = 1.63; 95％CI：1.05-2.51）与酗酒有关。此外，酗酒与性伴侣数量有关（OR = 1.66; 95％CI：1.01-2.73）。滥用酒精的女性更有可能报告性传播感染症状（OR = 1.61; 95％CI：1.08-2.40）。与具有1个性伴侣的女性相比，具有多个性伴侣的女性更容易发生性传播感染（OR = 2.41; 95％CI：1.46-4.00）。酗酒与性传播感染的患病率之间没有直接关联（OR = 0.86; 95％CI：0.55-1.34）。但是，酗酒是通过与多个性伴侣的联系而间接与性传播感染有关的。结论：遭受身体和性侵犯的妇女酗酒的发现以及酗酒与性传播感染症状史和性传播感染检测呈阳性之间的关联对公共卫生具有重大影响。在撒哈拉以南非洲，艾滋病毒流行病筛查对妇女的饮酒影响严重，妇女应成为性传播感染和艾滋病毒预防计划的一部分。

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