Abstract
The population of Sikkim is a unique blend of multi-tribal and metropolitan culture. However, till date, no data regarding prevalence of sexually transmitted diseases (henceforth abbreviated as STDs) among this population is available and hence requires attention. Hence the objective is to determine the prevalence of STDs in Sikkim and to describe associated risk factors. A cross-sectional study involving ‘Questionnaire-based anonymous feedback system’ was followed to collect data from 2,000 individuals across the society. The four most common STDs, gonorrhea, syphilis, chlamydia and HIV, were considered for the study. Total 69 (3.6 %) cases of STDs were found in 1,918 individuals was affected by at least one of the STDs, out of which 43 were males and 26 were females. Cases of gonorrhea, syphilis, chlamydiasis and HIV were 25, 22, 4 and 18 respectively. Out of total 69 cases of STDs, 20 individuals were also suffering from some kind of hepatitis. Addictions like alcoholism, smoking and drugs were also found in significant number, with 1,019 (>50 %) individuals with at least one of these addictions. Relative risk analysis indicates that gender-wise females are more vulnerable to STDs than males. The number of partners, addictions, especially alcohol and drug abuse, also contribute to STD cases. STDs act as a significant risk factor in transmitting some of the types of hepatitis. In such cases, females are more vulnerable than males. The results suggest that new community health programs are essential for both, HIV and non-HIV STDs in Sikkim.
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Acknowledgments
Authors are thankful to all the participants of the survey, Sikkim Police Department (including Armed Police), Rehabilitation Centre (32nd Mile, Sikkim), State AIDS cell, Sikkim, NHPC Hospital, Sikkim for their cooperation and all the students of Microbiology Dept. (Sikkim University) for help in data collection and entry, without which this survey would not have been possible.
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Rajapure, V., Tirwa, R., Poudyal, H. et al. Prevalence and Risk Factors Associated with Sexually Transmitted Diseases (STDs) in Sikkim. J Community Health 38, 156–162 (2013). https://doi.org/10.1007/s10900-012-9596-2
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DOI: https://doi.org/10.1007/s10900-012-9596-2