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Concordance Between Laboratory Diagnosed Sexually Transmitted Infections and Self-Reported Measures of Risky Sex by Partner Type Among Rural Ugandan Outpatients

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Abstract

Numerous HIV risk reduction interventions which show effects on sexual risk behaviors fail to find effects on STIs. We examined the concordance between laboratory diagnosed STIs and sexual risk behavior among Ugandan outpatients (n = 328). We screened for STIs and assessed sexual behavior at baseline and 6 month follow-up. Less risk was associated with an STI at baseline. At follow-up more unprotected sex with casual partners was associated with incident Syphilis, more unprotected sex with primary and secondary regular partners was associated with incident Chlamydia or Gonorrhea. Our results suggest ways to improve concordance between behavioral measures and STIs.

Resumen

Numerosas intervenciones para reducir el riesgo de VIH que muestran efectos en los comportamientos sexuales de riesgo no encuentran efectos en las infecciones de transmisión sexual (ITS). Se examinó la concordancia entre las ITS diagnosticados en el laboratorio y el comportamiento sexual de riesgo entre los pacientes ambulatorios de Uganda (n = 328). Se hicieron pruebas de ITS y se evaluó el comportamiento sexual en el inicio del estudio y 6 meses de seguimiento. Menor riesgo de comportamiento sexual se asoció con una ITS al inicio del estudio. En el seguimiento, más sexo sin protección con parejas ocasionales se asoció con sífilis incidente, y más sexo sin protección con parejas habituales (cónyuge/novio(a) u otra pareja sexual concurrente) se asoció con clamidia o gonorrea incidentes. Nuestros resultados sugieren formas de mejorar la concordancia entre las medidas de comportamiento sexual y las ITS.

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References

  1. Moreno R, Nababan HY, Ota E, Wariki WM, Ezoe S, Gilmour S, et al. Structural and community-level interventions for increasing condom use to prevent the transmission of HIV and other sexually transmitted infections. Cochrane Database Syst Rev. 2014;7:cd003363.

    Google Scholar 

  2. Fisher JD, Cornman DH, Shuper PA, Christie S, Pillay S, Macdonald S, et al. HIV prevention counseling intervention delivered during routine clinical care reduces HIV risk behavior in HIV-infected South Africans receiving antiretroviral therapy: the Izindlela Zokuphila/options for health randomized trial. J Acquir Immune Defic Syndr. 2014;67(5):499–507.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. DiClemente RJ, Davis TL, Swartzendruber A, Fasula AM, Boyce L, Gelaude D, et al. Efficacy of an HIV/STI sexual risk-reduction intervention for African American adolescent girls in juvenile detention centers: a randomized controlled trial. Women Health. 2014;54(8):726–49.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Coates TJ, Kulich M, Celentano DD, Zelaya CE, Chariyalertsak S, Chingono A, et al. Effect of community-based voluntary counselling and testing on HIV incidence and social and behavioural outcomes (NIMH Project Accept; HPTN 043): a cluster-randomised trial. The Lancet Global health. 2014;2(5):e267–77.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Aral SO. Sexual risk behaviour and infection: epidemiological considerations. Sex Transm Infect. 2004;80(Suppl 2):ii8–12.

    PubMed  PubMed Central  Google Scholar 

  6. Garnett GP. The geographical and temporal evolution of sexually transmitted disease epidemics. Sex Transm Infect. 2002;78(Suppl 1):i14–9.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Kiene SM, Bateganya MH, Lule H, Wanyenze RK. The effect of motivational interviewing-based counseling during outpatient provider initiated HIV testing on high-risk sexual behavior in rural Uganda. AIDS Behav. 2016;20(9):1928–36.

    Article  PubMed  Google Scholar 

  8. Detels R, Green AM, Klausner JD, Katzenstein D, Gaydos C, Handsfield H, et al. The incidence and correlates of symptomatic and asymptomatic Chlamydia trachomatis and Neisseria gonorrhoeae infections in selected populations in five countries. Sex Transm Dis. 2011;38(6):503–9.

    PubMed  PubMed Central  Google Scholar 

  9. Riedner G, Rusizoka M, Hoffmann O, Nichombe F, Lyamuya E, Mmbando D, et al. Baseline survey of sexually transmitted infections in a cohort of female bar workers in Mbeya Region. Tanzania Sex Transm Infect. 2003;79(5):382–7.

    Article  CAS  PubMed  Google Scholar 

  10. Peters RP, Dubbink JH, van der Eem L, Verweij SP, Bos ML, Ouburg S, et al. Cross-sectional study of genital, rectal, and pharyngeal Chlamydia and gonorrhea in women in rural South Africa. Sex Transm Dis. 2014;41(9):564–9.

    Article  PubMed  Google Scholar 

  11. Singh AE, Romanowski B. Syphilis: review with emphasis on clinical, epidemiologic, and some biologic features. Clin Microbiol Rev. 1999;12(2):187–209.

    CAS  PubMed  PubMed Central  Google Scholar 

  12. Tu W, Ghosh P, Katz BP. A Stochastic model for assessing Chlamydia trachomatis transmission risk using longitudinal observational data. J R Stat Soc. 2011;174(4):975–89.

    Article  Google Scholar 

  13. Fichtenberg CM, Muth SQ, Brown B, Padian NS, Glass TA, Ellen JM. Sexual network position and risk of sexually transmitted infections. Sex Transm Infect. 2009;85(7):493–8.

    Article  CAS  PubMed  Google Scholar 

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Acknowledgments

This study was supported by a K01 Mentored Research Scientist Career Development Award from the National Institute of Mental Health (K01 MH083536) to the first author. We thank the Medical Research Council Laboratory in Entebbe, Uganda for performing the laboratory testing and the laboratory technicians at Gombe Hospital for collecting the samples for STI testing. We are also grateful for the Gombe Hospital staff’s support of the study.

Funding

This study was funded by National Institute of Mental Health (K01 MH083536).

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Authors and Affiliations

  1. Division of Epidemiology and Biostatistics, Graduate School of Public Health, San Diego State University, 5500 Campanile Drive (MC-4162), San Diego, CA, 92182, USA

    Susan M. Kiene

  2. Gombe General Hospital, Gombe, Uganda

    Haruna Lule

  3. MRC/UVRI Uganda Research Unit On AIDS, Entebbe, Uganda

    Peter Hughes

  4. Department of Disease Control and Environmental Health, Makerere University School of Public Health, Kampala, Uganda

    Rhoda K. Wanyenze

Authors
  1. Susan M. Kiene
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  2. Haruna Lule
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  3. Peter Hughes
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  4. Rhoda K. Wanyenze
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Corresponding author

Correspondence to Susan M. Kiene.

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Conflict of Interest

The authors declare no conflicts of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional (Makerere University School of Public Health and Rhode Island Hospital) and national research committee (Uganda National Council for Science and Technology) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. All participants provided written informed consent. This article does not contain any studies with animals performed by any of the authors.

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Kiene, S.M., Lule, H., Hughes, P. et al. Concordance Between Laboratory Diagnosed Sexually Transmitted Infections and Self-Reported Measures of Risky Sex by Partner Type Among Rural Ugandan Outpatients. AIDS Behav 21, 2167–2172 (2017). https://doi.org/10.1007/s10461-016-1543-2

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  • DOI: https://doi.org/10.1007/s10461-016-1543-2

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