STDS in women attending family planning clinics : A case study in Addis Ababa.
For cultural reasons modern contraception has been slow to gain acceptance in Ethiopia.
Knowledge about contraception and abortion is still limited in many family and community settings in which it is socially disapproved.
By 1990 only 4% of Ethiopian females aged 15-49 used contraception.
Little is known of sexually transmitted disease (STD) prevalence in family planning (FP) attenders in Africa in general and Ethiopia in particular, even though attenders of family planning clinics (FPCs) are appropriate target groups for epidemiological studies and control programmes.
A study of 2111 women of whom 542 (25.7%) attended FPCs in Addis Ababa showed utilisation rates to be highest in women who were :
Tigre (33%) or Amhara (31%), aged 20-34 years (30%), age 16 or older at first marriage/coitus (28% : 38% in those first married after 25 years) ;
who had a monthly family income of 10 Ethiopian Birr (EB) or more (33% : 36% for those with income 100-500 EB), three or more children (37%), more than five lifetime husbands/sexual partners (39%) ;
or were bargirls (73%) or prostitutes (43%). The seroprevalence rates for all STDs, higher in FPC attenders compared with other women, were syphilis (TPHA) 39%,
Neisseria gonorrhoeae 66%, genital chlamydia 64%,
HBV 40% and Haemophilus ducreyi 20%. Only 4% of FPC attenders had no serological evidence of STD : 64% were seropositive for 3 or more different STD. (...)
Mots-clés Pascal : Appareil génital femelle pathologie, Maladie sexuellement transmissible, Femme, Homme, Contraception, Contrôle naissance, Epidémiologie, Comportement sexuel, Prostitution, Ethiopie, Afrique
Mots-clés Pascal anglais : Female genital diseases, Sexually transmitted disease, Woman, Human, Contraception, Birth control, Epidemiology, Sexual behavior, Prostitution, Ethiopia, Africa
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0164791
Code Inist : 002B05F06. Création : 21/05/1997.