Risk factors for recurrent sexually transmitted infections in Uganda

Abstract

Objective: To identify predictors of recurrent sexually transmitted infections (STIs)
Design: A cross-sectional interview survey.
Setting: STD Clinic, Old Mulago Hospital, Kampala.
Methods: Eligible patients answered questions about their socio-demographic situation; STI symptoms; sexual behaviour; sexual partner referral; health seeking behaviour and whether they had a recurrent infection or not. Bivariate and multivariate stepwise logistic regression models were used to identify independent predictors of recurrent STIs.
Results: Fifty two (38%) out of 138 patients had recurrent STIs. On bivariate analysis the predictors of recurrent STIs were: being male; age ³ 25 years; inability to read in English; presenting with genital itching; attributing source of symptoms to sexual partner; not being
asked to refer sexual partners at previous treatment site; having more than five lifetime partners; knowing how to use a condom; ever using a condom; and using a condom at least once in the previous three months. On multivariate analysis, independent risk factors for
recurrent infection were: age ³ 25 years(Adjusted Odds Ratio [AOR] = 2.70, 95 % CI 1.20, 5.88); inability to read English AOR = 3.09, (95% CI 1.38, 6.92); and having more than five, lifetime partners AOR = 2.56 (95 % CI 1.11, 5.88).

Conclusion: Reducing the number of sexual partners and targeting people who do not speak English with health education messages in the local language may reduce the frequency of recurrent STIs.