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Reproductive Tract Infections (RTIs) including Sexually Transmitted Infections (STIs): a population-based study of women of reproductive age in a rural district of Vietnam
  1. Lan Pham Thi (landhy2003{at}yahoo.com)
  1. Karolinska Institute, Sweden
    1. Lundborg Stalsby Cecilia (cecilia.stalsby.lundborg{at}ki.se)
    1. Karolinska Institutet, Sweden
      1. Phuc Ho Dang (hodang54{at}yahoo.com)
      1. Institute of Mathematics, Vietnam
        1. Sihavong Amphoy (amphoy{at}yahoo.com)
        1. Vientiane Capital Health Department, Ministry of Health, Lao People's Democratic Republic
          1. Unemo Magnus (magnus.unemo{at}orebroll.se)
          1. Department of Clinical Microbiology, Örebro University Hospital, Örebro, Sweden, Sweden
            1. Chuc Nguyen Thi Kim (ntkchuc{at}yahoo.com)
            1. Hanoi Medial University, Hanoi, Vietnam
              1. Khang Tran Hau (khangquocduc{at}fpt.vn)
              1. Hanoi Medial University, Hanoi, Vietnam
                1. Mogren Ingrid (ingrid.mogren{at}obgyn.umu.se)
                1. Umeå University, Umeå, Sweden

                  Abstract

                  Objectives: to (i) investigate the prevalences of RTIs/STIs among married women in a rural district of Vietnam, and (ii) analyse the influence of socio-economic, socio-demographic, and other determinants possibly related to RTIs/STIs.

                  Methods: Community-based cross-sectional study. Married women aged 18-49 years (n=1012) were interviewed and underwent a gynaecological examination. Specimens were collected for laboratory diagnosis of chlamydia, gonorrhoea, trichomonas, bacterial vaginosis (BV), candidiasis, hepatitis B, HIV, and syphilis.

                  Results: In total, 37% of the women were clinically diagnosed with an RTI/STI. Etiologically confirmed RTI/STI was identified in 39% of the women (including 6.0% with STIs). Endogenous infections were most prevalent (candidiasis 26%, BV 11%) followed by hepatitis B 8.3%, Chlamydia trachomatis 4.3%, Trichomonas vaginalis 1%, Neisseria gonorrhoeae 0.7%, genital warts 0.2%, and HIV and syphilis 0%. Fifty percent of the STI cases were asymptomatic. Younger age and intra-uterine devices were significantly associated with increased risk of BV. Determinants of candidiasis were vaginal douching, high education level and low economic status, whereas a determinant of chlamydia was high economic status. Out-migration of the husband was associated with increased risk of HBsAg seroposivity among the women.

                  Conclusions: RTIs/STIs were prevalent among married women in a rural population of Vietnam. Syndromic algorithms should be consistently supplemented by risk assessment in order to reduce under- and over-treatment. Microscopic diagnosis could be applied in primary care settings to achieve more accurate diagnoses. Promotion of health education aiming at reducing RTI/STI prevalences is an important tool in STI/HIV control programs. Vaccination to prevent hepatitis B for migrants should be considered.

                  • RTIs
                  • STIs
                  • Vietnam
                  • polymerase chain reaction
                  • population-based study

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