Sexually Transmitted Disease in Gondar Town.
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Date
1988-05
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Addis Abeba University
Abstract
A case-control study of sexually transmitted diseases was carried out in two health units in Gondar Town north-western Ethiopia between September 1987 and November 19 8 7. A total of 285 cases and 570 controls participated in the study. The peak age range was 15 - 19 yea r s (43.9%) and 20-24 years (34.6%) for female and male cases respectively. In contrast to reports from other parts o f Africa the male-to- female ratio was 1.2:1 i n this study. Over 40% o f the cases were found in Keftegna four in which there are predominantly soldiers and prostitutes. Of 153 male cases, only 26.2% were married. Married women constituted 33.1% of t he cases. While a further 33 . 3% were A divorced women. Soldiers, prostitutes and student s (28.8 %, 19.7% and 13.3% of the total cases respectively) were identified as high risk groups. The commonest diagnosis was gonorrhoea (56.5 X), with further 21.8% of the mixed infections including gonorrhoea. Over 40% of the case s admitted to a previous history of STD. A past history of four or more STD infection s occurred in 10.9% of the total cases. Casual contact or unknown contact as a source of infection accounted for 50% of the infections rivalling prostitutes who accounted for 52.3% of the contacts. Of the total cases, 54.4% sought a cure from druggists without seeing a health worker . The practice of self-medication was high and did not appear to differ greatly between educated and illiterate groups (P>.lO) . Age at first sexual intercourse of less than 20 y ears was associated with a statistically significant inCr0:lSed risk of STD .infection s occurred in 10.9% of the total cases. Casual contact or unknown contact as a source of infection accounted for 50 % of the infections rivalling prostitutes who accounted for 52.3% of the contacts. Of the total case s, 54.4 % sought a cure from druggists without see ing a h e al t h worker . The practice of self-medication was high and did not appear to differ greatly between e ducat e d and illiterat e groups (P>.lO) .
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Keywords
Sexually Transmitted Disease , Gondar Town