Prevalence of sexually transmitted infections based on syndromic approach and associated factors among Iranian women

Background and purpose: Reproductive and sexual health related problems constitute one third of health problems among women aged ۱۵ to ۴۴ years. Sexually transmitted infections are a significant challenge for human development. We aimed to assess the prevalence of STIs and identify factors associated with among Iranian women. Materials and Methods: Through a cross-sectional study, ۳۹۹ women aged ۱۰-۴۹ years were recruited. These were women who referred to urban and rural health centers in a city in Iran. Through a behavioral questionnaire, high-risk behaviors of the sample were asked about. Syndromic STIs were also assessed through clinical examination. T-test and multivariable Modified Poisson Regression was used to estimate the Prevalence Risk Ratios (PRRs) in Stata ۱۳. P-values less than ۰.۰۵ were considered as statistically significant. Results: About ۶۴.۲% of the participants had at least one of the STIs. STI prevalence was significantly higher among women who self-reported not using condoms in their last sexual contact (۷۵% vs. ۳۹.۸%), whose spouse/sexual partners (SSP) had extramarital sex (۸۷.۷% vs. ۵۹.۶%), whose SSP had a past-year history of illicit substance use (۷۲.۹%vs. ۶۰.۹%), and whose SSP had a history of incarceration (۹۱.۵% vs. ۵۹.۱%). In multivariable analysis, it was shown that having first sexual intercourse before ۲۰ years of age, history of abortion in the past year, low family income, not using condom in last sexual contact, and the partner’s incarceration history were identified as significant predictors. Conclusions: The knowledge produced from the current research can serve as evidence for the promotion of interventions and healthcare services related to sexual and reproductive health for Iranian women and their SSPs. The findings from the current study also support research on improving strategies for STI diagnosis and STI management.

Keywords:

sexually transmitted infections , women , high-risk behaviors , Iran