Factors associated with syphilis infection: a cross-sectional survey among outpatients in Asikuma Odoben Brakwa District, Ghana

Abstract Background Syphilis is a sexually transmitted infection caused by the bacterium Treponema pallidum. The disease affects all ages and both sexes but more prevalent among the sexually active age group of 15–49 years. The purpose of the current study was to determine the prevalence and factors...

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Main Authors: Martin Banong-le, Samuel Kwabena Ofosu, Francis Anto
Format: Article
Language:English
Published: BMC 2019-04-01
Series:BMC Infectious Diseases
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12879-019-3967-6
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author Martin Banong-le
Samuel Kwabena Ofosu
Francis Anto
author_facet Martin Banong-le
Samuel Kwabena Ofosu
Francis Anto
author_sort Martin Banong-le
collection DOAJ
description Abstract Background Syphilis is a sexually transmitted infection caused by the bacterium Treponema pallidum. The disease affects all ages and both sexes but more prevalent among the sexually active age group of 15–49 years. The purpose of the current study was to determine the prevalence and factors associated with syphilis infection among outpatients 15–49 years in the Asikuma Odoben Brakwa District of Ghana where high levels of infection were earlier reported among antenatal women. Methods A descriptive cross-sectional study was carried out in 13 randomly selected health facilities. Blood samples were collected and tested for syphilis infection and a questionnaire administered to determine factors associated with the disease. Results A total 277 patients aged 15–49 years participated in the study. The overall prevalence of syphilis infection was 3.2% (9/277), with 5.7% (6/105) and 1.7% (3/172) among males and females respectively. Significant factors associated with syphilis infection included sub-district of residence, (χ2 (4) = 31.20, p < 0.001) and history of coerced sexual intercourse (χ2 (1) =7.49, p = 0.006). Conclusions The prevalence of syphilis infection was high among male patients who lived in rural areas. Having a history of coerced sexual intercourse was a strong predictor for syphilis infection. Access to sexually transmitted infection control interventions in rural communities including health education may help control the disease.
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spelling doaj.art-2ee39d9d9b7e45859cb2f39b5310c7d62022-12-21T23:41:25ZengBMCBMC Infectious Diseases1471-23342019-04-011911910.1186/s12879-019-3967-6Factors associated with syphilis infection: a cross-sectional survey among outpatients in Asikuma Odoben Brakwa District, GhanaMartin Banong-le0Samuel Kwabena Ofosu1Francis Anto2School of Public Health, University of GhanaDistrict Health Directorate, Ghana Health ServiceSchool of Public Health, University of GhanaAbstract Background Syphilis is a sexually transmitted infection caused by the bacterium Treponema pallidum. The disease affects all ages and both sexes but more prevalent among the sexually active age group of 15–49 years. The purpose of the current study was to determine the prevalence and factors associated with syphilis infection among outpatients 15–49 years in the Asikuma Odoben Brakwa District of Ghana where high levels of infection were earlier reported among antenatal women. Methods A descriptive cross-sectional study was carried out in 13 randomly selected health facilities. Blood samples were collected and tested for syphilis infection and a questionnaire administered to determine factors associated with the disease. Results A total 277 patients aged 15–49 years participated in the study. The overall prevalence of syphilis infection was 3.2% (9/277), with 5.7% (6/105) and 1.7% (3/172) among males and females respectively. Significant factors associated with syphilis infection included sub-district of residence, (χ2 (4) = 31.20, p < 0.001) and history of coerced sexual intercourse (χ2 (1) =7.49, p = 0.006). Conclusions The prevalence of syphilis infection was high among male patients who lived in rural areas. Having a history of coerced sexual intercourse was a strong predictor for syphilis infection. Access to sexually transmitted infection control interventions in rural communities including health education may help control the disease.http://link.springer.com/article/10.1186/s12879-019-3967-6Treponema pallidumSyphilisSexually transmitted infectionCoerced sexual intercourse
spellingShingle Martin Banong-le
Samuel Kwabena Ofosu
Francis Anto
Factors associated with syphilis infection: a cross-sectional survey among outpatients in Asikuma Odoben Brakwa District, Ghana
BMC Infectious Diseases
Treponema pallidum
Syphilis
Sexually transmitted infection
Coerced sexual intercourse
title Factors associated with syphilis infection: a cross-sectional survey among outpatients in Asikuma Odoben Brakwa District, Ghana
title_full Factors associated with syphilis infection: a cross-sectional survey among outpatients in Asikuma Odoben Brakwa District, Ghana
title_fullStr Factors associated with syphilis infection: a cross-sectional survey among outpatients in Asikuma Odoben Brakwa District, Ghana
title_full_unstemmed Factors associated with syphilis infection: a cross-sectional survey among outpatients in Asikuma Odoben Brakwa District, Ghana
title_short Factors associated with syphilis infection: a cross-sectional survey among outpatients in Asikuma Odoben Brakwa District, Ghana
title_sort factors associated with syphilis infection a cross sectional survey among outpatients in asikuma odoben brakwa district ghana
topic Treponema pallidum
Syphilis
Sexually transmitted infection
Coerced sexual intercourse
url http://link.springer.com/article/10.1186/s12879-019-3967-6
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