PROFILE OF MEN SUFFERING FROM SEXUALLY TRANSMITTED INFECTIONS IN PAKISTAN

Authors

  • N. Rehan

Abstract

Background: To evolve effective prevention and efficient treatment strategies for sexually transmitted infections (STIs) in a country, comprehensive understanding of the prevalent STI and their modes of transmission is needed. The aim of this present study was to generate such data for Pakistan. Method: The study was conducted between June 1999 and September 1999 in four provincial capitals. In each city, data were collected from one or more teaching hospitals and a number of general practitioners. During this period, 465 men suffering from STIs were interviewed. Results: The mean age of study population was 31.9±8.6 years, 60% were married, 58.3% urbanites, 81.7% living with their families and 83.3% smokers. Only 10.5% were drug addicts. Out of 465 cases, 27.5% cases had gonorrhoea, 31.6% syphilis, 17.2% chancroid, 18.3% herpes, 5.2% chlamydial infections while only one case (0.2%) was HIV positive. Most men (55%) acquired the infection heterosexually, 11.6% through homosexuality, 18.4% through bisexual relations and 2 men (0.5%) reported bestiality. Among 78.1% of those contracting the infection heterosexually, the source of infection was a sex worker. None acquired infection through his wife. The knowledge about STIs was very poor. Wrong notions were prevalent. Conclusions. The pattern of STIs is different from developed countries. Those acquiring STIs in Pakistan were older, married and living with their families whereas in developed countries most men acquiring STIs are younger, unmarried and living alone.Key Words: Sexually Transmitted Infections, Gonorrhoea, Syphilis, Chlamydial Infections, Pakistan.

References

Garbase AC, Rowley JT, Mertens TE. Global epidemiology of sexually transmitted infections. Lancet 1998;351:2–4.

WHO/Global Program on AIDS. Global prevalence and incidences of selected curable sexually transmitted infections: overview and estimates. WHO/GPA/STD 1995;1:1–26.

WHO. World Health Report. Geneva: World Health Organization 1999.

World Bank. The World Development Report 1993. Washington: The World Bank 1993.

Laga M, Manoka A, Kivuvu M, Malele B, Tuliza M, Nzila N, et al. Non-ulcerative sexually transmitted infections as risk factors for HIV -1 transmission in women : results from a cohort study. AIDS 1993;7:5–102

Gerbase AC, Rowley JT, Heyman DHL. Global prevalence and incidence estimates of selected curable STIs. Sex Transm Infec 1998;74:S12–6.

Mertens TE, Piot P. Global aspects of human immunodeficiency virus epidemiology; general considerations. In: De-Vita V Jr, Hellman S, Rosenberg, SA. eds. AIDS: biology, diagnosis, treatment and prevention, 4th ed. Philadelphia: Lippincott-Raven 1997.

Wosserheit J. The significance and scope of reproductive tract infection among third world women. Int J Gynecol Obstet 1989;3:45–68.

World Bank. Pakistan: Towards a health sector strategy. Bangkok: Health, Nutrition and Population Unit, South Asia Region; 1997.

Ghouri AK, Ahmad P, Shah, SA. Pattern of STD syndrome in Sindh. Pakistan Infec Dis J 1997;1:7–9.

Shah SA, Nasir K. Sero prevalence of syphilis among blood donors at Shaikh Zayed Hospital, Lahore. Mother & Child 1998;36:154–7.

Jeyasingh P, Ramanaiah TB, Fernandes SD. Pattern of Sexually transmitted infections in Madurai. Indian Genitourin Med 1985;61:399–403.

Pandhi RK, Khanna N, Sekhri R. Sexually transmitted infections in children. Indian Pediatr 1995;32:27–30.

Pakistan Medical Research Council. National Health Survey of Pakistan (1991-1994). Islamabad: Pakistan Medical Research Council 1997.

Young T. Sensation seeking and self-reported criminality among students athletes. Percept Mot Skills 1990;70:959–62.

Kraft P, Rise J. The relationship between sensation seeking and smoking, alcohol consumption and sexual behaviour among Norwegian adolescents. Health Educ Res 1995;9:193–200.

Lowry R, Holtzman D, Truman BI, Kann L, Collin JL, Kolbe LJ. Substance use and HIV-related sexual behaviours among US high school students: are they related? Am J Public Health 1994;84:1116–20.

Witbeck L, Cogner R, Simons R, Kao M. Minor deviant behaviours and adolescent sexual activity. Youth Soc 1993;25:24–37.

Issue

Vol. 15 No. 2 (2003): JOURNAL OF AYUB MEDICAL COLLEGE, ABBOTTABAD

Section

ORIGINAL ARTICLE

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