Prevalence of STIs, sexual practices and substance use among 2083 sexually active unmarried women in Lebanon

Abstract Access to sexual and reproductive health in conservative communities and in the MENA region are particularly limited and, as such, increase women’s vulnerability to unwanted pregnancies, unsafe abortions, and sexually transmitted infections (STIs). The aim was to assess the prevalence of ST...

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Autores principales:	Sara Abu Zaki, Jihane Naous, Antoine Ghanem, Diana Abou Abbas, Roland Tomb, Jade Ghosn, Ayman Assi
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/2e530f8b3a4d4fe185e15d450d1ae23e
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spelling	oai:doaj.org-article:2e530f8b3a4d4fe185e15d450d1ae23e2021-12-02T14:35:40ZPrevalence of STIs, sexual practices and substance use among 2083 sexually active unmarried women in Lebanon10.1038/s41598-021-89258-52045-2322https://doaj.org/article/2e530f8b3a4d4fe185e15d450d1ae23e2021-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-89258-5https://doaj.org/toc/2045-2322Abstract Access to sexual and reproductive health in conservative communities and in the MENA region are particularly limited and, as such, increase women’s vulnerability to unwanted pregnancies, unsafe abortions, and sexually transmitted infections (STIs). The aim was to assess the prevalence of STIs, sexual practices, recreational drug-use and their possible associations among cisgender unmarried women residing in Lebanon. Data on demographics, sexual practices and substance-use were collected from 2083 unmarried cisgender women who voluntarily attended a sexual health clinic in Lebanon between 2015 and 2019. They tested for HIV, Hepatitis B, Hepatitis C and Syphilis through rapid testing. Other infections (genital warts, Neisseria gonorrhea/Chlamydia trachomatis) were screened for. Regression models were computed between variables. There were two cases of HIV, one of Hepatitis B and syphilis, and no cases of Hepatitis C. Genital warts were present in 15% and symptoms indicative of Neisseria gonorrhea/Chlamydia trachomatis in 14%. Inconsistent condom-use (81%) was significantly associated with number of partners (adj. OR: 0.4). Inconsistent condom-use discussion with partners (33%) was significantly associated with unemployment (adj OR: 1.7), recreational drug-use (adj. OR: 1.4), and number of partners (adj. ORs 3.7–4.4). Unwanted pregnancies (11%) were significantly associated with age (adj. ORs 0.1–0.37), recreational drug-use (adj. OR: 2), using intrauterine device (adj. OR:2.9) and natural birth control methods (adj. OR: 2.4). Recreational drug-use (33%) was significantly associated with age (adj ORs 1.9–2.2), and smoking status (adj. OR: 0.6). The results indicate an urgent need for: (1) Accessible, non-stigmatizing, and inclusive sexual health services dedicated to women’s sexual health; (2) Comprehensive and non-stigmatizing sexual health education for all, but especially women, in order to promote safer sexual practices and effective decision making with regards to contraception and condom-use.Sara Abu ZakiJihane NaousAntoine GhanemDiana Abou AbbasRoland TombJade GhosnAyman AssiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Sara Abu Zaki Jihane Naous Antoine Ghanem Diana Abou Abbas Roland Tomb Jade Ghosn Ayman Assi Prevalence of STIs, sexual practices and substance use among 2083 sexually active unmarried women in Lebanon
description	Abstract Access to sexual and reproductive health in conservative communities and in the MENA region are particularly limited and, as such, increase women’s vulnerability to unwanted pregnancies, unsafe abortions, and sexually transmitted infections (STIs). The aim was to assess the prevalence of STIs, sexual practices, recreational drug-use and their possible associations among cisgender unmarried women residing in Lebanon. Data on demographics, sexual practices and substance-use were collected from 2083 unmarried cisgender women who voluntarily attended a sexual health clinic in Lebanon between 2015 and 2019. They tested for HIV, Hepatitis B, Hepatitis C and Syphilis through rapid testing. Other infections (genital warts, Neisseria gonorrhea/Chlamydia trachomatis) were screened for. Regression models were computed between variables. There were two cases of HIV, one of Hepatitis B and syphilis, and no cases of Hepatitis C. Genital warts were present in 15% and symptoms indicative of Neisseria gonorrhea/Chlamydia trachomatis in 14%. Inconsistent condom-use (81%) was significantly associated with number of partners (adj. OR: 0.4). Inconsistent condom-use discussion with partners (33%) was significantly associated with unemployment (adj OR: 1.7), recreational drug-use (adj. OR: 1.4), and number of partners (adj. ORs 3.7–4.4). Unwanted pregnancies (11%) were significantly associated with age (adj. ORs 0.1–0.37), recreational drug-use (adj. OR: 2), using intrauterine device (adj. OR:2.9) and natural birth control methods (adj. OR: 2.4). Recreational drug-use (33%) was significantly associated with age (adj ORs 1.9–2.2), and smoking status (adj. OR: 0.6). The results indicate an urgent need for: (1) Accessible, non-stigmatizing, and inclusive sexual health services dedicated to women’s sexual health; (2) Comprehensive and non-stigmatizing sexual health education for all, but especially women, in order to promote safer sexual practices and effective decision making with regards to contraception and condom-use.
format	article
author	Sara Abu Zaki Jihane Naous Antoine Ghanem Diana Abou Abbas Roland Tomb Jade Ghosn Ayman Assi
author_facet	Sara Abu Zaki Jihane Naous Antoine Ghanem Diana Abou Abbas Roland Tomb Jade Ghosn Ayman Assi
author_sort	Sara Abu Zaki
title	Prevalence of STIs, sexual practices and substance use among 2083 sexually active unmarried women in Lebanon
title_short	Prevalence of STIs, sexual practices and substance use among 2083 sexually active unmarried women in Lebanon
title_full	Prevalence of STIs, sexual practices and substance use among 2083 sexually active unmarried women in Lebanon
title_fullStr	Prevalence of STIs, sexual practices and substance use among 2083 sexually active unmarried women in Lebanon
title_full_unstemmed	Prevalence of STIs, sexual practices and substance use among 2083 sexually active unmarried women in Lebanon
title_sort	prevalence of stis, sexual practices and substance use among 2083 sexually active unmarried women in lebanon
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/2e530f8b3a4d4fe185e15d450d1ae23e
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Prevalence of STIs, sexual practices and substance use among 2083 sexually active unmarried women in Lebanon

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