The prevalence of sexually transmitted infections in Papua New Guinea: a systematic review and meta-analysis.

<h4>Background</h4>The potential for an expanded HIV epidemic in Papua New Guinea (PNG) demands an effective, evidence-based and locally-appropriate national response. As sexually transmitted infections (STIs) may be important co-factors in HIV transmission nationally, it is timely to co...

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Autores principales:	Andrew Vallely, Andrew Page, Shannon Dias, Peter Siba, Tony Lupiwa, Greg Law, John Millan, David P Wilson, John M Murray, Michael Toole, John M Kaldor
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2010
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/d569a537d398464b8ba24bd9ed442774
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spelling	oai:doaj.org-article:d569a537d398464b8ba24bd9ed4427742021-11-18T07:01:12ZThe prevalence of sexually transmitted infections in Papua New Guinea: a systematic review and meta-analysis.1932-620310.1371/journal.pone.0015586https://doaj.org/article/d569a537d398464b8ba24bd9ed4427742010-12-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/21203468/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>The potential for an expanded HIV epidemic in Papua New Guinea (PNG) demands an effective, evidence-based and locally-appropriate national response. As sexually transmitted infections (STIs) may be important co-factors in HIV transmission nationally, it is timely to conduct a systematic review of STI prevalences to inform national policy on sexual health and HIV/STI prevention.<h4>Methodology/principal findings</h4>We undertook a systematic review and meta-analysis of HIV and STI prevalences in PNG, reported in peer-reviewed and non-peer-reviewed publications for the period 1950-2010. Prevalence estimates were stratified by study site (community or clinic-based), geographic area and socio-demographic characteristics. The search strategy identified 105 reports, of which 25 studies (10 community-based; 10 clinic-based; and 5 among self-identified female sex workers) reported STI prevalences and were included in the systematic review. High prevalences of chlamydia, gonorrhoea, syphilis and trichomonas were reported in all settings, particularly among female sex workers, where pooled estimates of 26.1%, 33.6%, 33.1% and 39.3% respectively were observed. Pooled HIV prevalence in community-based studies was 1.8% (95% CI:1.2-2.4) in men; 2.6% (95% CI:1.7-3.5) in women; and 11.8% (95% CI:5.8-17.7) among female sex workers.<h4>Conclusions/significance</h4>The epidemiology of STIs and HIV in PNG shows considerable heterogeneity by geographical setting and sexual risk group. Prevalences from community-based studies in PNG were higher than in many other countries in the Asia-Pacific. A renewed focus on national STI/HIV surveillance priorities and systems for routine and periodic data collection will be essential to building effective culturally-relevant behavioural and biomedical STI/HIV prevention programs in PNG.Andrew VallelyAndrew PageShannon DiasPeter SibaTony LupiwaGreg LawJohn MillanDavid P WilsonJohn M MurrayMichael TooleJohn M KaldorPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 5, Iss 12, p e15586 (2010)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Andrew Vallely Andrew Page Shannon Dias Peter Siba Tony Lupiwa Greg Law John Millan David P Wilson John M Murray Michael Toole John M Kaldor The prevalence of sexually transmitted infections in Papua New Guinea: a systematic review and meta-analysis.
description	<h4>Background</h4>The potential for an expanded HIV epidemic in Papua New Guinea (PNG) demands an effective, evidence-based and locally-appropriate national response. As sexually transmitted infections (STIs) may be important co-factors in HIV transmission nationally, it is timely to conduct a systematic review of STI prevalences to inform national policy on sexual health and HIV/STI prevention.<h4>Methodology/principal findings</h4>We undertook a systematic review and meta-analysis of HIV and STI prevalences in PNG, reported in peer-reviewed and non-peer-reviewed publications for the period 1950-2010. Prevalence estimates were stratified by study site (community or clinic-based), geographic area and socio-demographic characteristics. The search strategy identified 105 reports, of which 25 studies (10 community-based; 10 clinic-based; and 5 among self-identified female sex workers) reported STI prevalences and were included in the systematic review. High prevalences of chlamydia, gonorrhoea, syphilis and trichomonas were reported in all settings, particularly among female sex workers, where pooled estimates of 26.1%, 33.6%, 33.1% and 39.3% respectively were observed. Pooled HIV prevalence in community-based studies was 1.8% (95% CI:1.2-2.4) in men; 2.6% (95% CI:1.7-3.5) in women; and 11.8% (95% CI:5.8-17.7) among female sex workers.<h4>Conclusions/significance</h4>The epidemiology of STIs and HIV in PNG shows considerable heterogeneity by geographical setting and sexual risk group. Prevalences from community-based studies in PNG were higher than in many other countries in the Asia-Pacific. A renewed focus on national STI/HIV surveillance priorities and systems for routine and periodic data collection will be essential to building effective culturally-relevant behavioural and biomedical STI/HIV prevention programs in PNG.
format	article
author	Andrew Vallely Andrew Page Shannon Dias Peter Siba Tony Lupiwa Greg Law John Millan David P Wilson John M Murray Michael Toole John M Kaldor
author_facet	Andrew Vallely Andrew Page Shannon Dias Peter Siba Tony Lupiwa Greg Law John Millan David P Wilson John M Murray Michael Toole John M Kaldor
author_sort	Andrew Vallely
title	The prevalence of sexually transmitted infections in Papua New Guinea: a systematic review and meta-analysis.
title_short	The prevalence of sexually transmitted infections in Papua New Guinea: a systematic review and meta-analysis.
title_full	The prevalence of sexually transmitted infections in Papua New Guinea: a systematic review and meta-analysis.
title_fullStr	The prevalence of sexually transmitted infections in Papua New Guinea: a systematic review and meta-analysis.
title_full_unstemmed	The prevalence of sexually transmitted infections in Papua New Guinea: a systematic review and meta-analysis.
title_sort	prevalence of sexually transmitted infections in papua new guinea: a systematic review and meta-analysis.
publisher	Public Library of Science (PLoS)
publishDate	2010
url	https://doaj.org/article/d569a537d398464b8ba24bd9ed442774
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The prevalence of sexually transmitted infections in Papua New Guinea: a systematic review and meta-analysis.

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