Martin Kouame Tchankoni1, Alexandra Marie Bitty-Anderson2, Arnold Junior Sadio1,3, Fifonsi Adjidossi Gbeasor-Komlanvi1,3, Valentine Marie Ferré4,5, Wendpouiré Ida Carine Zida-Compaore1, Ameyo Monique Dorkenoo6, Bayaki Saka7, Anoumou Claver Dagnra8, Charlotte Charpentier4,5, Didier Koumavi Ekouevi9,10,11,12. 1. Centre Africain de Recherche en Epidémiologie et en Santé Publique (CARESP), Lomé, Togo. 2. Centre de recherche PACCI-Site ANRS Côte d'Ivoire, Abidjan, Côte d'Ivoire. 3. Département de Santé Publique, Université de Lomé, Faculté des Sciences de la Santé, Lomé, Togo. 4. Université de Paris, INSERM UMR 1137 IAME, F-75018, Paris, France. 5. Laboratoire de Virologie, AP-HP, Hôpital Bichat-Claude Bernard, F-75018, Paris, France. 6. Département des Sciences Fondamentales, Université de Lomé, Faculté des Sciences de la Santé, Lomé, Togo. 7. CHU Sylvanus Olympio, Service de Dermatologie et Vénérologie, Université de Lomé, Lomé, Togo. 8. Programme national de lutte contre le sida, les hépatites virales, et les infections sexuellement transmissibles, Lomé, Togo. 9. Centre Africain de Recherche en Epidémiologie et en Santé Publique (CARESP), Lomé, Togo. didier.ekouevi@gmail.com. 10. Département de Santé Publique, Université de Lomé, Faculté des Sciences de la Santé, Lomé, Togo. didier.ekouevi@gmail.com. 11. ISPED, Université de Bordeaux & Centre INSERM U1219 - Bordeaux Population Health, Bordeaux, France. didier.ekouevi@gmail.com. 12. Université de Lomé, Laboratoire de Biologie Moléculaire et d'Immunologie, Lomé, Togo. didier.ekouevi@gmail.com.
Abstract
BACKGROUND: The aim of this study was to estimate the prevalence and factors associated with Trichomonas vaginalis (T. vaginalis) among female sex workers (FSW) in Togo in 2017. A cross-sectional bio-behavioral study was conducted from August to October 2017 using a respondent-driven sampling method in four cities in Togo. METHOD: A standardized questionnaire was used to record socio-demographic data and sexual behavior patterns. T. vaginalis detection by molecular biology tests was performed using Allplex STI Essential Assay which detect also 6 others micro-organisms. A blood sample was drawn and serological test using SD Bioline Duo VIH/Syphilis rapid test was performed for Human immunodeficiency virus (HIV) and syphilis testing. RESULTS: A total of 310 FSW with median age 25 years, interquartile range (IQR) [21-32 years] were included. The prevalence of T. vaginalis was 6.5% (95%CI = [4.1-9.9]) and, overall, prevalence of other STI ranged from 4.2% (95%CI = [2.3-7.2]) for N. gonorrhoeae to 10.6% (95% CI = [7.5-14.7]) for HIV. Binary logistic regression was conducted to assess factors associated with T. vaginalis infection. Living in Lomé (aOR = 3.19; 95%CI = [1.11-11.49]), having had sexual intercourse before the age of 18 (aOR = 5.72; 95%CI = [1.13-10.89]), and being infected with C. trachomatis (aOR = 3.74; 95%CI = [2.95-12.25]) were factors associated with T. vaginalis among FSW. CONCLUSION: The prevalence of T. vaginalis infection using molecular test was low among FSW in Togo. Extensive studies are needed to confirm and to better understand the epidemiology of T. vaginalis among this population and in other populations in Togo.
BACKGROUND: The aim of this study was to estimate the prevalence and factors associated with Trichomonas vaginalis (T. vaginalis) among female sex workers (FSW) in Togo in 2017. A cross-sectional bio-behavioral study was conducted from August to October 2017 using a respondent-driven sampling method in four cities in Togo. METHOD: A standardized questionnaire was used to record socio-demographic data and sexual behavior patterns. T. vaginalis detection by molecular biology tests was performed using Allplex STI Essential Assay which detect also 6 others micro-organisms. A blood sample was drawn and serological test using SD Bioline Duo VIH/Syphilis rapid test was performed for Human immunodeficiency virus (HIV) and syphilis testing. RESULTS: A total of 310 FSW with median age 25 years, interquartile range (IQR) [21-32 years] were included. The prevalence of T. vaginalis was 6.5% (95%CI = [4.1-9.9]) and, overall, prevalence of other STI ranged from 4.2% (95%CI = [2.3-7.2]) for N. gonorrhoeae to 10.6% (95% CI = [7.5-14.7]) for HIV. Binary logistic regression was conducted to assess factors associated with T. vaginalisinfection. Living in Lomé (aOR = 3.19; 95%CI = [1.11-11.49]), having had sexual intercourse before the age of 18 (aOR = 5.72; 95%CI = [1.13-10.89]), and being infected with C. trachomatis (aOR = 3.74; 95%CI = [2.95-12.25]) were factors associated with T. vaginalis among FSW. CONCLUSION: The prevalence of T. vaginalisinfection using molecular test was low among FSW in Togo. Extensive studies are needed to confirm and to better understand the epidemiology of T. vaginalis among this population and in other populations in Togo.
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Authors: Alexandra M Bitty-Anderson; Fifonsi A Gbeasor-Komlanvi; Akila W Bakoubayi; Martin K Tchankoni; Arnold J Sadio; Mounerou Salou; Claver A Dagnra; Didier K Ekouevi; Patrick A Coffie Journal: Front Public Health Date: 2022-08-03