IJID regions · 2026
Molecular prevalence and socioeconomic, demographic, and behavioral risk factors of Chlamydia trachomatis, Neisseria gonorrhoeae, and Ureaplasma species among women in Mogadishu, Somalia.
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Mohamoud Jamal Hassan, Adam Mohamed Hussein, Mohamed Ahmed Mahad Sheikh, Garba Bashiru, Mohamud Abdirahman Khalif, Dahie Hassan Abdullahi, Asowe Hodo Aideed, Orey Fartun Abdullahi Hassan, Nur Maryan Abdullahi Sh, Adawe Maryam, Hassan Jihaan, Dirie Najib Isse, Ahmed Mohamed Mustaf, Ali Qadija Mohamud, Hassan Mariam
Аннотация
OBJECTIVES: Sexually transmitted infections (STIs) are a major global public health concern with significant impacts on sexual and reproductive health. Data on STI prevalence and its associated risk factors in Somalia are limited.
METHODS: This hospital-based cross-sectional study was conducted from January to April 2023 at Dr. Sumait Hospital in Mogadishu. Genital swab samples were collected from 189 consenting women and analyzed using multiplex real-time polymerase chain reaction (PCR). The participants completed questionnaires on sociodemographic characteristics and behaviors. Logistic regression was used to identify factors associated with STI positivity.
RESULTS: The overall prevalence of at least one STI was 37.0% (95% CI: 30.2-43.9%). Ureaplasma was the most common (34.4%), followed by Neisseria gonorrhoeae (5.8%) and Chlamydia trachomatis (1.1%). In multivariable analysis, women aged 38-60 years had 2.8-fold higher odds of STI positivity compared to those aged 17-27 years (AOR=2.80, 95% CI: 1.124-7.002). Women with primary education had significantly higher odds of N. gonorrhoeae infection than those with postsecondary education.
CONCLUSIONS: There is a high prevalence of STIs, particularly Ureaplasma, among women in Mogadishu. Older age and lower education levels were associated with increased STI risk. These findings highlight the need for enhanced STI screening and prevention efforts, especially among older and less-educated women in Somalia.
METHODS: This hospital-based cross-sectional study was conducted from January to April 2023 at Dr. Sumait Hospital in Mogadishu. Genital swab samples were collected from 189 consenting women and analyzed using multiplex real-time polymerase chain reaction (PCR). The participants completed questionnaires on sociodemographic characteristics and behaviors. Logistic regression was used to identify factors associated with STI positivity.
RESULTS: The overall prevalence of at least one STI was 37.0% (95% CI: 30.2-43.9%). Ureaplasma was the most common (34.4%), followed by Neisseria gonorrhoeae (5.8%) and Chlamydia trachomatis (1.1%). In multivariable analysis, women aged 38-60 years had 2.8-fold higher odds of STI positivity compared to those aged 17-27 years (AOR=2.80, 95% CI: 1.124-7.002). Women with primary education had significantly higher odds of N. gonorrhoeae infection than those with postsecondary education.
CONCLUSIONS: There is a high prevalence of STIs, particularly Ureaplasma, among women in Mogadishu. Older age and lower education levels were associated with increased STI risk. These findings highlight the need for enhanced STI screening and prevention efforts, especially among older and less-educated women in Somalia.