Journal of tropical medicine · 2026
Factors Associated With the Syndromic Diagnosis of Sexually Transmitted Infections Among Adolescent Girls and Young Women (AGYW): Findings From the Namibia DREAMS Program.
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Moyo Enos, Melese Endalkachew, Mangwana Hadrian, Takawira Simon, Harases Bernadette, Indongo Rosalia, Moyo Perseverance, Nyoni Ntombizodwa Makurira, Dzinamarira Tafadzwa
Аннотация
BACKGROUND: Approximately one million curable sexually transmitted infections (STIs) are contracted daily by individuals aged 15-49 years worldwide. The study aimed to evaluate the prevalence of syndromic STIs and associated factors among AGYW participating in the Determined, Resilient, Empowered, AIDS-free, Mentored, and Safe (DREAMS) program implemented by Project HOPE Namibia.
METHODS: Data for this retrospective study were obtained from the DREAMS program, covering 2018 to 2024. The population for the study consisted of sexually active AGYW aged 15-24 years who were screened for STIs. Data were analyzed using IBM Statistical Package for Social Sciences (SPSS) Version 29 by employing chi-squared tests and binomial and multinomial logistic regression.
RESULTS: Of the 27,992 participants in this analysis, 3184 (11.4%) were syndromically diagnosed with an STI (95% CI: 11.0%-11.8%). Participants less likely to have an STI diagnosis included those aged 15-19 years (AOR = 0.74, 95% CI: 0.68-0.81), pregnant or breastfeeding (COR = 0.12, 95% CI: 0.02-0.87), and those using family planning (AOR = 0.25, 95% CI: 0.23-0.29). Higher likelihoods of syndromic STI diagnosis were seen in recurrent postexposure prophylaxis users (COR = 2.71, 95% CI: 1.21-6.07) and those engaging in sex under the influence of alcohol or drugs (AOR = 1.93, 95% CI: 1.2-2.95).
CONCLUSION: We recommend that the program intensify education on safe sexual practices and the consistent use of condoms to prevent STIs among high-risk AGYW. Additionally, we recommend that AGYW refrain from taking alcohol and drugs.
METHODS: Data for this retrospective study were obtained from the DREAMS program, covering 2018 to 2024. The population for the study consisted of sexually active AGYW aged 15-24 years who were screened for STIs. Data were analyzed using IBM Statistical Package for Social Sciences (SPSS) Version 29 by employing chi-squared tests and binomial and multinomial logistic regression.
RESULTS: Of the 27,992 participants in this analysis, 3184 (11.4%) were syndromically diagnosed with an STI (95% CI: 11.0%-11.8%). Participants less likely to have an STI diagnosis included those aged 15-19 years (AOR = 0.74, 95% CI: 0.68-0.81), pregnant or breastfeeding (COR = 0.12, 95% CI: 0.02-0.87), and those using family planning (AOR = 0.25, 95% CI: 0.23-0.29). Higher likelihoods of syndromic STI diagnosis were seen in recurrent postexposure prophylaxis users (COR = 2.71, 95% CI: 1.21-6.07) and those engaging in sex under the influence of alcohol or drugs (AOR = 1.93, 95% CI: 1.2-2.95).
CONCLUSION: We recommend that the program intensify education on safe sexual practices and the consistent use of condoms to prevent STIs among high-risk AGYW. Additionally, we recommend that AGYW refrain from taking alcohol and drugs.