Sociodemographic and Sexual Risk Factors Associated with Genital Chlamydia Trachomatis Infection among Clinic Attendees at Irrua Specialist Teaching Hospital
DOI:
https://doi.org/10.54536/ajmhc.v1i2.8344Keywords:
Chlamydia Trachomatis, Coitarche, Condom Use, Prevalence, Risk Factors, Sexual Behavior, Sti HistoryAbstract
Genital chlamydia infection is frequently asymptomatic, making the identification of risk factors important for targeted screening. This cross-sectional study included 472 participants from multiple hospital clinics and used questionnaires and laboratory testing with rapid kits and GeneXpert CT to determine the sociodemographic and behavioral factors associated with genital C. trachomatis infection. The findings showed that younger age, early coitarche, unmarried or widowed/divorced status, cohabitation, multiple sexual partners, inconsistent condom use, and previous STI history were associated with infection. Overall, demographic and sexual-behavior factors were important predictors of genital chlamydia infection and should be considered in developing targeted screening and prevention strategies
Downloads
References
Ajani, T. A., Oluwasola, T. O., Anaedobe, C. G., Ajani, M. A., Fayemiwo, S. A., & Bakare, R. A. (2017). Correlates of genital Chlamydial trachomatis infection in a cohort of infertile women in Ibadan, Nigeria. International Journal of Reproductive, Contraception, Obstetrics and Gynecology, 6(9), 3754–3761. https://doi.org/10.18203/2320-1770.ijrcog20174021
Aral, S. O. (2001). Sexually transmitted diseases: Magnitude, determinants and consequences. International Journal of STD & AIDS, 12(4), 211–215. https://doi.org/10.1258/0956462011922612
Frej-Mądrzak, M., Grybóś, A., Grybóś, M., Teryks-Wołyniec, D., Jama-Kmiecik, A., Sarowska, J., & Choroszy-Król, I. (2018). PCR diagnostics of Chlamydia trachomatis in asymptomatic infection by women. Ginekologia Polska, 89(3), 115–119. https://doi.org/10.5603/GP.a2018.0020
Gaffoor, Z., Wand, H., Street, R. A., Abbai, N., & Ramjee, G. (2016). Predictors of perceived male partner concurrency among women at risk for HIV and STI acquisition in Durban, South Africa. AIDS Research and Therapy, 13, 14. https://doi.org/10.1186/s12981-016-0098-7
Gaydos, C. A., Van Der Pol, B., Jett-Goheen, M., Barnes, M., Quinn, N., Clark, C., Daniel, G. E., Dixon, P. B., & Hook, E. W. (2013). Performance of the Cepheid CT/NG Xpert rapid PCR test for detection of Chlamydia trachomatis and Neisseria gonorrhoeae. Journal of Clinical Microbiology, 51(6), 1666–1672. https://doi.org/10.1128/JCM.03461-12
Haggerty, C. L., Gottlieb, S. L., Taylor, B. D., Low, N., Xu, F., & Ness, R. B. (2010). Risk of sequelae after Chlamydia trachomatis genital infection in women. The Journal of Infectious Diseases, 201(Suppl. 2), S134–S155. https://doi.org/10.1086/652395
Harding-Esch, E. M., Nori, A. V., Hegazi, A., Pond, M., Okolo, O., Nardone, A., et al. (2017). Impact of deploying multiple point-of-care tests with a sample first approach on a sexual health clinical care pathway. Sexually Transmitted Infections, 93(6), 424–429. https://doi.org/10.1136/sextrans-2016-052988
Magnusson, B. M., Nield, J. A., & Lapane, K. L. (2015). Age at first intercourse and subsequent sexual partnering among adult women in the United States: A cross-sectional study. BMC Public Health, 15, 98. https://doi.org/10.1186/s12889-015-1458-2
Newman, L., Rowley, J., Vander Hoorn, S., Wijesooriya, N. S., Unemo, M., Low, N., Stevens, G., Gottlieb, S. L., Kiarie, J., & Temmerman, M. (2015). Global estimates of the prevalence and incidence of four curable sexually transmitted infections in 2012. PLoS ONE, 10(12), e0143304. https://doi.org/10.1371/journal.pone.0143304
Nwankwo, E. O., & Sadiq, M. N. (2014). Prevalence of Chlamydia trachomatis infection among patients attending infertility and sexually transmitted diseases clinic in Kano, north-western Nigeria. African Health Sciences, 14(1), 672–678. https://doi.org/10.4314/ahs.v14i3.28
Rowley, J., Vander Hoorn, S., Korenromp, E., Low, N., Unemo, M., Abu-Raddad, L. J., Chico, R. M., Smolak, A., Newman, L., Gottlieb, S., Thwin, S. S., Broutet, N., & Taylor, M. M. (2019). Chlamydia, gonorrhoea, trichomoniasis and syphilis: Global prevalence and incidence estimates, 2016. Bulletin of the World Health Organization, 97(8), 548–562. https://doi.org/10.2471/BLT.18.228486
Stein, C. R., Kaufman, J. S., Ford, C. A., Feldblum, P. J., Leone, P. A., & Miller, W. C. (2008). Partner age difference and prevalence of chlamydial infection among young adult women. Sexually Transmitted Diseases, 35(5), 447–452.
Tsevat, D. G., Wiesenfeld, H. C., Parks, C., & Peipert, J. F. (2017). Sexually transmitted diseases and infertility. American Journal of Obstetrics and Gynecology, 216(1), 1–9. https://doi.org/10.1016/j.ajog.2016.08.008
World Health Organization. (2020, October 14). Chlamydia [Fact sheet]. https://www.who.int/news-room/fact-sheets/detail/chlamydia
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Onuoha-Ojeamiren Gloria, Onuoha Augunus Chidubem, Adewuyi Gbolagade Morufu, Azeke Olohita Diane, Fapohunda Osagioduwa Wuraola, Samuel Sunday Olowo (Author)

This work is licensed under a Creative Commons Attribution 4.0 International License.

