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Teenage obstetric and gynaecological problems in an African city.
Cent Afr J Med. 1994 Sep; 40(9):234-44.CA

Abstract

OBJECTIVE

To measure the prevalence of sexually transmitted diseases (STD), pelvic inflammatory disease (PID), cervical cancer, pregnancy and use of contraception in teenagers, and to determine socioeconomic factors associated with these conditions to aid planners of medical services and promotion of sexual health.

SUBJECTS

181 Ethiopian teenagers and 1,845 women aged 20 to 45 years for comparison.

SETTING

Gynaecological outpatient department, antenatal, postnatal and family planning clinics, in two teaching hospitals and a mother and child heath centre in Addis Ababa, Ethiopia.

METHODS

Results of serologic tests for STD, clinical evidence of PID, and cervical cytology were analysed against socio-economic factors.

RESULTS

In teenagers early age at first marriage/coitus, more common in those of rural origin, was associated with poverty, a greater number of lifetime sexual partners, and prostitution: 40 pc were first sexually active before the menarche. Prevalence of seropositivity to specific STD pathogens was; Treponema pallidum (TPHA) 21 pc, Neisseria gonorrhoeae (gonococcal antibody test: GAT) 40 pc, genital chlamydiae 51 pc, hepatitis B virus 36 pc, herpes simplex virus (HSV-2) 32 pc, and Haemophilus ducreyi 16 pc: 92 pc of teenagers were seropositive to one or more STD's. STD seroprevalence was higher in those with more than one sexual partner, those sexually active by age 15 (very high in those sexually active by age 12), those involved in prostitution and those attending the family planning clinic. Forty three pc had clinical evidence of PID; one married at age 10 had invasive cervical cancer by age 18; 40 pc of teenagers were pregnant compared with 25 pc of those aged 20 to 45; 21 pc attended for family planning; of regular FPC attenders 81 pc were GAT seropositive.

CONCLUSION

Despite legislation early age of sexual debut is common, STD and PID are widely prevalent, the pregnancy rate in adolescents is high and contributes to the national population growth rate. Action is required at family, medical and governmental level to encourage cultural acceptance that marriage and sexual activity should not occur before the age of 16 years, with education appropriate to culture to prevent STD. Similar studies are recommended in other countries to establish a baseline for informed strategy regarding prevention of STD and health education.

Authors+Show Affiliations

Department of Medical Microbiology, University of Edinburgh, Scotland, UK.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

7834712

Citation

Duncan, M E., et al. "Teenage Obstetric and Gynaecological Problems in an African City." The Central African Journal of Medicine, vol. 40, no. 9, 1994, pp. 234-44.
Duncan ME, Tibaux G, Pelzer A, et al. Teenage obstetric and gynaecological problems in an African city. Cent Afr J Med. 1994;40(9):234-44.
Duncan, M. E., Tibaux, G., Pelzer, A., Mehari, L., Peutherer, J., Young, H., Jamil, Y., Darougar, S., Piot, P., & Roggén, E. (1994). Teenage obstetric and gynaecological problems in an African city. The Central African Journal of Medicine, 40(9), 234-44.
Duncan ME, et al. Teenage Obstetric and Gynaecological Problems in an African City. Cent Afr J Med. 1994;40(9):234-44. PubMed PMID: 7834712.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Teenage obstetric and gynaecological problems in an African city. AU - Duncan,M E, AU - Tibaux,G, AU - Pelzer,A, AU - Mehari,L, AU - Peutherer,J, AU - Young,H, AU - Jamil,Y, AU - Darougar,S, AU - Piot,P, AU - Roggén,E, PY - 1994/9/1/pubmed PY - 1994/9/1/medline PY - 1994/9/1/entrez KW - Adolescent Pregnancy KW - Adolescents KW - Adolescents, Female KW - Africa KW - Africa South Of The Sahara KW - Age Factors KW - Behavior KW - Contraception KW - Contraceptive Usage KW - Demographic Factors KW - Developing Countries KW - Diseases KW - Eastern Africa KW - Economic Factors KW - Ethiopia KW - Family Planning KW - Fertility KW - First Intercourse KW - Infections KW - Measurement KW - Pelvic Inflammatory Disease KW - Population KW - Population Characteristics KW - Population Dynamics KW - Prevalence KW - Reproductive Behavior KW - Reproductive Tract Infections KW - Sampling Studies KW - Sex Behavior KW - Sexually Transmitted Diseases KW - Socioeconomic Factors KW - Studies KW - Surveys KW - Youth SP - 234 EP - 44 JF - The Central African journal of medicine JO - Cent Afr J Med VL - 40 IS - 9 N2 - OBJECTIVE: To measure the prevalence of sexually transmitted diseases (STD), pelvic inflammatory disease (PID), cervical cancer, pregnancy and use of contraception in teenagers, and to determine socioeconomic factors associated with these conditions to aid planners of medical services and promotion of sexual health. SUBJECTS: 181 Ethiopian teenagers and 1,845 women aged 20 to 45 years for comparison. SETTING: Gynaecological outpatient department, antenatal, postnatal and family planning clinics, in two teaching hospitals and a mother and child heath centre in Addis Ababa, Ethiopia. METHODS: Results of serologic tests for STD, clinical evidence of PID, and cervical cytology were analysed against socio-economic factors. RESULTS: In teenagers early age at first marriage/coitus, more common in those of rural origin, was associated with poverty, a greater number of lifetime sexual partners, and prostitution: 40 pc were first sexually active before the menarche. Prevalence of seropositivity to specific STD pathogens was; Treponema pallidum (TPHA) 21 pc, Neisseria gonorrhoeae (gonococcal antibody test: GAT) 40 pc, genital chlamydiae 51 pc, hepatitis B virus 36 pc, herpes simplex virus (HSV-2) 32 pc, and Haemophilus ducreyi 16 pc: 92 pc of teenagers were seropositive to one or more STD's. STD seroprevalence was higher in those with more than one sexual partner, those sexually active by age 15 (very high in those sexually active by age 12), those involved in prostitution and those attending the family planning clinic. Forty three pc had clinical evidence of PID; one married at age 10 had invasive cervical cancer by age 18; 40 pc of teenagers were pregnant compared with 25 pc of those aged 20 to 45; 21 pc attended for family planning; of regular FPC attenders 81 pc were GAT seropositive. CONCLUSION: Despite legislation early age of sexual debut is common, STD and PID are widely prevalent, the pregnancy rate in adolescents is high and contributes to the national population growth rate. Action is required at family, medical and governmental level to encourage cultural acceptance that marriage and sexual activity should not occur before the age of 16 years, with education appropriate to culture to prevent STD. Similar studies are recommended in other countries to establish a baseline for informed strategy regarding prevention of STD and health education. SN - 0008-9176 UR - https://www.unboundmedicine.com/medline/citation/7834712/Teenage_obstetric_and_gynaecological_problems_in_an_African_city_ L2 - https://medlineplus.gov/birthcontrol.html DB - PRIME DP - Unbound Medicine ER -