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Factors Associated with Repeat Visits among Clients Attending a Clinic for Sexually Transmitted Infections in Kisumu, Kenya

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Title: Factors Associated with Repeat Visits among Clients Attending a Clinic for Sexually Transmitted Infections in Kisumu, Kenya
Author(s): Pultorak, Elizabeth; Odoyo-June, Elijah; Hayombe, Juma; Opiyo, Felix; Odongo, Winnie; Ogollah, James Aggrey; Moses, Stephen; Bailey, Robert C.; Mehta, Supriya D.
Subject(s): Kenya syndromic management sexually transmitted infection repeat visit reinfection core
Abstract: Purpose: To identify factors associated with repeat visits among patients attending a clinic for sexually transmitted infections (STIs) in Kisumu, Kenya. Methods: Records of clinic visits were examined from March 2009 through May 2010. Multivariable logistic regression identified factors associated with repeat visits occurring > 30 days after the initial visit. Results: Among 1,473 clients (1,296 single-visit individuals vs. 177 individuals with repeat visits), the median age was 24 years, 67% were male, and 8.6% self-reported being HIV positive. In adjusted analyses, men with repeat visits were more likely to report > 2 recent sex partners (adjusted odds ratio (AOR) =1.60) and being HIV-positive (AOR=2.35). They were less likely to have been referred from other health facilities (AOR=0.14) and more likely to have urethral discharge at initial visit (AOR=2.46). Among women, repeat visits were associated with vaginal discharge (AOR=2.22), but attending the clinic with a partner was protective (AOR=0.38). Conclusions: The association between sexual risk, HIV positivity and repeat visits among male clients highlights the need to focus intervention efforts on this group. For women, attending with a partner may reflect a decreased risk of re-infection if both partners are treated and counseled together.
Issue Date: 2011-11
Publisher: Royal Society of Medicine Press
Citation Info: Pultorak, E., Odoyo-June, E., Hayombe, J., Opiyo, F., Odongo, W., Ogollah, J. A., Moses, S., Bailey, R. C., & Mehta, S. D. 2011. Factors associated with repeat visits among clients attending a clinic for sexually transmitted infections in Kisumu, Kenya. International Journal of STD and AIDS , 22(11): 640-644. doi: 10.1258/ijsa.2011.010483
Type: Article
Description: This is the final draft, after peer-review, of a manuscript published in RSM journals: www.rsmpress.com. © 2011 Royal Society of Medicine Press Limited. DOI: 10.1258/ijsa.2011.010483.
URI: http://hdl.handle.net/10027/8581
ISSN: 0956-4624
Date Available in INDIGO: 2012-08-20
 

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