| Studying complex interactions among determinants of healthcare-seeking behaviours: self-medication for sexually transmitted infection symptoms in female sex workers. | |
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MedLine Citation:
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PMID: 20660592 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To describe the frequency and determinants of self-medication for symptoms of sexually transmitted infections (STI) in a female sex worker (FSW) population. To present a methodology exploring the best predictors as well as the interactions between determinants of self-medication. METHODS: A cross-sectional survey of 4153 FSW carried out in Peru. The prevalence of self-medication was estimated from the subsample of participants who had experienced symptoms of STI in the past 12 months (n=1601), and used successive logistic regression models to explore the determinants. RESULTS: Self-medication prevalence for a reported symptomatic episode during the past 12 months was 32.1% (95% CI 29.8 to 34.6). It was negatively correlated with work in brothels (adjusted odds ratio (OR) 0.51, 95% CI 0.28 to 0.93; p=0.028) and awareness of STI services available for FSW (adjusted OR 0.49, 95% CI 0.29 to 0.81; p=0.006). Other determinants were organised at different levels of proximity to the outcome creating pathways leading to self-medication. CONCLUSIONS: The importance of the staggered analysis presented in this study resides in its potential to improve the understanding of associations between determinants and, consequently, the targeting of interventions. The awareness of STI services available for FSW increases access to health care, which in turn decreases self-medication. In addition, the sharing of information that takes place between brothel-based FSW was also related to a diminishing prevalence of self-medication. These two main predictors provide an opportunity for prevention programmes, in particular those designed to be led by peers. |
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Authors:
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Gabriela B Gomez; Pablo E Campos; Clara Buendia; Cesar P Carcamo; Patricia J Garcia; Patricia Segura; William L Whittington; James P Hughes; Helen Ward; Geoffrey P Garnett; King K Holmes |
Publication Detail:
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Type: Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Sexually transmitted infections Volume: 86 ISSN: 1472-3263 ISO Abbreviation: Sex Transm Infect Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-07-27 Completed Date: 2010-11-01 Revised Date: 2012-05-23 |
Medline Journal Info:
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Nlm Unique ID: 9805554 Medline TA: Sex Transm Infect Country: England |
Other Details:
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Languages: eng Pagination: 285-91 Citation Subset: IM |
Affiliation:
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Department of Infectious Disease Epidemiology, Imperial College London, London, UK. g.gomez@imperial.ac.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Cross-Sectional Studies Female Humans Patient Acceptance of Health Care / statistics & numerical data* Peru Prostitution / statistics & numerical data* Self Medication / statistics & numerical data* Sexual Partners Sexually Transmitted Diseases / therapy* Socioeconomic Factors Young Adult |
| Grant Support | |
ID/Acronym/Agency:
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AI-031448/AI/NIAID NIH HHS; AI-053218/AI/NIAID NIH HHS; GR-078835//Wellcome Trust; P30 AI027757/AI/NIAID NIH HHS; //Medical Research Council |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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