Thesis (M.S.P.H.)--University of Michigan, 1943.

Thesis equivalent (M.P.H.)--University of Michigan.

Thesis (M.S.P.H.)--University of Michigan, 1941.

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No description available.

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No description available.

Sexually transmitted infections (STI’s) are a major public health problem. If STI’s are not treated they can cause infertility, long term disability and death. Partner notification and partner treatment have been identified as important aspects of management to curb the chain of transmission, reinfection and complications of STI’s. The high prevalence of STI’s and low partner treatment rate is cause for concern. The ability to communicate with sexual partners about going to the clinic for treatment is the cornerstone in breaking the chain of reinfection and preventing complications. The aim of the study was: • To determine the percentage of patients presenting as a result of partner notification. • To describe the demography of patients attending the STI clinic. • To determine the preferred methods of partner notification from the perspective of being a patient and from the perspective of being a sexual contact/partner. The study is a replication of the study entitled ‘Patient Preferences for Partner Notification of Sexually Transmitted Infections by (Apoola, Radcliffe, Das, et al.,2006:327). ’ The study is a quantitative, descriptive, survey design, and a replicated self-administered questionnaire of the study was used. The sample of 162 patients was taken from a population of about 800 STI clinic attendees over a period of one month at a local public sector clinic in Johannesburg. Data was captured using an excel spread sheet and then were exported to the Stata Release 11 program for analysis. Data was summarized using frequencies, means, and percentages. Reliability, validity and ethical issues were taken into consideration. From the results of the study it became apparent that the majority of STI patients 156(96%) attending the STI clinic under study preferred to inform their partners themselves that the partner may be at risk of an STI and should receive treatment. Furthermore, the participants in this particular study would also prefer to be informed by their partner if they were potentially at risk of contracting a sexually transmitted infection. With respect to the demographics of the clinic attendees, the majority of the patients attended the clinic because they presented with signs and symptoms of what they believed to be a sexually transmitted infection (92%), and only 8% of the participants attended the clinic because they were informed by a partner that they have been potentially exposed to an STI. It was identified that 92% of participants did have cellular telephones, and this is potentially a good means of partner notification given that the majority of the research sample had access to cellular telephones. In conclusion the participants in this particular study would prefer to notify their partner themselves of the potential exposure to a STI as opposed to other means of partner notification.

Title: Risk factors for sexually transmitted infections among mine workers in Orkney, North West Province, South Africa. Background: The role of mobile populations in the spread of HIV has been documented in several countries of the world. In South Africa, the relationship between mine migration and HIV has been studied in detail in the mining town of Carletonville and in Welkom. The link between HIV acquisition and transmission has been well documented. Prevention and early treatment of sexually transmitted infections have been identified as public health priorities as reflected in HIV/AIDS, TB and STI strategic plan of South Africa (2012 – 2016). In this study we sought to measure the prevalence of STIs among mine workers at baseline before a planned STI treatment intervention. Objectives: To: 1) Measure the prevalence of STIs amongst the mine workers. 2) Describe the types of STI in the population. 3) Identify risk factors associated with genital ulcers diseases. Results: The highest percentage of STI positivity 188 (10.6%) was observed in the youngest male group (<30) in the study population and decreasing by age (50-64) at 1.8%. We found that of the 1685 participants, 78 (4.6%) had any STI, with 46 (2.9%) having chlamydia, 20 (1.3%) having gonorrhea and 7 (0.4%) having genital ulcer STI. Age was found to be a significant predictor of Chlamydia status. Fitting a multiple logistic regression model showed that the age group of a participant and whom the participant lived with were the two major independent factors that were associated with the risk of a person having an STI. Conclusion: There is a high demand for STI prevention programmes to focus on the younger age group. A surprising finding that in fact risk of STIs was higher among men living with their partners than among those in the single-sex hostels, where we expected to find the highest risk. Targeted door to door prevention education campaigns may go a long way in modifying the behaviour of having multiple sexual partners.