Barriers to reproductive tract infection (RTI) care among Vietnamese women: Implications for RTI control programs

Research output: Contribution to journalArticle

Abstract

Background: Vietnamese women may be especially vulnerable to reproductive tract infections (RTIs) and their biological and social sequelae. Few data are available on the prevalence of and health-seeking behavior for RTIs among women in Vietnam. Goal: To assess prevalence of RTI symptoms, describe treatment-seeking behaviors, and identify barriers to care among Vietnamese women. Study Design: A population-based survey was conducted among 1163 Vietnamese women aged 18 years to 49 years. Results: Five hundred seven women (43.6%) reported RTI symptoms in the previous 6 months, including abnormal vaginal discharge (78.3%), lower abdominal pain (46.7%), and genital ulcers (3.6%). Sixty-four percent of these women sought care at some type of medical venue: health station (i.e., government clinic; 24.7%), hospital (15.8%), pharmacy (15.2%), or private doctor (8.1 %). The remaining women ignored symptoms (24.8 %) or were self-treated (11.4%). In multivariate analysis, stigma associated with sexually transmitted infections (odds ratio [OR] = 1.83; 95% confidence interval [CI] = 1.25-2.70); not seeking informal advice (OR = 2.90; 95% CI = 1.82-4.62); mildness of symptoms (OR = 3.01; 95% CI = 1.45-6.23); absence of perceived morbidity (OR = 3.56; 95% CI = 2.20-5.77); and short duration of symptoms (OR = 2.53; 95% CI = 1.04-6.16) were significantly associated with ignoring RTI symptoms. Conclusion: A substantial number of women in northern Vietnam who reported RTI symptoms did not seek care. Interventions to raise awareness about RTI symptoms and their consequences, dissipate negative stereotypes, and encourage open discussion about RTIs should facilitate appropriate careseeking for RTIs.

Original languageEnglish (US)
Pages (from-to)201-206
Number of pages6
JournalSexually Transmitted Diseases
Volume29
Issue number4
StatePublished - 2002

Fingerprint

Reproductive Tract Infections
Infection Control
Odds Ratio
Confidence Intervals
Vietnam
Vaginal Discharge
Health
Sexually Transmitted Diseases
Abdominal Pain
Ulcer
Multivariate Analysis
Morbidity

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Microbiology (medical)

Cite this

@article{dbb13698000e419dbbe77df1342bf2d7,
title = "Barriers to reproductive tract infection (RTI) care among Vietnamese women: Implications for RTI control programs",
abstract = "Background: Vietnamese women may be especially vulnerable to reproductive tract infections (RTIs) and their biological and social sequelae. Few data are available on the prevalence of and health-seeking behavior for RTIs among women in Vietnam. Goal: To assess prevalence of RTI symptoms, describe treatment-seeking behaviors, and identify barriers to care among Vietnamese women. Study Design: A population-based survey was conducted among 1163 Vietnamese women aged 18 years to 49 years. Results: Five hundred seven women (43.6{\%}) reported RTI symptoms in the previous 6 months, including abnormal vaginal discharge (78.3{\%}), lower abdominal pain (46.7{\%}), and genital ulcers (3.6{\%}). Sixty-four percent of these women sought care at some type of medical venue: health station (i.e., government clinic; 24.7{\%}), hospital (15.8{\%}), pharmacy (15.2{\%}), or private doctor (8.1 {\%}). The remaining women ignored symptoms (24.8 {\%}) or were self-treated (11.4{\%}). In multivariate analysis, stigma associated with sexually transmitted infections (odds ratio [OR] = 1.83; 95{\%} confidence interval [CI] = 1.25-2.70); not seeking informal advice (OR = 2.90; 95{\%} CI = 1.82-4.62); mildness of symptoms (OR = 3.01; 95{\%} CI = 1.45-6.23); absence of perceived morbidity (OR = 3.56; 95{\%} CI = 2.20-5.77); and short duration of symptoms (OR = 2.53; 95{\%} CI = 1.04-6.16) were significantly associated with ignoring RTI symptoms. Conclusion: A substantial number of women in northern Vietnam who reported RTI symptoms did not seek care. Interventions to raise awareness about RTI symptoms and their consequences, dissipate negative stereotypes, and encourage open discussion about RTIs should facilitate appropriate careseeking for RTIs.",
author = "Go, {Vivian F.} and Quan, {Vu Minh} and A. Chung and Zenilman, {Jonathan Mark} and Moulton, {Lawrence Hale} and Celentano, {David D}",
year = "2002",
language = "English (US)",
volume = "29",
pages = "201--206",
journal = "Sexually Transmitted Diseases",
issn = "0148-5717",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Barriers to reproductive tract infection (RTI) care among Vietnamese women

T2 - Implications for RTI control programs

AU - Go, Vivian F.

AU - Quan, Vu Minh

AU - Chung, A.

AU - Zenilman, Jonathan Mark

AU - Moulton, Lawrence Hale

AU - Celentano, David D

PY - 2002

Y1 - 2002

N2 - Background: Vietnamese women may be especially vulnerable to reproductive tract infections (RTIs) and their biological and social sequelae. Few data are available on the prevalence of and health-seeking behavior for RTIs among women in Vietnam. Goal: To assess prevalence of RTI symptoms, describe treatment-seeking behaviors, and identify barriers to care among Vietnamese women. Study Design: A population-based survey was conducted among 1163 Vietnamese women aged 18 years to 49 years. Results: Five hundred seven women (43.6%) reported RTI symptoms in the previous 6 months, including abnormal vaginal discharge (78.3%), lower abdominal pain (46.7%), and genital ulcers (3.6%). Sixty-four percent of these women sought care at some type of medical venue: health station (i.e., government clinic; 24.7%), hospital (15.8%), pharmacy (15.2%), or private doctor (8.1 %). The remaining women ignored symptoms (24.8 %) or were self-treated (11.4%). In multivariate analysis, stigma associated with sexually transmitted infections (odds ratio [OR] = 1.83; 95% confidence interval [CI] = 1.25-2.70); not seeking informal advice (OR = 2.90; 95% CI = 1.82-4.62); mildness of symptoms (OR = 3.01; 95% CI = 1.45-6.23); absence of perceived morbidity (OR = 3.56; 95% CI = 2.20-5.77); and short duration of symptoms (OR = 2.53; 95% CI = 1.04-6.16) were significantly associated with ignoring RTI symptoms. Conclusion: A substantial number of women in northern Vietnam who reported RTI symptoms did not seek care. Interventions to raise awareness about RTI symptoms and their consequences, dissipate negative stereotypes, and encourage open discussion about RTIs should facilitate appropriate careseeking for RTIs.

AB - Background: Vietnamese women may be especially vulnerable to reproductive tract infections (RTIs) and their biological and social sequelae. Few data are available on the prevalence of and health-seeking behavior for RTIs among women in Vietnam. Goal: To assess prevalence of RTI symptoms, describe treatment-seeking behaviors, and identify barriers to care among Vietnamese women. Study Design: A population-based survey was conducted among 1163 Vietnamese women aged 18 years to 49 years. Results: Five hundred seven women (43.6%) reported RTI symptoms in the previous 6 months, including abnormal vaginal discharge (78.3%), lower abdominal pain (46.7%), and genital ulcers (3.6%). Sixty-four percent of these women sought care at some type of medical venue: health station (i.e., government clinic; 24.7%), hospital (15.8%), pharmacy (15.2%), or private doctor (8.1 %). The remaining women ignored symptoms (24.8 %) or were self-treated (11.4%). In multivariate analysis, stigma associated with sexually transmitted infections (odds ratio [OR] = 1.83; 95% confidence interval [CI] = 1.25-2.70); not seeking informal advice (OR = 2.90; 95% CI = 1.82-4.62); mildness of symptoms (OR = 3.01; 95% CI = 1.45-6.23); absence of perceived morbidity (OR = 3.56; 95% CI = 2.20-5.77); and short duration of symptoms (OR = 2.53; 95% CI = 1.04-6.16) were significantly associated with ignoring RTI symptoms. Conclusion: A substantial number of women in northern Vietnam who reported RTI symptoms did not seek care. Interventions to raise awareness about RTI symptoms and their consequences, dissipate negative stereotypes, and encourage open discussion about RTIs should facilitate appropriate careseeking for RTIs.

UR - http://www.scopus.com/inward/record.url?scp=0036206303&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036206303&partnerID=8YFLogxK

M3 - Article

C2 - 11912460

AN - SCOPUS:0036206303

VL - 29

SP - 201

EP - 206

JO - Sexually Transmitted Diseases

JF - Sexually Transmitted Diseases

SN - 0148-5717

IS - 4

ER -