Sexually transmitted scabies in resource-limited settings: a facility-based cross-sectional study
Objective: Recent surges in scabies incidence in some countries have been attributed to increased transmission through sexual contact. Few data are available on the burden of sexually transmitted scabies in Sub-Saharan Africa. We aim to determine the incidence and sociodemographic variables associat...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Verduci Editore
2024-09-01
|
| Series: | Infectious Diseases and Tropical Medicine |
| Subjects: | |
| Online Access: | https://www.infectiousjournal.com/wp-content/uploads/sites/6/2024/09/Art.-36367.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849762706714787840 |
|---|---|
| author | A. Ajani F. Olanrewaju M. Oripelaye A. Enitan J. Adepoju R. Adesunkanmi A. Adekunle O. Oninla |
| author_facet | A. Ajani F. Olanrewaju M. Oripelaye A. Enitan J. Adepoju R. Adesunkanmi A. Adekunle O. Oninla |
| author_sort | A. Ajani |
| collection | DOAJ |
| description | Objective: Recent surges in scabies incidence in some countries have been attributed to increased transmission through sexual contact. Few data are available on the burden of sexually transmitted scabies in Sub-Saharan Africa. We aim to determine the incidence and sociodemographic variables associated with sexually transmitted scabies in Ile-Ife, Nigeria.
Patients and Methods: Three thousand three hundred nineteen medical records from a dermatology and genitourinary clinic in Ile-Ife, Nigeria, covering new patients treated between 2017-2023, were reviewed. Statistical tests were performed to determine the incidence of genital scabies, associated sociodemographic characteristics, and the relationship between sexually transmitted scabies and traditional non-HIV sexually transmitted infections (STIs). The level of statistical significance was set at p<0.05.
Results: Sexually acquired scabies were the third most frequent STI, constituting 25.84% (54/209) of all STI consultations and 18.18% (54/297) of newly confirmed scabies cases. It was diagnosed nearly exclusively in males (92.59%, p<0.001, OR: 12.025, 95% CI: 4.141-34.919) within the 20-29 age group (p<0.001). Sociodemographic and behavioral characteristics associated with genital scabies aligned with traditional STI risk factors (p>0.05). 61.1% of genital scabies cases exhibited concurrent STIs, notably anogenital warts (46.3%). Multiple STI diagnoses were four times more prevalent in scabies patients (p<0.001, OR: 4.369, 95% CI: 2.274-8.397). Regression analysis highlighted male sex, lower education, and socioeconomic status as pivotal factors for genital scabies. Additionally, male sex and a genital scabies diagnosis were predictive of multiple comorbid STIs.
Conclusions: Sexual transmission of scabies is common among young adult males and has a significant association with other STIs not fully preventable by condoms. There is a need for public health programs to raise awareness of non-condom preventable STIs among sexually active young adults. |
| format | Article |
| id | doaj-art-9a62322bef904dc1b70b608445c71d31 |
| institution | DOAJ |
| issn | 2379-4054 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Verduci Editore |
| record_format | Article |
| series | Infectious Diseases and Tropical Medicine |
| spelling | doaj-art-9a62322bef904dc1b70b608445c71d312025-08-20T03:05:39ZengVerduci EditoreInfectious Diseases and Tropical Medicine2379-40542024-09-011010.32113/idtm_20249_15431543Sexually transmitted scabies in resource-limited settings: a facility-based cross-sectional studyA. Ajani0F. Olanrewaju1M. Oripelaye2A. Enitan3J. Adepoju4R. Adesunkanmi5A. Adekunle6O. Oninla7Department of Dermatology and Venereology, Faculty of Clinical Sciences, Obafemi Awolowo University, West African College of Physicians (FWACP), Ile-Ife, NigeriaDepartment of Dermatology and Venereology, Faculty of Clinical Sciences, Obafemi Awolowo University, National Post-Graduate Medical College (NPMC), Ile-Ife, NigeriaDepartment of Dermatology and Venereology, Faculty of Clinical Sciences, Obafemi Awolowo University, National Post-Graduate Medical College (NPMC), Ile-Ife, NigeriaDepartment of Dermatology and Venereology, Obafemi Awolowo University, Teaching Hospitals Complex, West African College of Physicians (FWACP), Ile-Ife, NigeriaDepartment of Dermatology and Venereology, Faculty of Clinical Sciences, Obafemi Awolowo University, Ile-Ife, NigeriaDepartment of Dermatology and Venereology, Faculty of Clinical Sciences, Obafemi Awolowo University, Ile-Ife, NigeriaDepartment of Dermatology and Venereology, Faculty of Clinical Sciences, Obafemi Awolowo University, Ile-Ife, NigeriaDepartment of Dermatology and Venereology, Faculty of Clinical Sciences, Obafemi Awolowo University, National Post-Graduate Medical College (NPMC), Ile-Ife, NigeriaObjective: Recent surges in scabies incidence in some countries have been attributed to increased transmission through sexual contact. Few data are available on the burden of sexually transmitted scabies in Sub-Saharan Africa. We aim to determine the incidence and sociodemographic variables associated with sexually transmitted scabies in Ile-Ife, Nigeria. Patients and Methods: Three thousand three hundred nineteen medical records from a dermatology and genitourinary clinic in Ile-Ife, Nigeria, covering new patients treated between 2017-2023, were reviewed. Statistical tests were performed to determine the incidence of genital scabies, associated sociodemographic characteristics, and the relationship between sexually transmitted scabies and traditional non-HIV sexually transmitted infections (STIs). The level of statistical significance was set at p<0.05. Results: Sexually acquired scabies were the third most frequent STI, constituting 25.84% (54/209) of all STI consultations and 18.18% (54/297) of newly confirmed scabies cases. It was diagnosed nearly exclusively in males (92.59%, p<0.001, OR: 12.025, 95% CI: 4.141-34.919) within the 20-29 age group (p<0.001). Sociodemographic and behavioral characteristics associated with genital scabies aligned with traditional STI risk factors (p>0.05). 61.1% of genital scabies cases exhibited concurrent STIs, notably anogenital warts (46.3%). Multiple STI diagnoses were four times more prevalent in scabies patients (p<0.001, OR: 4.369, 95% CI: 2.274-8.397). Regression analysis highlighted male sex, lower education, and socioeconomic status as pivotal factors for genital scabies. Additionally, male sex and a genital scabies diagnosis were predictive of multiple comorbid STIs. Conclusions: Sexual transmission of scabies is common among young adult males and has a significant association with other STIs not fully preventable by condoms. There is a need for public health programs to raise awareness of non-condom preventable STIs among sexually active young adults.https://www.infectiousjournal.com/wp-content/uploads/sites/6/2024/09/Art.-36367.pdfgenital scabiessexually transmitted infectionsyoung adultsincidencesarcoptes scabieisexual behaviorssocial determinants of health |
| spellingShingle | A. Ajani F. Olanrewaju M. Oripelaye A. Enitan J. Adepoju R. Adesunkanmi A. Adekunle O. Oninla Sexually transmitted scabies in resource-limited settings: a facility-based cross-sectional study Infectious Diseases and Tropical Medicine genital scabies sexually transmitted infections young adults incidence sarcoptes scabiei sexual behaviors social determinants of health |
| title | Sexually transmitted scabies in resource-limited settings: a facility-based cross-sectional study |
| title_full | Sexually transmitted scabies in resource-limited settings: a facility-based cross-sectional study |
| title_fullStr | Sexually transmitted scabies in resource-limited settings: a facility-based cross-sectional study |
| title_full_unstemmed | Sexually transmitted scabies in resource-limited settings: a facility-based cross-sectional study |
| title_short | Sexually transmitted scabies in resource-limited settings: a facility-based cross-sectional study |
| title_sort | sexually transmitted scabies in resource limited settings a facility based cross sectional study |
| topic | genital scabies sexually transmitted infections young adults incidence sarcoptes scabiei sexual behaviors social determinants of health |
| url | https://www.infectiousjournal.com/wp-content/uploads/sites/6/2024/09/Art.-36367.pdf |
| work_keys_str_mv | AT aajani sexuallytransmittedscabiesinresourcelimitedsettingsafacilitybasedcrosssectionalstudy AT folanrewaju sexuallytransmittedscabiesinresourcelimitedsettingsafacilitybasedcrosssectionalstudy AT moripelaye sexuallytransmittedscabiesinresourcelimitedsettingsafacilitybasedcrosssectionalstudy AT aenitan sexuallytransmittedscabiesinresourcelimitedsettingsafacilitybasedcrosssectionalstudy AT jadepoju sexuallytransmittedscabiesinresourcelimitedsettingsafacilitybasedcrosssectionalstudy AT radesunkanmi sexuallytransmittedscabiesinresourcelimitedsettingsafacilitybasedcrosssectionalstudy AT aadekunle sexuallytransmittedscabiesinresourcelimitedsettingsafacilitybasedcrosssectionalstudy AT ooninla sexuallytransmittedscabiesinresourcelimitedsettingsafacilitybasedcrosssectionalstudy |