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ORIGINAL ARTICLE
Year : 2014  |  Volume : 5  |  Issue : 2  |  Page : 134-138

Current socioclinical trend of sexually transmitted diseases and relevance of STD clinic: A comparative study from referral tertiary care center of Gwalior, India


1 MBBS, Department Of Dermatology, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India
2 STD Councellor, Department Of Dermatology, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India

Correspondence Address:
Sandeep Singh
C/O Mr. Naveen Agarwal A-21, Samadhiya Colony Taraganj Lashkar, Gwalior - 474 009, Madhya Pradesh
India
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Source of Support: None, Conflict of Interest: None


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Objective: Sexually transmitted infections (STIs) are the major public health concern in both developed and developing countries regulated by the cultural pattern of gender expression in their society. Thus, it demanded a necessary action to review the changing pattern in (Gwalior, central India where health condition is not in a good fashion with poor socioeconomic status and awareness. Materials and Methods: This is a hospital based cross sectional questionnaire study with a sample size of 222 respondents attending sexually transmitted disease (STD) clinic at JAH Gwalior from December 2011 to March 2012 using a random sampling method. Results: Most of the cases among females were in the age group of 20-40 years (152, 84.44%) and males were in 18-40 years age group (35, 83.33%). Out of 180, 22 (12.22%) females were having non-regular sexual partners. Out of 22 females frequency of consistent, non-consistent, and no condom use with non-regular sexual partners was three (13.63%), two (9.09%), and 17 (77.27%), respectively. Out of 42 males, 22 (52.38%) reported having sex with non-regular sexual partners. None of the 15 (100%) male subjects having friends or relatives as non-regular sexual partner were using condoms. Statistically significant differences were found as compared to a previous study from same STD clinic are discharge, lower abdominal pain, painful micturition, nodules in genitals as 106 (58.88%; P = 0.0001), 59 (32.77%; P = 0.0007), 25 (13.88%; P = 0.001), and one (0.5%; P = 0.005), respectively and in males with absence of abdominal pain and nodules in genitals as P = 0.016 and 0.03, respectively. Preferred place of treatment of STIs was government facility in both male and females with statistically significant 15.76% (P = 0.0001) of the population seeking no treatment. Discussions: Study suggests a changing trend of the STDs owing to the difference in the clinical presentation of the disease to a previous study from the same STD clinic few years back. A shift from adolescent towards adult age group have been reported, which could be the result of awareness generated from counseling patients during their visit to the STD clinic. The problem of low and infrequent condom use and improper binding to the treatment with multiple non-regular sex partners was seen in a fairly good proportion. Study also delineates the change in health-seeking behavior of the attendees. Deterrence towards public health facilities and an upsurge in self-medication as treatment-seeking behavior and approach towards the private health facilities have been reported. Conclusion: Study shows the very significant and much needed role of counseling center like STD clinic, in changing the due course and trend of STDs epidemiology.


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