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Reproductive Health Trends In Female Sex Workers In Madagascar

Darbha, Subrahmanyam
http://rave.ohiolink.edu/etdc/view?acc_num=osu1309360596

Abstract Details

2011, Master of Science, Ohio State University, Public Health.
The first objective of this study was to identify inconsistencies in implementation of diagnostic algorithms for gonorrhea/chlamydia (GC/CT) and bacterial vaginosis/trichomoniasis (BV/TV) diagnosis in female sex workers (FSWs) in Madagascar. Using data from clinical charts, we arrived at algorithm-based diagnoses and compared these to diagnoses recorded by clinicians implementing the same algorithms. The second objective was to identify predictors of inconsistencies between algorithm and clinician diagnoses using generalized estimating equation (GEE) logistic regression modeling. Data were collected between 2003 and 2009 and included 45,021 visits from 13,080 FSWs. We identified disagreement between algorithm and clinician diagnoses of GC/CT in 19.39% of visits and BV/TV in 5.95%. The Kappa measures of agreement for GC/CT and BV/TV were 0.56 and 0.52 respectively. Healthy vaginal pH (below 4.5), FSWs in all age categories, and presence of cervicitis or cervical motion tenderness were each identified as significant predictors of discordance in clinician and algorithm diagnosis.
J. R. Wilkins III, DrPH (Advisor)
Abigail Norris Turner, PhD (Committee Member)
45 p.
Biostatistics; Epidemiology; Health Sciences; Medicine; Public Health; Statistics; Womens Studies
Algorithm; Gonorrhea; Chlamydia; Bacterial Vaginosis; Trichomoniasis; FSWs; Female Sex workers; Kappa; GEE; Logistic Regression

Recommended Citations

Citations

  • Darbha, S. (2011). Reproductive Health Trends In Female Sex Workers In Madagascar [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1309360596

    APA Style (7th edition)

  • Darbha, Subrahmanyam. Reproductive Health Trends In Female Sex Workers In Madagascar. 2011. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1309360596.

    MLA Style (8th edition)

  • Darbha, Subrahmanyam. "Reproductive Health Trends In Female Sex Workers In Madagascar." Master's thesis, Ohio State University, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=osu1309360596

    Chicago Manual of Style (17th edition)

osu1309360596
570
© 2011, all rights reserved.
This open access ETD is published by The Ohio State University and OhioLINK.