Estimating the burden of reproductive tract infections and its determinants amongst reproductive age group women residing in rural and urban settings in North India-a cross sectional comparative analysis
Keywords:Sexually transmitted infection, self reported, symptom based prevalence, prevalence ratio
Background: There is dearth of community based nationally representative data on Reproductive tract infections (RTI). Evidence suggests the stigma associated with the symptoms lead to poor health seeking behaviour among women. Objective: To estimate the prevalence and determinants of RTI symptoms among women of reproductive age (WRA) group in a selected rural and urban slum of district Faridabad, Haryana. Methodology: An analytical cross-sectional study was conducted among 15-49 years age group ever married women residing in an urban slum and rural area of Faridabad. Minimum sample size was calculated to be 345. Systematic random sampling was used to interview eligible population using a predesigned structured questionnaire. Outcome variable of interest was at least one symptom of RTI. Prevalence ratio was calculated to identify the association between determinants and outcome. Results: Prevalence of at least one symptom of RTI among the women in urban area was 46.3% and 39.8% in rural area. Condom usage was higher among rural (20.4%) as compared to urban women (13.4%). Women in rural area reported higher proportion of abortions as compared to urban slum (10.2% vs 7.4%). The bivariable analysis revealed that use of sanitary pads, high parity, condom usage by partner and age at marriage as significant association with outcome. When subjected to generalized linear model non usage of condoms by partner (Adj PR (95%CI); 3.31 (1.14-9.57)) remained as an independent determinant of risk of RTI symptoms. Conclusion: Condom usage by partner in this study has emerged out be a protective factor for risk of RTI symptoms.
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