Knowledge and practices of female students at University of Kara regarding sexually transmitted infections in Togo, 2021


Submitted: 15 May 2022
Accepted: 22 May 2022
Published: 26 July 2022
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A good knowledge of sexually transmitted infections (STI) in female students is an important element in the prevention of STI transmission. The objective of this study is to describe the level of knowledge and practices on STI among female students at the University of Kara. A cross-sectional study was conducted at the University of Kara from July to September 2021. Data were collected using a standard, digitalised, selfadministered questionnaire. Logistic regression analysis was used to describe factors associated with the level of knowledge of STIs. A total of 1,055 female students with a median age of 21 years (interquartile range: 20-24) participated in the study. More than one-third (33.7%) of the students had good knowledge of STI. Having already been tested for HIV (aOR=3.25; 95% CI 2.36-4.52), having already had sex (aOR=1.56; 95% CI 1.10-2.24) and the level of education (AOR=3.46; 95% CI 2.10-5.85) were significantly associated with good STIs knowledge. Among the 723 female students (68.5%) who already had sex, 32.5% reported inconsistent use of condoms during sexual intercourse and 18.9% reported having multiple sexual partners. The results of this study highlight the importance of intensifying STIs prevention efforts (awareness, screening, and vaccination) among female students at the University of Kara.


Davey DLJ, Nyemba DC, Gomba Y, et al. Prevalence and correlates of sexually transmitted infections in pregnancy in HIV-infected and- uninfected women in Cape Town, South Africa. PLOS ONE. l 2019;14(7):e0218349. DOI: https://doi.org/10.1371/journal.pone.0218349

Jatlaoui TC, Simmons KB, Curtis KM. The safety of intrauterine contraception initiation among women with current asymptomatic cervical infections or at increased risk of sexually transmitted infections. Contraception. 2016;94(6):701-12. DOI: https://doi.org/10.1016/j.contraception.2016.05.013

Kassie BA, Yenus H, Berhe R, Kassahun EA. Prevalence of sexually transmitted infections and associated factors among the University of Gondar students, Northwest Ethiopia: a crosssectional study. Reprod Health. 2019;16(1):163. DOI: https://doi.org/10.1186/s12978-019-0815-5

Dehne KL, Riedner G. Sexually transmitted infections among adolescents: the need for adequate health services. Reprod Health Matters. 2001;9(17):170-83. DOI: https://doi.org/10.1016/S0968-8080(01)90021-7

Looker K. An estimate of the global prevalence and incidence of herpes simplex virus type 2 infection. Bull World Health Organ. 2008;86(10):805-12. DOI: https://doi.org/10.2471/BLT.07.046128

Yakubu T, Dedu VK, Bampoh PO. Factors Affecting CD4 Count Response in HIV Patients within 12 Months of Treatment: A Case Study of Tamale Teaching Hospital. Am J Med Biol Res. 2016;4(4):78-83.

Patton GC, Sawyer SM, Santelli JS, et al. Our future: a Lancet commission on adolescent health and wellbeing. Lancet Lond Engl. 2016;387(10036):2423-78. DOI: https://doi.org/10.1016/S0140-6736(16)00579-1

Mmari K, Blum RW. Risk and protective factors that affect adolescent reproductive health in developing countries: a structured literature review. Glob Public Health. 2009;4(4):350-66. DOI: https://doi.org/10.1080/17441690701664418

Nubed C, Akoachere JF. Knowledge, attitudes and practices regarding HIV/AIDS among senior secondary school students in Fako Division, South West Region, Cameroon. BMC Public Health. 22 août 2016;16. DOI: https://doi.org/10.1186/s12889-016-3516-9

WHO | Global health sector strategy on Sexually Transmitted Infections, 2016-2021 [Internet]. WHO. World Health Organization; [cité 15 juin 2021]. Disponible sur: http://www.who.int/reproductivehealth/publications/rtis/ghss-stis/en/

Mokgatle MM, Madiba S, Cele L. A Comparative Analysis of Risky Sexual Behaviors, Self-Reported Sexually Transmitted Infections, Knowledge of Symptoms and Partner Notification Practices among Male and Female University Students in Pretoria, South Africa. Int J Environ Res Public Health. 2021;18(11):5660. DOI: https://doi.org/10.3390/ijerph18115660

Kharsany ABM, Mlotshwa M, Fröhlich JA, et al. HIV prevalence among high school learners - opportunities for schools-based HIV testing programmes and sexual reproductive health services. 2011 [cité 19 sept 2021]; Disponible sur: https://researchspace.ukzn.ac.za/handle/10413/7958 DOI: https://doi.org/10.1186/1471-2458-12-231

PNLS-IST Togo. Rapport annuel 2019 des activitées du PNLS-IST. Lomé-Togo: PNLS-IST; p. 65.

Shiferaw K, Getahun F, Asres G. Assessment of adolescents’ communication on sexual and reproductive health matters with parents and associated factors among secondary and preparatory schools’ students in Debremarkos town, North West Ethiopia. Reprod Health. 2014;11(1):2. DOI: https://doi.org/10.1186/1742-4755-11-2

Tura G, Alemseged F, Dejene S. Risky Sexual Behavior and Predisposing Factors among Students of Jimma University, Ethiopia. Ethiop J Health Sci. 2012;22(3):170-80.

Ngidi ND, Moyo S, Zulu T, et al. Qualitative evaluation of selected social factors that impact sexual risk-taking behaviour among African students in Kwazulu-Natal, South Africa. SAHARA-J J Soc Asp HIVAIDS. 2016;13(1):96-105. DOI: https://doi.org/10.1080/17290376.2016.1218792

Yau S, Wongsawat P, Songthap A. Knowledge, Attitude and Perception of Risk and Preventive Behaviors toward Premarital Sexual Practice among In-School Adolescents. Eur J Investig Health Psychol Educ. 2020;10(1):497-510. DOI: https://doi.org/10.3390/ejihpe10010036

Kebede A, Molla B, Gerensea H. Assessment of risky sexual behavior and practice among Aksum University students, Shire Campus, Shire Town, Tigray, Ethiopia, 2017. BMC Res Notes. 2018;11(1):88. DOI: https://doi.org/10.1186/s13104-018-3199-7

Shittu L, Ajayi G, Oguntola J, et al. The negative impacts of adolescent sexuality problems among secondary school students in Oworonshoki Lagos. Sci Res Essays. 2007;2:023-8.

M V. Rethinking HIV-prevention for school-going young people based on current behaviour patterns. SAHARA J J Soc Asp HIVAIDS Res Alliance. 2017;14(1):64-76. DOI: https://doi.org/10.1080/17290376.2017.1376704

Nsubuga H, Sekandi JN, Sempeera H, Makumbi FE. Contraceptive use, knowledge, attitude, perceptions and sexual behavior among female University students in Uganda: a crosssectional survey. BMC Womens Health. 2016;16(1):6. DOI: https://doi.org/10.1186/s12905-016-0286-6

Ministère de la Santé du Togo. Programme Elargi de Vaccination du Togo, Rapport d’activités de l’année 2009. 2010 p. 7.

Organization WH. Guidelines for the Prevention Care and Treatment of Persons with Chronic Hepatitis B Infection: Mar-15. World Health Organization; 2015. 166 p.

Ekouevi DK, Larrouy L, Gbeasor-Komlanvi FA, et al. Prevalence of hepatitis B among childbearing women and infant born to HBV-positive mothers in Togo. BMC Infect Dis. 2020;20(1):839. DOI: https://doi.org/10.1186/s12879-020-05574-7

Takassi E, Salou M, Patassi A. Vaccination contre l’hépatite B chez les patients infectés par le VIH au CHU Sylvanus Olympio vaccination against hepatitis b in patients infected with hiv in Sylvanus Olympio teaching hospital. J Rech Sci Univ Lomé. 2017;2017:375-9.

Darré T, Saka B, Walla A, et al. Sexuality, sexually transmitted infections and contraception among health sciences students in university of Lomé, Togo. BMC Res Notes. 2018;11:808. DOI: https://doi.org/10.1186/s13104-018-3923-3

Sallah ED, Grunitzky-Bekele M, Bassabi K, et al. Comportements sexuels, connaissances et attitudes des étudiants de l’Université du Bénin (Togo) face au sida et aux maladies sexuellement transmissibles. Cah Détudes Rech Francoph Santé. 1999;9(2):101-9.

CNLS-IST. Connaissances, Attitudes et Pratiques en matière de VIH, Santé sexuelle et reproductive chez les jeunes de 10 à 24 ans au Togo en 2014. Lomé-Togo: CNLS-IST; p. 99.

McMann N, Trout KE. Assessing the Knowledge, Attitudes, and Practices Regarding Sexually Transmitted Infections Among College Students in a Rural Midwest Setting. J Community Health. 2021;46(1):117-26. DOI: https://doi.org/10.1007/s10900-020-00855-3

Visalli G, Cosenza B, Mazzù F, et al. Knowledge of sexually transmitted infections and risky behaviours: a survey among high school and university students. J Prev Med Hyg. 2019;60(2):E84-92.

Folasayo AT, Oluwasegun AJ, Samsudin S, et al. Assessing the Knowledge Level, Attitudes, Risky Behaviors and Preventive Practices on Sexually Transmitted Diseases among University Students as Future Healthcare Providers in the Central Zone of Malaysia: A Cross-Sectional Study. Int J Environ Res Public Health. 2017;14(2):159. DOI: https://doi.org/10.3390/ijerph14020159

Thapa KB. Knowledge and awareness about sexually transmitted infections among higher secondary school students in Bajhang, Nepal. MOJ Public Health [Internet]. 2018 [cité 28 nov 2021];7(3). Disponible sur: https://medcraveonline.com/MOJPH/knowledgeand-awareness-about-sexually-transmitted-infections-among-higher-secondary-school-students-in-bajhangnepal.html DOI: https://doi.org/10.15406/mojph.2018.07.00213

Amu EO, Adegun PT. Awareness and Knowledge of Sexually Transmitted Infections among Secondary School Adolescents in Ado Ekiti, South Western Nigeria. J Sex Transm Dis. 2015;2015:e260126. DOI: https://doi.org/10.1155/2015/260126

Andriamamonjisoa J, Rakotomalala R, Randriamampionona F, et al. Les étudiants universitaires de Fianarantsoa Madagascar face aux infections sexuellement transmissibles (IST) et VIH/Sida : connaissance et attitude. Médecine Mal Infect. 2020;50(6, Supplement):S132. DOI: https://doi.org/10.1016/j.medmal.2020.06.278

Inghels M, Coffie PA, Larmarange J. Recours aux soins de santé globale et de santé sexuelle et reproductive, chez les étudiants de l’université Houphouët-Boigny, Abidjan, Côte d’Ivoire. Rev DÉpidémiologie Santé Publique. 2017;65(5):369-79. DOI: https://doi.org/10.1016/j.respe.2017.04.059

Teferra TB, Erena AN, Kebede A. Prevalence of premarital sexual practice and associated factors among undergraduate health science students of Mada Walabu University, Bale Goba, South East Ethiopia: institution based cross sectional study. Pan Afr Med J [Internet]. 2015 [cité 28 nov 2021];20. Available from: http://www.panafrican-med-journal.com/content/article/20/209/full/ DOI: https://doi.org/10.11604/pamj.2015.20.209.4525

Mulu W, Melaku M, Abera B. Sexual behaviours and associated factors among students at Bahir Dar University: a cross sectional study. Reprod Health. 2014;11:84. DOI: https://doi.org/10.1186/1742-4755-11-84

Akibu M, Gebresillasie F, Zekarias F, Tsegaye W. Premarital sexual practice and its predictors among university students: institution based cross sectional study. Pan Afr Med J 2017;28. DOI: https://doi.org/10.11604/pamj.2017.28.234.12125

Mseddi M, Smaoui F, Abdelmaksoud W, et al. [Sexuality of secondary-school adolescents in rural Tunisia]. Ann Dermatol Venereol. 2007;134(11):871-2. DOI: https://doi.org/10.1016/S0151-9638(07)92836-7

Certain HE, Harahan BJ, Saewyc EM, Fleming MF. Condom Use in Heavy Drinking College Students: The Importance of Always Using Condoms. J Am Coll Health. 2009;58(3):187-94. DOI: https://doi.org/10.1080/07448480903295284

Rieger KL, Chernomas WM, McMillan DE, et al. Effectiveness and experience of arts-based pedagogy among undergraduate nursing students: a mixed methods systematic review. JBI Database Syst Rev Implement Rep. 2016;14(11):139-239. DOI: https://doi.org/10.11124/JBISRIR-2016-003188

Jefferies D, McNally S, Roberts K, et al. The importance of academic literacy for undergraduate nursing students and its relationship to future professional clinical practice: A systematic review. Nurse Educ Today. 2018;60:84-91. DOI: https://doi.org/10.1016/j.nedt.2017.09.020

Wong G, Koo TF, Fethney J, Chen R. Assessing oral health literacy of university nursing students: A cross-sectional exploratory study. Nurse Educ Pract. 2021;53:103066. DOI: https://doi.org/10.1016/j.nepr.2021.103066

Toska E, Cluver L, Orkin M, et al. Screening and supporting through schools: educational experiences and needs of adolescents living with HIV in a South African cohort. BMC Public Health. 2019;19(1):272. DOI: https://doi.org/10.1186/s12889-019-6580-0

Raia-Barjat T, Gannard I, Virieux D, et al. Health students’ knowledge of sexually transmitted infections and risky behaviors before participation to the health promotion program. Med Mal Infect. 2020;50(4):368-71. DOI: https://doi.org/10.1016/j.medmal.2020.01.015

Balbeesi A, Mohizea S. Knowledge and misconceptions of Saudi women about sexually transmitted infections. J Egypt Public Health Assoc. 2017;92(4):235-9. DOI: https://doi.org/10.21608/EPX.2018.22045

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Gnatou, G. Y.-S., Gbeasor-Komlanvi, F. A., Sadio, A. J., Konu, Y. R., Tchankoni, M. K., Zida-Compaore, W. I. C., Agbonon, A., & Ekouevi, D. K. (2022). Knowledge and practices of female students at University of Kara regarding sexually transmitted infections in Togo, 2021. Journal of Public Health in Africa, 13(2). https://doi.org/10.4081/jphia.2022.2225

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