Journal
EPIDEMIOLOGY AND INFECTION
Volume 142, Issue 11, Pages 2422-2432Publisher
CAMBRIDGE UNIV PRESS
DOI: 10.1017/S0950268813003488
Keywords
Estimating; infectious disease epidemiology; Neisseria gonorrhoea; prevalence of disease; public health; sexually transmitted diseases
Funding
- Interdisciplinary Program in Infectious Diseases NIH training grant [T32 A1049816]
- Robert Wood Johnson Health and Society Small Grant Program
- American Philosophical Society's Lewis & Clark Fund for Exploration and Field Research
- Wenner-Gren Dissertation Fieldwork Grant
- University of Michigan's Centers for the Study of Complex Systems and Social Epidemiology
- Rackham Graduate School, University of Michigan
- School of Natural Resources and Environment, University of Michigan
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The highly remote pastoralist communities in Kaokoland, Namibia, have long been presumed to have high gonorrhoea prevalence. To estimate gonorrhoea prevalence and correlates of infection, we conducted a cross-sectional study of 446 adults across 28 rural villages. Gonorrhoea status was determined from urethral and vaginal swabs via qPCR assay. All participants answered a closed-ended interview about demographics, sexual behaviour and symptom history. Sixteen per cent of participants had high-level infections (>= ID50 dose) and 48% had low-level infections (
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