Table of Contents Author Guidelines Submit a Manuscript
Infectious Diseases in Obstetrics and Gynecology
Volume 2010, Article ID 609315, 9 pages
Clinical Study

Prevalence and Risk Factors of Sexually Transmitted Infections and Cervical Neoplasia in Women from a Rural Area of Southern Mozambique

1Manhiça Health Research Center, Rua 12, Manhiça, CP 1929, Maputo, Mozambique
2Barcelona Center for International Health Research (CRESIB), Hospital Clinic, Institut d’Investigacions Biomedicas August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Villarroel 170, 08036 Barcelona, Spain
3Cancer Epidemiology Research Program, Institut Català d’Oncologia (ICO), Institut d’Investigació Biomèdica (IDIBELL), L’Hospitalet de Llobregat, 08907 Barcelona, Spain
4Parc de Recerca Biomèdica de Barcelona (CIBER-ESP), Doctor Aiguader, 88, 8003 Barcelona, Spain
5Roche Molecular Systems, Alameda, CA 94588, USA
6National Directorate of Health & National Malaria Control Program, Ministry of Health, Mozambique
7RTICC, Instituto de Salud Carlos III, C/Sinesio Delgado 4-6, 28029 Madrid, Spain

Received 7 September 2009; Accepted 12 May 2010

Academic Editor: Roberta Ness

Copyright © 2010 Clara Menéndez et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


There is limited information on the prevalence of sexually transmitted infections and the prevalence of cervical neoplasia in rural sub-Saharan Africa. This study describes the prevalence and the etiology of STIs and the prevalence of cervical neoplasia among women in southern Mozambique. An age-stratified cross-sectional study was performed where 262 women aged 14 to 61 years were recruited at the antenatal clinic (59%), the family-planning clinic (7%), and from the community (34%). At least one active STI was diagnosed in 79% of women. Trichomonas vaginalis was present in 31% of all study participants. The prevalence of Neisseria gonorrhea and Chlamydia trachomatis were 14% and 8%, respectively, and Syphilis was diagnosed in 12% of women. HPV DNA was detected in 40% of women and cervical neoplasia was diagnosed in 12% of all women. Risk factors associated with the presence of some of the STIs were being divorced or widowed, having more than one sexual partner and having the partner living in another area. A higher prevalence was observed in the reproductive age group and some of the STIs were more frequently diagnosed in pregnant women. STI control programs are a priority to reduce the STIs burden, including HIV and cervical neoplasia.