PIRH manuscript repeat visit REVISED ACCEPTED 3-25-11 SM.pdf (67.8 kB)
Download file

Factors Associated with Repeat Visits among Clients Attending a Clinic for Sexually Transmitted Infections in Kisumu, Kenya

Download (67.8 kB)
journal contribution
posted on 20.08.2012, 00:00 authored by Elizabeth Pultorak, Elijah Odoyo-June, Juma Hayombe, Felix Opiyo, Winnie Odongo, James Aggrey Ogollah, Stephen Moses, Robert C. Bailey, Supriya D. Mehta
Purpose: To identify factors associated with repeat visits among patients attending a clinic for sexually transmitted infections (STIs) in Kisumu, Kenya. Methods: Records of clinic visits were examined from March 2009 through May 2010. Multivariable logistic regression identified factors associated with repeat visits occurring > 30 days after the initial visit. Results: Among 1,473 clients (1,296 single-visit individuals vs. 177 individuals with repeat visits), the median age was 24 years, 67% were male, and 8.6% self-reported being HIV positive. In adjusted analyses, men with repeat visits were more likely to report > 2 recent sex partners (adjusted odds ratio (AOR) =1.60) and being HIV-positive (AOR=2.35). They were less likely to have been referred from other health facilities (AOR=0.14) and more likely to have urethral discharge at initial visit (AOR=2.46). Among women, repeat visits were associated with vaginal discharge (AOR=2.22), but attending the clinic with a partner was protective (AOR=0.38). Conclusions: The association between sexual risk, HIV positivity and repeat visits among male clients highlights the need to focus intervention efforts on this group. For women, attending with a partner may reflect a decreased risk of re-infection if both partners are treated and counseled together.


Publisher Statement

This is the final draft, after peer-review, of a manuscript published in RSM journals: www.rsmpress.com. © 2011 Royal Society of Medicine Press Limited. DOI: 10.1258/ijsa.2011.010483.


Royal Society of Medicine Press





Issue date


Usage metrics