{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T13:03:34Z","timestamp":1790687014234,"version":"4.1.0"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"vor","delay-in-days":271,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100009054","name":"U.S. President\u2019s Emergency Plan for AIDS Relief","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000200","name":"United States Agency for International Development","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000200","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Tropical Medicine"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Approximately one million curable sexually transmitted infections (STIs) are contracted daily by individuals aged 15\u201349\u2009years worldwide. The study aimed to evaluate the prevalence of syndromic STIs and associated factors among AGYW participating in the Determined, Resilient, Empowered, AIDS\u2010free, Mentored, and Safe (DREAMS) program implemented by Project HOPE Namibia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data for this retrospective study were obtained from the DREAMS program, covering 2018 to 2024. The population for the study consisted of sexually active AGYW aged 15\u201324\u2009years who were screened for STIs. Data were analyzed using IBM Statistical Package for Social Sciences (SPSS) Version 29 by employing chi\u2010squared tests and binomial and multinomial logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 27,992 participants in this analysis, 3184 (11.4%) were syndromically diagnosed with an STI (95% CI: 11.0%\u201311.8%). Participants less likely to have an STI diagnosis included those aged 15\u201319\u2009years (AOR\u2009=\u20090.74, 95% CI: 0.68\u20130.81), pregnant or breastfeeding (COR\u2009=\u20090.12, 95% CI: 0.02\u20130.87), and those using family planning (AOR\u2009=\u20090.25, 95% CI: 0.23\u20130.29). Higher likelihoods of syndromic STI diagnosis were seen in recurrent postexposure prophylaxis users (COR\u2009=\u20092.71, 95% CI: 1.21\u20136.07) and those engaging in sex under the influence of alcohol or drugs (AOR\u2009=\u20091.93, 95% CI: 1.2\u20132.95).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>We recommend that the program intensify education on safe sexual practices and the consistent use of condoms to prevent STIs among high\u2010risk AGYW. Additionally, we recommend that AGYW refrain from taking alcohol and drugs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jotm\/8628807","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T12:46:03Z","timestamp":1790685963000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors Associated With the Syndromic Diagnosis of Sexually Transmitted Infections Among Adolescent Girls and Young Women (AGYW): Findings From the Namibia DREAMS Program"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1827-9551","authenticated-orcid":false,"given":"Enos","family":"Moyo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-1178-4690","authenticated-orcid":false,"given":"Endalkachew","family":"Melese","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7535-1516","authenticated-orcid":false,"given":"Hadrian","family":"Mangwana","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7775-6645","authenticated-orcid":false,"given":"Simon","family":"Takawira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernadette","family":"Harases","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosalia","family":"Indongo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Perseverance","family":"Moyo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7069-2400","authenticated-orcid":false,"given":"Ntombizodwa Makurira","family":"Nyoni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9929-5739","authenticated-orcid":false,"given":"Tafadzwa","family":"Dzinamarira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,29]]},"reference":[{"key":"e_1_2_11_1_2","volume-title":"Global and Regional STI Estimates","author":"WHO","year":"2022"},{"key":"e_1_2_11_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/s2352-4642(22)00219-x"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/inthealth\/ihab088"},{"key":"e_1_2_11_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0000000000000578"},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-069226"},{"key":"e_1_2_11_6_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph21040501"},{"key":"e_1_2_11_7_2","doi-asserted-by":"publisher","DOI":"10.3389\/ijph.2023.1605669"},{"key":"e_1_2_11_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-023-17188-0"},{"key":"e_1_2_11_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijregi.2022.08.009"},{"key":"e_1_2_11_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2016.03.014"},{"key":"e_1_2_11_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2006.05.031"},{"key":"e_1_2_11_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/coh.0000000000000232"},{"key":"e_1_2_11_13_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0287633"},{"key":"e_1_2_11_14_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41564-022-01177-x"},{"key":"e_1_2_11_15_2","doi-asserted-by":"publisher","DOI":"10.3390\/v14050986"},{"key":"e_1_2_11_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000001258"},{"key":"e_1_2_11_17_2","doi-asserted-by":"crossref","unstructured":"ShivuteS. 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