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Original Paper
Med Princ Pract 2010;19:312–318
DOI: 10.1159/000312719
A Survey of Knowledge of Sexually Transmitted
Infections among Patients at a Public Hospital in
Pulau Pinang, Malaysia
Mudassir Anwar
a
Syed A. Syed Sulaiman
b
Tahir M. Khan
b, c
a
School of Pharmacy and Health Sciences, International Medical University, Kuala Lumpur,
b
School of
Pharmaceutical Sciences, Universiti Sains Malaysia, and
c
School of Pharmacy, Island College of Technology,
Balik Pulau, Malaysia
treatment of STIs was inadequate. The knowledge level was
significantly related to gender (p = 0.03), religion (p = 0.005),
educational level (p = 0.000), marital status (p = 0.000) and
income level (p = 0.036). Conclusion: This study demonstrat-
ed evidence of poor knowledge of STIs amongst the patients
attending an STI service in the General Hospital of Pulau
Pinang (Malaysia). Hence there is an immediate need for ef-
forts towards improving patient knowledge of STIs.
Copyright © 2010 S. Karger AG, Basel
Introduction
Sexually transmitted infections (STIs) have long been
recognised as a major public health dilemma because of
their high incidence and contribution to morbidity and
mortality [1]. Though many STIs are easy to treat, delay
in seeking appropriate care can result in increased sever-
ity and complications [2]. Historically, knowledge about
STIs has been very low even in communities where there
is high prevalence of STIs. In some cases, STIs may be
viewed as unavoidable or may even be viewed as an ‘ini-
tiation into adulthood’ [3]. There may be lack of concern
about STIs because they may be viewed as easily curable
[3].
Knowledge is an important prevention factor for STIs
[4] . It has been suggested that knowledge about STI trans-
Key Words
Knowledge Sexually transmitted infections Patients
Abstract
Objective: The aim of this study was to assess the patients’
knowledge and awareness of sexually transmitted infec-
tions (STIs). Subjects and Methods: A face-to-face interview
was conducted among the patients visiting the Venereal
Diseases Outpatient Department of the General Hospital of
Pulau Pinang (Malaysia). A 19-item questionnaire was used.
A total of 116 patients participated in the study and 107 pa-
tients had valid responses. The reliability and internal con-
sistency of the questionnaire tool was estimated on the basis
of Cronbach’s alpha (= 0.81). The Statistical Package for Social
Sciences (SPSS 13.0 ) was used for data analysis. Student’s t
test and analysis of variance were used to analyse the knowl-
edge differences among the groups. Results: Of the 107 pa-
tients, 82 (76.6%) were diagnosed with syphilis; AIDS was the
most commonly known STI among the patients. Of the 107
patients, 35 were sexually active and of these 23 (65.7%) had
more than 1 sexual partner. The most popular source of
knowledge was newspapers (51 patients, 47.7%), with hospi-
tals (3 patients, 2.8%) being the least popular one. Overall
mean score on knowledge questions was 12.21 out of the
maximum of 33 points. Knowledge about causative organ-
isms, risk groups, transmission, symptoms, prevention and
Received: February 5, 2009
Revised: May 14, 2009
Tahir Mehmood Khan
School of Pharmacy, Island College of Technology, Sungai Rusa
11000 Balik Pulau, Pulau Pinang (Malaysia)
Tel. +60 4 46035, Fax +60 4 8665898
E-Mail tahirmehmood @ kict.edu.my
© 2010 S. Karger AG, Basel
1011–7571/10/0194–0312$26.00/0
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