Sociodemographic Correlates of Sexually Transmitted Diseases Among Rural Bangladeshi Women: A Cross-Sectional Study

Background: Sexually transmitted diseases (STDs) pose a significant public health challenge, particularly among women in rural areas of Bangladesh, where limited access to healthcare and sociocultural factors contribute to increased vulnerability. Objective: This study aims to investigate the prevalence and sociodemographic correlates of STDs among rural Bangladeshi women, with a focus on identifying risk factors and health-seeking behaviors. Methods: A cross-sectional study was conducted from July to December 2023 among 240 women diagnosed with STDs in Koyra, Dakop, and Botiaghata Upzilas of Khulna District. Data were collected from Upazila health complexes using structured questionnaires. Variables included age, marital status, education, type of STD, partner history, and health-seeking behavior. Descriptive and inferential statistical analyses were performed, with p-values calculated to assess associations. Results: The study found that Chlamydia (20.8%) and Gonorrhea (18.8%) were the most prevalent STDs. A significant portion of participants (25.0%) reported that their partners had a history of STDs. Multiple sexual partners were reported by 16.7% of women, with blood transfusion history noted in 10.4%. Healthcare-seeking behavior was primarily reactive, with 62.5% seeking care only when symptoms arose. Statistically significant associations were found between education, partner history, and STD prevalence (p < 0.05). Conclusion: The findings highlight the critical need for targeted public health interventions aimed at improving health education, enhancing access to healthcare services, and addressing sociocultural barriers. These strategies are essential for reducing the burden of STDs among rural Bangladeshi women and promoting overall women's health