International Journal of STD & AIDS最新文献_第2页

High unmet needs for cervical cancer screening among women living with HIV in six African countries: A population-based study. 六个非洲国家感染艾滋病毒的妇女对宫颈癌筛查的高度未满足需求：一项基于人口的研究。

IF 1.4 4区医学

International Journal of STD & AIDS Pub Date : 2025-04-01 Epub Date: 2025-01-21 DOI: 10.1177/09564624251315787

Annabelle D Alpar, Cathy Ndiaye, Dominique Guillaume, Rupali J Limaye, Joseph G Rosen

{"title":"High unmet needs for cervical cancer screening among women living with HIV in six African countries: A population-based study.","authors":"Annabelle D Alpar, Cathy Ndiaye, Dominique Guillaume, Rupali J Limaye, Joseph G Rosen","doi":"10.1177/09564624251315787","DOIUrl":"10.1177/09564624251315787","url":null,"abstract":"BackgroundCisgender women living with HIV (WLWH) are disproportionately impacted by cervical cancer. Nevertheless, disparities in uptake and implementation of cervical cancer services persist in sub-Saharan Africa, where population-level estimates of screening coverage remain scarce.MethodsWe pooled data from nationally representative Population-based HIV Impact Assessment (PHIA) surveys conducted in Ethiopia, Malawi, Rwanda, Tanzania, Zambia, and Zimbabwe (2015-2019). After estimating the prevalence of self-reported lifetime cervical cancer screening (overall and by country), survey-weighted multivariable log-binomial regression identified socio-demographic and clinical correlates of screening uptake among WLWH aged 25-64 years.ResultsOverall, 6933 WLWH (mean age: 39.6 years) were included in the multi-country sample. The pooled prevalence of lifetime cervical cancer screening was 18.5% (range: 8.5% [Rwanda] to 25.3% [Zambia]). Screening uptake varied by HIV clinical status, with serostatus-aware (21.3% vs 9.0%), antiretroviral therapy-experienced (22.0% vs 10.5%), and virally suppressed (22.1% vs 11.6%) WLWH, respectively, reporting significantly (p < 0.001) higher screening rates. Screening was especially low among WLWH aged <35 years (14.7%), with no formal education (12.1%), in the poorest households (7.9%), and residing in rural areas (14.0%).ConclusionsFewer than one-fifth of WLWH had ever screened for cervical cancer, suggesting expanded availability and access to tailored, integrated services are critically needed.","PeriodicalId":14408,"journal":{"name":"International Journal of STD & AIDS","volume":" ","pages":"397-405"},"PeriodicalIF":1.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence of HIV in sex workers attended in a health institution in Medellín, Colombia.

IF 1.4 4区医学

International Journal of STD & AIDS Pub Date : 2025-03-31 DOI: 10.1177/09564624251330011

Jaiberth Antonio Cardona-Arias, Paula Andrea Álvarez Cossio, Angélica María Mancera Mieles, Laura Navales Balbín, Luis Felipe Higuita Gutiérrez

{"title":"Prevalence of HIV in sex workers attended in a health institution in Medellín, Colombia.","authors":"Jaiberth Antonio Cardona-Arias, Paula Andrea Álvarez Cossio, Angélica María Mancera Mieles, Laura Navales Balbín, Luis Felipe Higuita Gutiérrez","doi":"10.1177/09564624251330011","DOIUrl":"https://doi.org/10.1177/09564624251330011","url":null,"abstract":"BackgroundDespite being a key group for infection control, research on the prevalence of human immunodeficiency virus (HIV) among female sex sorkers (FSWs) in Colombia is scarce and outdated.MethodsThis is a prevalence study involving 739 FSWs who attended a healthcare provider in Medellín between 2019 and 2023. Data were collected from medical records to capture sociodemographic and health information. The prevalence of HIV was determined with its 95% confidence interval, and comparisons of HIV prevalence with sociodemographic and behavioral factors were conducted using Fisher's exact test and prevalence ratios. Analyses were performed using SPSS 29.0.ResultsMost FSWs had a primary education or less, and 50% were enrolled in the contributory health regime. Sixty-two percent reported using hallucinogens during sex, and 17% had relationships with individuals diagnosed with Sexually Transmitted Infections (STIs). The prevalence of HIV was 1.4%, with a higher prevalence among those with a previous STI diagnosis, at 12%. No significant differences were found based on other sociodemographic or behavioral variables.ConclusionThis study reveals a higher HIV prevalence compared to previous studies among FSWs, indicating the need for new health programs specifically tailored for this group, particularly for women with prior STIs, as they represent a key population for HIV infection that demands better healthcare approaches. Additionally, further research is needed to understand how sociodemographic changes impact infection dynamics in this population.","PeriodicalId":14408,"journal":{"name":"International Journal of STD & AIDS","volume":" ","pages":"9564624251330011"},"PeriodicalIF":1.4,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A male patient with Chlamydia peritonitis: Case report.

IF 1.4 4区医学

International Journal of STD & AIDS Pub Date : 2025-03-28 DOI: 10.1177/09564624251329633

Aude Van Oosterwyck, Eric Van Wijngaerden, Philip Roelandt

引用次数: 0

Impact of multi-level factors and partner characteristics on antiretroviral therapy adherence and access to HIV care during the COVID-19 pandemic.

IF 1.4 4区医学

International Journal of STD & AIDS Pub Date : 2025-03-28 DOI: 10.1177/09564624251329626

Paige Neuenschwander, Andrea Norcini Pala, Fredrick L Altice, Robert H Remien, Gaukhar Mergenova, Elena Rozental, Valeriy Gulyayev, Alissa Davis

{"title":"Impact of multi-level factors and partner characteristics on antiretroviral therapy adherence and access to HIV care during the COVID-19 pandemic.","authors":"Paige Neuenschwander, Andrea Norcini Pala, Fredrick L Altice, Robert H Remien, Gaukhar Mergenova, Elena Rozental, Valeriy Gulyayev, Alissa Davis","doi":"10.1177/09564624251329626","DOIUrl":"https://doi.org/10.1177/09564624251329626","url":null,"abstract":"BackgroundAdherence to antiretroviral therapy (ART) remains a challenge for many people with HIV and was exacerbated during the COVID-19 pandemic. This paper examines factors associated with ART adherence among people with HIV who inject drugs (PWHWID) in Almaty, Kazakhstan during the COVID-19 pandemic.MethodsA cross-sectional survey was conducted from October 2020 to August 2022 with 66 PWHWID and their treatment support partners (n = 66) to assess associations between ART adherence and sociodemographic, COVID-19 related, social support, and other factors. Multilevel generalized linear mixed models were used to examine factors associated with optimal (≥90%) and standard (≥80%) adherence levels.ResultsWe found low medication adherence rates: only 55.8% took ≥80% of their doses, and just 14.7% took ≥90%. People were more likely to take their medication consistently if they had a partner with HIV, experienced less household conflict during COVID-19, or met with addiction professionals. Poor mental health and negative emotional impacts from COVID-19 were associated with low adherence.ConclusionThese findings suggest that HIV treatment programs should consider the importance of patients' relationship factors, mental health, and home environment impacts during public health crises.","PeriodicalId":14408,"journal":{"name":"International Journal of STD & AIDS","volume":" ","pages":"9564624251329626"},"PeriodicalIF":1.4,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Validation of rapid point-of-care tests for herpes simplex virus-type 2 in rural Tanzania.

IF 1.4 4区医学

International Journal of STD & AIDS Pub Date : 2025-03-25 DOI: 10.1177/09564624251327241

Jane K Maganga, Kristen Riley, Crispin Mukerebe, Loyce Mhango, Donald Miyaye, Peter Shigella, Myung Hee Lee, Humphrey D Mazigo, Jennifer A Downs, John M Changalucha

{"title":"Validation of rapid point-of-care tests for herpes simplex virus-type 2 in rural Tanzania.","authors":"Jane K Maganga, Kristen Riley, Crispin Mukerebe, Loyce Mhango, Donald Miyaye, Peter Shigella, Myung Hee Lee, Humphrey D Mazigo, Jennifer A Downs, John M Changalucha","doi":"10.1177/09564624251327241","DOIUrl":"https://doi.org/10.1177/09564624251327241","url":null,"abstract":"BackgroundHerpes simplex virus-type 2 (HSV-2) affects nearly 500 million people worldwide. Up to 70% of women in Tanzania are infected by age 30. Point-of-care (POC) tests to detect HSV-2 antibodies are commercially available. We validated the performance of two HSV-2 POC tests in women in rural Tanzania.MethodsBlood from 56 women was tested for HSV-2 antibodies by Biogate Labs and OnSite Duo rapid tests and Kalon HSV-2 IgG ELISA. Results obtained from the POC tests were compared with those from the ELISA to determine sensitivity, specificity, positive and negative predictive values (PPV and NPV).ResultsThe Biogate had a sensitivity and specificity of 30.3% [15.6%-48.7%] and 100% [85.2%-100%], respectively. The OnSite Duo had a sensitivity and specificity of 69.7% [51.3%-84.4%] and 87.0% [66.4%-97.2%], respectively. The PPV and NPV for the Biogate was 100% [69.2%-100%] and 50% [44.4%-55.6%], respectively. The OnSite Duo had a PPV and NPV of 88.5% [72.3%-95.8%] and 66.7% [53.8%-77.5%], respectively.ConclusionThese tests had different performance characteristics, with the Biogate having a poor sensitivity and excellent specificity, and the OnSite Duo having a slightly better sensitivity though lower specificity. Validation of POC tests is important, as they can be valuable diagnostic tools in low-resource settings.","PeriodicalId":14408,"journal":{"name":"International Journal of STD & AIDS","volume":" ","pages":"9564624251327241"},"PeriodicalIF":1.4,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"Are new lipid lowering agents a good option for achieving lipid goals in people living with HIV? A case report".

IF 1.4 4区医学

International Journal of STD & AIDS Pub Date : 2025-03-23 DOI: 10.1177/09564624251327237

Raffaele Ferri, Katia Falasca, Jacopo Vecchiet, Claudio Ucciferri

引用次数: 0

British Association for Sexual Health and HIV National Guideline on the Management of Scabies in adults 2025.

IF 1.4 4区医学

International Journal of STD & AIDS Pub Date : 2025-03-19 DOI: 10.1177/09564624251321264

Georgina Morris, Lewis Haddow, Parameswaran N Sashidharan, Amber Savary-Trathen, Suneeta Soni, Charlotte Bigland, Hasan Mirza, Stephen L Walker

引用次数: 0

Reducing non-sterile glove use in a sexual health and HIV department: A quality improvement project to address clinical practices. 在性健康和艾滋病科减少非无菌手套的使用：针对临床实践的质量改进项目。

IF 1.4 4区医学

International Journal of STD & AIDS Pub Date : 2025-03-13 DOI: 10.1177/09564624251326696

Laurie Smith, Amanda Clarke, Gillian Dean

{"title":"Reducing non-sterile glove use in a sexual health and HIV department: A quality improvement project to address clinical practices.","authors":"Laurie Smith, Amanda Clarke, Gillian Dean","doi":"10.1177/09564624251326696","DOIUrl":"https://doi.org/10.1177/09564624251326696","url":null,"abstract":"BackgroundClimate change is a huge public health threat, necessitating reductions in carbon emissions, particularly from single-use plastics like non-sterile gloves (NSG). This quality improvement project aims to explore whether use of targeted educational material changes staff attitudes towards NSG use in clinical practice within a Sexual Health and HIV department.MethodsA pre-intervention survey was circulated to all clinicians. Subsequently, various methods encouraged appropriate NSG use including video guidance of performing venepuncture without gloves in line with Trust policy, educational presentations, and patient-facing posters for waiting rooms. NSG procurement data were obtained, and a post-intervention survey evaluated whether NSG use had changed following the interventions.ResultsSixty-three percent of staff believed they had reduced their personal glove use in the past year. Many staff believed the best way to reduce inappropriate glove use was through education as well as empowering patients through posters. Glove procurement data comparing 2023/2024 to pre-COVID 2019/2020 showed a 45.2% decrease in NSG orders from 173,110 to 94,800 per year.ConclusionsStaff education is successful in reducing inappropriate NSG use, with patient posters and targeted staff presentations the most effective measures to drive behaviour change and therefore reduce NSG use.","PeriodicalId":14408,"journal":{"name":"International Journal of STD & AIDS","volume":" ","pages":"9564624251326696"},"PeriodicalIF":1.4,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of maternal antiretroviral drugs in pregnancy on haematological and biochemical parameters in neonates exposed in utero.

IF 1.4 4区医学

International Journal of STD & AIDS Pub Date : 2025-03-13 DOI: 10.1177/09564624251326701

Dorothy Frank, Mohanarathi Kawsar, Michael Eisenhut

{"title":"Effects of maternal antiretroviral drugs in pregnancy on haematological and biochemical parameters in neonates exposed in utero.","authors":"Dorothy Frank, Mohanarathi Kawsar, Michael Eisenhut","doi":"10.1177/09564624251326701","DOIUrl":"https://doi.org/10.1177/09564624251326701","url":null,"abstract":"BackgroundThe British HIV Association recommends the use of antiretroviral therapy (ART) in all pregnant women living with HIV to protect against mother to child transmission. ART may cause side effects including anaemia, macrocytosis and neutropenia.MethodsIn a retrospective study conducted in a District General Hospital in the United Kingdom in 2024 using a historical cohort, we compared neonatal haemoglobin, mean corpuscular volume (MCV), reticulocyte, neutrophil and lymphocyte counts, alanine aminotransferase and bilirubin levels on the first day of life and at 6 weeks of life in children born to mothers who at delivery were on azidothymidine (AZT) containing ART regimes with newborns not exposed to those regimes.ResultsOur study included 82 newborns exposed to maternal AZT-containing ART and 36 without exposure to an AZT-containing regimen. Newborns exposed to AZT had a mean (SD) haemoglobin of 15.5 (2.3) g/dl and a reticulocyte count of 216.8 (67.1) x103/microliter, which were significantly lower compared to newborns not exposed with a haemoglobin of 17.6 (1.8) and a reticulocyte count of 273.1 (97.8) on the day of delivery. The MCV was with a mean (SD) of 117.2 (11.5) significantly higher in newborns exposed compared to those not exposed: 106.4 (17.1). There was no difference in other parameters at birth or in the above at 6 weeks of age.ConclusionsExposure to ART regimens containing AZT in pregnancy was associated with features of reduced fetal erythropoiesis in newborns.","PeriodicalId":14408,"journal":{"name":"International Journal of STD & AIDS","volume":" ","pages":"9564624251326701"},"PeriodicalIF":1.4,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hepatitis B prevention interventions during HIV post-exposure prophylaxis visits: A retrospective chart review.

IF 1.4 4区医学

International Journal of STD & AIDS Pub Date : 2025-03-12 DOI: 10.1177/09564624251325312

Emma B Monti, Danae Penichet, Monica Rudd, Deborah Yoong, Sara S Pathan, Asma Moin, Samantha A Myers, Darrell Hs Tan

{"title":"Hepatitis B prevention interventions during HIV post-exposure prophylaxis visits: A retrospective chart review.","authors":"Emma B Monti, Danae Penichet, Monica Rudd, Deborah Yoong, Sara S Pathan, Asma Moin, Samantha A Myers, Darrell Hs Tan","doi":"10.1177/09564624251325312","DOIUrl":"10.1177/09564624251325312","url":null,"abstract":"BackgroundHepatitis B virus (HBV) disproportionately affects people at risk of HIV. Encounters for HIV post-exposure prophylaxis (PEP) create opportunities for HBV screening and prevention. We quantified HBV prevalence, susceptibility, and active/passive immunization use among patients seeking HIV PEP.MethodsWe conducted a retrospective chart review of patients requesting PEP at an academic hospital between 2001-2021 in Toronto, Canada. Patients were classified as HBV immune or susceptible based on laboratory tests. Among HBV-susceptible individuals, we quantified how often HBV vaccine and/or hepatitis B immune globulin (HBIG) were administered.ResultsWe identified 2018 PEP episodes, 75.3% being for sexual exposures. Mean age was 33.6 years. Among 1593 (78.9%) participants with available HBV testing data, six (0.4%) tested HBsAg-positive. Of 2018 episodes, 56.8% were among HBV-immune and 19.8% among HBV-susceptible participants; 23.1% were among participants of unknown status. Of susceptible participants, 55 (13.8%) received HBIG and 143 (35.8%) received HBV vaccinations.ConclusionsHBV prevalence was low but roughly one-fifth of patients seeking HIV PEP were HBV-susceptible. HBIG use was inconsistent with current guidelines, and a minority of HBV-susceptible individuals were vaccinated. More systematic HBV testing, increased HBV vaccination and more rational use of HBIG are needed in those seeking HIV PEP.","PeriodicalId":14408,"journal":{"name":"International Journal of STD & AIDS","volume":" ","pages":"9564624251325312"},"PeriodicalIF":1.4,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143605088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0