Sexually transmitted diseases最新文献

{"title":"Pharmacy-Based Data to Care: Evaluation of a Public Health Initiative to Support HIV Medication Reinitiation.","authors":"Julia C Dombrowski, Teah Hoopes, Robert Loeffelbein, Alexa Muccioli, Emily Rowlinson, Richard Lechtenberg, Christine McKay, Michal Blum, Suzanne Hardaswick, Matthew R Golden","doi":"10.1097/OLQ.0000000000002137","DOIUrl":"10.1097/OLQ.0000000000002137","url":null,"abstract":"<p><strong>Abstract: </strong>In a pharmacy-based Data to Care project in Washington during August 2019-December 2021, 2 pharmacies identified 762 cases of persons who were 35 to 65 days late refilling antiretroviral medications; 119 (16%) case investigations led to contact with a person who had discontinued treatment, 43 (36%) of whom restarted medications after outreach.</p>","PeriodicalId":21837,"journal":{"name":"Sexually transmitted diseases","volume":" ","pages":"503-505"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12245610/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlates of Using Antibiotics to Prevent Sexually Transmitted Infections Among Cisgender Sexual Minority Men and Transgender Women.","authors":"Drew A Westmoreland, Jacob Bleasdale, Alexa B D'Angelo, Rifa Ehsan, Viraj V Patel, Robert L Cook, Adam W Carrico, Christian Grov","doi":"10.1097/OLQ.0000000000002151","DOIUrl":"10.1097/OLQ.0000000000002151","url":null,"abstract":"<p><strong>Abstract: </strong>Prophylactic antibiotics are effective prevention strategies for sexually transmitted infections. This analysis explored preventative antibiotic use among cisgender sexual minority men and transgender women. Data were collected from August 2022 to July 2023. Fourteen percent of participants reported use. Participants from communities most impacted by sexually transmitted infections had higher odds of reporting use.</p>","PeriodicalId":21837,"journal":{"name":"Sexually transmitted diseases","volume":" ","pages":"e32-e36"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12245591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modeling the Impact of Time to Treatment on Syphilis Prevalence: A Theoretical Mathematical Model of People Living With HIV in Colombia.","authors":"Jonny A Garcia-Luna, Norman Maldonado, Kelly L Hawley, Justin D Radolf, Neal Alexander","doi":"10.1097/OLQ.0000000000002171","DOIUrl":"10.1097/OLQ.0000000000002171","url":null,"abstract":"<p><strong>Background: </strong>Syphilis disproportionately affects people living with HIV (PLWH). Although screening is widely done for syphilis control, there are significant delays with time to treatment reaching 30 days in some settings in Colombia. Our study aimed to model the impact of reducing time to treatment on syphilis prevalence among PLWH in Colombia.</p><p><strong>Methods: </strong>We developed a compartmental model to simulate syphilis transmission dynamics among PLWH, considering different stages of disease. The model included screening and treatment pathways and stratified the population into high (10%) and low (90%) sexual activity groups. Sensitivity analysis assessed the influence of various model parameters on the impact of reducing time to treatment.</p><p><strong>Results: </strong>The model projected a syphilis prevalence of 7.7% in the base scenario, with increased prevalence in high versus low sexual activity groups (41.5% and 4.0%, respectively). Reducing the average time to treatment from 30 days to 1 day decreased the syphilis prevalence to 6.5%, or 7.1% when applied, respectively, to the entire population or only the high sexual activity group. Sensitivity analysis showed that reducing time to treatment to 1 day in 20% of the high activity group resulted in relative reductions ranging from -1.1% to -13.2% in syphilis prevalence, depending on parameter variations.</p><p><strong>Conclusions: </strong>This study highlights the potential for reducing time to treatment to lower syphilis prevalence among PLWH. The findings emphasize the importance of targeted strategies in syphilis control efforts and underscore the complex interactions of model parameters influencing the impact of such interventions.</p>","PeriodicalId":21837,"journal":{"name":"Sexually transmitted diseases","volume":" ","pages":"450-456"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12245600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Formalizing Partnerships: How Regional Coalitions in Sexual Health Can Address the Sexually Transmitted Infection Epidemic.","authors":"Gillian J Lee, Karen A Wendel, Adrean Riba, Lawrence Weingarten, Anne Trolard, Teri S Anderson, Helen Burnside, Hilary Reno","doi":"10.1097/OLQ.0000000000002155","DOIUrl":"10.1097/OLQ.0000000000002155","url":null,"abstract":"<p><strong>Background: </strong>Sexually transmitted infection (STI) rates continue to increase nationally, with more STIs diagnosed outside of traditional STI clinics. Collective impact groups that harness the power of collaboration among diverse community stakeholders have had demonstrated success in supporting local efforts in HIV prevention and addressing specific community gaps. We describe the efforts of 2 jurisdictional collective impact groups, the St. Louis STI Regional Response Coalition (STIRR) and the Denver Metro STI Coalition (DMSC), to combat their regional STI epidemics.</p><p><strong>Methods: </strong>Both STIRR and DMSC serve multiple counties (STIRR, 12; DMSC, 5) and have diverse member organizations including health departments, academic medical and community health centers, and community-based organizations (STIRR, 25; DMSC, 22). They also have a broad membership base (STIRR, 50; DMSC, 107). Coordination of these groups is supported by state and institutional funding as well as by staff from the Centers for Disease Control and Prevention regional STI Clinical Prevention Training Centers.</p><p><strong>Results: </strong>Outcomes from the STIRR and DMSC include assessments of client STI services, consultation on health department STI data dashboards, development of regional prevention strategies, dissemination of standards of care and best practices for providers, and collaboration with local HIV prevention Fast Track Cities Initiatives. Products to support health care staff and community members in STI prevention and care are posted on each group's website.</p><p><strong>Conclusions: </strong>Both STIRR and DMSC demonstrate the feasibility of using the collective impact model to address jurisdictional STI epidemics. Expansion of community engagement and sustained funding are needed to fully realize the potential of such collaborative groups in addressing the US STI epidemic.</p>","PeriodicalId":21837,"journal":{"name":"Sexually transmitted diseases","volume":" ","pages":"470-474"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558173","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}

{"title":"What We Fail to Teach: A Systematic Review of Sexual Health Education in the Deep South.","authors":"Stephanie R Shea, Abigail Mowen, Patricia J Kissinger","doi":"10.1097/OLQ.0000000000002172","DOIUrl":"10.1097/OLQ.0000000000002172","url":null,"abstract":"<p><strong>Abstract: </strong>Given the disproportionately high rates of sexually transmitted infections (STIs) among adolescents in the Deep South, a closer look at sexual health education, a fundamental element of sexual health, is crucial to understanding and addressing the problem. This article explores attitudes, policies, practices, and impacts of sex education (sex-ed) on Southern adolescents. We systematically searched seven electronic databases for articles published between 2002 and 2022 that investigated school-based sex-ed for youth <25 years old in Alabama, Georgia, Louisiana, Mississippi, and South Carolina. Hand search of references, risk of bias, and quality assessments were also completed. Four main themes emerged across 37 included studies: Attitudes, Policies, Curricula, and Impact. Surveyed parents and constituents supported sex-ed that incorporates abstinence and other health topics including STIs, human immunodeficiency virus (HIV), and contraception. Sex-ed policies and curricula overwhelmingly emphasized abstinence, whereas only a minority of schools addressed other critical sex-ed topics. Some studies impacted students' knowledge or behavioral intentions; others failed to alter adolescents' sexual health behaviors. Despite strong support from key stakeholders for sex-ed that goes beyond abstinence, abstinence remains the primary focus of sex-ed across the Deep South. Studies and advocacy efforts are needed to understand why we fail to harness sex-ed in the Deep South as a real tool for change.</p>","PeriodicalId":21837,"journal":{"name":"Sexually transmitted diseases","volume":" ","pages":"e41-e55"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12245586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Staffing and Budget Levels at Local Sexually Transmitted Disease Programs by County-Level Sociodemographic Characteristics During COVID-19.","authors":"Carolyn Luk, Kartika Palar, Jennifer Ludovic, Ryan Cramer, Thomas L Gift, Rebekah Horowitz, Jami S Leichliter","doi":"10.1097/OLQ.0000000000002152","DOIUrl":"10.1097/OLQ.0000000000002152","url":null,"abstract":"<p><strong>Abstract: </strong>We examined the relationship between local health department sexually transmitted disease (STD) program staffing and budget changes and county-level sociodemographic characteristics. We found 2 population-level sociodemographic characteristics associated with STD budget cuts. Although staffing cuts were observed, none of the sociodemographic characteristics examined were associated with STD staffing cuts.</p>","PeriodicalId":21837,"journal":{"name":"Sexually transmitted diseases","volume":" ","pages":"e37-e40"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12245599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Updated Spreadsheet Tool to Estimate the Health and Economic Benefits of Sexually Transmitted Infection and HIV Prevention Activities.","authors":"Harrell W Chesson, Austin M Williams, Bahareh Ansari, Md Hafizul Islam, Britney L Johnson, Dayne Collins, Thomas L Gift, Erika G Martin","doi":"10.1097/OLQ.0000000000002147","DOIUrl":"10.1097/OLQ.0000000000002147","url":null,"abstract":"<p><strong>Background: </strong>This article describes an updated spreadsheet tool that sexually transmitted infection (STI) prevention programs in the United States can use to estimate the health and economic benefits of their STI and HIV prevention activities.</p><p><strong>Methods: </strong>The development of the updated tool, Sexually Transmitted Infection Costs (STIC) Figure 2.0, involved 2 main components. First, we revised the tool to be more useful and user-friendly based on feedback from focus groups and usability testing. Second, we updated the mathematical model behind the calculations by (1) revising the model to reflect current STI and HIV prevention activities in the United States, (2) updating the epidemiological and economic parameters in the model using the best available evidence, and (3) including ranges (not just point estimates) in the model output. To demonstrate the use of STIC Figure 2.0, we applied it to estimate the impact of a hypothetical prevention program, consistent with that of a health department or large STI clinic in a metropolitan area.</p><p><strong>Results: </strong>STIC Figure 2.0 incorporated new features, including an interactive user interface to explore findings and create customized charts for use in reports and presentations. The hypothetical example we analyzed illustrated how providing STI treatment to 2680 people and HIV prevention services to 325 people could avert 1253 adverse outcomes and save more than $2 million in medical costs and productivity costs.</p><p><strong>Conclusions: </strong>Although subject to important limitations, STIC Figure 2.0 allows state and local programs, including STI clinics, to calculate evidence-based estimates of the impact of their program activities.</p>","PeriodicalId":21837,"journal":{"name":"Sexually transmitted diseases","volume":" ","pages":"443-449"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12233172/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is Single-Dose Benzathine Penicillin G Adequate for Late Latent Syphilis?","authors":"Noah Kojima, Remco Peters, Jeffrey D Klausner","doi":"10.1097/OLQ.0000000000002161","DOIUrl":"10.1097/OLQ.0000000000002161","url":null,"abstract":"","PeriodicalId":21837,"journal":{"name":"Sexually transmitted diseases","volume":" ","pages":"441-442"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12245593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"To Whom Will You Send Automated Confidential SMS Invitations to Test for HIV? Results From an Acceptability Pilot Study in Northern Tanzania.","authors":"Salome-Joelle Gass, Jan Ostermann, Bernard Njau, Marco van Zwetselaar, Melkiory Beti, Thespina Yamanis, Leah McClimans, Rose Mwangi, Vaileth John, Tara Mtuy, Amy Hobbie, Nathan Thielman","doi":"10.1097/OLQ.0000000000002153","DOIUrl":"10.1097/OLQ.0000000000002153","url":null,"abstract":"<p><strong>Abstract: </strong>The Confidential Social Network Referrals for HIV Testing (CONSORT) intervention leverages the ubiquity of mobile phones and social networks to nudge at-risk populations to test for HIV. Pilot results suggest that confidential SMS testing invitations are acceptable among diverse populations and may reach those at above-average risk of HIV infection.</p>","PeriodicalId":21837,"journal":{"name":"Sexually transmitted diseases","volume":" ","pages":"506-509"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12245589/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Low Knowledge, Awareness, and Availability of Sexual Health Services: An Assessment of a Diverse North Dallas Community.","authors":"Drew A Beckman, Edgar Gonzalez, Bendu Coleman, Jeremy Y Chow","doi":"10.1097/OLQ.0000000000002149","DOIUrl":"10.1097/OLQ.0000000000002149","url":null,"abstract":"<p><strong>Background: </strong>Sexually transmitted infection (STI) and human immunodeficiency virus (HIV) rates have been growing nationwide without adequate resources for treatment and prevention. Barriers to access need to be identified and rectified to reach affected populations.</p><p><strong>Methods: </strong>An exploratory community assessment using a purposive sample in an underserved community in Dallas, Texas, was conducted to gain insight into perceptions of existing access, barriers, and cultural norms in addition to preferences for sexual health services in the area (n = 100). Results were compiled using descriptive statistics.</p><p><strong>Results: </strong>Our respondents came from priority populations with high HIV/STI prevalence including Black individuals, Latinx individuals, and men who have sex with men. Most participants said they would feel comfortable accessing sexual health services in a medical building (95%), mobile clinic (91%), office building (76%), or pharmacy (74%). Half preferred a closer clinic compared with 2% who preferred farther away. Wide lack of awareness of sexual health services was cited as the primary barrier by 57%. Participants were most interested in having STI (92%) and HIV (91%) testing/treatment offered with very few expressing interest in preexposure prophylaxis (24%), nonoccupational postexposure prophylaxis (4%), or doxycycline postexposure prophylaxis (3%), suggesting low knowledge about these options. Furthermore, Black individuals felt more comfortable than Latinx individuals when discussing sexual health with peers/friends, sex partners, and health care providers.</p><p><strong>Conclusions: </strong>Many ethnic and sexual minorities disproportionately affected by these epidemics lack access to sexual health services in their communities. Local community assessments like this can serve as a model for others seeking to expand sexual health services to address the growing HIV and STI syndemics.</p>","PeriodicalId":21837,"journal":{"name":"Sexually transmitted diseases","volume":" ","pages":"475-481"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12245612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}