Journal of sexually transmitted diseases最新文献_第4页

Assessment of Sexual and Reproductive Health Status of Street Children in Addis Ababa. 亚的斯亚贝巴街头儿童性健康和生殖健康状况评估。

Journal of sexually transmitted diseases Pub Date : 2013-01-01 Epub Date: 2013-12-26 DOI: 10.1155/2013/524076

Demelash Habtamu, Addisie Adamu

{"title":"Assessment of Sexual and Reproductive Health Status of Street Children in Addis Ababa.","authors":"Demelash Habtamu, Addisie Adamu","doi":"10.1155/2013/524076","DOIUrl":"https://doi.org/10.1155/2013/524076","url":null,"abstract":"Street children worldwide do not have the information, skills, health services, and support they need to go through sexual development during adolescence. This study is undertaken to systematically investigate the fit between street children's sexual and reproductive health needs and the existing services. A cross-sectional study was conducted among 422 street children and four service providers. About 72.5% of the respondents were sexually active during data collection and 84.3% of males and 85.7% of females tended to have multiple sexual partners. More than two-thirds (67.3%) of the participants had used at least one type of substance. History of substance use (OR = 2.5; 95% CI = 1.42-4.56) and being on the street for the first one to three years (OR = 5.9; 95% CI = 1.41-7.22) increased the likelihood of having sexual activity. More than half (64.9%) of the street children did not attend any kind of sexual or reproductive health education programs. Lack of information on available services (26.5%) was the biggest barrier for utilization of local sexual and reproductive health services. From the individual interview with coordinator, the financial and networking problems were hindering the service delivery for street children. In conclusion, street children who are special high risk group have not been targeted and hence continue to remain vulnerable and lacking in sexual and reproductive health services and sexual health services are poorly advertised and delivered to them. ","PeriodicalId":90237,"journal":{"name":"Journal of sexually transmitted diseases","volume":"2013 ","pages":"524076"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/524076","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33959094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 53

Access to Basic HIV-Related Services and PrEP Acceptability among Men Who Have sex with Men Worldwide: Barriers, Facilitators, and Implications for Combination Prevention. 全球男男性行为者获得基本艾滋病毒相关服务和预防措施的可接受性:综合预防的障碍、促进因素和影响。

Journal of sexually transmitted diseases Pub Date : 2013-01-01 Epub Date: 2013-07-08 DOI: 10.1155/2013/953123

George Ayala, Keletso Makofane, Glenn-Milo Santos, Jack Beck, Tri D Do, Pato Hebert, Patrick A Wilson, Thomas Pyun, Sonya Arreola

{"title":"Access to Basic HIV-Related Services and PrEP Acceptability among Men Who Have sex with Men Worldwide: Barriers, Facilitators, and Implications for Combination Prevention.","authors":"George Ayala, Keletso Makofane, Glenn-Milo Santos, Jack Beck, Tri D Do, Pato Hebert, Patrick A Wilson, Thomas Pyun, Sonya Arreola","doi":"10.1155/2013/953123","DOIUrl":"https://doi.org/10.1155/2013/953123","url":null,"abstract":"Introduction. Men who have sex with men (MSM) are disproportionately impacted by HIV globally. Easily accessible combination HIV prevention strategies, tailored to the needs of MSM, are needed to effectively address the AIDS pandemic. Methods and Materials. We conducted a cross-sectional study among MSM (n = 3748) from 145 countries from April to August 2012. Using multivariable random effects models, we examined factors associated with acceptability of preexposure prophylaxis (PrEP) and access to condoms, lubricants, HIV testing, and HIV treatment. Results. Condoms and lubricants were accessible to 35% and 22% of all respondents, respectively. HIV testing was accessible to 35% of HIV-negative respondents. Forty-three percent of all HIV-positive respondents reported that antiretroviral therapy was easily accessible. Homophobia, outness, and service provider stigma were significantly associated with reduced access to services. Conversely, community engagement, connection to gay community, and comfort with service providers were associated with increased access. PrEP acceptability was associated with lower PrEP-related stigma, less knowledge about PrEP, less outness, higher service provider stigma, and having experienced violence for being MSM. Conclusions. Ensuring HIV service access among MSM will be critical in maximizing the potential effectiveness of combination approaches, especially given the interdependence of both basic and newer interventions like PrEP. Barriers and facilitators of HIV service access for MSM should be better understood and addressed. ","PeriodicalId":90237,"journal":{"name":"Journal of sexually transmitted diseases","volume":"2013 ","pages":"953123"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/953123","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33960019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 128

Increasing Antenatal Care and HIV Testing among Rural Pregnant Women with Conditional Cash Transfers to Self-Help Groups: An Evaluation Study in Rural Mysore, India. 通过有条件地向自助团体转移现金，增加农村孕妇的产前护理和 HIV 检测：印度迈索尔农村地区的评估研究》。

Journal of sexually transmitted diseases Pub Date : 2013-01-01 Epub Date: 2013-09-01 DOI: 10.1155/2013/971458

Purnima Madhivanan, Bhavana NiranjanKumar, Reshma Shaheen, Poornima Jaykrishna, Kavitha Ravi, Savitha Gowda, Vijaya Srinivas, Anjali Arun, Karl Krupp

{"title":"Increasing Antenatal Care and HIV Testing among Rural Pregnant Women with Conditional Cash Transfers to Self-Help Groups: An Evaluation Study in Rural Mysore, India.","authors":"Purnima Madhivanan, Bhavana NiranjanKumar, Reshma Shaheen, Poornima Jaykrishna, Kavitha Ravi, Savitha Gowda, Vijaya Srinivas, Anjali Arun, Karl Krupp","doi":"10.1155/2013/971458","DOIUrl":"10.1155/2013/971458","url":null,"abstract":"Background. We describe a one-year evaluation study comparing SCIL intervention of mobile provision of integrated ANC/ HIV testing with an enhanced (SCIL+) intervention of community mobilization strategy providing conditional cash transfers (CCT) to women's SHG for identifying and accompanying pregnant women to mobile clinics. Methods. Twenty pairs of villages matched on population, socioeconomic status, access to medical facilities, and distance from Mysore city were divided between SCIL and SCIL+ interventions. The primary study outcome was the proportion of total pregnancies in these villages who received ANC and HIV testing. Results. Between April 2011 and March 2012, 552 pregnant women participated in SCIL or SCIL+ interventions. Among women who were pregnant at the time of intervention delivery, 181 of 418 (43.3%) women pregnant at the time of intervention delivery received ANC in the SCIL arm, while 371 of 512 (72.5%) received ANC in the SCIL+ arm (P < 0.001); 175 (97%) in the SCIL and 366 (98.6%) in the SCIL+ arm consented to HIV testing (P < 0.001). HIV prevalence of 0.6% was detected among SCIL clinic, and 0.9% among attending SCIL+ clinic attendees. Conclusion. Provision of CCT to women's microeconomic SHG appears to significantly increase uptake of ANC/HIV testing services in rural Mysore villages. ","PeriodicalId":90237,"journal":{"name":"Journal of sexually transmitted diseases","volume":"2013 ","pages":"971458"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4437412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33960022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dual Protection and Dual Methods in Women Living with HIV: The Brazilian Context. 双重保护和双重方法在妇女艾滋病毒感染者:巴西的情况。

Journal of sexually transmitted diseases Pub Date : 2013-01-01 Epub Date: 2013-06-20 DOI: 10.1155/2013/540789

Kiyomi Tsuyuki, Regina María Barbosa, Adriana de Araujo Pinho

{"title":"Dual Protection and Dual Methods in Women Living with HIV: The Brazilian Context.","authors":"Kiyomi Tsuyuki, Regina María Barbosa, Adriana de Araujo Pinho","doi":"10.1155/2013/540789","DOIUrl":"https://doi.org/10.1155/2013/540789","url":null,"abstract":"The cooccurrence of HIV and unintended pregnancy has prompted a body of work on dual protection, the simultaneous protection against HIV and unintended pregnancy. This study examines dual protection and dual methods as a risk-reduction strategy for women living with HIV. Data are from a cross-sectional sample of HIV-positive women attended in Specialized STI/AIDS Public Health Service Clinics in 13 municipalities from all five regions of Brazil 2003-2004 (N = 834). Descriptive techniques and logistic regression were used to examine dual protection among women living with HIV. We expand the definition of dual protection to include consistent condom use and reversible/irreversible contraceptive methods, we test the dual methods hypothesis that women who use dual methods will use condoms less consistently than women who use only condoms, and we identify predictors of dual protection. Dual protection is common in our sample. Women who use dual methods have lower odds of consistent condom use than women who only use condoms. Among dual method users, we find that women who use an irreversible method use condoms more consistently than women who use a reversible method. Women on ART and with an HIV-serodiscordant partner have greater odds of consistent condom use than their counterparts. ","PeriodicalId":90237,"journal":{"name":"Journal of sexually transmitted diseases","volume":"2013 ","pages":"540789"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/540789","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33959095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 15

Epidemiology of Sexually Transmitted Infections among Human Immunodeficiency Virus Positive United States Military Personnel. 人类免疫缺陷病毒阳性的美国军事人员中性传播感染的流行病学。

Journal of sexually transmitted diseases Pub Date : 2013-01-01 Epub Date: 2013-04-21 DOI: 10.1155/2013/610258

Jeff S Tzeng, Leslie L Clark, Eric C Garges, Jean Lin Otto

{"title":"Epidemiology of Sexually Transmitted Infections among Human Immunodeficiency Virus Positive United States Military Personnel.","authors":"Jeff S Tzeng, Leslie L Clark, Eric C Garges, Jean Lin Otto","doi":"10.1155/2013/610258","DOIUrl":"https://doi.org/10.1155/2013/610258","url":null,"abstract":"Background. Minimal data exist that describe the epidemiology of sexually transmitted infections (STI) in human immunodeficiency virus (HIV) positive populations across the pre- and post-diagnosis periods for HIV. Purpose. The purpose of this study was to identify and describe the epidemiology of gonorrhea, chlamydia, syphilis, herpes simplex virus, and human papillomavirus in an HIV-positive population. Methods. All 1,961 HIV seropositive United States active duty military personnel from 2000–2010 were identified. STI diagnoses relative to HIV diagnosis from 1995, which was the earliest electronic medical record available, to 2010 were examined. Results. The incidence diagnosis rates of STI generally increased during the period leading up to eventual HIV diagnosis. The rates of STI during the post-HIV diagnosis period fluctuated, but remained elevated compared to pre-HIV diagnosis period. Approximately 45%–69% with an STI in the HIV seropositive military population were diagnosed with their first STI greater than one year after their HIV diagnosis. Of those who were diagnosed with an STI in the post-HIV diagnosis period, 70.6% had one STI diagnosis, 23.5% had two STI diagnoses, and 5.8% had three or more STI diagnoses. Conclusions. Despite aggressive counseling, high-risk sexual behavior continues to occur in the HIV-positive military population.","PeriodicalId":90237,"journal":{"name":"Journal of sexually transmitted diseases","volume":"2013 ","pages":"610258"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/610258","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33959097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Adverse Psychosexual Impact Related to the Treatment of Genital Warts and Cervical Intraepithelial Neoplasia. 与治疗生殖器疣和宫颈上皮内瘤变相关的不良性心理影响。

Journal of sexually transmitted diseases Pub Date : 2013-01-01 Epub Date: 2013-03-24 DOI: 10.1155/2013/264093

Adriana Bittencourt Campaner, Nelson Vespa Junior, Paulo César Giraldo, Mauro Romero Leal Passos

{"title":"Adverse Psychosexual Impact Related to the Treatment of Genital Warts and Cervical Intraepithelial Neoplasia.","authors":"Adriana Bittencourt Campaner, Nelson Vespa Junior, Paulo César Giraldo, Mauro Romero Leal Passos","doi":"10.1155/2013/264093","DOIUrl":"10.1155/2013/264093","url":null,"abstract":"Objective. To compare the psychosexual impact related to the treatment of genital warts and cervical intraepithelial neoplasia (CIN) in women. Methods. 75 patients presenting with HPV-induced genital lesions, belonging to one of two patient groups, were included in the study: 29 individuals with genital warts (GWs) and 46 individuals with CIN grades 2 or 3 (CIN 2/3). Initially, medical charts of each woman were examined for extraction of data on the type of HPV-induced infection and treatment administered. Subjects were interviewed to collect sociodemographic data as well as personal, gynecologic, obstetric, and sexual history. After this initial anamnesis, the Sexual Quotient-Female Version (SQ-F) questionnaire was applied to assess sexual function. After application of the questionnaire, patients answered specific questions produced by the researchers, aimed at assessing the impact of the disease and its treatment on their sexual lives. Results. It is noteworthy that patients with CIN 2/3 had statistically similar classification of sexual quotient to patients with GWs (P = 0.115). However, patients with GWs more frequently gave positive answers to the specific questions compared to patients with CIN 2/3. Conclusion. Based on these findings, it is clear that GWs have a greater impact on sexual behavior compared to CIN 2/3. ","PeriodicalId":90237,"journal":{"name":"Journal of sexually transmitted diseases","volume":"2013 ","pages":"264093"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4437422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34026361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Community-Based Surveys for Determining the Prevalence of HIV, Chlamydia, and Gonorrhoea in Men Having Sex with Men in Hong Kong. 以社区为基础的爱滋病、衣原体及淋病在香港男男性行为者中的流行情况调查。

Journal of sexually transmitted diseases Pub Date : 2013-01-01 Epub Date: 2013-04-09 DOI: 10.1155/2013/958967

H T H Wong, K H Wong, S S Lee, R W M Leung, K C K Lee

{"title":"Community-Based Surveys for Determining the Prevalence of HIV, Chlamydia, and Gonorrhoea in Men Having Sex with Men in Hong Kong.","authors":"H T H Wong, K H Wong, S S Lee, R W M Leung, K C K Lee","doi":"10.1155/2013/958967","DOIUrl":"https://doi.org/10.1155/2013/958967","url":null,"abstract":"Background. Community sampling of men having sex with men (MSM) for human immunodeficiency virus (HIV) and sexually transmitted infections prevalence studies poses challenges in view of problems in logistics and the hidden nature of MSM population. Methods. MSM in Hong Kong were recruited through social venues and the Internet. All participants were invited to complete a behavioural questionnaire and submit a urine specimen for HIV, Chlamydia, and gonorrhoea testing. Results. Totally, 994 MSM were recruited. No differences between venue and online-recruited respondents were identified regarding their demographics and infection status. The prevalence of HIV, Chlamydia, and gonorrhoea was 3.6% (95% CI: 2.6-5.0%), 4.7% (95% CI: 3.6-6.2%), and 0.2% (95% CI: 0.1-0.7%), respectively. Of all HIV cases, only 8.3% were aware of the infection; reflecting newly infected MSM were probably overrepresented. Some 58.3% had had HIV test within the past year, and 11.1% had CT/NG coinfection. HIV infection was associated with group sex [aOR: 2.67 (1.03-6.92)], receiving money for anal sex [aOR: 4.63 (1.12-19.18)], and unprotected anal sex with nonregular partners [aOR: 3.047 (1.16-8.01)]. Conclusion. Difference between venue- and online-recruited MSM was observed. A combination of sampling methods is complementary for epidemiology purpose. Overall, risk behaviours practised by undiagnosed HIV-positive MSM remains a cause for concern. ","PeriodicalId":90237,"journal":{"name":"Journal of sexually transmitted diseases","volume":"2013 ","pages":"958967"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/958967","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33960020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 11

Serosorting and HIV/STI Infection among HIV-Negative MSM and Transgender People: A Systematic Review and Meta-Analysis to Inform WHO Guidelines. 艾滋病毒阴性男男性行为者和跨性别者的血清分拣和艾滋病毒/性传播感染:为世卫组织指南提供信息的系统评价和荟萃分析。

Journal of sexually transmitted diseases Pub Date : 2013-01-01 Epub Date: 2013-04-14 DOI: 10.1155/2013/583627

Caitlin E Kennedy, Laura J Bernard, Kathryn E Muessig, Kelika A Konda, Elie A Akl, Ying-Ru Lo, Antonio Gerbase, Kevin R O'Reilly

{"title":"Serosorting and HIV/STI Infection among HIV-Negative MSM and Transgender People: A Systematic Review and Meta-Analysis to Inform WHO Guidelines.","authors":"Caitlin E Kennedy, Laura J Bernard, Kathryn E Muessig, Kelika A Konda, Elie A Akl, Ying-Ru Lo, Antonio Gerbase, Kevin R O'Reilly","doi":"10.1155/2013/583627","DOIUrl":"https://doi.org/10.1155/2013/583627","url":null,"abstract":"We conducted a systematic review and meta-analysis to assess the association between serosorting and HIV infection, sexually transmitted infections (STIs), and quality of life among men who have sex with men (MSM) and transgender people. Two reviewers independently screened abstracts and abstracted data. Meta-analyses were conducted using random effects models. Of 310 citations reviewed, 4 observational studies, all with MSM, met inclusion criteria. Compared to consistent condom use, serosorting was associated with increased risk of HIV (3 studies, odds ratio (OR): 1.80, 95% confidence interval (CI):1.21-2.70) and bacterial STIs (1 study, OR: 1.62, 95% CI: 1.44-1.83). Compared to no condom use, serosorting was associated with reduced risk of HIV (3 studies, OR: 0.46, 95% CI: 0.25-0.83) and bacterial STIs (1 study, OR: 0.81, 95% CI: 0.73-0.91). Among HIV-negative MSM, condom use appears to be more protective against HIV and STIs than serosorting and should be encouraged. However, serosorting may be better than no condom use as a harm reduction strategy. ","PeriodicalId":90237,"journal":{"name":"Journal of sexually transmitted diseases","volume":"2013 ","pages":"583627"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/583627","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33959096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 40

The Impact of Integration of Rapid Syphilis Testing during Routine Antenatal Services in Rural Kenya. 在肯尼亚农村常规产前服务中整合快速梅毒检测的影响。

Journal of sexually transmitted diseases Pub Date : 2013-01-01 Epub Date: 2013-11-05 DOI: 10.1155/2013/674584

Eleanor Fleming, Jared Oremo, Katherine O'Connor, Aloyce Odhiambo, Tun Ye, Simon Oswago, Clement Zeh, Robert Quick, Mary L Kamb

{"title":"The Impact of Integration of Rapid Syphilis Testing during Routine Antenatal Services in Rural Kenya.","authors":"Eleanor Fleming, Jared Oremo, Katherine O'Connor, Aloyce Odhiambo, Tun Ye, Simon Oswago, Clement Zeh, Robert Quick, Mary L Kamb","doi":"10.1155/2013/674584","DOIUrl":"https://doi.org/10.1155/2013/674584","url":null,"abstract":"We evaluated the integration of rapid syphilis tests (RSTs) and penicillin treatment kits into routine antenatal clinic (ANC) services in two rural districts in Nyanza Province, Kenya. In February 2011, nurses from 25 clinics were trained in using RSTs and documenting test results and treatment. During March 2011-February 2012, free RSTs and treatment kits were provided to clinics for use during ANC visits. We analyzed ANC registry data from eight clinics during the 12-month periods before and during RST program implementation and compared syphilis testing, diagnosis, and treatment during the two periods. Syphilis testing at first ANC visit increased from 18% (279 of 1,586 attendees) before the intervention to 70% (1,123 of 1,614 attendees) during the intervention (P < 0.001); 35 women (3%) tested positive during the intervention period compared with 1 (<1%) before (P < 0.001). Syphilis treatment was not recorded according to training recommendations; seven clinics identified 28 RST-positive women and recorded 34 treatment kits as used. Individual-level data from three high-volume clinics supported that the intervention did not negatively affect HIV test uptake. Integrating RSTs into rural ANC services increased syphilis testing and detection. Record keeping on treatment of syphilis in RST-positive women remains challenging. ","PeriodicalId":90237,"journal":{"name":"Journal of sexually transmitted diseases","volume":"2013 ","pages":"674584"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/674584","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33959099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 18

Sexually Transmitted Infections in Women Participating in a Biomedical Intervention Trial in Durban: Prevalence, Coinfections, and Risk Factors. 参加德班生物医学干预试验的妇女中的性传播感染：患病率、合并感染和风险因素。

Journal of sexually transmitted diseases Pub Date : 2013-01-01 Epub Date: 2013-11-03 DOI: 10.1155/2013/358402

Nathlee Samantha Abbai, Handan Wand, Gita Ramjee

{"title":"Sexually Transmitted Infections in Women Participating in a Biomedical Intervention Trial in Durban: Prevalence, Coinfections, and Risk Factors.","authors":"Nathlee Samantha Abbai, Handan Wand, Gita Ramjee","doi":"10.1155/2013/358402","DOIUrl":"10.1155/2013/358402","url":null,"abstract":"Background. Sexually transmitted infections (STIs) continue to be a significant public health problem especially among women of reproductive age in Africa. Methods. A total of 2236 women that had enrolled in the MDP301 vaginal microbicide trial were tested for the presence of Chlamydia trachomatis (CT), Neisseria gonorrhea (NG), Treponema pallidum, and Trichomonas vaginalis (TV). Results. CT was identified as the most prevalent STI (11%) followed by TV (10%), NG, and Syphilis (3%). The highest prevalence of coinfection was reported between T. pallidum and TV (19.67%, P = 0.004), followed by CT and TV (13.52%, P ≤ 0.001). Risk factors that were significantly associated with STI acquisition were women of 23 years of age or younger (HR: 1.50, 95% CI 1.17, 1.93), baseline STI with CT (HR: 1.77, 95% CI 1.32, 2.35), TV (HR: 1.58, 95% CI, 1.20, 2.10), and T. pallidum (HR: 5.13, 95% CI 3.65, 7.22), and a low education level (HR: 1.30, 95% CI 1.02, 1.66). Conclusion. Young women with lower education and a history of STIs are at high risk of multiple STIs. Prevention programs should consider target approach to STI prevention among young women. This trial is registered with ISRCTN64716212. ","PeriodicalId":90237,"journal":{"name":"Journal of sexually transmitted diseases","volume":"2013 ","pages":"358402"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4436868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34026362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0