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Sexually Transmitted Infections

Nigel Field, Soazig Clifton, Sarah Alexander, Catherine A Ison, Rumena Khanom, Pamela Saunders, Gwenda Hughes, Laura Heath, Simon Beddows, Catherine H Mercer, Clare Tanton, Anne M Johnson, Pam Sonnenberg
INTRODUCTION: Variable use of new molecular assays, asymptomatic infections and a lack of population data mean that the population burden of Trichomonas vaginalis is uncertain. We investigated the age-specific prevalence of T. vaginalis within the sexually active British general population to inform testing strategies. METHODS: Britain's third National Survey of Sexual Attitudes and Lifestyle (Natsal-3) is a probability sample survey of 15 162 individuals aged 16-74 years, undertaken during 2010-2012...
September 29, 2016: Sexually Transmitted Infections
Clare Bellhouse, Sandra Walker, Christopher K Fairley, Lenka A Vodstrcil, Catriona S Bradshaw, Marcus Y Chen, Eric P F Chow
OBJECTIVE: Literature surrounding the healthcare needs of transgender individuals is limited in Australia. This study aimed to investigate the demographic characteristics, risk behaviours and HIV/STI positivity among male-to-female (MTF) and female-to-male (FTM) transgender individuals attending Melbourne Sexual Health Centre (MSHC), Australia, between 2011 and 2014. METHOD: A retrospective cohort analysis for 133 transgender individuals was conducted based on the first visit of individuals to MSHC during the study period...
September 29, 2016: Sexually Transmitted Infections
Kristen P Mark, Rachel V Smith, April M Young, Richard Crosby
OBJECTIVES: This study aimed to examine discrepancies between self-report methods and methodological issues related to sexual risk taking. We examined sexual behaviour assessed via 3-month electronic recall and by daily electronic reporting among a large cohort of patients attending STI clinics. METHODS: STI clinic attenders (N= 628) aged 15 to 60 years reported on demographic information (at baseline), penile-vaginal sex acts, condom-unprotected penile-vaginal sex and STI history using 3-month recall and daily reports...
September 27, 2016: Sexually Transmitted Infections
Hamish Mohammed, Gavin Dabrera, Martina Furegato, Zheng Yin, Anthony Nardone, Gwenda Hughes
OBJECTIVES: Black Africans are one of the key risk groups for HIV in the UK and, among those living with HIV, an estimated 16% and 12% of black African heterosexual men and women, respectively, are undiagnosed and at risk of unknowingly transmitting HIV to their sex partners. Increased HIV test uptake is needed to address this, but there is limited information on how frequently HIV test refusal occurs among those attending sexual health clinics (SHCs). We identified factors associated with HIV test refusal among black African SHC attendees...
September 26, 2016: Sexually Transmitted Infections
Chris R Kenyon, Jozefien Buyze, Mark Klebanoff, Rebecca M Brotman
OBJECTIVES: The study aimed to test if there was an association between prevalent bacterial vaginosis (BV) and women reporting that their partner had other partners at the same time (partner concurrency). This association has not been assessed in a longitudinal cohort. METHODS: The Longitudinal Study of Vaginal Flora recruited a cohort of 3620 non-pregnant women aged 15-44 years who presented for routine primary healthcare at 12 clinics in Birmingham, Alabama...
September 19, 2016: Sexually Transmitted Infections
Colm O'Mahony
No abstract text is available yet for this article.
September 15, 2016: Sexually Transmitted Infections
Maryam Foroughi, Saeedeh Moayedi-Nia, Alireza Shoghli, Saeed Bayanolhagh, Abbas Sedaghat, Mansoor Mohajeri, Seyed Noraldin Mousavinasab, Minoo Mohraz
OBJECTIVES: The existence of street and working children in Iran is undeniable. The precarious conditions of these children (including disrupted family, poverty, high prevalence of crime among relatives, family members and peers) cause social harm and high-risk behaviours, including drug addiction, selling sex or having sex with adolescents or peers. Here we explore the HIV, hepatitis B and hepatitis C status of street and working children in Tehran. METHODS: One thousand street and labour children, aged 10-18 years, were recruited by using the time-location sampling method, and semistructured questionnaires were used to find demographic information and information on HIV/AIDS-related high-risk sexual behaviours...
September 6, 2016: Sexually Transmitted Infections
Rachel Sacks
No abstract text is available yet for this article.
September 6, 2016: Sexually Transmitted Infections
Denton Callander, Phillip Read, Garrett Prestage, Victor Minichiello, Eric P F Chow, David A Lewis, Anna McNulty, Hammad Ali, Margaret Hellard, Rebecca Guy, Basil Donovan
OBJECTIVES: Although sex work is frequently characterised as a practice with high risk for HIV and other STIs, little is known about the epidemiology of these infections among men who sell sex in Australia. This study reports the prevalence of chlamydia, gonorrhoea, infectious syphilis and HIV among men who have sex with men attending Australian publicly funded sexual health clinics and compares prevalence between sex workers and non-sex workers. METHODS: From 2011 to 2014, de-identified patient data were extracted from 40 sexual health clinics in four Australian jurisdictions...
September 2, 2016: Sexually Transmitted Infections
Lakshmi Chandrasekaran, Bethan Davies, Jeffrey W Eaton, Helen Ward
OBJECTIVES: Local authorities (LAs) in England commission chlamydia screening as part of the National Chlamydia Screening Programme. It is recommended that LAs achieve a chlamydia diagnosis rate of ≥2300 cases per 100 000 population aged 15-24. We describe national patterns in attainment of the chlamydia diagnosis rate recommendation and possible implications of using it to measure LA-level performance. METHODS: We used publicly available data sets from England (2012) to explore the association between LAs attaining the recommended chlamydia diagnosis rate and population size, socioeconomic deprivation, test setting and sex...
August 31, 2016: Sexually Transmitted Infections
Anna Hartley, Charlotte Hopkins
No abstract text is available yet for this article.
August 22, 2016: Sexually Transmitted Infections
C H Mercer, K G Jones, A M Johnson, R Lewis, K R Mitchell, K Gravningen, S Clifton, C Tanton, P Sonnenberg, K Wellings, J A Cassell, C S Estcourt
BACKGROUND: Partnership type is a determinant of STI risk; yet, it is poorly and inconsistently recorded in clinical practice and research. We identify a novel, empirical-based categorisation of partnership type, and examine whether reporting STI diagnoses varies by the resulting typologies. METHODS: Analyses of probability survey data collected from 15 162 people aged 16-74 who participated in Britain's third National Survey of Sexual Attitudes and Lifestyles were undertaken during 2010-2012...
August 17, 2016: Sexually Transmitted Infections
Nora E Rosenberg
No abstract text is available yet for this article.
August 17, 2016: Sexually Transmitted Infections
Sanjeev Ramachandran, Sharmistha Mishra, Natalie Condie, Michael Pickles
OBJECTIVE: To determine whether, and how, sexual behaviour of HIV-negative individuals in sub-Saharan Africa (SSA) changes upon learning their serostatus. METHODS: We systematically reviewed the published literature using EMBASE and Medline to search for publications between 2004 and 2014. We included studies that quantified behaviour change (condom use, number of sexual partners or sex acts) following an HIV test in HIV-negative adults in SSA, and extracted relevant data including study characteristics and measurement type...
August 17, 2016: Sexually Transmitted Infections
A H Miners, C D Llewellyn, V L Cooper, E Youssef, A J Pollard, M Lagarde, C Sabin, E Nixon, M Sachikonye, N Perry, M Fisher
OBJECTIVES: To understand which aspects of general practitioner (GP) and HIV clinic appointments people living with HIV (PLWHIV) most value when seeking advice for new health problems. METHODS: A discrete choice experiment using a convenience sample of people diagnosed with HIV. Participants were recruited from 14 general HIV clinics in the South East of England between December 2014 and April 2015. ORs were calculated using conditional logit (CLOGIT) and latent class models (LCMs)...
August 17, 2016: Sexually Transmitted Infections
Nora E Rosenberg, Blake M Hauser, Julia Ryan, William C Miller
OBJECTIVES: Annually, millions of people in sub-Saharan Africa (SSA) receive HIV counselling and testing (HCT), a service designed to inform persons of their HIV status and, if HIV uninfected, reduce HIV acquisition risk. However, the impact of HCT on HIV acquisition has not been systematically evaluated. We conducted a systematic review to assess this relationship in SSA. METHODS: We searched for articles from SSA meeting the following criteria: an HIV-uninfected population, HCT as an exposure, longitudinal design and an HIV acquisition endpoint...
August 16, 2016: Sexually Transmitted Infections
P Weatherburn, F Hickson, D Reid, S Torres-Rueda, A Bourne
OBJECTIVES: There is considerable public health concern about the combining of sex and illicit drugs (chemsex) among gay men. With a view to inform supportive therapeutic and clinical interventions, we sought to examine the motivations for engaging in chemsex among gay men living in South London. METHODS: Community advertising recruited 30 gay men for qualitative semi-structured interview. Aged between 21 and 53 years, all lived in South London in the boroughs of Lambeth, Southwark and Lewisham and all had combined crystal methamphetamine, mephedrone and/or γ-hydroxybutyric acid/γ-butyrolactone with sex in the past 12 months...
August 12, 2016: Sexually Transmitted Infections
Jillian Pintye, Alison L Drake, Jennifer A Unger, Daniel Matemo, John Kinuthia, R Scott McClelland, Grace John-Stewart
OBJECTIVE: Trichomonas vaginalis is the world's most common curable STI and has implications for reproductive health in women. We determined incidence and correlates of T. vaginalis in an HIV-uninfected peripartum cohort. METHODS: Women participating in a prospective study of peripartum HIV acquisition in Western Kenya were enrolled during pregnancy and followed until 9 months post partum. T. vaginalis was assessed every 1-3 months using wet mount microscopy...
August 12, 2016: Sexually Transmitted Infections
Kilian Patrick Dunphy
No abstract text is available yet for this article.
August 9, 2016: Sexually Transmitted Infections
Eva Björnelius, Charlotta Magnusson, Jørgen Skov Jensen
OBJECTIVES: Mycoplasma genitalium is an important cause of STI in men and women. Worldwide evidence suggests a reduction in efficacy of azithromycin treatment due to the prevalence of macrolide resistant M. genitalium. The aim of this study was to describe the prevalence of macrolide resistance in patients with a positive test for M. genitalium within our setting. METHODS: Two STI clinics in Stockholm offered tests for M. genitalium as part of a routine care pathway...
August 8, 2016: Sexually Transmitted Infections
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