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Sexual std's

James Matthias, Gayle Keller, Susan Cha, Craig Wilson, Thomas A Peterman
BACKGROUND: Before searching prior records, sexually transmitted disease (STD) programs use syphilis reactor grids to exclude some reactive non-treponemal test results (RNTs) based on patient age, sex, and test titer. We propose a new algorithm that starts with comparing RNTs to previous syphilis non-treponemal tests and current treponemal test results. METHODS: De-duplicated RNTs from Florida's surveillance system (2006-2015) were extracted and stratified on morbidity...
March 13, 2018: Sexually Transmitted Diseases
Fatemeh Jahanbakhsh, Fahimeh Bagheri Amiri, Abbas Sedaghat, Noushin Fahimfar, Ehsan Mostafavi
BACKGROUND: This study investigated the prevalence for hepatitis A virus (HAV), hepatitis E virus (HEV), herpes simplex virus type 2 (HSV2) and syphilis among homeless in the city of Tehran. METHODS: In this cross-sectional study, 596 homeless were recruited in Tehran. A researcher-designed questionnaire was used to study demographic data. Using enzyme-linked immunoassay, and rapid plasma reagin (RPR) test, we evaluated the seroprevalence of HAV anti-body, HEV IgG, herpes, HSV2 IgG, and syphilis among sheltered homeless in Tehran...
July 8, 2017: International Journal of Health Policy and Management
Thomas M Painter
Hispanic/Latino migrants and immigrants are vulnerable to infection by HIV and other sexually transmitted diseases (STDs). Participation in social support networks helps them cope with circumstances in the U.S. Studies of Hispanic/Latino migrants suggest that participation may also be protective against HIV/STD infection. However the studies do not satisfactorily explain how participation leads to protective actions, and recommend externally-induced interventions for HIV/STD prevention rather than incorporating the spontaneously occurring forms of social support they describe...
2018: Journal of Health Care for the Poor and Underserved
Celia Bórquez, Ismelda Lobato, Paola Gazmuri, Romina Hurtado, Valerie Llanqui, Mauricio Vivanco, Teresa Reyes, Hilda Villanueva, Katherine Salgado, M Angélica Martínez, Juan Vega
BACKGROUND: The risk groups for sexual transmitted diseases (STDs) are sex workers, drug addicts, young people in early sexual initiation, and population in prison. AIM: To determine the prevalence of HIV, Treponema pallidum and hepatitis B Virus (HBV) in male inmates at the Preventive Detention Center (CDP) of Arica. METHODS: The study was conducted in 140 inmates, with informed consent. Epidemiological survey and blood sampling was conducted...
October 2017: Revista Chilena de Infectología: órgano Oficial de la Sociedad Chilena de Infectología
Julia C Dombrowski, Matthew R Golden, Lindley A Barbee, Christine M Khosropour
Among 307 patients enrolled in an HIV pre-exposure prophylaxis (PrEP) program in the Public Health - Seattle & King County STD Clinic, 52 patients (17%) did not fill their PrEP prescription and 40% of those who started PrEP discontinued it at least once within 12 months.
February 26, 2018: Sexually Transmitted Diseases
Marjan Javanbakht, Drew Westmoreland, Pamina Gorbach
BACKGROUND: The objective of this study was to examine the proportion of missed infections and correlates of pharyngeal gonorrhea among young people attending public STD clinics. METHODS: We conducted a case control study of 245 young men and women between April 2012 and May 2014. Participants were eligible for inclusion if they were: (1) age 15 - 29 years, (2) reported giving oral sex to a partner of the opposite sex, in the past 90 days, and (3) attended one of twelve public STD clinics in Los Angeles County...
February 26, 2018: Sexually Transmitted Diseases
Aggie J Noah, Tse-Chuan Yang, Wei-Lin Wang
BACKGROUND: We investigate the roles of residential racial segregation and income inequality for the black-white disparity in acquiring sexually transmitted diseases (STD) during pregnancy in a multilevel framework. METHODS: The analytic sample consisted of non-Hispanic white (N = 79,271) or non-Hispanic black (N = 17,669) mothers from 2012 population birth data from Pennsylvania. We used the 2009-2013 American Community Survey for neighborhood characteristics of mothers; we used multilevel models...
February 26, 2018: Sexually Transmitted Diseases
Hao Fan, Kenneth H Fife, Dena Cox, Anthony D Cox, Gregory D Zimet
Much of the research examining predictors of HIV testing has used retrospective self-report to assess HIV testing. FINDINGS: therefore, may be subject to recall bias and to difficulties determining the direction of associations. In this prospective study, we administered surveys to women in community clinics to identify predictors of subsequent observed HIV testing, overcoming these limitations. Eighty-three percent were tested. In the adjusted multivariable model, being born in the U...
February 22, 2018: AIDS Care
Sarah Rhea, Arlene C Seña, Alison Hilton, Christopher B Hurt, David Wohl, Aaron Fleischauer
Guidance about integration of comprehensive hepatitis C virus (HCV)-related services in sexually transmitted disease (STD) clinics is limited. We evaluated a federally-funded HCV testing and linkage-to-care program at an STD clinic in Durham County, North Carolina. During December 10, 2012-March 31, 2015, the program tested 733 patients for HCV who reported ≥1 HCV risk factor; 81 (11%) were HCV-infected (i.e., HCV antibody-positive and HCV ribonucleic acid-positive). Fifty-one infected patients (63%) were linked to care...
October 19, 2017: Sexually Transmitted Diseases
Hanne S Harbison, Erika L Austin, Edward W Hook, Christina A Muzny
This study compared sexual risk behaviors and STI prevalence among African American women who have sex with women (WSW), women who have sex with men (WSM) with a single male partner, WSM with ≥4 male partners, and women who have sex with women and men (WSWM) at an STD clinic. The results suggest that, despite differences in prevalence, there was not a clear continuum of STI risk among AA women in the study; all women were at risk.
October 25, 2017: Sexually Transmitted Diseases
Courtney M Dewart, Kyle T Bernstein, Nicholas P DeGroote, Raul Romaguera, Abigail Norris Turner
We undertook a systematic review to examine rectal Chlamydia trachomatis (Ct) and Neisseria gonorrhoeae (Ng) infections in women and men who have sex with men (MSM). English-language publications measuring rectal Ct or Ng prevalence using nucleic acid amplification tests were eligible. Searching multiple electronic databases, we identified 115 eligible reports published between January 2000 and November 2016. Overall, the prevalence of rectal Ct (9.0%) was higher than rectal Ng (4.7%). Rectal Ct prevalence was similar in MSM (9%) and women (9...
November 1, 2017: Sexually Transmitted Diseases
Christopher R Harper, Riley J Steiner, Richard Lowry, Schell Hufstetler, Patricia J Dittus
OBJECTIVES: To examine variability in condom use trends by sexual risk behavior among US high school students. METHODS: Data were from the 2003-2015 national Youth Risk Behavior Surveys conducted biennially among a nationally representative sample of students in grades 9-12. We used logistic regression to examine variability in trends of condom use during last sexual intercourse among female and male students by four by four sexual risk behaviors: drank alcohol or used drugs before last sexual intercourse, first sexual intercourse before age 13 years, four or more sex partners during their life, and two or more sex partners during the past three months...
November 16, 2017: Sexually Transmitted Diseases
Precious Esie, Joseph Kang, Elaine W Flagg, Jaeyoung Hong, Tianqi Chen, Kyle Bernstein
OBJECTIVES: To provide identification criteria for men who have sex with men (MSM), estimate the prevalence of MSM behavior, and compare socio-demographics and STD risk behaviors between non-MSM and MSM groups using data from a nationally representative, population-based survey. METHODS: Using data from men aged 18-59 who took part in the National Health and Nutrition Examination Survey (NHANES), 1999-2014, detailed criteria were developed to estimate MSM behavior-at least one lifetime same-sex partner (MSM-Ever), at least one same-sex partner in the past 12 months (MSM-Current), and at least one lifetime and zero past 12 months same-sex partners (MSM-Past)...
November 21, 2017: Sexually Transmitted Diseases
Susana Tat, Shireesha Dhanireddy, Jeanne M Marrazzo, Lindley A Barbee
BACKGROUND: Sexually transmitted infections (STI) disproportionately affect men who have sex with men (MSM). While clinical practice guidelines recommend routine STI screening of MSM who have high-risk behaviors, extragenital STI testing rates have been low in HIV clinics across the nation. The University of Washington STD Prevention Training Center implemented an STI self-testing program at a large HIV primary care clinic in Seattle, WA to facilitate extragenital STI testing. METHODS: We performed a mixed-methods program evaluation to assess healthcare provider acceptability of the program at nine months post implementation...
November 29, 2017: Sexually Transmitted Diseases
Philip A Chan, Christina Crowley, Jennifer S Rose, Trace Kershaw, Alec Tributino, Madeline C Montgomery, Alexi Almonte, Julia Raifman, Rupa Patel, Amy Nunn
BACKGROUND: Sexually transmitted diseases (STDs) are increasing among gay, bisexual, and other men who have sex with men (MSM). Little is known about the use of websites and mobile phone applications to meet sexual partners ("hookup sites") and association with STD diagnoses. METHODS: We performed a demographic and behavioral assessment of 415 MSM presenting to the Rhode Island STD clinic. Bivariate and multivariable analyses assessed associations between using hook up sites and testing positive for syphilis, gonorrhea, or chlamydia...
January 4, 2018: Sexually Transmitted Diseases
Brooke E Hoots, Elizabeth A Torrone, Kyle T Bernstein, Gabriela Paz-Bailey
BACKGROUND: Annual screening for chlamydia and gonorrhea is recommended for sexually active men who have sex with men (MSM) at anatomical sites of contact, regardless of condom use. METHODS: We assessed differences in self-reported chlamydia and gonorrhea testing and diagnosis in the past 12 months among MSM using National HIV Behavioral Surveillance data from 2011 and 2014. MSM who had ≥ 1 partner in the past 12 months were included in analyses. Analyses of chlamydia and gonorrhea diagnosis data were limited to participants who reported past 12 months chlamydia and gonorrhea testing, respectively...
January 10, 2018: Sexually Transmitted Diseases
Miao-Jung Chen, Susan Scheer, Trang Q Nguyen, Robert P Kohn, Sandy Schwarcz
BACKGROUND: Early syphilis, gonorrhea, and chlamydia but not HIV infections have increased in San Francisco, primarily among men. METHODS: We linked records of persons reported with early syphilis, gonorrhea, and chlamydia to records of persons reported with HIV to measure the proportion and characteristics of San Francisco residents with HIV-STD co-infection between 2007 and 2014. We measured trends in HIV co-infection separately for men and women for each STD...
January 16, 2018: Sexually Transmitted Diseases
Eloisa Llata, Jim Braxton, Lenore Asbel, Roxanne P Kerani, Ryan Murphy, River Pugsley, Preeti Pathela, Christina Schumacher, Irina Tabidze, Hillard S Weinstock
OBJECTIVE: To estimate new HIV diagnosis rates among HIV negative MSM who are repeatedly tested for HIV in sexually transmitted disease (STD) clinics, and assess the impact of demographic and disease-specific characteristics that are associated with higher HIV diagnosis rates. STUDY DESIGN: Retrospective analysis using 2010-2013 data from the STD Surveillance Network (SSuN), a sentinel surveillance system comprised of health departments in 12 cities conducting sentinel surveillance in 40 STD clinics...
February 7, 2018: Sexually Transmitted Diseases
Ryan Cramer, Penny S Loosier, Andee Krasner, Jennifer Kawatu
BACKGROUND: Health departments (HDs) cite state laws as barriers to billing third parties for sexually transmitted disease (STD) services, but the association between legal/policy barriers and third party HD billing has not been examined. This study investigates the relationship between laws that may limit HDs' ability to bill, clinic perceptions of billing barriers, and billing practices. METHODS: Two surveys (1) clinic managers [N=246], 2) STD program managers [N=63]) conducted via a multi-regional needs assessment of federally funded HD clinics' capacity to bill for STD services, billing/reimbursement practices, and perceived barriers were combined with an analysis of state laws regarding third party billing for STD services...
February 7, 2018: Sexually Transmitted Diseases
Harrell W Chesson, Kwame Owusu-Edusei
BACKGROUND: Improvements in resource allocation can increase the benefits of federally-funded sexually transmitted disease (STD) prevention activities. The purpose of this study was to illustrate how different strategies for allocating federal funds to sub-national districts for syphilis prevention might affect the incidence of syphilis at the national level. METHODS: We modeled syphilis rates by district and year using an equation based on a previous analysis of state-level syphilis elimination funding and syphilis case rates from 1998 to 2005 in the United States...
February 13, 2018: Sexually Transmitted Diseases
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