scholarly journals Gender Role Discrepancy Stress, High-Risk Sexual Behavior, and Sexually Transmitted Disease

2015 ◽  
Vol 45 (2) ◽  
pp. 459-465 ◽  
Author(s):  
Dennis E. Reidy ◽  
Kathryn A. Brookmeyer ◽  
Brittany Gentile ◽  
Danielle S. Berke ◽  
Amos Zeichner
Keyword(s):  
Sexual Behavior ◽  
High Risk ◽  
Gender Role ◽  
Sexually Transmitted Disease ◽  
Transmitted Disease ◽  
Sexually Transmitted ◽  
High Risk Sexual Behavior ◽  
Risk Sexual Behavior ◽  
Role Discrepancy

scholarly journals Incident Sexually Transmitted Infection as a Biomarker for High-Risk Sexual Behavior After Diagnosis of Acute HIV

2014 ◽  
Vol 41 (7) ◽  
pp. 447-452 ◽  
Author(s):  
Anna B. Cope ◽  
Amanda M. Crooks ◽  
Tammy Chin ◽  
JoAnn D. Kuruc ◽  
Kara S. McGee ◽  
...  
Keyword(s):  
Sexual Behavior ◽  
High Risk ◽  
Sexually Transmitted Infection ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
High Risk Sexual Behavior ◽  
Acute Hiv ◽  
Risk Sexual Behavior

HIV and Other Sexually Transmitted Infections in a Cohort of Women Involved in High-Risk Sexual Behavior in Kampala, Uganda

2011 ◽  
pp. 1 ◽  
Author(s):  
Judith Vandepitte ◽  
Justine Bukenya ◽  
Helen A. Weiss ◽  
Susan Nakubulwa ◽  
Suzanna C. Francis ◽  
...  
Keyword(s):  
Sexual Behavior ◽  
High Risk ◽  
Sexually Transmitted Infections ◽  
Sexually Transmitted ◽  
High Risk Sexual Behavior ◽  
Risk Sexual Behavior

scholarly journals 997. The Purview Paradox: PrEP Utilization at a Major Southern California County Teaching Hospital and Affiliated Clinics

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S527-S528
Author(s):  
Stephanie Clavijo ◽  
Matthew Herrmann ◽  
Katya Corado
Keyword(s):  
Sexual Behavior ◽  
High Risk ◽  
Sexually Transmitted Infections ◽  
Risk Reduction ◽  
The United States ◽  
Sexually Transmitted ◽  
High Risk Sexual Behavior ◽  
Risk Reduction Counseling ◽  
Sexual Behavior Risk ◽  
Risk Sexual Behavior

Abstract Background According to the Centers for Disease Control (CDC), PrEP coverage in the United States was approximately 18% in 2018 and 21.9% in California. We predict that PrEP prescription is lower at Harbor-UCLA Medical Center (HUMC) and affiliated clinics within Los Angeles County Department of Health Services. Methods A retrospective chart review of HIV-negative patients with ICD-10 coded diagnoses of sexually transmitted infections (STIs) or high-risk sexual behavior was performed across various medical specialties at HUMC and affiliated clinics in 2018. Documentation of sexual behavior risk reduction counseling, PrEP discussion and prescription was reviewed from electronic medical records for each encounter. Descriptive statistics and analysis were completed in STATA Version 16.1, StataCorp LLC. Results The sample included 250 individual patients, all with indications for PrEP. Of those, 47.2% identified as Latinx and 27.2% Black. Table 1 shows 74% of patients identified as heterosexual whereas 9.2% identified as gay, and 4.4% bisexual. Of the 250 individual patients, 87 (34.8%) returned for a 2nd visit, 35 (14.0%) for a third, and 9 (3.6%) for a 4th visit, for a total of 381 encounters. Of the total encounters, 49.3% had sexual behavior risk reduction counseling, 7.3% had discussions about PrEP with their provider, and only 2.1% were newly prescribed PrEP (Table 2). Of the 2.1% new PrEP prescriptions, 1.8% were prescribed by family medicine providers with no new prescriptions by OB/GYN or acute care providers. Only 25% of new PrEP prescriptions were female patients. A positive test for an STI occurred in 45.1% of total encounters while high risk sexual behavior was identified in 54.9% of encounters (Table 3). Table 1: First Encounter Demographics (N=250 Individual Patients) Table 2: Primary Outcomes by Specialty (N=381 Total Encounters) Table 3: Sexually Transmitted Infections Frequency (N=381 Total Encounters) Conclusion Our findings demonstrate that the percent of individuals newly prescribed PrEP (2.1%) at HUMC and affiliated clinics is less than that reported nationally and in California. This suggests that municipal health systems fall short in PrEP usage, notably for structurally vulnerable populations such as racial minorities as well as heterosexual females. Ending racial/ethnic disparities in HIV and in PrEP coverage not only requires educating specialty providers on PrEP, but also addressing structural racism and identifying structural barriers to care in vulnerable communities. Disclosures All Authors: No reported disclosures

scholarly journals High-risk sexual behavior and HIV/STDs cascade of care in migrants: results from an Italian dedicated outpatient clinic

2021 ◽  
Vol 15 (02) ◽  
pp. 297-300
Author(s):  
Vito Fiore ◽  
Andrea De Vito ◽  
Nicholas Geremia ◽  
Petrana Martineková ◽  
Elija Princic ◽  
...  
Keyword(s):  
Sexual Behavior ◽  
High Risk ◽  
Inflammatory Diseases ◽  
Sexually Transmitted ◽  
High Risk Sexual Behavior ◽  
Healthcare Needs ◽  
Health Differences ◽  
And Migration ◽  
Risk Sexual Behavior ◽  
Latent Syphilis

Introduction: Ethnical segregation and migration influence sexual health. Differences in sexual networks and the risk of sexually transmitted diseases (STDs) between racial/ethnic minorities and the native population have been described in the literature. Methodology: We collected data on sexual behavior and physical examination. Basing on CDC 2015 guidelines on STDs, anamnesis, and clinical features, screening for HIV/STDs was proposed. Results: We enrolled 209 migrants, the median age was 32.5 (26-40) years, and 146 (69.9%) were male. The most represented nationalities were Nigerian, Senegalese, and Somali, with 85 (40.7%), 68 (32.5%), and 16 (7.7%) people, respectively. Twenty-two (10.5%) patients referred perianal/genital lesions, 6 (2.9%) abdominal/pelvic discomfort, and 183 (87.6%) were asymptomatic. Almost all symptomatic patients accepted the tests. 52/183 (28.4%) asymptomatic subjects accepted the tests, and only 24/52(46.2%) performed them. Among symptomatic patients were 6 (24%) HBsAg positivities and one (4%) HCV infection. Four (16%) people had latent syphilis; in 12 (48%) people, HPV-related genital warts were present, 7 (28%) people had Molluscum contagiosum, and 6 (24%) women had pelvic inflammatory diseases. Among patients referring no symptoms, there were 10 (41.7%) HBsAg positivities, one (4.2%) HIV infection, four (16.7%) latent syphilis, one (4.2%) HPV-related genital infection, and one (4.2%) PID. Being Nigerian and having symptoms were associated with a more high acceptance of the STDs test. Having a high-risk behavior was significantly associated with the development of at least one STD. Conclusions: migrants have high-risk sexual behavior. Despite this, they have a low perception of HIV/STDs risk and healthcare needs. Particular attention should be given to improve access to HIV/STDs services that provide screening and treatment and increase the perception of healthcare needs.

scholarly journals 863. Pre-Exposure Prophylaxis (PrEP) Prescriptions among Individuals at High Risk for HIV in the United States, 2012-2018

2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S523-S523
Author(s):  
Mo Zhou ◽  
Yan Song ◽  
Emily Gao ◽  
Yohance Whiteside ◽  
Emma Billmyer ◽  
...  
Keyword(s):  
Sexual Behavior ◽  
High Risk ◽  
Index Date ◽  
The United States ◽  
Fee For Service ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
High Risk Sexual Behavior ◽  
Exposure Prophylaxis ◽  
Risk Sexual Behavior

Abstract Background To describe trends in emtricitabine and tenofovir disoproxil fumarate (FTC/TDF) PrEP uptake in 2012-2018 and characterize high risk individuals who use PrEP. Methods The study identified individuals aged ≥ 15 years old with claims suggesting high risk for HIV infection in the IBM MarketScan® Commercial Claims and Multi-state Medicaid Databases. High risk was defined using ICD codes indicating high risk sexual behavior or rectal/repeated bacterial sexually transmitted infection (STI). The index date was defined as the earliest of the first high risk sexual behavior diagnosis, the first rectal bacterial STI diagnosis, or the second non-rectal bacterial STI diagnosis within 12 months. Individuals were considered PrEP users if they had at least one FTC/TDF PrEP prescription within 12 months of index date. Individuals with evidence of HIV prior to or within 30 days after PrEP initiation/index date were excluded. Comorbidities were assessed using a modified Charlson Comorbidity Index that excluded HIV/AIDS. Results FTC/TDF PrEP uptake increased from 0.1% to 7.3% among commercially insured individuals between 2012-2018, and from 0.01% to 0.5% among Medicaid insured individuals between 2012-2017. Individuals ≥ 35 years old had the largest increase in PrEP uptake (0.1% to 13.0%), while those 16-25 years old had the smallest increase (0.03% to 2.3%). The largest proportion of PrEP users across all years were aged 25-34 while the largest proportion of non-PrEP users were aged 18-24. Compared to PrEP users, a larger proportion of PrEP non-users were female (62.9% vs. 1.4%, p < 0.05) and blacks/African American (49.1% vs. 40.3%, p < 0.05). A larger proportion of PrEP users had a risk status of homosexual (46.6% vs. 1.5%, p < 0.05) or bisexual (3.9% vs. 0.8%, p < 0.05) behavior than non-PrEP users. PrEP users also had more comorbidities than non-users among individuals with Medicaid and were less likely to have fee-for-service insurance plans overall (p < 0.05). Table 1. Characteristics of people at high-risk for HIV who do vs. do not use FTC/TDF PrEP measured during the follow-up period Conclusion Despite an increase in FTC/TDF PrEP initiations, uptake was low, especially among young adults, women, heterosexuals and blacks/African Americans. Low initiation rates in these groups may illustrate that FTC/TDF PrEP is not meeting the needs of all high-risk individuals. Disclosures Mo Zhou, PhD, Merck & Co., Inc. (Consultant) Yan Song, PhD, Merck & Co., Inc. (Consultant) Emily Gao, MS, MPH, Merck & Co., Inc. (Consultant) Yohance Whiteside, PhD, MSPH, Merck & Co., Inc. (Employee) Emma Billmyer, BA, Merck & Co., Inc. (Consultant) James Signorovitch, PhD, Merck & Co., Inc. (Consultant)

Self-Presentation and Self-Reported High Risk Sexual Behavior

2001 ◽  
Author(s):  
Donald J. Scandell ◽  
Susan L. Thomas ◽  
W. Dean Klinkenberg
Keyword(s):  
Sexual Behavior ◽  
High Risk ◽  
Self Presentation ◽  
High Risk Sexual Behavior ◽  
Risk Sexual Behavior
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