Contextual Factors Associated with Sexually Transmitted Infections

ObjectivesYoung people are a critical target group for sexually transmitted infections (STI) surveillance due to their particular behavioural and social related vulnerability. The aim of this study was to describe the epidemiological characteristics and trends in the incidence of gonorrhoea, syphilis, HIV and venereal lymphogranuloma (LGV) among 15–24-year-olds in Barcelona, and to determine factors associated with HIV coinfection.DesignWe performed a population-based incidence study covering the 2007–2015 period.ParticipantsAll new cases of STI—HIV, gonorrhoea, infectious syphilis and LGV—notified to the epidemiological surveillance system in Barcelona between 2007 and 2015. 1218 cases were studied: 84.6% were men, 19.3% were 15–19 years old and 50.6% were born in Spain. Among men, 73.7% were men who have sex with men (MSM); among women, 85.6% were women that have sex with men.Primary and secondary outcomesIncidence of HIV, gonorrhoea, infectious syphilis and LGV. HIV coinfection.ResultsThere was an increase in the incidence of gonorrhoea, from 1.9 cases per 10 000 people in 2007 to 7.6/10 000 in 2015 (p<0.01), in MSM from 27.1 to 228.8/10 000 (p<0.01). The incidence of syphilis increased from 0.4/10 000 in 2007 to 3.1/10 000 in 2015 (significant in men only, p<0.01), in MSM from 18.1 to 116.9/10 000 (p<0.01). The incidence of HIV showed a non-significant increase in men (p=0.27), and that of LGV remained stable (p=0.59). Factors associated with increased risk of HIV coinfection included being MSM (adjusted OR[ORa]=14.14, 95% CI 3.34 to 59.91) and having >10 sexual partners (ORa=4.11, 95% CI 1.53 to 11.01) or STI diagnosis during the previous 12 months (ORa=2.06; 95% CI 1.13 to 3.77).ConclusionsThe incidence of gonorrhoea and syphilis among 15–24-year-olds increased, while HIV infection remained stable but with a high incidence among MSM. Being MSM, having sex with multiple partners and having a diagnosis of an STI in the previous 12 months were factors associated with HIV coinfection.

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Factors associated with screening for sexually transmitted infections

American Journal of Obstetrics and Gynecology ◽

10.1016/j.ajog.2012.02.020 ◽

2012 ◽

Vol 206 (4) ◽

pp. 324.e1-324.e6 ◽

Cited By ~ 1

Author(s):

Stephanie L. Skala ◽

Gina M. Secura ◽

Jeffrey F. Peipert

Keyword(s):

Sexually Transmitted Infections ◽

Sexually Transmitted ◽

Factors Associated

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Factors associated with partner referral among patients with sexually transmitted infections in Bangladesh

Social Science & Medicine ◽

10.1016/j.socscimed.2010.09.009 ◽

2010 ◽

Vol 71 (11) ◽

pp. 1921-1926 ◽

Cited By ~ 9

Author(s):

Nazmul Alam ◽

Peter Kim Streatfield ◽

Sharful Islam Khan ◽

Dalia Momtaz ◽

Sibylle Kristensen ◽

...

Keyword(s):

Sexually Transmitted Infections ◽

Sexually Transmitted ◽

Factors Associated

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Factors associated with Sexually Transmitted Infections among Korean Adolescents

Journal of Korean Academy of Community Health Nursing ◽

10.12799/jkachn.2017.28.4.431 ◽

2017 ◽

Vol 28 (4) ◽

pp. 431

Author(s):

Jungok Yu ◽

Seoungmi Cha

Keyword(s):

Sexually Transmitted Infections ◽

Sexually Transmitted ◽

Korean Adolescents ◽

Factors Associated

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Determinants of condom use at sexual debut among young Vietnamese

International Journal of Adolescent Medicine and Health ◽

10.1515/ijamh-2013-0322 ◽

2014 ◽

Vol 26 (3) ◽

pp. 403-410 ◽

Cited By ~ 4

Author(s):

Trang H.T. Do ◽

Linh C. Le ◽

John A. Burgess ◽

Dinh S. Bui

Keyword(s):

Condom Use ◽

Sexually Transmitted Infections ◽

Sexual Intercourse ◽

Sexual Partner ◽

Sexual Debut ◽

Peer Pressure ◽

Premarital Sex ◽

Sexually Transmitted ◽

First Sexual Intercourse ◽

Factors Associated

Abstract Background and aims: Condom use at sexual debut is associated with subsequent condom use and with decreased risk of sexually transmitted infections. There is a dearth of data on determinants of condom use at first sexual intercourse. We aimed to determine factors associated with condom use at first sexual intercourse before marriage among Vietnamese adolescents and youths. Methods: The study involved the analysis of data from the Survey Assessment of Vietnamese Youth, 2003, the first nationally representative survey of young people in Vietnam. The survey included 7584 adolescents and youths aged 14–25 years. In this study, data of 605 adolescents and youths who had engaged in premarital sex were analyzed for factors associated with condom use using descriptive analyses, and regression techniques, allowing for sampling weights, clustering and stratification. Results: Of 605 adolescents and youths who had engaged in premarital sex, 28.6% reported condom use at first sexual intercourse. Condom use at sexual debut was less common in females than males [odds ratio (OR)=0.15; 95% confidence interval (95% CI)=0.07–0.30] and less common in those who experienced peer pressure to engage in social higher risk behaviors (OR=0.57; 95% CI=0.32–0.99). Condom use was more common if a friend/acquaintance or a stranger/sex worker was the first sexual partner (OR=2.20; 95% CI=1.16–4.17 and OR=17.90; 95% CI=6.88–46.54) respectively, each compared with fiancé/boyfriend/girlfriend as first sexual partner. Conclusions: These data suggest that approximately one in three unmarried Vietnamese youths used a condom at first sexual intercourse. Gender, peer pressure and the nature of the relationship to the first sexual partner were independently associated with condom use. These results can inform programs directed at preventing HIV and other sexually transmitted infections among young Vietnamese.

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Factors associated with sexually transmitted infections in <16's attending a GUM clinic

10.26226/morressier.58ef94ddd462b80290b50565 ◽

2017 ◽

Author(s):

Katia Prime

Keyword(s):

Sexually Transmitted Infections ◽

Sexually Transmitted ◽

Factors Associated

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Factors associated with low knowledge about sexually transmitted infections in subnormal agglomerate, in the Brazilian Amazon

Primary Health Care Research & Development ◽

10.1017/s1463423621000700 ◽

2021 ◽

Vol 22 ◽

Author(s):

Glenda Roberta Oliveira Naiff Ferreira ◽

Ingrid Saraiva de Oliveira ◽

Wanne Letícia Santos Freitas ◽

Ana Luisa Brandão de Carvalho Lira ◽

Renata Karina Reis ◽

...

Keyword(s):

Sexually Transmitted Infections ◽

Urban Area ◽

Urban Areas ◽

Transmitted Disease ◽

Brazilian Amazon ◽

Cross Sectional Study ◽

Cross Sectional ◽

Sexually Transmitted ◽

Factors Associated ◽

Programmatic Factors

Abstract Background: Populations living in subnormal agglomerates in urban areas are more vulnerable to infections, including sexually transmitted infections (STIs). In these groups, inadequate knowledge about sexually transmitted infections can further increase the risk of contracting STIs. Aim: We investigated the factors associated with low knowledge about STIs in a peripheral population in the Brazilian Amazon. Methods: This cross-sectional study was conducted in Belém, in the Amazon region that has a high percentage of subnormal agglomerates in an urban area and a high incidence of STIs. Random sampling was adopted which resulted in a sample of 320 participants. To assess knowledge about STIs, the self-administered Sexually Transmitted Disease Knowledge Questionnaire was used. To assess aspects of vulnerability, a questionnaire was constructed which is linked to individual, social, and programmatic factors. The chi-square test, G test, and ordinal regression analyses were all performed. Findings: The sample of this study was composed of 320 participants. The mean age of the participants was 46.09 years. 37.5% (120), 50.6% (162), and 11.9% (38) showed low, medium, and high knowledge, respectively. Multiple analysis revealed that the factors associated with higher chance of having smaller knowledge about sexually transmitted infections were single/separated/divorced/widow(er) marital status (AOR: 1.80, CI: 1.15-2.84, P = 0.01); income equal to or less than one minimum wage (1.98, CI: 1.21-3.17, P = 0.00); equal to or over than 52 years old (AOR: 1.99, CI: 1.25-3.17, P = 0.00); lack of guidance by a health professional (AOR: 1.59, CI: 1.01-2.51, P = 0.04). Our results show that this community suffer from suboptimal levels of knowledge on STIs, which are linked to individual, social, and programmatic factors. Characterising the risk and vulnerabilities factors allows for carrying out appropriate interventions for populations living in subnormal agglomerates in urban area.

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