Treatment-seeking behavior for sexually transmitted infections in a high-risk population

AIDS Care ◽  
2010 ◽  
Vol 22 (11) ◽  
pp. 1350-1358 ◽  
Author(s):  
Rachel Rosenheck ◽  
David Ngilangwa ◽  
Rachael Manongi ◽  
Saidi Kapiga
2016 ◽  
Vol 5 (2) ◽  
pp. 65-70
Author(s):  
Poonam P Shingade ◽  
Yasmeen Kazi ◽  
Madhavi LH

Sexually Transmitted Infections/Reproductive Tract Infections (STIs/RTIs) are a major public health problem and a leading cause of morbidity among men and women in developing countries. The aim of the study is to explore treatment seeking behavior among the married women of reproductive age presented with symptoms of STI/RTI. A hospital-based observational study was carried out at the STI/RTI Clinic of Urban Health Centre, Shivaji Nagar, Govandi, Mumbai, India. The study involved a total of 273 married females who attended clinic for their symptoms during January to March 2012. Patients were interviewed using a pretested questionnaire to explore the detail of the treatment seeking behavior regarding STIs/RTIs. Out of total women who participated in the study, only 47.6% of the women with STIs/RTIs symptoms sought health care. Among those who did not seek treatment, 58.65 % females were belonging to 21-25 years of age group. Maximum 65.6% females who were illiterate had not sought any treatment for symptoms of these diseases as compared to 65% who had taken treatment for the presented symptoms who were educated up to higher secondary and above level. 62.5% females belonging to class V had never sought treatment as compared to 100% women who were classified to class I. The poor health seeking behavior was associated with literacy and socioeconomic class of the participants. Private sector was the most favored place for taking treatment by them. Commonest reason for not seeking treatment was no female doctor at clinic. Information, Education and Communication (IEC) sessions, about STI symptoms and the benefits of treat-ment, especially targeted at women and low socioeconomic groups might be an immediately feasible measure that will help to reduce the burden of the disease.South East Asia Journal of Public Health Vol.5(2) 2015: 65-70


2020 ◽  
Author(s):  
Blanchard Mbay Iyemosolo ◽  
Tawanda Chivese ◽  
Tonya Marianne Esterhuizen

Abstract Background South Africa has a persistent burden of sexually transmitted infections (STIs), despite improvements in prevention, treatment, screening, and surveillance. Male circumcision has been shown to be effective in preventing HIV, and other STIs. However, there is minimal data on the protective effect of circumcision in high-risk populations such as migrant miners. The objective of this study was to compare the prevalence of STIs between circumcised and uncircumcised adult males in Rustenburg, North West Province, South Africa Methods The study used baseline data collected in an observational cohort study. Adult males in a mining town were assessed for STIs (gonorrhea, chlamydia, and trichomoniasis) using syndromic assessment. Data on circumcision status and other risk factors for STIs were collected using an interview administered structured questionnaire. Multiple logistic regression analysis was used to assess the independent effect of circumcision on STI presence after adjusting for confounders. Results A total of 339 participants with a median age of 25 years (IQR 22–29) were included in the study, of whom 116 (34.2%) of whom were circumcised. The overall STIs prevalence was 27.4% (95% CI 22.8–32.6%) and was lower in the circumcised participants compared with those who were uncircumcised (15.5% vs 33.6%, respectively, p < 0.001). Circumcision was strongly associated with a lower risk of STIs (OR 0.359, 95% CI 0.196–0.656, p = 0.001) after adjustment for employment and condom use. Conclusion In this high-risk population, with a relatively high prevalence of STI, and 34% circumcision, circumcision appears to be protective against STIs.


Author(s):  
Solmaz Amiri ◽  
Christine D. Pham ◽  
Ofer Amram ◽  
Karl C. Alcover ◽  
Oladunni Oluwoye ◽  
...  

Background: Early sexually transmitted infections (STIs) diagnosis facilitates prompt treatment initiation and contributes to reduced transmission. This study examined the extent to which contextual characteristics such as proximity to screening site, rurality, and neighborhood disadvantage along with demographic variables, may influence treatment seeking behavior among individuals with STIs (i.e., chlamydia, gonorrhea, and syphilis). Methods: Data on 16,075 diagnosed cases of STIs between 2007 and 2018 in Yakima County were obtained from the Washington State Department of Health Database Surveillance System. Multilevel models were applied to explore the associations between contextual and demographic characteristics and two outcomes: (a) not receiving treatment and (b) the number of days to receiving treatment. Results: Contextual risk factors for not receiving treatment or having increased number of days to treatment were living ≥10 miles from the screening site and living in micropolitan, small towns, or rural areas. Older age was a protective factor and being female was a risk for both outcomes. Conclusions: Healthcare providers and facilities should be made aware of demographic and contextual characteristics that can impact treatment seeking behavior among individuals with STIs, especially among youth, females, and rural residents.


2003 ◽  
Vol 48 (1) ◽  
pp. 40-44 ◽  
Author(s):  
Tony Toneatto ◽  
Donna Ferguson ◽  
Judy Brennan

Problem gambling rates are frequently found to be higher in those who abuse substances than in the general population, and this group represents a well-established high-risk population for developing the disorder. In this study of 853 residential substance abusers, approximately 10% scored in the problem gambling range on the South Oaks Gambling Screen (SOGS). On most descriptive variables, these subjects appeared to be similar to substance abusers who do not have gambling problems. However, they tended to participate in more gambling behaviours and had more relationships with individuals who also gambled. There is some evidence that the introduction of a new casino in the community increased the SOGS scores for subjects who gambled most frequently on such casinorelated gaming as slot machines, cards, and casino games.


Author(s):  
Priyanka Chandrakant Patil ◽  
Dipak D. Umrigar

Background: Sexually transmitted infections (STI)/respiratory tract infections (RTIs) constitute major public health problems in society since they increase the risk of HIV transmission. As the different regions in the country show variability in the clinical profile and high-risk behaviors of patients, it is important to study the trend in the particular region before formulating control measures. To study the clinico-epidemiologic profile of patients presenting to STI clinic along with the high-risk behaviors associated with transmission of STIs.Methods: This was an observational cross-sectional retrospective study by data analysis of hospital records in STI clinic done from April 2012 to March 2013. The detailed history was taken into consideration with special emphasis on sexual history, sexual behaviours, specific exposures, socio-demographics and other high-risk markers.Results: Females formed the majority of the affected population with marital status, illiteracy, migrant status of the population being the independent demographic factors. The important findings were that the high-risk behaviors were more common in married population and the inconsistent condom use in marital encounters were found to be the cause of increasing prevalence in the study population.Conclusions: The spread of the STIs from high risk population to no risk general population is an alarming sign.


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