Reducing Alcohol Use, Sex Risk Behaviors, and Sexually Transmitted Infections Among Filipina Female Bar Workers: Effects of an Ecological Intervention

Many individuals remain sexually active into their eighth decade. Surveillance data suggest that rates of sexually transmitted infections in older patients are increasing. We compared demographics, risk behaviors, and predictors of acute infections in patients 50 years and older versus younger patients attending sexually transmitted disease clinics in Baltimore, Maryland. This was a retrospective study from a large electronic database of visits to two urban sexually transmitted disease clinics between 2005 and 2010. Proportions were compared using the Chi square test. Logistic regression was used to assess predictors of acute sexually transmitted infections in older versus younger groups. It was found that patients over 50 were more likely than younger patients to report never using condoms (32.6% [CI 0.31–0.34] versus 24.1% [CI 0.23–0.25]). The overall prevalence of acute sexually transmitted infections was 18.1% (CI 0.17–0.19) in older and 25.8% (CI 0.25–0.27) in younger patients. Older women were more likely to be diagnosed with trichomoniasis (21.5% [CI 18.6–24.5] versus 13.1% [CI 11.5–14.8]). Black race was predictive of having an acute sexually transmitted infections in younger men (OR 2.2 [CI 1.47–3.35]) and women (OR 2.7 [CI 1.34–5.30]) but not in older men (OR 1.2 [CI 0.79–1.73]) or women (OR 1.2 [CI 0.43–3.15]). Older age was associated with a decreased risk of acute STI diagnosis in younger men and older women only, while having had sex for money or drugs in the past month was predictive only in younger women. Reporting symptoms and increasing numbers of sexual partners in the last six months was predictive of acute sexually transmitted infection diagnosis in all age groups. Older patients seeking care at sexually transmitted disease clinics engage in important risk behaviors. Race, a factor predictive of acute sexually transmitted infections in younger patients is not a significant predictor of sexually transmitted infections in older persons.

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Human Immunodeficiency Virus, Sexually Transmitted Infections, and Risk Behaviors Among Clients of Sex Workers in Guatemala: Are They a Bridge in Human Immunodeficiency Virus Transmission?

Sexually Transmitted Diseases ◽

10.1097/olq.0b013e31821596b5 ◽

2011 ◽

pp. 1 ◽

Cited By ~ 3

Author(s):

Meritxell Sabidó ◽

Maria Lahuerta ◽

Alexandra Montoliu ◽

Victoria Gonzalez ◽

Gabriela Hernández ◽

...

Keyword(s):

Human Immunodeficiency Virus ◽

Sexually Transmitted Infections ◽

Risk Behaviors ◽

Sex Workers ◽

Virus Transmission ◽

Human Immunodeficiency Virus Transmission ◽

Sexually Transmitted ◽

Immunodeficiency Virus

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The Impact of Alcohol Use on HIV/STI Intervention Efficacy in Predicting Sexually Transmitted Infections Among Young African-American Women

AIDS and Behavior ◽

10.1007/s10461-013-0555-4 ◽

2013 ◽

Vol 18 (4) ◽

pp. 747-751 ◽

Cited By ~ 2

Author(s):

Puja Seth ◽

Gina M. Wingood ◽

LaShun S. Robinson ◽

Ralph J. DiClemente

Keyword(s):

African American ◽

Alcohol Use ◽

Sexually Transmitted Infections ◽

African American Women ◽

American Women ◽

Sexually Transmitted ◽

Intervention Efficacy ◽

The Impact

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Cross-Sectional Study of Sexual Behavior, Alcohol Use, and Mental Health Conditions Associated With Sexually Transmitted Infections Among Deploying Shipboard US Military Personnel

Military Medicine ◽

10.1093/milmed/usz070 ◽

2019 ◽

Vol 184 (11-12) ◽

pp. e693-e700 ◽

Cited By ~ 2

Author(s):

Judith Harbertson ◽

Paul T Scott ◽

Hector Lemus ◽

Nelson L Michael ◽

Braden R Hale

Keyword(s):

Mental Health ◽

Alcohol Use ◽

Sexually Transmitted Infections ◽

Military Personnel ◽

Cross Sectional Study ◽

Sexual Partners ◽

Cross Sectional ◽

Sexually Transmitted ◽

Us Military ◽

Sex With Men

Abstract Introduction Limited comprehensive data exist on risk behavior associated with sexually transmitted infections (STI) among ship-assigned US military personnel during the predeployment time period (PDT). This study examined whether sexual risk behaviors, alcohol use, involuntary drug consumption (IDC), posttraumatic stress disorder (PTSD), and depression during the 12 months prior to deployment were associated with provider-diagnosed STIs in this population. Materials and Methods Using cross-sectional data collected during 2012–2014 among sexually active personnel, multivariable regression assessed factors associated with STIs among all men (n = 1,831). Stratified analyses were conducted among men who have sex with women (MSW, n = 1,530), men who have sex with men or men and women (MSM, n = 83), and excluded those not reporting sexual partner gender (n = 218). Results Among MSW, transactional sex (AOR 3.8, 95% CI 1.5–9.4) meeting sexual partners at work (AOR 4.3, 95% CI 2.0–9.2), IDC (AOR 6.6, 95% CI 3.0–14.5), and incomplete mental health assessments (AOR 4.4, 95% CI 1.6–12.0) were significantly associated with STIs after adjustment. Among all men, those who identified as MSM (AOR 4.6, 95% CI 1.9–11.2) and drug screen positive (AOR 3.3, 95% CI 1.3–8.6) were significantly more likely to report an STI. Conclusions Previously unreported factors significantly associated with STIs at the PDT among MSW in the adjusted analysis were meeting sexual partners at work and IDC. IDC during the PDT warrants further exploration. These results can inform tailored STI reduction interventions among shipboard personnel and similarly aged civilians undergoing similar transition/travel experiences.

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