Hepatitis C Seroprevalence and Risk Behaviors in Patients Attending Sexually Transmitted Disease Clinics

2003 ◽  
Vol 30 (1) ◽  
pp. 33-38 ◽  
Author(s):  
BARBARA ROMANOWSKI ◽  
JUTTA PREIKSAITIS ◽  
PATRICIA CAMPBELL ◽  
JAYNE FENTON
2016 ◽  
Vol 28 (4) ◽  
pp. 330-344 ◽  
Author(s):  
Susan A Tuddenham ◽  
Kathleen R Page ◽  
Patrick Chaulk ◽  
Erika B Lobe ◽  
Khalil G Ghanem

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.


1992 ◽  
Vol 19 (5) ◽  
pp. 252-258 ◽  
Author(s):  
ANGELIKA STARY ◽  
WOLFGANG KOPP ◽  
HANNS HOFMANN ◽  
CLAUDIA HELLER-VITOUCH ◽  
CHRISTIAN KUNZ

1994 ◽  
Vol 21 (3) ◽  
pp. 155-160 ◽  
Author(s):  
SUSAN A. FISCUS ◽  
WILLIAM F. KELLY ◽  
DAVID A. BATTIGELLI ◽  
DAVID J. WEBER ◽  
VICTOR J. SCHOENBACH ◽  
...  

1991 ◽  
Vol 107 (3) ◽  
pp. 667-672 ◽  
Author(s):  
R. Corona ◽  
G. Prignano ◽  
A. Mele ◽  
G. Gentili ◽  
F. Caprilli ◽  
...  

SUMMARYA seroprevalence study was carried out on 1757 outpatients consecutively seen in a sexually transmitted disease (STD) clinic in order to evaluate the sexual transmission of hepatitis C virus (HCV). A total of 1442 consenting patients were tested for hepatitis C, hepatitis B and human immunodeficiency virus type 1 (HCV. HBV, HIV - 1) antibodies. The relations between anti-HCV, anti-HBc and anti-HIV - 1 were studied. Of 73 anti-HCV positive reactions, 45 (61.6%) were confirmed by the recombinant immunoblot assay (RIBA). The proportion of individuals with anti-HCV was higher in outpatients with a history of sexually transmitted disease than without. It was 2.8% in non drug user heterosexuals and 2.9% in non drug user homosexuals. Intravenous drug users (IDU) had higher anti-HCV prevalence when a history of STD was taken into account (42.3% in subjects with STD versus 36.7% in subjects without STD). Among non drug user heterosexuals an association was found between anti-HCV and anti-HBc. These data suggest that sexual transmission of HCV occurs, although it seems to be less efficient than other parenteral modes of transmission. When a more sensitive and specific marker of HCV infection become available, a more accurate estimate of the frequency and efficiency of the sexual transmission will be possible.


Sign in / Sign up

Export Citation Format

Share Document