Prevalence of Sexually Transmitted Infections and High-Risk Sexual Behaviors in Heterosexual Couples Attending Sexually Transmitted Disease Clinics in Peru

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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Temporal Trends in Sexual Behaviors and Sexually Transmitted Disease History Among 18- to 39-Year-Old Seattle, Washington, Residents: Results of Random Digit-Dial Surveys

Sexually Transmitted Diseases ◽

10.1097/01.olq.0000175370.08709.72 ◽

2005 ◽

Vol 32 (11) ◽

pp. 710-717 ◽

Cited By ~ 35

Author(s):

Sevgi O. Aral ◽

Divya A. Patel ◽

King K. Holmes ◽

Betsy Foxman

Keyword(s):

Sexual Behaviors ◽

Sexually Transmitted Disease ◽

Temporal Trends ◽

Transmitted Disease ◽

Sexually Transmitted ◽

Random Digit ◽

Random Digit Dial

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Risky sexual behavior and sexually transmitted infections among men who have sex with men and purchase sex attending an Israeli sexually transmitted infection clinic

International Journal of STD & AIDS ◽

10.1177/0956462419830856 ◽

2019 ◽

Vol 31 (3) ◽

pp. 236-243 ◽

Cited By ~ 1

Author(s):

Rivka S Rich ◽

Alex Leventhal ◽

Rivka Sheffer ◽

Zohar Mor

Keyword(s):

High Risk ◽

Sexually Transmitted Infections ◽

Sexual Behaviors ◽

Risky Sexual Behavior ◽

Laboratory Data ◽

Cross Sectional Study ◽

Transmitted Infection ◽

Cross Sectional ◽

Sexually Transmitted ◽

Sex With Men

Men who have sex with men (MSM) and purchase sex (MPS) are a sub-group potentially at high risk for acquiring and transmitting sexually transmitted infections (STIs). This is a hard-to-reach population resulting in a scarcity of studies covering the issue. This cross-sectional study aimed to assess the association between purchasing sex and high-risk behaviors related to HIV/STI transmission and appraise the STI prevalence among MSM. All MSM who attended the STI clinic in Tel Aviv between 2003 and 2010 were included. Demographics, behavioral, clinical, and laboratory data were compared between MPS and non-MPS to identify high-risk sexual behaviors and STI prevalence associated with purchasing sex. Of the first visits of 2694 MSM who attended the STI clinic during the study period, 151 (5.6%) paid for sex. MPS were more commonly older and married than non-MPS. MPS were more likely to engage in behaviors associated with high risk for HIV/STI transmission, including infrequent condom use during anal sex, substance use during sex, and selling sex themselves. MPS had a higher STI prevalence than non-MPS, although this was not statistically significant ( p = 0.05). These findings highlight the need to establish culturally tailored interventions for MPS addressing the potential risks associated with purchasing sex.

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Sexually transmitted infections and sexual behaviors of men who have sex with men in an American Deep South PrEP clinic

International Journal of STD & AIDS ◽

10.1177/0956462419886228 ◽

2020 ◽

Vol 31 (2) ◽

pp. 127-135 ◽

Cited By ~ 1

Author(s):

Ronnie M Gravett ◽

Andrew O Westfall ◽

Edgar T Overton ◽

Kachina Kudroff ◽

Christina A Muzny ◽

...

Keyword(s):

High Risk ◽

Sexually Transmitted Infections ◽

Incidence Rate ◽

Sexual Behaviors ◽

The United States ◽

Sexual Partners ◽

Deep South ◽

Multiple Sexual Partners ◽

Sexually Transmitted ◽

Sex With Men

HIV pre-exposure prophylaxis (PrEP) effectively prevents HIV acquisition among men who have sex with men (MSM), but PrEP uptake has been associated with sexually transmitted infections (STIs). The effect of PrEP on STIs in MSM in the Deep South of the United States is unknown. We performed a retrospective analysis of adult MSM at an American Deep South PrEP clinic to calculate the prevalence and incidence rate of bacterial STIs (chlamydia, gonorrhea, and syphilis) and identify associated risk factors by linking incident STI to patient-reported outcomes; 139 MSM accessed the clinic between 2014 and 2018 with baseline bacterial STI prevalence of 11%. Twenty-six of 81 eligible MSM on PrEP had incident STIs with an incidence rate of 33.1 cases per 100 person-years. Significantly higher proportions of high PrEP adherence, multiple sexual partners, and inconsistent condom use were seen in those with incident STI, and we identified MSM with both high PrEP adherence and multiple sexual partners as being at especially high risk for bacterial STIs (hazard ratio: 7.57, 95% confidence interval: 1.75–32.74). Bacterial STIs are common after initiating PrEP in this clinic, and MSM reporting high PrEP adherence and multiple sexual partners have a significant risk for incident STI. High-risk sexual behaviors persisted after starting PrEP, highlighting the importance of ongoing, intensive sexual health screening and interventions.

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