Risk Behavior and Sexually Transmitted Infections Among Transgender Women and Men Undergoing Community-Based Screening for Acute and Early HIV Infection in San Diego

Abstract Background Men who have sex with men (MSM) and transgender women (TG) are at increased risk for sexually transmitted infections (STIs). To understand potential different characteristics, we assessed gender-specific, demographic data, behavioral risks and prevalence of STIs. Methods Thai MSM and TG aged ≥18 years from six community-based organizations in Thailand were enrolled into the Test and Treat cohort during 2015–2016. Baseline demographic and behavior risk assessment and HIV/STIs testing were done. Blood for syphilis serology and pharyngeal and anal swab, and urine for gonorrhea and chlamydia nucleic acid amplification testing were collected. Logistic regression was used to determine factors associated with gender-specific STIs prevalence. Results From 1862 MSM and 787 TG enrolled, 874 (33%) had STI and 402 (15.2%) were HIV-positive. Compared with MSM, more TG were single (79.7% vs. 71.6%), had lower education (23.6% vs. 40% with diploma or higher), had lower income (35.7% vs. 42.6% gained >288 USD/month), had first sex at young age (20.1% vs. 12.8% at <15 years old), and reported >3 sexual partners in the past 6 months (32.9% vs. 24.6%) (all P < 0.001). The overall STIs prevalence was similar between both genders (31.5% vs. 33.6%, P = 0.29), but TG had lower HIV prevalence (8.9% vs. 17.8%, P < 0.001). TG had higher prevalence of pharyngeal and anal chlamydia (5.5% vs. 2.9%, P = 0.001 and 19.5% vs. 15.1%, P = 0.007, respectively), while syphilis prevalence was higher in MSM (9.9% vs. 3.6%, P < 0.001). Among HIV-positive participants, MSM had higher prevalence of HIV and syphilis coinfection (26.2% vs. 8.6%, P = 0.001). STIs prevalence among TG was associated with HIV-positive status (adjusted odd ratio [aOR] 2.74; 95% CI 1.52–4.95, P = 0.001), having multiple sexual partners or refused to answer (aOR 2.36; 95% CI 1.31–4.24, P = 0.004 and 2.33; 95% CI 1.24–4.37, P = 0.009, respectively) and unprotected sexual intercourse (aOR 1.66; 95% CI 1.02–2.69, P = 0.041). Conclusion Almost one-third of TG enrolled into the Test and Treat cohort had STI. TG had lower HIV prevalence but similar STIs prevalence compared with MSM, despite practicing riskier sexual behaviors. Our findings signified the importance of studying TG sexual networks in Thailand to better strategize sexual health programs. Disclosures All authors: No reported disclosures.

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P135 High prevalence of curable sexually transmitted infections among 14–19 year old adolescents at risk of HIV infection in Kampala, Uganda

10.1136/sextrans-2021-sti.247 ◽

2021 ◽

Author(s):

Y Mayanja ◽

J Lunkuse ◽

H Kalungi ◽

W Senyonga ◽

O Kamacooko ◽

...

Keyword(s):

At Risk ◽

Hiv Infection ◽

Sexually Transmitted Infections ◽

Sexually Transmitted ◽

High Prevalence

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Enhancing Aboriginal and Torres Strait Islander young people's resilience to blood-borne and sexually transmitted infections: findings from a community-based participatory research project

Health Promotion Journal of Australia ◽

10.1071/he09195 ◽

2009 ◽

Vol 20 (3) ◽

pp. 195-201 ◽

Cited By ~ 16

Author(s):

Julie Mooney-Somers ◽

Wani Erick ◽

Robert Scott ◽

Angie Akee ◽

John Kaldor ◽

...

Keyword(s):

Sexually Transmitted Infections ◽

Participatory Research ◽

Torres Strait Islander ◽

Community Based Participatory Research ◽

Community Based ◽

Research Project ◽

Sexually Transmitted ◽

Torres Strait

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Association of HIV Preexposure Prophylaxis With Incidence of Sexually Transmitted Infections Among Individuals at High Risk of HIV Infection

JAMA ◽

10.1001/jama.2019.2947 ◽

2019 ◽

Vol 321 (14) ◽

pp. 1380 ◽

Cited By ~ 78

Author(s):

Michael W. Traeger ◽

Vincent J. Cornelisse ◽

Jason Asselin ◽

Brian Price ◽

Norman J. Roth ◽

...

Keyword(s):

High Risk ◽

Hiv Infection ◽

Sexually Transmitted Infections ◽

Sexually Transmitted ◽

Preexposure Prophylaxis

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Population-based interventions for reducing sexually transmitted infections, including HIV infection

10.1002/14651858.cd001220 ◽

2001 ◽

Cited By ~ 6

Author(s):

D Wilkinson ◽

G Rutherford

Keyword(s):

Hiv Infection ◽

Sexually Transmitted Infections ◽

Population Based ◽

Sexually Transmitted

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Coinfection of Sexually Transmitted Infections among HIV-Positive Individuals: Cross-Sectional Results of a Community-Based Positive Living with HIV (POLH) Study in Nepal

Journal of the International Association of Providers of AIDS Care (JIAPAC) ◽

10.1177/2325957415614644 ◽

2015 ◽

Vol 16 (4) ◽

pp. 338-346 ◽

Cited By ~ 2

Author(s):

Krishna C. Poudel ◽

Kalpana Poudel-Tandukar ◽

Paula H. Palmer ◽

Tetsuya Mizoue ◽

Masamine Jimba ◽

...

Keyword(s):

Sexually Transmitted Infections ◽

Odds Ratio ◽

Adjusted Odds Ratio ◽

Sexual Practices ◽

Hiv Positive ◽

Community Based ◽

Cross Sectional ◽

Sexually Transmitted ◽

Neisseria Gonorrhea ◽

Living With Hiv

In Asian concentrated HIV epidemics, data on coinfection of sexually transmitted infections (STIs) among HIV-positive individuals are limited. The authors measured the prevalence of Chlamydia trachomatis (CT), Neisseria gonorrhea (NG), and syphilis, and their correlates among 319 HIV-positive individuals in Kathmandu, Nepal. The authors tested blood samples for syphilis and urine samples for CT and NG. Overall, 17 (5.3%) participants had at least 1 STI (CT: 1.3%, NG: 2.8%, and syphilis: 1.2%). Of 226 participants who had sex in past 6 months, 51.3% did not always use condoms. Older (aged 35-60 years) participants were more likely (adjusted odds ratio [AOR] = 3.83; 95% confidence interval [CI] = 1.19-12.33; P = .024) and those who were currently married (AOR = 0.30; 95% CI = 0.09-0.97; P = .046) or on antiretroviral therapy (AOR = 0.21; 95% CI = 0.06-0.71; P = .012) were less likely to have at least 1 STI. Our results suggest the need to strengthen the efforts to screen and treat STIs and to promote safer sexual practices among Nepalese HIV-positive individuals.

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Sexually transmitted infections among HIV positive patients: a five year retrospective study

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20184724 ◽

2019 ◽

Vol 5 (1) ◽

pp. 23

Author(s):

N. Saravanan ◽

Murugan Swamiappan ◽

Rajkumar Kannan ◽

G. Arul Raja

Keyword(s):

Hiv Infection ◽

Sexually Transmitted Infections ◽

Tamil Nadu ◽

Clinical Manifestations ◽

Hiv And Aids ◽

People Living With Hiv ◽

Hiv Patients ◽

Sexually Transmitted ◽

Number Of Patients ◽

Clinical Records

Background: Sexually transmitted infections (STIs) are the most well established risk factors for the spread of HIV infection. STIs act as cofactors and facilitators for HIV transmission. The effects of HIV infection on immunity can increase susceptibility to other STIs. The aims and objectives of the study were to determine the prevalence of co-infection of sexually transmitted infections among people living with HIV and AIDS.Methods: A retrospective chart review of the data collected from the clinical records of all HIV patients who had attended the STI clinic of Chengalpattu Medical College, Chengalpattu, Tamil Nadu during the five years period, from January 2013 to December 2017, was carried out. Demographic data, clinical manifestations, co-infection of STIs among HIV patients, laboratory investigations and treatment were collected. The data collected were computed and analyzed statistically.Results: During the study period of 5 years from 2013 to 2017 the total number of patients attended the STI clinic were 10825, among that males were 4534 (41.88%) and females were 6291 (58.12%). STIs/RTIs were seen in 2560 (23.65%) cases among the total number of patients attended. HIV was found to be positive in 294 cases, in that 168 (57.15%) were males and 126 (42.85%) were females. In male HIV patients, 51 (30.36%) had co-infection with other STIs/RTIs. In female HIV patients, 57 (45.24) % had co-infection with other STIs/RTIs. Viral STIs was the common co-infection seen in males and vaginal cervical discharge was common in females.Conclusions: STI/RTI co-infection, both symptomatic and asymptomatic are common among PLHIV. Hence they should be regularly counselled regarding the significance of periodic screening for STI/RTIs avoidance of high risk sexual behaviour.

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Prevalence of Reproductive Tract Infections/Sexually Transmitted Infections among Rural Married Women – A Community Based Study Using Syndromic Approach

Healthline ◽

10.51957/healthline_156_2020 ◽

2020 ◽

Vol 11 (2) ◽

pp. 72-81

Author(s):

Anita Punia ◽

Jyoti Yadav ◽

Babita ◽

Sanjay Kumar Jha ◽

Sanjeet Singh ◽

...

Keyword(s):

Reproductive Health ◽

Sexually Transmitted Infections ◽

Rural Areas ◽

Reproductive Tract ◽

Married Women ◽

Reproductive Tract Infections ◽

Community Based ◽

Sexually Transmitted ◽

Syndromic Approach ◽

Tract Infections

Introduction: Reproductive Tract Infections (RTIs) and Sexually transmitted infections (STIs) continue to be a major public health problem and affecting women's health. Objectives: To estimate the prevalence of RTIs/STIs among married women aged 18-49 years in rural areas and to determine the factors associated with these conditions. Method: A community-based cross-sectional study was carried out among 308 eligible married women aged 18-49 years in rural areas in District Sonipat, Haryana using the WHO-Syndromic Approach for diagnosis of RTIs/STIs. Results: The mean age of study subjects in our study was 32.1 years (SD = ± 8.3 years) with a range from 18 to 49 years. The overall RTIs/STIs prevalence was 49.3%. The most frequent symptom was vaginal discharge (55.3%) followed by pain during micturition (34.2%), dyspareunia (26.9%), pain lower abdomen (24.3%) and vulval itching (16.4%). RTI/STI symptoms were found significantly more among women who had history of any chronic disease, who had irregular menstrual cycles, used cloths as sanitary pads and among those whose husbands were substance users. Conclusions: This study revealed a high prevalence (49.3%) of RTIs/STIs. Awareness about symptoms of RTIs, menstrual and personnel hygiene, raising literacy level of women, drive against use of addictive substances etc. by husbands is needed for control and prevention of RTIs. Primary health care services in respect of reproductive health should be strengthened and raising awareness among women about reproductive health issues through suitable communication strategies in order to bring about a positive behavior change for effective control of STIs.

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