scholarly journals Health Care Provider Perceptions of a Sexually Transmitted Infection Self-testing Program in an HIV Care Clinic

2018 ◽  
Vol 45 (6) ◽  
pp. 417-421 ◽  
Author(s):  
Susana Tat ◽  
Shireesha Dhanireddy ◽  
Jeanne M. Marrazzo ◽  
Lindley A. Barbee
Keyword(s):  
Health Care ◽  
Sexually Transmitted Infection ◽  
Care Provider ◽  
Hiv Care ◽  
Transmitted Infection ◽  
Care Clinic ◽  
Testing Program ◽  
Provider Perceptions ◽  
Sexually Transmitted ◽  
Self Testing

scholarly journals Association between eye diagnosis and positive syphilis test results in a large, urban sexually transmitted infection/primary care clinic population

2017 ◽  
Vol 29 (4) ◽  
pp. 357-361 ◽  
Author(s):  
Ann-Marie Lobo ◽  
Yan Gao ◽  
Laura Rusie ◽  
Magda Houlberg ◽  
Supriya D Mehta
Keyword(s):  
Primary Care ◽  
High Risk ◽  
Sexually Transmitted Infection ◽  
Laboratory Data ◽  
Primary Care Clinic ◽  
Eye Disease ◽  
Hiv Status ◽  
Transmitted Infection ◽  
Care Clinic ◽  
Sexually Transmitted

In 2015, the Centers for Disease Control and Prevention (CDC) and the American Academy of Ophthalmology (AAO) released clinical advisories on rising cases of ocular syphilis. We examined the association between eye disease and syphilis infection among primary care and sexually transmitted infection (STI) clinic patients attending an urban lesbian, gay, bisexual, transgender (LGBT) health center. We conducted a retrospective medical record review of all patients who underwent syphilis testing at Howard Brown Health between 1 January 2010 and 31 December 2015. Confirmed eye diagnosis was based on International Classification of Diseases, Ninth Revision (ICD-9) diagnosis codes for conjunctivitis, uveitis, keratitis, retinitis, and red eye. Demographic information, syphilis treatment, HIV status, and high-risk behaviors were abstracted. Syphilis diagnosis was defined by available laboratory data (enzyme immunoassay [EIA], rapid plasma reagin [RPR] titer, fluorescent treponemal antibody absorption [FTA-Abs], Treponema pallidum Ab). Multivariable logistic regression with robust variance was used to identify independent associations. During the study period, 71,299 syphilis tests were performed on 30,422 patients. There were 2288 (3.2%) positive syphilis tests. Seventy-seven patients had a confirmed eye diagnosis (0.25%). Patients with eye disease had higher probability of at least one positive syphilis test (33%) compared to those without eye disease (8%) ( p < 0.01). Of patients with eye disease, 77% were men who had sex with men (MSM) and 65% were HIV-positive. Patients with eye disease had 5.97 (95% CI: 3.70, 9.63) higher odds of having syphilis compared to patients without eye disease. When adjusted for age, race, gender/sexual orientation, insurance status, and HIV status, this association between positive syphilis test and eye disease decreased but was still significant (OR 2.00, 95% CI 1.17, 3.41). Patients who present with an eye diagnosis to STI/primary care clinic have a higher probability of positive syphilis tests even after adjusting for other risk factors for syphilis. High-risk patients with eye symptoms should have routine STI testing and in keeping with CDC and AAO recommendations, full ophthalmologic examination.

Sexual health care of HIV-positive patients: an audit of a local service

2003 ◽  
Vol 14 (7) ◽  
pp. 493-496 ◽  
Author(s):  
Jane Hutchinson ◽  
Penny Goold ◽  
Hugh Wilson ◽  
Kevin Jones ◽  
Claudia Estcourt
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
Hiv Care ◽  
Hiv Positive ◽  
Hiv Diagnosis ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Sexual Health Care ◽  
Patient Appointment ◽  
Health Screen

The sexual health care of 175 HIV-positive patients attending the two HIV clinics at Barts and the London NHS Trust was audited for the first time. The audit standard was that 100% of patients should be in receipt of a sexual health screen within six months of their first HIV out-patient appointment. Overall, 44.5% of patients had a sexual health screen, of which 46 (60.5%) were diagnosed with a sexually transmitted infection. Those screened were younger than those who were not. Five factors were identified which were significantly associated with not having a genitourinary screen performed; site of HIV care, setting of HIV diagnosis, stage of HIV disease, specialty of HIV physician and whether a screen was recommended by the HIV physician. A number of recommendations have been implemented to improve the uptake of sexual health screening amongst HIV-positive patients.

scholarly journals Pediatric Emergency Department Provider Perceptions of Universal Sexually Transmitted Infection Screening

2013 ◽  
Vol 35 (1) ◽  
pp. 76-86 ◽  
Author(s):  
Gordon Lee Gillespie ◽  
Jennifer Reed ◽  
Carolyn K. Holland ◽  
Jennifer Knopf Munafo ◽  
Rachael Ekstrand ◽  
...  
Keyword(s):  
Emergency Department ◽  
Sexually Transmitted Infection ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Transmitted Infection ◽  
Provider Perceptions ◽  
Sexually Transmitted

scholarly journals Knowledge, attitudes and perceptions about HIV self-testing amongst college students in Namibia

F1000Research ◽  
2022 ◽  
Vol 11 ◽  
pp. 11
Author(s):  
Malizgani Mhango ◽  
Vuyiseka Dubula-Majola ◽  
Leon-Say Mudadi
Keyword(s):  
College Students ◽  
Young Adults ◽  
Logistic Regression ◽  
Sexually Transmitted Infection ◽  
Statistical Significance ◽  
Univariate Analysis ◽  
Transmitted Infection ◽  
Study Objective ◽  
Sexually Transmitted ◽  
Self Testing

Background: In 2019, the Namibian Ministry of Health introduced HIV self-testing (HIVST) as an additional strategy to increase uptake of HIV self-testing in traditionally hard-to-reach subpopulations, such as young adults and males. It is unclear how the utilisation of HIV self-testing iw optimised in young adults. The study objective is understanding knowledge, attitudes, and perception levels amongst college-going young adults in Namibia. Methods: This quantitative study utilised a sample of 97 young college students who received a pre-test structured questionnaire. One sample t-test was used to analyse the average score from the Likert scale. A cut-off p-value of 0.05 to determine statistical significance of variables was used. Logistic regression computation was used to identify independent variables significantly associated with the dependent variable. A univariate analysis was done on awareness and acceptability with statistical significance of p<0.05 to obtain preliminary insights into the association between independent and dependent variables. The net effect variables are assessed using multivariate analysis using STATA 13.1, taking into account confounding factors. Results: Out of the 97 participants, only 23.7% knew about HIV self-testing. The logistic regression had a significant association with awareness of HIV self-testing (p≤0.05): on condom use during a first sexual encounter; being with a single sexual partner in the last 12 months; not having a sexually transmitted infection. The univariate analysis revealed an association with the acceptability of HIV self-testing from females; those who live in urban settlements; having not had sexually transmitted infection in the last twelve months. Moreover, findings reveal there are low levels of awareness, yet participants had positive attitudes and levels of acceptability to HIV self-testing. Conclusion: This study shows promise if awareness through health education and promotion about HIV self-testing can be increased. This can form part of scaling up HIV testing in Namibia.

Sign in / Sign up

Export Citation Format

Share Document