scholarly journals Sexual Behavior and Sexually Transmitted Infection Outcomes Among Men Who Have Sex With Men and Transgender Women Participating in a Study of the Timing of Antiretroviral Therapy in Lima, Peru

2020 ◽  
Vol 47 (12) ◽  
pp. 825-831
Author(s):  
Michalina A. Montaño ◽  
Ricardo Alfaro ◽  
Tara Ness ◽  
Carmela Ganoza ◽  
Pedro Gonzales ◽  
...  
2014 ◽  
Vol 19 (45) ◽  
Author(s):  
C Kenyon ◽  
L Lynen ◽  
E Florence ◽  
S Caluwaerts ◽  
M Vandenbruaene ◽  
...  

Persons with multiple syphilis reinfections may play an important role in syphilis transmission. We analysed all syphilis tests carried out for people attending the HIV/sexually transmitted infection (STI) clinic at the Institute of Tropical Medicine, Antwerp, Belgium, from 1992 to 2012 to evaluate the extent to which syphilis reinfections were contributing to the syphilis epidemic in Antwerp. We then characterised the features of the syphilis infections in individuals with five or more episodes of syphilis. A total of 729 syphilis episodes were diagnosed in 454 persons. The majority of syphilis episodes occurred in people who had more than one episode of syphilis (445/729; 61%). A total of 10 individuals had five or more episodes of syphilis diagnosed over this period. All were men who have sex with men, HIV positive and on antiretroviral therapy. They had a total of 52 episodes of syphilis diagnosed and treated. In 38/42 of the episodes of repeat syphilis in these 10 individuals, they presented without any signs or symptoms of syphilis. Given that the majority of cases of incident syphilis in our clinic were persons with reinfections and that they frequently presented without signs of symptoms of syphilis, there is a strong case for frequent and repeated screening in all persons with a diagnosis of syphilis.


2014 ◽  
Vol 41 (8) ◽  
pp. 480-485 ◽  
Author(s):  
Taurayi Adriano Tafuma ◽  
Mike B. Merrigan ◽  
Lillian A. Okui ◽  
Refiletswe Lebelonyane ◽  
Jerry Bolebantswe ◽  
...  

2015 ◽  
Vol 105 (9) ◽  
pp. 2757-2797 ◽  
Author(s):  
Esther Duflo ◽  
Pascaline Dupas ◽  
Michael Kremer

A seven-year randomized evaluation suggests education subsidies reduce adolescent girls' dropout, pregnancy, and marriage but not sexually transmitted infection (STI). The government's HIV curriculum, which stresses abstinence until marriage, does not reduce pregnancy or STI. Both programs combined reduce STI more, but cut dropout and pregnancy less, than education subsidies alone. These results are inconsistent with a model of schooling and sexual behavior in which both pregnancy and STI are determined by one factor (unprotected sex), but consistent with a two-factor model in which choices between committed and casual relationships also affect these outcomes. (JEL I12, I18, I21, J13, J16, O15)


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