Association of Sexually Transmitted Disease-Related Stigma With Sexual Health Care Among Women Attending a Community Clinic Program

2008 ◽  
Vol 35 (6) ◽  
pp. 553-557 ◽  
Author(s):  
Melanie Rusch ◽  
Jean Shoveller ◽  
Susan Burgess ◽  
Karen Stancer ◽  
David Patrick ◽  
...  
2021 ◽  
pp. 187-240
Author(s):  
Victoria Mckenzie ◽  
Leila Frodsham ◽  
Debra Holloway

This chapter covers problems that can occur with sexual health in women. It starts with the definition, assessment, diagnosis, investigations, and treatment of different sorts of vaginal discharge. It provides information about sexual health in context, including its links with other forms of disease and psychological well-being. Protocols for partner notification in the cases of diagnosis with a sexually transmitted disease are explained. The signs, symptoms, and treatment for gonorrhea, chlamydia, and Mycoplasma genitalium are all covered. It also covers the definition, causes, diagnosis, and treatment of pelvic inflammatory disease. Hepatitis B and C are described, along with anogenital warts, genital herpes, and genital lumps and ulcers. Finally HIV and new developments such as PrEP and PEP are covered.


2001 ◽  
Vol 28 (9) ◽  
pp. 535-538 ◽  
Author(s):  
JEAN M. LAWRENCE ◽  
JONATHAN ZENILMAN ◽  
MARY L. KAMB ◽  
MICHAEL IATESTA ◽  
JOHN M. DOUGLAS ◽  
...  

2003 ◽  
Vol 14 (7) ◽  
pp. 493-496 ◽  
Author(s):  
Jane Hutchinson ◽  
Penny Goold ◽  
Hugh Wilson ◽  
Kevin Jones ◽  
Claudia Estcourt

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.


2007 ◽  
Vol 18 (9) ◽  
pp. 639-642 ◽  
Author(s):  
Chris Carne ◽  
Hugo McClean ◽  
Paul Bunting ◽  
Ed Wilkins ◽  
Linda Tucker ◽  
...  

The case-notes of 3210 patients with HIV infection were audited. A sexual history was documented within four weeks before or after initial HIV diagnosis in 69% of cases (regional range 45–84%), and in the six months before attendance during the audit interval in 34% (12–53%). An offer of tests for sexually transmitted infections was documented within four weeks before or after HIV diagnosis in 58% (30–83%), and in the prior six months in 28% (14–47%). Syphilis serology was offered in the previous three months to 45% (14–100%) of cases resident in syphilis outbreak areas and to 25% (7–62%) of other cases. Hepatitis B testing was performed for 98% (95–100%) of cases and for hepatitis C, for 91% (79–100%). Cervical cytology results in the past year were documented for 73% (43–94%) of eligible women. Considerable inter-regional variation in performance exists. Interventions are needed to improve the sexual health care of people with HIV infection.


2014 ◽  
Vol 20 (2) ◽  
pp. 116-138 ◽  
Author(s):  
Allison L. Friedman ◽  
Allison Bozniak ◽  
Jessie Ford ◽  
Ashley Hill ◽  
Kristina Olson ◽  
...  

Nine programs were funded across eight states in the United States to customize, implement, and evaluate local campaigns in support of the national Get Yourself Tested ( GYT) campaign. Each program promoted chlamydia screening and treatment/referral to sexually active young women (aged 15–25 years) and their partners through accessible, free, or low-cost services. This article documents the strategies and outcomes of these local GYT campaigns, highlighting the diversity in which a national sexual health campaign is implemented at the local level and identifying challenges and successes. Nearly all ( n = 7) programs involved target audience members in campaign development/implementation. Youth were linked to free or low-cost sexually transmitted disease testing through community centers, high schools and colleges, community and clinic events; online or text-based ordering of test kits; and community pickup locations. Sites used a combination of traditional and new media, on-the-ground activities, promotional products, and educational and social events to promote testing. With the exception of one site, all sites reported increases in the number of persons tested for chlamydia during campaign implementation, compared to baseline. Increases ranged from 0.5% to 128%. Successes included development of local partnerships, infrastructure, and capacity; use of peer leaders and involvement; and opportunities to explore new innovations. Challenges included use of social media/new technologies, timing constraints, limited organizational and evaluation capacity, and unforeseen delays/setbacks. Each of these issues is explored, along with lessons learned, with intent to inform future sexual health promotion efforts.


2010 ◽  
Vol 37 (4) ◽  
pp. 568-579 ◽  
Author(s):  
Krista Oswalt ◽  
Galen J. Hale ◽  
Karen L. Cropsey ◽  
Gabriella C. Villalobos ◽  
Sara E. Ivey ◽  
...  

We assessed the contraceptive needs of women in jails and their sexually transmitted disease (STD) history and risk to determine effective contraceptive methods for this population. A survey of demographics, sexual health, contraceptive use, and preferred method of contraception was completed by participants recruited at jails in a medium-sized metropolitan area. Results from 188 women indicated high rates of STDs, inconsistent contraceptive use, and use of unreliable and user-dependent contraception methods. Intended contraceptive use following release varied depending on women’s ability to bear children. Women planning to use condoms after release were more likely to have had an STD and more sexual partners than were women not planning to use condoms. Racial differences were found for participants’ sexual health and contraception histories. These women were at high risk for STDs and appeared to need education about contraception methods. Therefore, they might benefit from education on safe sex practices provided prior to release.


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