scholarly journals Social determinants of adult sex ratios and racial/ethnic disparities in transmission of HIV and other sexually transmitted infections in the USA

2017 ◽  
Vol 372 (1729) ◽  
pp. 20160323 ◽  
Author(s):  
Enrique Rodriguez Pouget
Keyword(s):  
Sexually Transmitted Infections ◽  
Social Determinants ◽  
Sex Ratios ◽  
Ethnic Disparities ◽  
Black Population ◽  
Mortality Rates ◽  
Sexually Transmitted ◽  
Historical Factors ◽  
The Usa ◽  
Male Incarceration

In Black population centres in the USA, adult sex ratios (ASRs) are strongly female-biased primarily due to high male incarceration and early mortality rates. I explore the system of social determinants that shape these ASRs, and describe their apparent consequences. Evidence suggests that female-biased ASRs play a role, along with racial residential segregation, to increase mixing between core and peripheral members of sexual networks, facilitating transmission of human immunodeficiency virus and other sexually transmitted infections. Unique historical factors underlie Black male incarceration and mortality rates in the USA, making comparisons with other groups or other countries challenging. This article is part of the themed issue ‘Adult sex ratios and reproductive decisions: a critical re-examination of sex differences in human and animal societies’.

scholarly journals Laboratory Perspective on Racial Disparities in Sexually Transmitted Infections

2020 ◽  
Author(s):  
Joshua A Lieberman ◽  
Chase A Cannon ◽  
Lori A Bourassa
Keyword(s):  
Public Health ◽  
Sexually Transmitted Infections ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Diagnostic Testing ◽  
Ethnic Disparities ◽  
The United States ◽  
Determinants Of Health ◽  
Public Health Services ◽  
Sexually Transmitted

Abstract Background Rates of sexually transmitted infections (STI) have risen steadily in recent years, and racial and ethnic minorities have borne the disproportionate burden of STI increases in the United States. Historical inequities and social determinants of health are significant contributors to observed disparities and affect access to diagnostic testing for STI. Content Public health systems rely heavily on laboratory medicine professionals for diagnosis and reporting of STI. Therefore, it is imperative that clinicians and laboratory professionals be familiar with issues underlying disparities in STI incidence and barriers to reliable diagnostic testing. In this mini-review, we will summarize contributors to racial/ethnic disparity in STI, highlight current epidemiologic trends for gonorrhea, chlamydia, and syphilis, discuss policy issues that affect laboratory and public health funding, and identify specific analytic challenges for diagnostic laboratories. Summary Racial and ethnic disparities in STI in the US are striking and are due to complex interactions of myriad social determinants of health. Budgetary cuts for laboratory and public health services and competition for resources during the COVID-19 pandemic are major challenges. Laboratory professionals must be aware of these underlying issues and work to maximize efforts to ensure equitable access to diagnostic STI testing for all persons, particularly those most disproportionately burdened by STI.

scholarly journals Associations of Sex Ratios and Male Incarceration Rates with Multiple Opposite-Sex Partners: Potential Social Determinants of HIV/STI Transmission

2010 ◽  
Vol 125 (4_suppl) ◽  
pp. 70-80 ◽  
Author(s):  
Enrique R. Pouget ◽  
Trace S. Kershaw ◽  
Linda M. Niccolai ◽  
Jeannette R. Ickovics ◽  
Kim M. Blankenship
Keyword(s):  
Social Determinants ◽  
Sex Ratios ◽  
Sex Partners ◽  
Opposite Sex ◽  
Male Incarceration

scholarly journals Incidence of sexually transmitted infections in HIV-infected and HIV-uninfected adolescents in the USA

2013 ◽  
Vol 24 (2) ◽  
pp. 123-127 ◽  
Author(s):  
T L K Mullins ◽  
B J Rudy ◽  
C M Wilson ◽  
H Sucharew ◽  
J A Kahn
Keyword(s):  
Sexually Transmitted Infections ◽  
Sexually Transmitted ◽  
The Usa

scholarly journals Social determinants of health and vulnerabilities to sexually transmitted infections in adolescents

2019 ◽  
Vol 72 (6) ◽  
pp. 1595-1601
Author(s):  
Maria Isabelly Fernandes da Costa ◽  
Tamires Rebeca Forte Viana ◽  
Patrícia Neyva da Costa Pinheiro ◽  
Maria Vera Lúcia Moreira Leitão Cardoso ◽  
Lorena Pinheiro Barbosa ◽  
...  
Keyword(s):  
Sexually Transmitted Infections ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Home Ownership ◽  
Cross Sectional Study ◽  
Social Determinant ◽  
Determinants Of Health ◽  
Cross Sectional ◽  
Significance Level ◽  
Sexually Transmitted

ABSTRACT Objective: To verify the association between social determinants of health and the vulnerability of adolescents to Sexually Transmitted Infections (STIs). Method: Cross-sectional study, performed with 287 students aged 11 to 17 years, in the outskirts of Fortaleza, Ceará, Brazil, from August do September 2016. Two instruments were used, one destined to social determinants of health and another to investigating the vulnerability to STIs. The magnitude of associations was expressed through odds ratio and interval of confidence, considering a 5% significance level. This research was approved by the Research Ethics Committee of the Federal University of Ceará. Results: 212 (73.9%) adolescents were considered more vulnerable, with a score ≥ 4. The intermediate social determinant “housing (home ownership)” obtained significant association with with the vulnerability to STIs (p of 0.022; CI 1.1 to 3.3; OR 1.9). Conclusion: The intermediate social determinant “type of housing” influences the vulnerability to STAs.

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