scholarly journals Prevalence and Social Correlates of Sexual Intercourse among School-Going Adolescents in Thailand

2011 ◽  
Vol 11 ◽  
pp. 1812-1820 ◽  
Author(s):  
Karl Peltzer ◽  
Supa Pengpid
Keyword(s):  
Sexually Transmitted Infections ◽  
Sexual Intercourse ◽  
Multivariable Analysis ◽  
Psychosocial Distress ◽  
Public Health Issue ◽  
Current Smoking ◽  
Sexually Transmitted ◽  
School Based ◽  
Using Data ◽  
Current Alcohol

Adolescent sexuality is a relevant public health issue, as it affects risk to contract HIV and other sexually transmitted infections. The assessment of prevalence of sexual intercourse among adolescents may guide policies and programmes aimed at reducing the transmission of sexually transmitted infections among this age group. Using data from the Thailand Global School-Based Student Health Survey (GSHS) 2008, we assessed the prevalence of sexual intercourse in the last 12 months and its associated factors among adolescents (). Overall the prevalence of sexual intercourse in the past 12 months was 11.0% (14.6% males and 7.6% females). Variables positively associated with the outcome in multivariable analysis were male gender (; 95% CI 1.14–242), older age, ≥15 years (, 1.80–3.74), current alcohol use (, 1.46–3.36), psychosocial distress (, 1.44–3.09) and among females current smoking (, 1.62–18.48), lifetime drug use (, 1.04–18.3) and lack of parental or guardian bonding (, 0.27–0.97). Efforts to control unhealthy lifestyles (substance use) and psychosocial distress may impact on adolescents' sexual activity.

scholarly journals 423. Self-Reported Screening for Rectal Sexually Transmitted Infections Among Men Who Have Sex with Men

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S212-S213
Author(s):  
Timothy William. Menza ◽  
Lauren Lipira ◽  
Amisha Bhattarai ◽  
Joseph Ramirez ◽  
Roberto Orellana
Keyword(s):  
Sexually Transmitted Infections ◽  
Multivariable Analysis ◽  
Prevalence Ratio ◽  
Hiv Positive ◽  
Sexually Active ◽  
Hiv Status ◽  
Sexually Transmitted ◽  
Sex With Men ◽  
Hiv Negative ◽  
Hiv Positive Men

Abstract Background Rectal gonorrhea and Chlamydia are common and predict HIV acquisition among men who have sex with men (MSM); however, screening for rectal sexually transmitted infections (STIs) is not routine. Methods In 2017, we recruited sexually-active MSM in the Portland, Oregon metropolitan area through venue-based sampling. Our outcome of interest was self-reported rectal STI screening in the prior 12 months. Stratified by HIV status, we assessed the prevalence and demographic, healthcare, clinical, and behavioral predictors of screening. Results Of 448 participants, 168 (37.5%) reported rectal STI screening. One hundred twenty-seven (35.8%) of 355 HIV-negative men, 41 (58.6%) of 70 HIV-positive men, and none of 23 men who did not know their HIV status reported screening. Among HIV-negative men, having a healthcare provider who offered HIV testing (adjusted prevalence ratio [aPR]=2.09; 95% confidence interval [CI]: 1.43, 3.04), a syphilis diagnosis (aPR=1.32; 95% CI: 1.03, 1.69), use of pre-exposure prophylaxis (aPR=1.57; 95% CI 1.21, 2.04), and condomless anal sex with casual partners in the prior 12 months (aPR=1.74; 95% CI: 1.36, 2.22) independently predicted screening for rectal STI in multivariable analysis. HIV-positive men who reported having a provider who always or often initiates conversations about sex were significantly more likely to report screening compared with men who did not have such a provider (aPR=1.48; 95% CI: 1.06, 2.06). Conclusion Rectal STI screening is not universal in a venue-based sample of sexually-active MSM. Implementing innovative, acceptable, and accessible screening practices and improving provider comfort with talking about sex are paramount to increasing rectal STI screening. Disclosures All authors: No reported disclosures.

scholarly journals Association between Sexual Habits and Sexually Transmitted Infections at a Specialised Centre in Granada (Spain)

2020 ◽  
Vol 17 (18) ◽  
pp. 6881
Author(s):  
Raquel Casado Santa-Bárbara ◽  
César Hueso-Montoro ◽  
Adelina Martín-Salvador ◽  
María Adelaida Álvarez-Serrano ◽  
María Gázquez-López ◽  
...  
Keyword(s):  
Sexually Transmitted Infections ◽  
Sexually Transmitted Infection ◽  
Medical Records ◽  
Cross Sectional Study ◽  
Public Health Issue ◽  
Oral Sex ◽  
Anal Sex ◽  
Transmitted Infection ◽  
Cross Sectional ◽  
Sexually Transmitted

Sexually transmitted infections are an important public health issue. The purpose of this study is to analyse the association between different sexual habits and the prevalence of sexually transmitted infections in the population of Granada who consult with a specialised centre. An observational, cross-sectional study was conducted based on the medical records of 678 people from the Sexually Transmitted Diseases and Sexual Orientation Centre of Granada, who were diagnosed positively or negatively with a sexually transmitted infection, during the 2000−2014 period. Sociodemographic and clinical data, as well as data on frequency and type of sexual habits, frequency of condom use and sexually transmitted infection positive or negative diagnosis were collected. Univariate and bivariate analyses were conducted. The most popular sexual habits were vaginal intercourse, oral sex (mouth–vagina and mouth–penis) and the least popular were anus–mouth and anal sex. The use of condom is frequent in vaginal and anal sex and less frequent in oral sex. Sexually transmitted infection is associated with mouth–penis (p = 0.004) and mouth–vagina (p = 0.023) oral sex and anal sex (p = 0.031). It is observed that there is a relationship between the presence of STIs and oral sex practices, people having such practices being the ones who use condoms less frequently. There is also a relationship between anal sex and the prevalence of STIs, although in such sexual practice the use of condom does prevail.

Prevalence and impact of sexually transmitted infections in pregnant women in central Ethiopia

2017 ◽  
Vol 29 (3) ◽  
pp. 251-258 ◽  
Author(s):  
Andreas Schönfeld ◽  
Torsten Feldt ◽  
Tafese B Tufa ◽  
Hans M Orth ◽  
André Fuchs ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Sexually Transmitted Infections ◽  
Perinatal Mortality ◽  
Group B Streptococcus ◽  
Public Health Issue ◽  
Unborn Child ◽  
Central Ethiopia ◽  
Sexually Transmitted ◽  
Group B

Human immunodeficiency virus (HIV) continues to be a major global public health issue and omnipresent sexually transmitted infections (STIs) increase the risk of HIV acquisition. Moreover, STIs and HIV in pregnant women can harm the unborn child. In this study, we systematically investigated the prevalence of HIV, relevant STIs and vaginal group B streptococcus colonization among pregnant women presenting at Asella Teaching Hospital in central Ethiopia and their effect on perinatal mortality. A follow-up was performed six weeks after delivery. A total of 580 women were included, of which 26.6% tested positive for at least one pathogen ( Chlamydia trachomatis 9.8%, trichomoniasis 5.3%, hepatitis B 5.3%, gonorrhoea 4.3%, group B streptococcus 2.4%, syphilis 2.2%, HIV 2.1%). None of the HIV infections were previously undiagnosed, indicating effective HIV screening activities in the region. Follow-up data were available for 473 (81.6%) children, of which 37 (7.8%) were stillborn or died within the first six weeks of life. Infection with Trichomonas vaginalis and recruitment at obstetric ward (versus antenatal care) were associated with mortality. High prevalence of STIs in pregnant women and their impact on the unborn child demonstrate the need for screening and treatment programmes in order to prevent perinatal mortality.

Determinants of condom use at sexual debut among young Vietnamese

2014 ◽  
Vol 26 (3) ◽  
pp. 403-410 ◽  
Author(s):  
Trang H.T. Do ◽  
Linh C. Le ◽  
John A. Burgess ◽  
Dinh S. Bui
Keyword(s):  
Condom Use ◽  
Sexually Transmitted Infections ◽  
Sexual Intercourse ◽  
Sexual Partner ◽  
Sexual Debut ◽  
Peer Pressure ◽  
Premarital Sex ◽  
Sexually Transmitted ◽  
First Sexual Intercourse ◽  
Factors Associated

Abstract Background and aims: Condom use at sexual debut is associated with subsequent condom use and with decreased risk of sexually transmitted infections. There is a dearth of data on determinants of condom use at first sexual intercourse. We aimed to determine factors associated with condom use at first sexual intercourse before marriage among Vietnamese adolescents and youths. Methods: The study involved the analysis of data from the Survey Assessment of Vietnamese Youth, 2003, the first nationally representative survey of young people in Vietnam. The survey included 7584 adolescents and youths aged 14–25 years. In this study, data of 605 adolescents and youths who had engaged in premarital sex were analyzed for factors associated with condom use using descriptive analyses, and regression techniques, allowing for sampling weights, clustering and stratification. Results: Of 605 adolescents and youths who had engaged in premarital sex, 28.6% reported condom use at first sexual intercourse. Condom use at sexual debut was less common in females than males [odds ratio (OR)=0.15; 95% confidence interval (95% CI)=0.07–0.30] and less common in those who experienced peer pressure to engage in social higher risk behaviors (OR=0.57; 95% CI=0.32–0.99). Condom use was more common if a friend/acquaintance or a stranger/sex worker was the first sexual partner (OR=2.20; 95% CI=1.16–4.17 and OR=17.90; 95% CI=6.88–46.54) respectively, each compared with fiancé/boyfriend/girlfriend as first sexual partner. Conclusions: These data suggest that approximately one in three unmarried Vietnamese youths used a condom at first sexual intercourse. Gender, peer pressure and the nature of the relationship to the first sexual partner were independently associated with condom use. These results can inform programs directed at preventing HIV and other sexually transmitted infections among young Vietnamese.

scholarly journals The relevance of target product profiles for manufacturers, experiences from the World Health Organization initiative for point-of-care testing for sexually transmitted infections

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Maurine Murtagh ◽  
Karel Blondeel ◽  
Rosanna W. Peeling ◽  
James Kiarie ◽  
Igor Toskin
Keyword(s):  
Sexually Transmitted Infections ◽  
Development Process ◽  
World Health ◽  
Public Health Issue ◽  
Operational Characteristic ◽  
Target Product ◽  
Low Resource Settings ◽  
Sexually Transmitted ◽  
Low Resource ◽  
Technical Guidance

Abstract Background Sexually transmitted infections (STIs) are a significant global public health issue that cause a high burden of disease, especially in low- and middle-income countries. Screening of key populations and early and accurate diagnosis of infection are critical. Testing for syphilis, Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, curable STIs, as well as the human papillomavirus (HPV), is frequently unavailable in low-resource settings. Tests for these STIs that can be used at the point of patient care (POCTs) are needed. In recent years, there has been increased attention for STI POCTs, but technical guidance, financial resources and advocacy for additional platforms/tests are required in order to foster the development of STI POCTs. The WHO Department of Sexual and Reproductive Health and Research (SRH) has developed target product profiles (TPPs), a form of technical guidance, for these STI diagnostics. Methods SRH conducted a survey of selected companies that are developing POCTs for one or more of the STIs mentioned above to better understand how these TPPs influence the diagnostic development process – to assess their impact. Results Survey respondents indicated that the STI POCT TPPs provided good guidance with respect to performance expectations and operational characteristics for the tests/platforms. In particular, optimal metrics for sensitivity, specificity, sample types, and time to result were considered to be very useful. Respondents also suggested ways to improve the relevance of the STI POCT TPPs. For example, since it is often not possible for developers to achieve every desired standard, it would be useful to prioritize each performance/operational characteristic of the test and to provide a rationale as to why certain characteristics are considered important. Respondents also emphasized the need to encourage industry participation in the TPP development process and to find creative ways, including via targeted emails, a WHO webpage directed at industry, or a coordinated communications plan to increase awareness of the TPPs. Conclusions Companies value the STI POCT TPPs and want them to continue. In order to maximize impact, WHO should consider the proposals from the manufacturers in the interest of increasing and accelerating access to STI diagnostics and treatment in low-resource settings.

scholarly journals A Survey on Knowledge, Prevention, and Occurrence of Sexually Transmitted Infections among Freshmen from Four Italian Universities

2022 ◽  
Vol 19 (2) ◽  
pp. 897
Author(s):  
Luca Cegolon ◽  
Melania Bortolotto ◽  
Saverio Bellizzi ◽  
Andrea Cegolon ◽  
Luciano Bubbico ◽  
...  
Keyword(s):  
Sexually Transmitted Infections ◽  
Sexual Behaviors ◽  
Nuclear Family ◽  
Multivariable Analysis ◽  
Educational Interventions ◽  
Relative Risk Ratio ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Increased Risk ◽  
The University

Background. The peak of sexually transmitted infections (STI) among adolescents/young adults suggests a low level of prevention. In order to assess whether the level of sexual health education (SHE), received by several channels, was effective at improving sexual behaviors, we conducted a survey among freshmen from four Italian universities. Methods. This observational cross-sectional study was conducted with an anonymous self-reported paper questionnaire, administered during teaching lectures to university freshmen of the northern (Padua, Bergamo, and Milan campuses) and southern (Palermo campus) parts of the country. Knowledge of STI (a linear numerical score), knowledge of STI prevention (dichotomous variable: yes vs. no) and previous STI occurrence (polytomous variable: “no”; “don’t know”; “yes”) were the outcomes in the statistical analysis. Results. The final number of freshmen surveyed was 4552 (97.9% response rate). The mean age of respondents was 21.4 ± 2.2 years and most of them (70.3%) were females. A total of 60% of students were in a stable romantic relationship. Only 28% respondents knew the most effective methods to prevent STI (i.e., condom and sexual abstinence), with a slightly higher prevalence of correct answers among females (31.3%) than males (25.8%). Students with history of STIs were 5.1%; they reported referring mostly to their general practitioner (GP) (38.1%) rather than discussing the problem with their partner (13.1%). At multivariable analysis, a significantly higher level of STI knowledge was observed in older students (25+ years of age), biomedical students, and those from a non-nuclear family; lower levels were found among students of the University of Palermo, and those who completed a vocational secondary school education. Those who had less knowledge about the most effective tools to prevent STIs included males, students from the University of Palermo, students registered with educational sciences, economics/political sciences, those of foreign nationality, and those whose fathers had lower educational levels. The risk of contracting STI was significantly lower only in students not in a stable relationship (relative risk ratio, RRR = 0.67; 95% confidence interval, 95%CI = 0.48; 0.94), whereas such risk was significantly higher in students with higher STI knowledge (RRR = 1.15; 95%CI = 1.08; 1.22). Discussion and Conclusions. University freshmen investigated in this study had poor knowledge of STIs and their prevention. Unexpectedly, those with higher levels of knowledge had an increased risk of STIs. There were no educational interventions—with good quality and long-term follow-ups—that increased the confidence that such SHE programs could have population level effects. A new high-quality study is therefore required to assess the effectiveness of an intervention generating behavioral changes; increasing only knowledge may not be sufficient.

scholarly journals PERILAKU SEKSUAL BERISIKO INFEKSI MENULAR SEKSUAL

2021 ◽  
Vol 16 (1) ◽  
pp. 150-154
Author(s):  
Lenny Irmawaty Sirait
Keyword(s):  
Sexually Transmitted Infections ◽  
Health Center ◽  
Sexual Intercourse ◽  
Reproductive Age ◽  
P Value ◽  
Childbearing Age ◽  
District Health ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
The Relationship

Sexually Transmitted Infections (STIs) are various infections that can be transmitted from one person to another through sexual contact. The spread of STIs to women and men (90%) occurs through sexual intercourse, both vaginal, anal and oral, the rest through blood products or tissue transfer that has been exposed to pathogens or can be transmitted through medical devices, as well as from mother to fetus in the womb or while birth process. This study aims to determine the relationship between sexual intercourse patterns and the incidence of sexually transmitted infections in women of reproductive age at the Makassar District Health Center, East Jakarta 2019. This research method is a type of quantitative research with a cross-sectional research design, using the inclusion and exclusion criteria for a sample of 55 people, the type of data. primer, measuring instrument questionnaire and laboratory results, analysis of chi square test data. The results showed that out of 46 women of childbearing age who had a poor pattern of sexual relations and sexually transmitted infections were 41 people (89.1%) and 5 people (10.9%) had sexually transmitted infections while 9 people had a pattern of sexual intercourse. well and sexually transmitted infections were 1 person (11.1) and sexually transmitted infections were 8 people (89.9%) pvalue = 0.01 (p <0.05). Conclusion The Relationship between Sexual Relationship Patterns and the Incidence of Sexually Transmitted Infection in Women of Fertile Age at the Makassar District Health Center 2019 (p value = 0.01)

scholarly journals Psychosocial Distress and Exposure to Sexually Explicit Materials as Correlates of Sexual Intercourse among Adolescents in Dodoma–Tanzania

2020 ◽  
Author(s):  
Abdalla Hussein ◽  
Abbas Ismail ◽  
Augustine Malero ◽  
Habibu Dadi ◽  
James Charles ◽  
...  
Keyword(s):  
Mental Health ◽  
Sexually Transmitted Diseases ◽  
Sexual Intercourse ◽  
Psychosocial Distress ◽  
Adolescent Sexuality ◽  
Sexually Transmitted ◽  
Health Factors ◽  
Sexually Explicit Materials ◽  
Sexually Explicit ◽  
Mental Health Factors

Abstract Background: Adolescents’ sexuality is topical in public health discussions owing to its ability to increase the risk of HIV infection and other sexually transmitted diseases. Research shows that adolescents’ sexual behavior, psychosocial distress, and exposure to sexually explicit material are interconnected in that they need collective health interventions for adolescents. However, although mental health factors, such as psychological distress, are common in developing and middle-income countries, including Tanzania, mental health factors are less considered in HIV research. Thus, there is a need to raise awareness on the role of mental health factors in HIV epidemic. This study is, therefore, a response to this requirement by examining the contribution of psychosocial distress and exposure to sexually explicit materials on sexual intercourse among adolescents in Dodoma Region using Dodoma Health and Demographic Surveillance System (HDSS) data.Methods: A cross-sectional survey was conducted in five villages of Chamwino District from April to June 2017 among 1,226 adolescents of 10-19 years age. The villages of Chamwino District were used as sampling strata while a stratified random sampling technique was used to select the respondents. A weighted logistic regression model was used to examine the independent contribution of psychosocial distress and exposure to sexually explicit materials on sexual intercourse while accounting for study design. Results: The overall lifetime prevalence of adolescent sexuality was 20.38%. The prevalence was observed to be higher among males (32.15%) as compared to females (10.92%). Adolescent sexuality was significantly associated with both psychosocial distress and exposure to sexually explicit materials. The odds ratios showed that adolescents reported psychosocially distressed (AOR=1.61, 95 %CI: 1.32- 1.96) and those exposed to sexually explicit materials (AOR=4.26, 95% CI: 3.65- 4.97) were at higher risk of having sexual intercourse. Other variables associated with sexual intercourse were age, sex, alcohol use, and current schooling status. Conclusion: The analysis made through this study came to the conclusion that as HIV risk continues to be a serious concern among adolescents, adolescent sexuality, psychosocial distress, and exposure to sexually explicit materials are interconnected. This calls for upfront interventions on school health education and services, particularly on the ventures to lower psychosocial distress and avert exposure on sexually explicit materials to prevent the spread of HIV and other sexually transmitted diseases.

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