scholarly journals Sexually transmitted infection laboratory testing and education trends in US outpatient physician offices, 2009–2016

2021 ◽  
Vol 9 (3) ◽  
pp. e000914
Author(s):  
Amina R Zeidan ◽  
Kelsey Strey ◽  
Michelle N Vargas ◽  
Kelly R Reveles
Keyword(s):  
Sexually Transmitted Infection ◽  
Group Setting ◽  
Transmitted Infection ◽  
Health Maintenance ◽  
Sti Prevention ◽  
Prevention Education ◽  
Sexually Transmitted ◽  
Physician Office ◽  
Sti Testing ◽  
Outpatient Physician

ObjectiveTo describe national rates of sexually transmitted infection (STI) testing and education overall and among patient subgroups in US outpatient physician offices from 2009 to 2016.DesignThis was a cross-sectional study of the Centers for Disease Control and Prevention’s National Ambulatory Medical Care Survey from 2009 to 2016. Data weights were applied to extrapolate to national estimates.SettingData were collected from a systematic random sample of outpatient physician office visits throughout USA. Physician office types include free standing clinics, private or group setting practices, centres offering community and mental health services, family planning clinics and health maintenance organisations/other prepaid clinics.ParticipantsAll sampled patient visits were eligible for inclusion and were assessed for the provision of STI prevention education and STI testing for chlamydia, gonorrhoea, hepatitis, human papillomavirus (HPV) and HIV.ResultsOf 7.6 billion total visits, 123 million included an STI test. Hepatitis was the most commonly tested STI (9.12 per 1000), followed by chlamydia (6.67 per 1000), gonorrhoea (6.00 per 1000), HIV (5.40 per 1000) and HPV (5.03 per 1000). Testing rates for the three STIs measured for the entire 8-year period increased over time and peaked in 2015 compared with 2009: chlamydia (R2=0.36), HPV (R2=0.28) and HIV (R2=0.51). Testing was highest among women (21.93 per 1000), 15–24-year olds (46.04 per 1000), non-Hispanic blacks (37.33 per 1000) and those seen by obstetrics/gynaecology specialists (103.75 per 1000). STI prevention education was provided to 4.89 per 1000 patients and remained relatively unchanged from 2013 to 2016.ConclusionSTI testing in outpatient physician offices increased over the study period but varied by patient characteristics and site of care. Few patients received STI prevention education, highlighting a potential gap in resource utilisation in these settings.

scholarly journals 1544. Sexually Transmitted Infection Laboratory Testing and Education Trends Among Physician Office Visits in the United States, 2009-2016

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S771-S771
Author(s):  
Amina R Zeidan ◽  
Kelly R Reveles
Keyword(s):  
United States ◽  
Laboratory Testing ◽  
The United States ◽  
Age Group ◽  
The South ◽  
Transmitted Infection ◽  
Sti Prevention ◽  
Prevention Education ◽  
Sexually Transmitted ◽  
Sti Testing

Abstract Background Rates of sexually transmitted infections (STIs) have been rising in the United States (US). Physician offices play an important role in providing both STI prevention and education, as well as STI laboratory testing options for patients who present at risk. However, few studies have documented the extent to which physician’s offices have contributed to prevention and testing efforts. We address this gap by evaluating STI testing and education provided in US physician offices from 2009 to 2016. Methods This was a cross-sectional study of the Centers for Disease Control and Prevention’s National Ambulatory Medical Care Survey (NAMCS) from 2009 to 2016. Data weights were applied to extrapolate sample data to national estimates. Testing for HIV, HPV, Chlamydia (2009 – 2016) and Hepatitis and Gonorrhea (2014 – 2016) were presented as testing visits per 1,000 total visits. Subgroup analyses were performed for age group, sex, and geographical region by individual STI test and receipt of STI prevention education. Results A total of 7.6 billion visits were included for analysis, of which 0.6% included an STI test. Testing rates increased over the study period for Chlamydia (R2=0.27), HPV (R2=0.28), and HIV (R2=0.51). Peak testing occurred in 2015 for all tests. STI prevention education was provided to 0.5% of patients. Females were tested at a higher rate for all STIs (4.2%) compared to males (0.4%). Females also received more STI prevention education overall (0.6% versus 0.4%, respectively). While the age group 25 – 24 accounted for highest Hepatitis (15.9%) and HPV (11.3%) testing rates, the 15 – 24 age group had the highest overall testing rate (9.4%). STI testing was highest in the South region (Figure 1). Conclusion STI testing in US physician offices increased in recent years. Females accounted for the majority of STI testing and STI prevention education. Testing was more frequent among patients 15 – 24 years old and those seen in the South region. Further research should be conducted to determine reasons for differences in testing and education amongst sex, age group, and geographic region. Disclosures All Authors: No reported disclosures

College students’ preferences for information on self-initiated sexually transmitted infection testing

2020 ◽  
pp. 001789692095969
Author(s):  
Oluwamuyiwa Winifred Adebayo ◽  
Jocelyn C Anderson ◽  
Britney M Wardecker
Keyword(s):  
College Students ◽  
Sexually Transmitted Infection ◽  
Qualitative Content Analysis ◽  
Low Cost ◽  
Transmitted Disease ◽  
Structured Interview ◽  
Sexual History ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Sti Testing

Objective: The purpose of this study was to identify preferences for content, method of delivery and frequency of information to encourage self-initiated sexually transmitted infection (STI) testing. Design: Qualitative study involving individual in-depth interviews with 35 college students aged 18–24 years. Setting: A university in Central Pennsylvania, USA. Method: Data were collected using a demographic and sexual history questionnaire, Sexually Transmitted Disease Knowledge Questionnaire and a semi-structured interview guide. Transcribed interviews were analysed using qualitative content analysis. Results: Findings from the study document STI testing information preferences as they relate to self-initiated testing. The majority of participants preferred receiving STI testing information through email. Themes within their accounts included Actionable Information Content, Frequently Accessed Delivery Method, and Routine STI Testing Information. Conclusion: The high incidence of STIs among US college students is an indication of the need to increase diagnosis and treatment to reduce transmission. Study findings have implications for the development and evaluation of low-cost interventions to improve the uptake of STI testing and reduce STI burden among college students.

scholarly journals 1529. Sexually-Transmitted Infection Testing and Positivity among Adults Receiving HIV Pre-Exposure Prophylaxis within an Integrated Health Care Delivery System in the United States

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S765-S765
Author(s):  
Mark A Schmidt ◽  
John F Dickerson ◽  
Suzanne B Schmidt ◽  
Maureen O’Keeffe-Rosetti ◽  
Judy L Donald ◽  
...  
Keyword(s):  
Sexually Transmitted Infection ◽  
Care Delivery ◽  
The United States ◽  
Health Care Delivery System ◽  
Transmitted Infection ◽  
Record System ◽  
Sexually Transmitted ◽  
Sti Testing ◽  
Exposure Prophylaxis ◽  
The Impact

Abstract Background The goal of this project was to assess the frequency of sexually-transmitted infection (STI) testing and positivity among adult individuals initiating HIV Pre-Exposure Prophylaxis (PrEP) within Kaiser Permanente Northwest (KPNW). Methods We identified KPNW members, 18 years of age and older, who initiated PrEP (tenofovir+emtricitabine) between January 1, 2015 – December 31, 2018. Using data elements abstracted from the electronic health record system, we assessed demographic characteristics of those initiating PrEP and the rate of testing and positivity for HIV, chlamydia (CT) and gonorrhea (GC) and syphilis within a window around 120 days after PrEP initiation. Results Overall, 685 members initiated PrEP during our study period, 661 (96.5%) of whom were male. Mean and median ages were 38 and 36 years, respectively, with those 25-34 years of age comprising the highest proportion (241; 35.2%). The 460 PrEP initiators (67.2% of total) who continued use beyond 120 days were significantly older than those who discontinued use (39 vs. 36 years, p=0.0008). Among continuous users, 78.3% were tested for CT+GC and 83.9% were tested for syphilis roughly 120 days post-initiation, with positivity proportions of 6.9%, 6.7%, and 2.3%, respectively. Among those discontinuing, 39.6% were tested for CT+GC and 37.3% were tested for syphilis, with positivity proportions of 10.1%, 9.0%, and 2.4%, respectively. HIV testing was completed for 87.4% of continuous PrEP users and 40.9% of those who discontinued use; and we identified a total of three individuals who tested positive for HIV, all among the latter group. Manual chart review of these individuals confirmed that HIV exposure and infection occurred after PrEP discontinuation. Conclusion We found high rates of STI testing among individuals receiving PrEP, in accordance with recommendations. Our findings of a lower STI prevalence among PrEP users is encouraging, although further work is required to assess the impact of differential testing rates and age between those who continue and discontinue PrEP use as well as reasons for PrEP discontinuation. Regular testing remains an important part of comprehensive PrEP care management and should continue to be encouraged to identify and treat STI among those at high risk for disease. Disclosures All Authors: No reported disclosures

scholarly journals Internet-accessed sexually transmitted infection (e-STI) testing and results service: A randomised, single-blind, controlled trial

PLoS Medicine ◽  
2017 ◽  
Vol 14 (12) ◽  
pp. e1002479 ◽  
Author(s):  
Emma Wilson ◽  
Caroline Free ◽  
Tim P. Morris ◽  
Jonathan Syred ◽  
Irrfan Ahamed ◽  
...  
Keyword(s):  
Sexually Transmitted Infection ◽  
Controlled Trial ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Sti Testing ◽  
Single Blind

Acceptability and feasibility of screening pregnant women for sexually transmitted infections in Rawalpindi, Pakistan

2021 ◽  
pp. 095646242110076
Author(s):  
Ameen E Chaudry ◽  
Rizwana Chaudhri ◽  
Aasia Kayani ◽  
Lamar W Hayes ◽  
Claire C Bristow ◽  
...  
Keyword(s):  
Chlamydia Trachomatis ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Sexually Transmitted Infections ◽  
Sexually Transmitted Infection ◽  
Trichomonas Vaginalis ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Sti Testing ◽  
Sexual Histories

Objectives: To understand the acceptability and feasibility of sexually transmitted infection (STI) testing during antenatal care, along with the prevalence of STIs, in Rawalpindi, Pakistan. Methods: We enrolled pregnant women seeking antenatal care and performed STI testing using Cepheid GeneXpert® CT/NG and TV kits and Alere Determine™ HIV and syphilis tests. We used interviewer-administered surveys to collect medical, social, and sexual histories. Participants testing positive for STIs and their partners were treated. Results: We enrolled 1001 women from September to December 2019. Nearly all women offered to participate in this study enrolled. Most women understood the effects an STI can have on their pregnancy (99.6%) and valued STI screening during pregnancy (98.1%). 11 women tested positive for any STI: ( Chlamydia trachomatis = 4, Neisseria gonorrhoeae = 1, and Trichomonas vaginalis = 6). Of those, six presented for a test-of-cure, and two were positive for Trichomonas vaginalis. None tested positive for HIV infection or syphilis ( n = 503). Conclusions: STI testing during antenatal care in Rawalpindi was acceptable, valued, understood, and feasible. The prevalence of STIs in pregnant women was low. Continued prevalence monitoring is warranted.

scholarly journals Perilaku Wanita Pekerja Seks dalam Pencegahan Infeksi Menular Seksual (Studi Kualitatif Pada Anak Asuh di Lokalisasi Gembol, Sukosari, Bawen, Kabupaten Semarang)

2020 ◽  
Vol 19 (1) ◽  
pp. 1-4
Author(s):  
Ninik Prihani ◽  
Priyadi Nugraha Prabamurti ◽  
Emmy Riyanti
Keyword(s):  
Sexually Transmitted Infection ◽  
Sex Workers ◽  
Foster Children ◽  
Female Sex Workers ◽  
Risk Groups ◽  
Research Subjects ◽  
Transmitted Infection ◽  
Sti Prevention ◽  
Sexually Transmitted ◽  
Female Sex

Latar belakang: Wanita Pekerja Seks (WPS) adalah wanita-wanita yang bekerja menjual atau menyewakan tubuhnya untuk kenikmatan orang lain dengan mengharapkan suatu imbalan atau upah. Di Kabupaten Semarang khususnya di lokalisasi Gembol Sukosari biasa disebut Anak Asuh. Mereka termasuk kelompok beresiko tinggi dalam penyebaran kasus IMS. Tujuan penelitian ini adalah memahami perilaku seksual WPS dalam pencegahan IMS di Lokalisasi Gembol, Sukosari, Bowen, Kabupaten Semarang.Metode: Penelitian ini merupakan penelitian kualitatif dengan subyek penelitian sebanyak 7 WPS di Lokalisasi Gembol yang memiliki kriteria tinggal menetap, sebagai peer educater (PE), mempunyai pasangan seksual, dan telah bekerja selama 1 tahun..  Hasil: Sikap subyek terhadap upaya pencegahan IMS sudah baik, akan tetapi praktek WPS terhadap upaya pencegahan IMS masih kurang, mereka tidak 100% menggunakan alat pelindung (kondom) ketika melakukan aktifitas seksual.Simpulan: Pengetahuan subyek penelitian sudah cukup baik. Subyek penelitian dapat menjelaskan definisi, gejala, dan cara penularan IMS. Kata kunci: Perilaku Wanita Pekerja Seks, Infeksi Menular Seksual, Lokalisasi Gembol.  ABSTRACTTitle: Behaviour of Female Sex Workers in the Prevention of Sexually Transmitted Infection (Qualitative Studies of Foster Children in Lokalisasi Gembol, Sukosari, Semarang Regency  Background: Female Sex Workers (WPS) is the women who work to sell or rent her body for the enjoyment of others by expecting a reward or remuneration. Particularly localized in Semarang District Gembol Sukosari called Foster Children. They include high-risk groups in the spread of STI cases. The aim of this research is to understand the sexual behavior of WPS in the prevention of STI in the localization of GembolMethod: This research is a qualitative with the research subjects are 7 WPS that have characteristic are residence, as Peer Educater (PE), has a sexual partner, working as a sex worker for at least one year.Result: Subjects attitude towards STI preventionhas been good, but the practice of WPS STI prevention efforts are still lacking, they wasn’t use of condoms l00% as a preventive effort when they had a sexual activity.Conclusion: The knowledge of WPS was good enough. Research subjects can explain the definition, symptoms, and modes of transmission of STIs. Keywords: Behaviour of Female Sex Workers, Sexually Transmitted Infection, Lokalisasi Gembol 

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