scholarly journals Epidemiology of Sexually Transmitted Diseases Among Pregnant Adolescents

1994 ◽  
Vol 1 (5) ◽  
pp. 216-219
Author(s):  
Lisa N. Gittens ◽  
Rhonda R. Nichols ◽  
Joseph J. Apuzzio
Keyword(s):  
Hiv Testing ◽  
Sexually Transmitted Diseases ◽  
University Hospital ◽  
Initial Visit ◽  
Pregnant Adolescents ◽  
Care Clinic ◽  
Sexually Transmitted ◽  
Syphilis Screening ◽  
The Mean ◽  
Std Screening

Objective: The purpose of this study was to determine the epidemiology of sexually transmitted diseases (STDs) among pregnant adolescents.Methods: Charts of all patients (n = 735) who attended the Maternal and Infant Care Clinic at University Hospital, Newark, NJ, between July 1, 1991, and June 30, 1992, were reviewed for STDs which included gonorrhea, chlamydia, syphilis, and human immunodeficiency virus (HIV). At the first prenatal visit, each registrant had endocervical specimens obtained to detect gonorrhea and chlamydia. A serum sample was obtained for syphilis screening. HIV testing was made available to all patients and testing was done on a voluntary basis. The same STD screening that was done at the initial visit was repeated at 28 and 36 weeks.Results: Twenty-five percent of patients tested positive for one or more STDs. The mean patient age was 17.3 years. The mean gestational age at first visit was 19.5 weeks. The mean number of visits was 7.3. The following STDs were identified: 4.8% of patients tested positive for gonorrhea, 20.9% tested positive for chlamydia, and 1.7% tested positive for syphilis. Twenty-one percent of patients had a positive STD diagnosed at the initial visit. Another 4.8% of patients had an STD diagnosed at some time after the initial visit when the initial screen was negative for STDs. An additional 1% of patients who initially tested positive for an STD had subsequent screening which revealed another STD (different organism). Seven patients tested HIV positive. Sixty-one percent of patients with STDs agreed to HIV testing. One patient had HIV coexistent with another STD.Conclusions: Pregnant adolescents are at risk for multiple STDs. HIV testing should be offered. STD screening should be repeated in the third trimester in adolescent patients.

scholarly journals The correlation between sexual behaviors and sexual transmitted diseases in men

2021 ◽  
Vol 141 (5) ◽  
pp. 46-52
Author(s):  
Nguyen Hoai Bac ◽  
Hoang Long
Keyword(s):  
Sexually Transmitted Diseases ◽  
Sexual Behaviors ◽  
Median Number ◽  
Sexual Partners ◽  
University Hospital ◽  
Public Health Issue ◽  
Unsafe Sex ◽  
Sexually Transmitted ◽  
The Mean ◽  
Medical University

Sexually transmitted diseases (STDs) have been a public health issue in many developing countries, especially in Vietnam. Unsafe sex is considered to be one of the main causes to increase infected person. Therefore, we conducted a study on 3005 men who presented to the Andrology and Sexual Medicine Units of Hanoi Medical University Hospital to analyze the correlation between sexual behaviors and sexually transmitted diseases in men. The result showed that the mean age at first sex (AFS) was 21 years old. The median number of stable sexual partners was 2, the overall rate of STDs was 9.95%, in particular, the proportion of STDs in single men was higher than the married group (11.8% and 7.5%, p < 0.001), men having first intercourse before 25 years old had the rate of STDs was higher compared with their counterpart (21.1% vs. 13.2%, p = 0.002). Subjects with multiple unstable sexual partners were 2.11 times more likely to be infected with STDs, and the risk of infecting STDs would rise 6% for each additional sex partner.

AIDS in Africa: What Drugs do the Carers Want or Need?

1996 ◽  
Vol 26 (2) ◽  
pp. 72-76 ◽  
Author(s):  
A C Lamont ◽  
M Greiff ◽  
D S Rosenberg ◽  
T R Wiggin
Keyword(s):  
Herpes Zoster ◽  
Hiv Testing ◽  
Sexually Transmitted Diseases ◽  
Healthcare Workers ◽  
African Countries ◽  
Sexually Transmitted ◽  
English Speaking ◽  
The Mean

Our objectives were: (1) to discover requirements for treatment of patients with AIDS (PWAs) for healthcare workers in eight English-speaking African countries; (2) to establish policies for supply of drugs, and develop a method for determining the contents of parcels (PWA-BOXes) for the relief of PWAs. Fifty-seven questionnaires were sent to non-government medical units treating PWAs, supplied by the charity Inter Care. Of these 37 units replied, two had no known PWAs, three were swamped by refugees; therefore, the total number analysed was 32. Only 24 units had access to HIV testing and the mean number of PWAs per unit was 58. The reported complications of AIDS were: diarrhoea 28 units; tuberculosis 27 units; pneumonia 28 units; sexually transmitted diseases 26; candidiasis 28 units; and herpes zoster 20. Lists of drug requirements were received. We present a protocol for calculation of contents of PWA-BOXes in the hope that this will provide guidelines for other workers in this field.

scholarly journals Screening for sexually transmitted diseases in an HIV testing clinic; uptake and prevalence.

1996 ◽  
Vol 72 (5) ◽  
pp. 347-351
Author(s):  
S Madge ◽  
J Elford ◽  
M C Lipman ◽  
J Mintz ◽  
M A Johnson
Keyword(s):  
Hiv Testing ◽  
Sexually Transmitted Diseases ◽  
Sexually Transmitted

scholarly journals HIV testing: changing trends at a clinic for sexually transmitted diseases in London.

BMJ ◽  
1987 ◽  
Vol 295 (6591) ◽  
pp. 191-193 ◽  
Author(s):  
E J Beck ◽  
D G Cunningham ◽  
V W Moss ◽  
J R Harris ◽  
A J Pinching ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Sexually Transmitted Diseases ◽  
Sexually Transmitted ◽  
Changing Trends

scholarly journals United States recommends annual HIV testing for gay men

2002 ◽  
Vol 6 (20) ◽  
Author(s):  
C McGarrigle
Keyword(s):  
United States ◽  
Disease Control ◽  
Hiv Testing ◽  
Sexually Transmitted Diseases ◽  
Gay Men ◽  
Healthcare Providers ◽  
The United States ◽  
Sexually Transmitted ◽  
Control And Prevention ◽  
New Guidelines

The United States (US) Centers for Disease Control and Prevention has published new guidelines for the treatment of sexually transmitted diseases (STDs) (1). The guidelines are for physicians and other healthcare providers who prevent and treat sexually transmitted diseases (STDs).

scholarly journals The reasons for providing HIV testing in patients with newly-diagnosed HIV infection in Lodz region, Poland in the years 2009-2017

2019 ◽  
Vol 73 ◽  
pp. 294-302
Author(s):  
Kamila Wójcik-Cichy ◽  
Anna Piekarska ◽  
Elżbieta Jabłonowska
Keyword(s):  
Hiv Infection ◽  
Hiv Testing ◽  
Sexually Transmitted Diseases ◽  
Sexual Contact ◽  
Newly Diagnosed ◽  
Late Presenters ◽  
Sexually Transmitted ◽  
Asymptomatic Patients ◽  
Hiv Test ◽  
The Moment

Early diagnosis increases life expectancy in HIV-infected patients. Aim: The aim of this study was to determine the reasons for HIV testing in newly-diagnosed patients with HIV registered in Lodz, Poland in years 2009-2017. The study examines also whether HIV testing was performed following the recommendation of physicians or at the request of patients. Results: The study group consisted of 401 (83.72%) males and 78 (16.28%) females. The median age at the moment of diagnosis was 33 years (LQ 27-UQ 40). In total, 285 (62.91%) patients were late presenters. Clinical indications constituted the main reason for undergoing HIV testing and were reported in 228 out of 479 patients (47.59%) including AIDS-defining diseases were a reason for HIV testing in 105 patients. Thirty-four patients underwent HIV testing following diagnosis of sexually-transmitted diseases (STDs); in 91.18% of these cases the STDs was syphilis. However, high-risk sexual contact was the main reason for HIV testing in asymptomatic patients (160 of 257 cases; 62.27%). Patients in the non-AIDS group were significantly more likely to take the initiative to order an HIV test than patients in the AIDS group (p<0.0001). Conclusions: In conclusion, in the Lodz region, patients with HIV infection are most commonly diagnosed at an advanced stage of infection. This may be associated with the low number of HIV tests performed following the doctors recommendation.

scholarly journals Husband’s Willingness-to-Pay for HIV and Syphilis Screening at Antenatal Care Clinic under the Thai Universal Coverage Scheme

2020 ◽  
Author(s):  
Orawan Anunsittichai ◽  
Krit Pongpirul ◽  
Thanyawee Puthanakit ◽  
Koranit Roowicha ◽  
Jirarat Kaewprasert ◽  
...  
Keyword(s):  
Willingness To Pay ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Universal Coverage ◽  
Tertiary Hospital ◽  
Screening Tests ◽  
Transmitted Infection ◽  
Care Clinic ◽  
Syphilis Screening ◽  
The Mean

Abstract Background Screening for sexually transmitted infection (STI) especially HIV as early detection and treatment have been financially supported under the Thai Universal Coverage (UC) scheme since 2009 (THB140 for HIV). However, the implementation has not been evidence-based, strategic risk-based, nor economically evaluated whereas husbands who accompanied the pregnant women are likely to have a lower risk than those who did not come along. This study is aimed to determine the husband’s willingness-to-pay (WTP) for his HIV and syphilis screening tests and potential factors affecting STI screenings at the antenatal care (ANC) clinic of a tertiary hospital in Thailand. Methods A pilot open-ended interview was conducted among 50 participants to estimate the mean and standard deviation of WTP prices for HIV and syphilis screening tests. A questionnaire was developed to obtain demographics, STI knowledge and screening history, as well as two contingent valuation methods (bidding and payment scale), using the mean WTP prices identified from the pilot study as a starting WTP with ¼SD step-up/down. The survey of 200 randomly selected husbands of pregnant women was conducted at King Chulalongkorn Memorial Hospital from April to June 2018. Descriptive statistics and logistic regression were used for data analysis. Results During the study period, 597 pregnant women received their first ANC. Of 368 accompanying husbands, 200 were enrolled in the study. Their median age was 31 (IQR 27-36) years old and 67% had a first child. Eighty-eight percent of the participants were willing to test for the STIs. Based on the bidding method, WTP prices for HIV and syphilis screening tests were US$14.5 (IQR 12.4-14.5) and US$9.7 (IQR 10-12), respectively. The payment scale method suggested approximately three-quarters of the WTP prices from the bidding method. Conclusions The husbands who accompanied their pregnant wives to the ANC clinic showed positive behaviors according to the propitious selection theory. They tend to cooperate well with STI testing and are willing to pay at least two times the price of the STI screening tests. The financial support to promote STI screenings should be reconsidered to cover other groups with higher sexual behavior risks and less WTP.

scholarly journals Risk profiles for sexually transmitted diseases among patients attending the venereal disease clinic at Alexandria Main University Hospital

1999 ◽  
Vol 5 (4) ◽  
pp. 740-754
Author(s):  
S. R. Mostafa ◽  
O. H. Roshdy
Keyword(s):  
Sexually Transmitted Diseases ◽  
Sexual Partner ◽  
High Frequency ◽  
Venereal Disease ◽  
Multivariate Logistic Regression Analysis ◽  
Laboratory Diagnosis ◽  
University Hospital ◽  
Sexually Transmitted ◽  
Female Patients ◽  
Disease Clinic

Risk factors for sexually transmitted diseases [STDs] were assessed among 54 male and 36 female patients attending a venereal disease clinic. Sociodemographic data and information on sexual behaviour/STD history were collected. Patients were examined and specimens taken for laboratory diagnosis. Multivariate logistic regression analysis revealed that the significant predictors of genital infections among the male patients were: being unmarried, having multiple sexual partners, exposure to a symptomatic sexual partner, high frequency of intercourse per week, having repeated episode[s]of STDs and practising coitus interfemoris. In the female patients, exposure to a symptomatic sexual partner and high frequency of intercourse per week were the only significant predictors

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