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 Knowledge, attitudes and perceptions about HIV self-testing amongst college students in Namibia

F1000Research ◽  
2022 ◽  
Vol 11 ◽  
pp. 11
Author(s):  
Malizgani Mhango ◽  
Vuyiseka Dubula-Majola ◽  
Leon-Say Mudadi
Keyword(s):  
College Students ◽  
Young Adults ◽  
Logistic Regression ◽  
Sexually Transmitted Infection ◽  
Statistical Significance ◽  
Univariate Analysis ◽  
Transmitted Infection ◽  
Study Objective ◽  
Sexually Transmitted ◽  
Self Testing

Background: In 2019, the Namibian Ministry of Health introduced HIV self-testing (HIVST) as an additional strategy to increase uptake of HIV self-testing in traditionally hard-to-reach subpopulations, such as young adults and males. It is unclear how the utilisation of HIV self-testing iw optimised in young adults. The study objective is understanding knowledge, attitudes, and perception levels amongst college-going young adults in Namibia. Methods: This quantitative study utilised a sample of 97 young college students who received a pre-test structured questionnaire. One sample t-test was used to analyse the average score from the Likert scale. A cut-off p-value of 0.05 to determine statistical significance of variables was used. Logistic regression computation was used to identify independent variables significantly associated with the dependent variable. A univariate analysis was done on awareness and acceptability with statistical significance of p<0.05 to obtain preliminary insights into the association between independent and dependent variables. The net effect variables are assessed using multivariate analysis using STATA 13.1, taking into account confounding factors. Results: Out of the 97 participants, only 23.7% knew about HIV self-testing. The logistic regression had a significant association with awareness of HIV self-testing (p≤0.05): on condom use during a first sexual encounter; being with a single sexual partner in the last 12 months; not having a sexually transmitted infection. The univariate analysis revealed an association with the acceptability of HIV self-testing from females; those who live in urban settlements; having not had sexually transmitted infection in the last twelve months. Moreover, findings reveal there are low levels of awareness, yet participants had positive attitudes and levels of acceptability to HIV self-testing. Conclusion: This study shows promise if awareness through health education and promotion about HIV self-testing can be increased. This can form part of scaling up HIV testing in Namibia.

Rectal cancer mimic: a rare case of syphilitic proctitis

2020 ◽  
Vol 13 (12) ◽  
pp. e235522
Author(s):  
Rajashri Veeresh Patil ◽  
Iain Stephenson ◽  
Cathy J Richards ◽  
Yvette Griffin
Keyword(s):  
Rectal Cancer ◽  
Sexually Transmitted Infection ◽  
Rare Case ◽  
Surgical Intervention ◽  
Secondary Syphilis ◽  
Sexual History ◽  
Diagnostic Challenge ◽  
Rare Presentation ◽  
Transmitted Infection ◽  
Sexually Transmitted

Syphilitic proctitis is a rare presentation of sexually transmitted infection that poses a diagnostic challenge as it mimics rectal cancer clinically, radiologically and endoscopically. We report a case of a 66-year-old male patient with a background of HIV infection presenting with obstructive bowel symptoms and initial diagnosis of rectal cancer on CT. Sigmoidoscopy and histopathology were non-diagnostic. A diagnosis of secondary syphilis was suspected after obtaining sexual history and diagnostic serology, avoiding planned surgical intervention.

scholarly journals Discounting of Condom-Protected Sex as a Measure of High Risk for Sexually Transmitted Infection Among College Students

2016 ◽  
Vol 46 (7) ◽  
pp. 2187-2195 ◽  
Author(s):  
Anahí Collado ◽  
Patrick S. Johnson ◽  
Jennifer M. Loya ◽  
Matthew W. Johnson ◽  
Richard Yi
Keyword(s):  
College Students ◽  
High Risk ◽  
Sexually Transmitted Infection ◽  
Transmitted Infection ◽  
Sexually Transmitted

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
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