The Role of Structural Gendered Racism in Effective Healthcare Utilization among Black American Women with Herpes Simplex Virus

2021 ◽  
pp. 263207702110492
Author(s):  
Stephanie I. V. Cazeau-Bandoo ◽  
Ivy K. Ho
Keyword(s):  
Black Women ◽  
Genital Herpes ◽  
Healthcare Utilization ◽  
Medical Providers ◽  
Institutional Barriers ◽  
Transmitted Infection ◽  
Gendered Racism ◽  
Sexually Transmitted ◽  
Simplex Virus

The sexual health of Black women has been compromised by racial and discriminatory healthcare practices from slavery through current medical and institutional barriers to care. This paper proposes a conceptual framework that identifies the link between stigma, gendered racism, and historical underpinnings that contribute to ineffective healthcare utilization of Black women diagnosed with the chronic sexually transmitted infection (STI), genital herpes. This paper also draws attention to different social factors that act as barriers to effective healthcare utilization and influence the health outcomes of Black women beyond individual factors. Using a socio-ecological framework, this paper reviews multi-level (i.e., individual, interpersonal, community, and institutional/policy) influences of the experience of genital herpes among Black women. Recommendations are provided to improve the ability of health systems and medical providers to deliver appropriate services to diverse populations, thereby improving healthcare utilization and reducing disparities for Black women.

scholarly journals Chlamydia trachomatis and urogenital mycoplasms in nonconococcal urethirits in men

2010 ◽  
Vol 63 (1-2) ◽  
pp. 47-50
Author(s):  
Sonja Vesic ◽  
Jelica Vukicevic ◽  
Eleonora Gvozdenovic ◽  
Dusan Skiljevic ◽  
Slobodanka Janosevic ◽  
...  
Keyword(s):  
Chlamydia Trachomatis ◽  
Ureaplasma Urealyticum ◽  
Mycoplasma Hominis ◽  
Sexually Active ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Nongonococcal Urethritis ◽  
Etiological Agents ◽  
The One

Introduction. Nongonococcal urethritis is the most common sexually transmitted infection in men, with vast majority of the etiological agents such as Chlamydia trachomatis, followed by urogenital mycoplasmas. The aim of this study was to determine the prevalence of Chlamydia trachomatis, Ureaplasma urealyticum and Mycoplasma hominis in nongonococcal urethritis in men, and to examine infections associated with these agents. Material and methods. 299 sexually active, heterosexual men with nongonococcal urethritis were included into the study. Urethral samples were taken with a dacron swab placed into the urethra up to 2-3 cm. The Direct immunojluorescence tehnique was performed for identification of Chlamydia trachomatis. Ureaplasma urealyticum and Mycoplasma hominis were detected with Mycoplasma 1ST assay. Results. Chlamydia trachomatis was detected in 22.75%, Uraeplasma urealyticum in 21.08% and Mycoplasma hominis in 8.02% cases. We found no significant differences in prevalence between Chlamydia trachomatis and Ureaplasma urealyticym (p>0.05). Monoinjections were found in 51.85% with significantly higher rate (p<0.01) than associated infections (11.70%). Among associated infections, coinfection of Chlamydia trahomatis and Ureaplasma urealyticum was predominant. Association of Chlamydia trachomatis with urogenital mycoplasmas was significantly higher (p<0.05) than the one between Ureaplasma urealyticum and Mycoplasma hominis. In 36.45% patients no patogenic microorganisms were detected. Conclusion. These results confirmed the etiological role of Chlamydia trachomatis and urogenital mycoplasmas in nongonococcal urethritis with prevalence of 51.85% in monoinfections and 11.70% in associated infections. In 36.45% of cases the etiology of urethritis was not elucidated. These results suggest that more sensitive diagnostic tool should be applied when searching for the detailed etiology of nongonococcal urethritis.

Using The Health Belief Model to Explore Female's Perceptions of Male HPV Vaccination

2020 ◽  
Vol 30 (4) ◽  
Author(s):  
Rebecca Vidourek ◽  
Keith King ◽  
Brittany Rosen ◽  
Sara Fehr
Keyword(s):  
Hpv Vaccination ◽  
Health Belief ◽  
Transmitted Infection ◽  
Papilloma Virus ◽  
Sexually Transmitted ◽  
Vaccination Rates ◽  
Midwestern University ◽  
Belief Model ◽  
The Health Belief Model

Background: Human Papilloma Virus (HPV) is a common sexually transmitted infection. The HPV vaccination is an effective method of preventing cervical cancer and genital warts. The present study examined females’ perceptions of male HPV vaccination. Methods: Participants were females (N = 306) from one Midwestern university. Results: Results indicated significant differences in perceived benefits to male HPV vaccination students’ based on grade and knowing a male/female that had the vaccine. No significant differences in perceived barriers were found in the study. Conclusions: These findings should be considered when developing programs aimed at educating students on the male HPV vaccine. The role of females in increasing male HPV vaccination rates should be considered.

scholarly journals Suppressive valacyclovir therapy to reduce genital herpes transmission: Good public health policy?

2020 ◽  
Vol 12 (1) ◽  
Author(s):  
Paul E Bonnar
Keyword(s):  
Genital Herpes ◽  
Screening Program ◽  
Antiviral Agent ◽  
Suppressive Therapy ◽  
Number Needed To Treat ◽  
Economic Costs ◽  
Transmitted Infection ◽  
Herpes Simplex Viruses ◽  
Sexually Transmitted ◽  
Individual Level

Genital herpes is a widespread sexually transmitted infection caused by the herpes simplex viruses (HSV). Suppressive valacyclovir therapy has been shown to significantly reduce HSV transmission. The benefits and costs of using valacyclovir to reduce transmission in couples discordant for genital herpes will be analyzed in order to better inform decision-making. By reducing transmission, the physical and psychological harms of living with symptomatic genital herpes will be prevented while saving on certain healthcare costs. However, the large number needed to treat and the low symptomatic rate among infected individuals may outweigh these benefits. The costs of trying to achieve a significant reduction in incidence include the psychological harms of identifying asymptomatic individuals through a large screening program and the economic costs of the antiviral agent and screening. When these issues are weighed, the high economic costs render a program to reduce incidence unfeasible. Nevertheless, it is clinically important to consider the consequences of transmission at an individual level. The specific circumstances that influence the decision to use suppressive therapy are identified.

scholarly journals Sexually Transmitted Infections and Male Circumcision: A Systematic Review and Meta-Analysis

ISRN Urology ◽  
2013 ◽  
Vol 2013 ◽  
pp. 1-42 ◽  
Author(s):  
Robert S. Van Howe
Keyword(s):  
Systematic Review ◽  
Human Papillomavirus ◽  
Sexually Transmitted Infections ◽  
Sexually Transmitted Infection ◽  
Positive Impact ◽  
Meta Analysis ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
General Populations ◽  
Simplex Virus

The claim that circumcision reduces the risk of sexually transmitted infections has been repeated so frequently that many believe it is true. A systematic review and meta-analyses were performed on studies of genital discharge syndrome versus genital ulcerative disease, genital discharge syndrome, nonspecific urethritis, gonorrhea, chlamydia, genital ulcerative disease, chancroid, syphilis, herpes simplex virus, human papillomavirus, and contracting a sexually transmitted infection of any type. Chlamydia, gonorrhea, genital herpes, and human papillomavirus are not significantly impacted by circumcision. Syphilis showed mixed results with studies of prevalence suggesting intact men were at great risk and studies of incidence suggesting the opposite. Intact men appear to be of greater risk for genital ulcerative disease while at lower risk for genital discharge syndrome, nonspecific urethritis, genital warts, and the overall risk of any sexually transmitted infection. In studies of general populations, there is no clear or consistent positive impact of circumcision on the risk of individual sexually transmitted infections. Consequently, the prevention of sexually transmitted infections cannot rationally be interpreted as a benefit of circumcision, and any policy of circumcision for the general population to prevent sexually transmitted infections is not supported by the evidence in the medical literature.

scholarly journals Genital Herpes Has Played a More Important Role than Any Other Sexually Transmitted Infection in Driving HIV Prevalence in Africa

PLoS ONE ◽  
2008 ◽  
Vol 3 (5) ◽  
pp. e2230 ◽  
Author(s):  
Laith J. Abu-Raddad ◽  
Amalia S. Magaret ◽  
Connie Celum ◽  
Anna Wald ◽  
Ira M. Longini ◽  
...  
Keyword(s):  
Genital Herpes ◽  
Sexually Transmitted Infection ◽  
Hiv Prevalence ◽  
Transmitted Infection ◽  
Sexually Transmitted

Chemsex in Moscow: investigation of the phenomenon in a cohort of men who have sex with men hospitalized due to addictive disorders

2020 ◽  
Vol 31 (2) ◽  
pp. 136-141 ◽  
Author(s):  
VY Skryabin ◽  
EA Bryun ◽  
LJ Maier
Keyword(s):  
Collaborative Work ◽  
Transmitted Infection ◽  
Addictive Disorders ◽  
Sexually Transmitted ◽  
Face To Face ◽  
Hiv Serostatus ◽  
Observational Cohort ◽  
Male Patients ◽  
Sex With Men

The present study was designed to investigate the phenomenon of chemsex among Moscow men who have sex with men (MSM) patients who were hospitalized due to various addictive disorders. It was an observational cohort study which included a total of 30 male patients who underwent inpatient treatment at the Moscow Research and Practical Centre on Addictions of the Moscow Department of Healthcare due to various addictive disorders. Data on sociodemographic, sexuality-, sexually transmitted infection- (STI-), and drug use-related characteristics obtained in face-to-face interviews were recorded in all patients. Mean (SD) age of the patients was 24.3 (3.5) years. Mephedrone was the drug most commonly reported as being used for chemsex (over half of cases); it was consumed by 16 patients. Gamma-hydroxybutyric acid/gamma-butyrolactone use was reported by 6.7% of patients; 16.7% of patients preferred cocaine; ketamine use was present only in one patient. Five participants (16.7%) reported the use of other stimulants. Overall, 20% of patients reported their HIV serostatus as positive. Self-reported other STI status was positive in 12 patients (40.0%). Our findings revealed that practicing chemsex among MSM can be considered a trend in Moscow. Our study emphasizes the role of collaborative work of sexologists and addictologists in order to develop and evaluate the interventions.

Expanding the Role of a Pharmacist as a Sexually Transmitted Infection Provider in the Setting of an Urban Free Health Clinic

2013 ◽  
Vol 40 (9) ◽  
pp. 685-688 ◽  
Author(s):  
Sara J. Deppe ◽  
Chessa R. Nyberg ◽  
Brooke Y. Patterson ◽  
Craig A. Dietz ◽  
Mark T. Sawkin
Keyword(s):  
Sexually Transmitted Infection ◽  
Health Clinic ◽  
Transmitted Infection ◽  
Sexually Transmitted
Sign in / Sign up

Export Citation Format

Share Document