scholarly journals Substance use disorders and sexually transmitted infections: a public health perspective

2018 ◽  
Vol 24 (3) ◽  
pp. 161-166 ◽  
Author(s):  
Vijaya Murali ◽  
Sabitha Jayaraman
Keyword(s):  
Public Health ◽  
Substance Use ◽  
Sexually Transmitted Infections ◽  
Substance Use Disorders ◽  
Tertiary Prevention ◽  
Health Concern ◽  
Current Evidence ◽  
List Type ◽  
Public Health Perspective ◽  
Sexually Transmitted

SummaryIt has long been recognised that substance use disorders and sexually transmitted infections (STIs) are common comorbid conditions. It is clear that treating one condition while leaving the other leads to increased morbidity and mortality in this patient population. However, engaging patients in treatment is extremely challenging, which is a huge public health concern. This article focuses on various sexually transmitted infections seen in the substance misuse population and means of primary, secondary and tertiary prevention.Declaration of interestNone.Learning objectives•Be aware of the current extent of comorbidity between substance use disorders and STIs•Learn about primary, secondary and tertiary prevention of STIs in people with substance use disorders•Understand the links between high-risk sexual behaviour and illicit drug use, as shown by current evidence

Substance Use Disorders in Later Life: A Review and Synthesis of the Literature of an Emerging Public Health Concern

2020 ◽  
Vol 28 (2) ◽  
pp. 226-236 ◽  
Author(s):  
Stephanie Yarnell ◽  
Luming Li ◽  
Brian MacGrory ◽  
Louis Trevisan ◽  
Paul Kirwin
Keyword(s):  
Public Health ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Later Life ◽  
Health Concern ◽  
Public Health Concern

scholarly journals New Biomedical Technologies and Strategies for Prevention of HIV and Other Sexually Transmitted Infections

2016 ◽  
Vol 2016 ◽  
pp. 1-10 ◽  
Author(s):  
Bonaventura C. T. Mpondo
Keyword(s):  
Public Health ◽  
Sexually Transmitted Infections ◽  
Health Concern ◽  
Socioeconomic Impact ◽  
Public Health Concern ◽  
Sexually Transmitted ◽  
Acute Infections ◽  
High Incidence ◽  
Biomedical Technologies ◽  
Prevention Of Hiv

Sexually transmitted infections remain to be of public health concern in many developing countries. Their control is important, considering the high incidence of acute infections, complications and sequelae, and their socioeconomic impact. This article discusses the new biomedical technologies and strategies for the prevention of HIV and other sexually transmitted infections.

scholarly journals 168. Testing, Diagnosis, and Incidence of Sexually Transmitted Infections Among People with Substance Use Disorders in the Veterans Health Administration, 2019

2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S101-S101
Author(s):  
Holly Villamagna ◽  
Lauren Beste ◽  
Joleen Borgerding ◽  
Elliott Lowy ◽  
Ronald Hauser ◽  
...  
Keyword(s):  
Substance Use ◽  
Sexually Transmitted Infections ◽  
Substance Use Disorders ◽  
Veterans Health Administration ◽  
Incidence Rates ◽  
Veterans Health ◽  
Health Administration ◽  
Sexually Transmitted ◽  
Stimulant Use ◽  
Sti Testing

Abstract Background People with substance use disorders (SUDs) are at increased risk of acquiring sexually transmitted infections (STIs.) In response to the syndemic of STIs and SUDs, the Department of Health and Human Services’ 2020 STI National Strategic Plan called for increased STI testing among people with SUDs and integration of testing and treatment into non-traditional settings. Existing data describing STI testing and incidence rates among people with SUDs are limited to single or regional medical centers. National samples are needed to target interventions. We report on STI testing, test positivity, and incidence rates among people with SUDs who receive medical care in the Veterans Health Administration (VHA). Methods We performed a retrospective cohort study of individuals with SUDs who received VHA care in 2018 or 2019. Data were obtained from the Corporate Data Warehouse, a national database that includes data from VHA’s electronic medical record. For individuals with alcohol, opioid, cocaine, and/or other stimulant (e.g. methamphetamine) use disorders, we collected demographic data, testing and results for gonorrhea (GC), chlamydia (CT), syphilis, and HIV during 2019. We calculated rates of testing, test positivity, and incidence rates. Results Incidence of all four STIs was highest in the other stimulant use disorder group; incidence of syphilis was particularly elevated at 922.4 cases/100K. Veterans with multiple SUDs were three times more likely to be houseless in 2019 than those with a single SUD and had higher incidence of all STIs than those with single SUDs, except for people with other stimulant use disorders. People with alcohol use disorder (AUD) had a higher incidence of GC, CT, and syphilis than those with opioid use disorder despite similar testing rates. Percent positivity for HIV ranged from 0.27% for AUD to 2.0% for other stimulant use disorders. Conclusion High incidence of STIs among people with non-cocaine stimulant use disorder indicates a need for comprehensive testing. The data suggests that veterans with AUD would benefit from increased testing. Houselessness and mental health diagnoses were common, and comprehensive STI testing and treatment programs, including an assessment of HIV risk, should be integrated into programs addressing these comorbidities. Disclosures Holly Villamagna, MD, Nothing to disclose

scholarly journals Slipping through: mobility’s influence on infectious disease risks for justice-involved women in Canada

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Susie Taylor ◽  
Margaret Haworth-Brockman ◽  
Yoav Keynan
Keyword(s):  
Public Health ◽  
Substance Use ◽  
Harm Reduction ◽  
Partner Violence ◽  
Disease Risk ◽  
Health Planning ◽  
Incarcerated Women ◽  
Public Health Perspective ◽  
Sexually Transmitted ◽  
Gender Based

Abstract Background The relationship between incarceration and women’s vulnerability to sexually transmitted and blood-borne infections (STBBI) is understudied in Canada, despite numerous studies showing that justice-involved women experience very high rates of infection. Justice-involved women in Canada are highly mobile, as a result of high rates of incarceration and extremely short sentences. From a public health perspective, it is productive to understand how the mobility of justice-involved women shapes their vulnerability to STBBI. Results This narrative review demonstrates that mobility between incarceration facilities and communities drives sexually transmitted and blood-borne disease risk for justice-involved women in Canada. Associations and interactions between epidemics of gender-based and intimate partner violence, substance use, and STBBIs shape the experiences of justice-involved women in Canada. In correctional facilities, the pre-existing vulnerability of justice-involved women is compounded by a lack of comprehensive STBBI care and limited harm reduction services. On release, unstable housing, disruptions to social support networks, interruptions in medical care, and relapse to or continuation of substance use, significantly increase individual disease risk and the likelihood of community transmission. High rates of incarceration for short periods perpetuate this cycle and complicate the delivery of healthcare. Conclusions The review provides evidence of the need for stronger gender-transformative public health planning and responses for incarcerated women, in both federal and provincial corrections settings in Canada. A supportive, evidence-based approach to STBBI identification and treatment for incarcerated women - one that that removes stigma, maintains privacy and improves access, combined with structural policies to prevent incarceration - could decrease STBBI incidence and interrupt the cycle of incarceration and poor health outcomes. A coordinated and accountable program of reintegration that facilitates continuity of public health interventions for STBBI, as well as safe housing, harm reduction and other supports, can improve outcomes as well. Lastly, metrics to measure performance of STBBI management during incarceration and upon release would help to identify gaps and improve outcomes for justice-involved women in the Canadian context.

scholarly journals Physician Impairment: Is Recovery Feasible?

2009 ◽  
Vol 3;12 (3;5) ◽  
pp. 487-491
Author(s):  
Paul J. Christo
Keyword(s):  
Public Health ◽  
Substance Abuse ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Relapse Prevention ◽  
Health Concern ◽  
Public Health Issue ◽  
Professional Judgment ◽  
Prevention Strategies ◽  
Physician Impairment

Background: Physician impairment is a serious public health issue affecting not only physicians, but also their families, colleagues, and patients. Physician impairment is used most often to refer to substance use disorders, which involve both substance abuse and substance dependence and/or addiction. Objective: This article aims to describe the problem of physician impairment within the context of substance use disorders. The concept of recovery and several strategies for effective recovery are explored. Discussion: Experts now define impairment as an enduring condition that if left untreated is not amenable to remission and cure. In terms of functional capacity, impairment renders the physician unable to provide competent medical services, with serious flaws in professional judgment. Herein, we define the scope of the problem, consider several theories to explain the reason physicians may be prone to develop substance use disorders, discuss diagnosis and reporting, as well as treatment and prognosis, and identify several relapse prevention strategies. Conclusion: Physician impairment is a real and significant public health concern; however, recovery is feasible and the data support favorable odds of recovery and a return to clinical practice among those seeking appropriate treatment, counseling, and relapse prevention strategies. Key words: Physician impairment, substance use disorder, prevention, relapse, recovery, dependence, substance abuse, Physician Health Programs (PHPs).

scholarly journals Emerging Opportunities to Improve Treatment Access for Substance Use Disorders and Other Comorbid Health Issues Among Women Enrolled in WIC

2022 ◽  
pp. 152483992110690
Author(s):  
Yukiko Washio ◽  
Bradley N. Collins ◽  
Linda M. Kilby
Keyword(s):  
Public Health ◽  
Substance Use ◽  
Substance Use Disorders ◽  
Mental Health Problems ◽  
Health Concern ◽  
Future Research ◽  
Routine Practice ◽  
Health Issues ◽  
Underserved Communities ◽  
Increased Risk

Women living in underserved communities are at an increased risk for substance use disorders and other comorbid health issues, a public health concern that was exacerbated as the COVID-19 pandemic took hold. In response to the challenges the pandemic presented, services delivered by the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) adapted nimbly, including WIC nutrition managers’ and counselors’ efforts to provide reactive referrals of clients raising concern about substance misuse and related consequences. This adaptation signaled an opportunity to consider integrating more proactive, evidence-based strategies for substance use disorders such as standardized brief assessments, advice, and referral procedures (i.e., Screening, Brief Interventions, and Referral to Treatment [SBIRT]), as part of routine WIC operations. Integration of such routine practice would improve the quality of care WIC provides to their clients and families, while addressing a major gap in public health by connecting clients at high risk for substance use disorders and substance-related problems to much needed services. Given the adaptability of WIC to reactively manage the wide array of psychosocial and mental health problems that increased during the pandemic, opportunities exist for future research to examine the feasibility, acceptability, and efficacy of proactive implementation of brief screening, advice, and treatment referral to reduce substance-related harm among women living in underserved communities.

scholarly journals Sexually transmitted infections and substance use disorders: evidence and challenges in Mexico

Salud Mental ◽  
2017 ◽  
Vol 40 (1) ◽  
pp. 1-4 ◽  
Author(s):  
Rodrigo Marín-Navarrete ◽  
◽  
Carlos Magis-Rodríguez ◽  
Steffanie A Strathdee ◽  
◽  
...  
Keyword(s):  
Substance Use ◽  
Sexually Transmitted Infections ◽  
Substance Use Disorders ◽  
Sexually Transmitted

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