The associations between risk behaviour and reported history of sexually transmitted diseases, among young women: a population-based study

1997 ◽  
Vol 8 (8) ◽  
pp. 501-505 ◽  
Author(s):  
Monica Jonsson ◽  
Roger Karlsson ◽  
Ewa Rylander ◽  
Ake Gustavsson ◽  
Goran Wadell

The aim of this study was to determine the associations between risk behaviour and women's reported sexually transmitted diseases (STDs). All the women aged 19, 21, 23 and 25, residing in a specified housing area, were invited to answer a questionnaire regarding their sexual behaviour, smoking and alcohol consumption and previous history of STD. Of the 611 women participating, one out of 4 women had a history of at least one STD. In an univariate analysis, self-reported STD was found to be related to age, having more than 4 lifetime sexual partners, having practised intercourse at first date, inconsistent use of condoms, alcohol consumption of more than 3 bottles of wine per month and smoking. These factors were, however, not independent of each other and when subjected to a multivariate logistic regression analysis 2 factors, i.e. the lifetime number of sexual partners (more than 4 partners vs one; OR 7.94, (3.41-18.50)) and coitus on first date (practised more than once vs never, OR 2.99 (1.55-5.78)) emerged as independently associated with a previous STD.

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Leila Yazdanpanah ◽  
Hajieh Shahbazian ◽  
Iraj Nazari ◽  
Hamid Reza Arti ◽  
Fatemeh Ahmadi ◽  
...  

Aim/Introduction. This study was carried out to assess the incidence and risk factors of diabetic foot ulcer (DFU). Materials and Methods. In this prospective cohort study in a university hospital, all the participants were examined and followed up for new DFU as final outcome for two years. To analyze the data, the variables were first evaluated with a univariate analysis. Then variables with P value < 0.2 were tested with a multivariate analysis, using backward-elimination multiple logistic regression. Results. Among 605 patients, 39 cases had DFU, so we followed up the remaining 566 patients without any present or history of DFU. A two-year cumulative incidence of diabetic foot ulcer was 5.62% (95% CI 3.89–8.02). After analysis, previous history of DFU or amputation [OR = 9.65, 95% CI (2.13–43.78), P value = 0.003], insulin usage [OR = 5.78, 95% CI (2.37–14.07), P value < 0.01], gender [OR = 3.23, 95% CI (1.33–7.83), P value = 0.01], distal neuropathy [OR = 3.37, 95% CI (1.40–8.09), P value = 0.007], and foot deformity [OR = 3.02, 95% CI (1.10–8.29), P value = 0.032] had a statistically significant relationship with DFU incidence. Conclusion. Our data showed that the average annual DFU incidence is about 2.8%. Independent risk factors of DFU development were previous history of DFU or amputation, insulin consumption, gender, distal neuropathy, and foot deformity. These findings provide support for a multifactorial etiology for DFU.


Author(s):  
Vicky Arfeni Warongan ◽  
◽  
Fazidah Aguslina Siregar ◽  
Etti Sudaryati ◽  
◽  
...  

ABSTRACT Background: Sexually Transmitted Infection is still a public health problem globally, because the pattern of the disease almost occurs in all countries until now, especially syphilis. Homosexual behavior, sexual promiscuity, and migration from one place to another can be potential to be transmitted by syphilis. This study aimed to analyze the influence of behavioral factors towards the incidence of syphilis in the work area of the Public Health Centers in Medan, 2019. Subjects and Method: A case control study was conducted in Teladan, Helvetia and Padang Bulan Public health centre. A sample of 80 consisting of 40 cases and 40 control was selected by purposive sampling. The dependent variable was syphilis. The independent variables were HIV status, history of sexually transmitted diseases, previous history of syphilis, history of circumcision, use of condoms, use of drugs, number of sex partners and the average frequency of sex. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: Variables that influence syphilis are the history of syphilis (OR= 28.52; 95% CI= 7.55 to 107.78; p= 0.0001) and drug use (OR= 15.12; 95% CI= 2.57 to 89.24; p= 0.003). Meanwhile, HIV status (OR = 1.55; 95% CI= 0.41 to 5.87; p= 0.520), use of condoms (OR= 0.2 01; 95% CI= 0.63 to 8.90; p= 0.201) and sexually transmitted diseases (OR= 1.53; 95%CI= 0.23 to 10.18; p= 0.660). The previous history of syphilis was the dominant influence of the incidence of syphilis (OR=28.52; 95% CI= 7.55 to 107.78; p=0.001). Conclusion: Variables that influence syphilis are the history of syphilis (OR= 28.52; 95% CI= 7.55 to 107.78; p= 0.0001) and drug use (OR= 15.12; 95% CI= 2.57 to 89.24; p= 0.003). Meanwhile, HIV status (OR = 1.55; 95% CI= 0.41 to 5.87; p= 0.520), use of condoms (OR= 0.2 01; 95% CI= 0.63 to 8.90; p= 0.201) and sexually transmitted diseases (OR= 1.53; 95%CI= 0.23 to 10.18; p= 0.660). The previous history of syphilis was the dominant influence of the incidence of syphilis (OR=28.52; 95% CI= 7.55 to 107.78; p=0.001). Conclusion: It is recommended that the Health Service of Medan can give inputs for developing health intervention program, including the evaluation of STI intervention programs. The management of Teladan, Helvetia and Padang Bulan Public Health Centers should increase counseling, medication, and prevention programs towards syphilis for the high risk male population. Keywords: Influence, Syphilis, Case Control Correspondence: Vicky Arfeni Warongan, SKM. Fakultas Kesehatan Masyarakat, Universitas Sumatera Utara. Jl. Universitas No.32, Padang Bulan, Kecamatan Medan Baru, Kota Medan, Sumatera Utara 20222. Email: [email protected]. Mobile: 081263197791 DOI: https://doi.org/10.26911/the7thicph.01.22


1992 ◽  
Vol 3 (4) ◽  
pp. 255-260 ◽  
Author(s):  
Johan Giesecke ◽  
Gianpaolo Scalia-Tomba ◽  
Mari Göthberg ◽  
Peet Tüll

Behavioural patterns pertinent to the spread of sexually transmitted diseases (STD) were assessed in a random sample population study in Sweden. From a sample of 1150 individuals aged 16–31 years, 768 (68%) completed a questionnaire on past and present sexual contacts. Response rate was highest in youngest and oldest age groups. Median age at first intercourse was 16.4 years for women and 17.1 years for men; the woman's partner at first intercourse was a median of 2 years older; men chose partners of the same age for first intercourse. The time to second partner was a median of 2 years; number of lifetime partners increased with one new partner for 2.5 years. Condoms were more frequently used in younger age groups. In all age groups, 5–10% of individuals reported a high-risk behaviour for the spread of STDs.


2012 ◽  
Vol 141 (5) ◽  
pp. 976-986 ◽  
Author(s):  
L. A. MacRITCHIE ◽  
C. J. HUNTER ◽  
N. J. C. STRACHAN

SUMMARYA questionnaire survey was undertaken to determine the exposure of a study population to campylobacteriosis source risk factors (environmental, water, food) and results were stratified by age, population density and deprivation. Data were gathered using an exposure assessment carried out by telephone in the Grampian region of Scotland. Univariate analysis showed that children aged 5–14 years, living in low population density (0–44·4 persons/km2) and affluent areas had elevated exposure to environmental and water risk factors. Multivariate logistic regression analysis revealed that younger age groups and lower population density were significant indicators for most environmental risk factors. The results compared to reported disease incidence in Grampian showed that greater exposure to risk factors does not necessarily coincide with greater disease incidence for age groups, particularly for the 0–4 years age group. Further research is required to explain the relationship between exposure and disease incidence.


2010 ◽  
Vol 2 (2) ◽  
pp. 13 ◽  
Author(s):  
John Rubaihayo ◽  
Akib Surat ◽  
Mughusu Ezekiel ◽  
Abaasa Andrew

In Uganda, previous studies have shown a tremendous decline in HIV prevalence over the past two decades due to changes in sexual behavior with a greater awareness of the risks involved. However, studies in Fort-Portal municipality, a rural town in Western Uganda, continued to show a persistent high HIV prevalence despite the various interventions in place. We conducted a study to establish the current magnitude of HIV prevalence and the factors associated with HIV prevalence in this community. This cross-sectional study was conducted between July and November 2008. Participants were residents of Fort-Portal municipality aged 15-49 years. A population-based HIV sero-survey and a clinical review of prevention of mother to child HIV transmission (PMTCT) and voluntary counseling and HIV Testing (VCT) records were used to collect quantitative data. An inteviewer administered structured questionnaire was used to collect qualitative data on social deographics, risk behaviour and community perceptions. Focus group discussions (FGDs) and in-depth interviews provided supplementary data on community perceptions. Logistic regression was used in the analysis. The overall HIV prevalence in the general population was 16.1% [95% CI; 12.5-20.6]. Prevalence was lower among women (14.5%; 95% CI; 10.0-19.7) but not significantly different from that among men (18.7%; 95% CI; 12.5-26.3) (c2=0.76, P=0.38). Having more than 2 sexual partners increased the odds of HIV by almost 2.5 times. None or low education and age over 35 years were independently associated with HIV prevalence (P<0.05). Most participants attributed the high HIV prevalence to promiscuity/multiple sexual partners (32.5%), followed by prostitution (13.6%), alcoholism (10.1%), carelessness (10.1%), poverty (9.7%), ignorance (9.5%)), rape (4.7%), drug abuse (3.6%) and others (malice/malevolence, laziness, etc.) (6.2%). Although there was a slight decline compared to previous reports, the results from this study confirm that HIV prevalence is still high in this community. In order to prevent new infections, the factors mentioned above need to be addressed, and we recommend that education aimed at changing individual behavior should be intensified in this community.


2018 ◽  
Vol 30 (4) ◽  
pp. 353-361 ◽  
Author(s):  
Gui-Yuan Xiao ◽  
Bin Peng ◽  
Ying Hu ◽  
Dou Qu ◽  
Min-Qing Lai ◽  
...  

With the objective of investigating the characteristics influencing high-risk sexual behaviours in elderly men (60–74 years of age) in Chongqing, China, a total of 1433 healthy elderly men with sexual intercourse frequencies of one to six times/month who were willing to participate in the questionnaires were studied at four hospitals. We measured serum testosterone levels and performed follow-ups every six months, with a total of 1128 elderly men followed up after two years. We also investigated socio-economic and demographic characteristics (age, education, income, location, marital status and number of marriages), types of sexual partners, age differences with fixed sexual partners, frequency of sexual intercourse, combined basic age-related diseases, sexually transmitted infections (STIs) education, elderly self-care ability and high-risk sexual behaviours (frequency of sexual intercourse and number of sexual partners) using questionnaires. We analysed the influencing factors of high-risk sexual behaviours in elderly men using a univariate analysis, multivariate logistic regression analysis, BP neural network prediction and cluster analysis. Finally, we found that serum total testosterone, age, types of sexual partners, age differences with fixed partners and frequency of sexual intercourse are five factors that influence high-risk sexual behaviours in elderly men.


Diagnostics ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. 1694
Author(s):  
Dimitrios Tachmatzidis ◽  
Dimitrios Filos ◽  
Ioanna Chouvarda ◽  
Anastasios Tsarouchas ◽  
Dimitrios Mouselimis ◽  
...  

Early identification of patients at risk for paroxysmal atrial fibrillation (PAF) is essential to attain optimal treatment and a favorable prognosis. We compared the performance of a beat-to-beat (B2B) P-wave analysis with that of standard P-wave indices (SPWIs) in identifying patients prone to PAF. To this end, 12-lead ECG and 10 min vectorcardiogram (VCG) recordings were obtained from 33 consecutive, antiarrhythmic therapy naïve patients, with a short history of low burden PAF, and from 56 age- and sex-matched individuals with no AF history. For both groups, SPWIs were calculated, while the VCG recordings were analyzed on a B2B basis, and the P-waves were classified to a primary or secondary morphology. Wavelet transform was used to further analyze P-wave signals of main morphology. Univariate analysis revealed that none of the SPWIs performed acceptably in PAF detection, while five B2B features reached an AUC above 0.7. Moreover, multivariate logistic regression analysis was used to develop two classifiers—one based on B2B analysis derived features and one using only SPWIs. The B2B classifier was found to be superior to SPWIs classifier; B2B AUC: 0.849 (0.754–0.917) vs. SPWIs AUC: 0.721 (0.613–0.813), p value: 0.041. Therefore, in the studied population, the proposed B2B P-wave analysis outperforms SPWIs in detecting patients with PAF while in sinus rhythm. This can be used in further clinical trials regarding the prognosis of such patients.


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