scholarly journals SEXUAL RISK BEHAVIOUR AND SEXUALLY TRANSMITTED INFECTIONS IN ADOLESCENTS ATTENDING STI CLINIC

2017 ◽  
Vol 6 (76) ◽  
pp. 5422-5424
Author(s):  
Vasuki Shanmugam
Keyword(s):  
Sexually Transmitted Infections ◽  
Sexual Risk ◽  
Risk Behaviour ◽  
Sexual Risk Behaviour ◽  
Sexually Transmitted

scholarly journals Sexual risk behaviour and sexually transmitted infections in men who have sex with men

2020 ◽  
Vol 6 (2) ◽  
pp. 178
Author(s):  
Murugan Swamiappan ◽  
Manjula Jagannathan ◽  
Aysha Abdulla
Keyword(s):  
Sexually Transmitted Infections ◽  
Sexual Risk ◽  
Service Providers ◽  
Risk Behaviour ◽  
Unprotected Sex ◽  
Sexual Risk Behaviour ◽  
Sexually Transmitted ◽  
Condom Usage ◽  
Sex With Men ◽  
Clinical Records

<p class="abstract"><strong>Background:</strong> In India the estimated men who have sex with men (MSM) population is around 352, 000, among that 4.3% are living with HIV. The incidence of sexually transmitted infections (STIs) in MSM is greater than that reported in women and men who have sex with women only. The aim of the study is to determine the trends of sexual behaviour and the pattern of sexually transmitted infections in men who have sex with men.</p><p class="abstract"><strong>Methods:</strong> A retrospective study of the data collected from the clinical records of all MSM, who had attended the STI clinic of Kilpauk Medical College, Chennai, Tamil Nadu, during the three-year study period, from July 2016 to June 2019. Demographic data, sexual risk behaviour, condom usage and STIs, among the MSM, were computed and analyzed.<strong></strong></p><p class="abstract"><strong>Results:</strong> During the study period 489 MSM attended the STI clinic, 51.9% were bisexual and 48.1 % were homosexual. Among them, exclusive penetrative sex in 50.7%, exclusive receptive sex in 15.7% and both in 33.6% were reported. Condom usage was consistent in 18.8%, inconsistent in 28.8% and 52.9% never used condom. Unprotected sex is more common in oral sex than with anal sex. STIs were seen in 20.9% and HIV in 1.4% of MSM. Syphilis was the most common STI seen.</p><p class="abstract"><strong>Conclusions:</strong> Our study elucidated the high prevalence of STIs among MSM and increasing trends of sexual risk behaviour. Health service providers must take necessary steps to improve the provision of biological and medical measures to screen, treat and prevent infections.</p><p class="abstract"> </p>

scholarly journals Monitoring HIV prevalence and behaviour of men who have sex with men in Barcelona, Spain

2002 ◽  
Vol 7 (2) ◽  
pp. 19-22 ◽  
Author(s):  
K Pérez ◽  
A Rodes ◽  
J Casabona Barbarà
Keyword(s):  
Sexually Transmitted Infections ◽  
Sexual Risk ◽  
Risk Behaviour ◽  
Hiv Prevalence ◽  
Sexual Risk Behaviour ◽  
Hiv Incidence ◽  
Protective Measures ◽  
Sexually Transmitted ◽  
Sex With Men ◽  
Near Future

Recently, different studies among men who have sex with men (MSMs) have reported an increase in HIV incidence and sexually transmitted infections, and an increase in sexual risk behaviour. But the optimism regarding anti-retroviral treatments may lead to a greater relaxation in protective measures in the near future.

scholarly journals Self-collection of samples as an additional approach to deliver testing services for sexually transmitted infections: a systematic review and meta-analysis

2019 ◽  
Vol 4 (2) ◽  
pp. e001349 ◽  
Author(s):  
Yasmin Ogale ◽  
Ping Teresa Yeh ◽  
Caitlin E Kennedy ◽  
Igor Toskin ◽  
Manjulaa Narasimhan
Keyword(s):  
Systematic Review ◽  
Adverse Events ◽  
Sexual Risk ◽  
Meta Analysis ◽  
Risk Behaviour ◽  
Case Finding ◽  
Sexual Risk Behaviour ◽  
Sexually Transmitted ◽  
Sti Testing ◽  
Additional Approach

BackgroundSelf-collection of samples for diagnostic testing offers the advantages of patient autonomy, confidentiality and convenience. Despite data showing their feasibility and accuracy, there is a need to better understand how to implement such interventions for sexually transmitted infections (STIs). To support WHO guidelines on self-care interventions, we conducted a systematic review to investigate whether self-collection of samples should be made available as an additional approach to deliver STI testing services.MethodsPeer-reviewed studies were included if they compared individuals who self-collected samples for chlamydia, gonorrhoea, syphilis and/or trichomonas testing to individuals who had samples collected by clinicians on the following outcomes: uptake/frequency of STI testing, social harms/adverse events, positive yield (case finding), linkage to clinical assessment/treatment and reported sexual risk behaviour. We searched PubMed, CINAHL, LILACS and EMBASE for articles published through July 2018. Risk of bias was assessed using the Cochrane tool for randomised controlled trials (RCTs) and the Evidence Project tool for non-RCTs. Meta-analysis was conducted using random effects models to generate pooled estimates of relative risk (RR).ResultsEleven studies, including five RCTs and six observational studies with a total of 202 745 participants, met inclusion criteria. Studies were conducted in Australia, Denmark and the USA. Meta-analysis found that programmes offering self-collection of samples increased overall uptake of STI testing services (RR: 2.941, 95% CI 1.188 to 7.281) and case finding (RR: 2.166, 95% CI 1.043 to 4.498). No studies reported measuring STI testing frequency, social harms/adverse events, linkage to care or sexual risk behaviour.DiscussionWhile greater diversity in study designs, outcomes and settings would strengthen the evidence base, findings from this review suggest that self-collection of STI samples could be an effective additional strategy to increase STI testing uptake.Prospero registration numberPROSPERO CRD42018114866.

65. CIRCUMCISION STATUS AND RISK OF SEXUALLY TRANSMITTED INFECTIONS IN THE HIM COHORT OF HOMOSEXUAL MEN IN SYDNEY, AUSTRALIA

Sexual Health ◽  
2007 ◽  
Vol 4 (4) ◽  
pp. 310 ◽  
Author(s):  
D. J. Templeton ◽  
F. Jin ◽  
G. P. Prestage ◽  
B. Donovan ◽  
J. Imrie ◽  
...  
Keyword(s):  
Sexually Transmitted Infections ◽  
Sexual Risk ◽  
Past History ◽  
Genital Warts ◽  
Nucleic Acid Amplification ◽  
Sexual Risk Behaviour ◽  
Homosexual Men ◽  
Sexually Transmitted ◽  
History Of ◽  
Reduced Risk

Objectives: To examine circumcision status as an independent risk factor for prevalent and incident sexually transmitted infections (STIs) in the community-based Health in Men (HIM) cohort of homosexual men. Methods: Between 2001 and 2004, 1427 initially HIV-negative men were enrolled. Circumcision status was self-reported at baseline and was validated by clinical examination in a sub-sample of participants. All participants were tested annually for HIV and offered testing for other STIs including nucleic acid amplification tests (NAAT) for urethral gonorrhoea and chlamydia, and serology for syphilis and herpes simplex virus (HSV). Demographic information and past history of STIs was collected at baseline and detailed information on sexual risk behaviours was collected every 6 months. At annual face-to-face visits, participants reported diagnoses of STIs made in the previous 12 months. Results: At baseline, 66% of participants reported being circumcised; mostly as infants. Uptake of STI testing was high with over 90% of participants tested each year. On multivariate analysis, controlling for age and sexual risk behaviour, circumcision was not associated with baseline seropositivity to syphilis (p�=�0.34), HSV1 (p�=�0.33) or HSV2 (p�=�0.92), nor with a history of self-reported genital warts (p�=�0.18). There was also no association with incident bacterial urethral infections (p�=�0.67 & p�=�0.89 for gonorrhoea and chlamydia, respectively), self-reported incident genital warts (p�=�0.35), incident HSV1 (p�=�0.70) or incident HSV2 (p�=�0.36). However, circumcision was associated with a significantly reduced risk of incident syphilis after controlling for age, number of casual partners in the previous 6 months and unprotected anal intercourse according to partners' HIV status (HR�=�0.35, 95% CI 0.14-0.87, p�=�0.024). Conclusion: Circumcised men had a reduced risk of incident syphilis in this cohort. Although most STIs were not associated with circumcision, these data suggest that circumcision may have an effect on syphilis acquisition in homosexual men.

scholarly journals Influence of sexual risk behaviour and STI co-infection dynamics on the evolution of HIV set point viral load in MSM

2019 ◽  
Author(s):  
Diana M Hendrickx ◽  
Wim Delva ◽  
Niel Hens
Keyword(s):  
Viral Load ◽  
Sexual Risk ◽  
Viral Evolution ◽  
Risk Behaviour ◽  
Sexual Risk Behaviour ◽  
Transmitted Infection ◽  
Set Point ◽  
Sexually Transmitted ◽  
Infection Dynamics ◽  
Before And After

AbstractHIV set-point viral load (SPVL) is an important predictor of HIV progression and transmission. Although it has been reported that anti-retroviral therapy (ART) reduces viral load (VL), increased SPVL levels have been observed in MSM in the decade following the introduction of ART in the Netherlands. Several studies have been devoted to explain these counter-intuitive trends in SPVL. However, to our knowledge, none of these studies has investigated an explanation in which it arises as the result of a sexually transmitted infection (STI) co-factor in detail.In this study, we adapted an event-based, individual-based model to investigate how STI co-infection and sexual risk behaviour affect the evolution of HIV SPVL in MSM before and after the introduction of ART.The results suggest that both STI co-factors and sexual risk behaviour have an effect on SPVL. However, the observed trends in SPVL cannot be explained by sexual risk behaviour and STI co-factors only.We recommend to develop mathematical models including also factors related to viral evolution as reported earlier in the literature. However, this requires more complex models, and the collection of more data for parameter estimation than what is currently available.

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