scholarly journals A Comparison of the Prevalence of Sexually Transmitted Infections Among Circumcised and Uncircumcised Adult Males in Rustenburg, South Africa: A Cross-Sectional Study

2020 ◽  
Author(s):  
Blanchard Mbay Iyemosolo ◽  
Tawanda Chivese ◽  
Tonya Marianne Esterhuizen
Keyword(s):  
South Africa ◽  
High Risk ◽  
Sexually Transmitted Infections ◽  
Multiple Logistic Regression Analysis ◽  
Independent Effect ◽  
High Risk Population ◽  
Adult Males ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Screening And Surveillance

Abstract Background South Africa has a persistent burden of sexually transmitted infections (STIs), despite improvements in prevention, treatment, screening, and surveillance. Male circumcision has been shown to be effective in preventing HIV, and other STIs. However, there is minimal data on the protective effect of circumcision in high-risk populations such as migrant miners. The objective of this study was to compare the prevalence of STIs between circumcised and uncircumcised adult males in Rustenburg, North West Province, South Africa Methods The study used baseline data collected in an observational cohort study. Adult males in a mining town were assessed for STIs (gonorrhea, chlamydia, and trichomoniasis) using syndromic assessment. Data on circumcision status and other risk factors for STIs were collected using an interview administered structured questionnaire. Multiple logistic regression analysis was used to assess the independent effect of circumcision on STI presence after adjusting for confounders. Results A total of 339 participants with a median age of 25 years (IQR 22–29) were included in the study, of whom 116 (34.2%) of whom were circumcised. The overall STIs prevalence was 27.4% (95% CI 22.8–32.6%) and was lower in the circumcised participants compared with those who were uncircumcised (15.5% vs 33.6%, respectively, p < 0.001). Circumcision was strongly associated with a lower risk of STIs (OR 0.359, 95% CI 0.196–0.656, p = 0.001) after adjustment for employment and condom use. Conclusion In this high-risk population, with a relatively high prevalence of STI, and 34% circumcision, circumcision appears to be protective against STIs.

scholarly journals A Comparison of the Prevalence of Sexually Transmitted Infections Among Circumcised and Uncircumcised Adult Males in Rustenburg, South Africa: A Cross-Sectional Study

2020 ◽  
Author(s):  
Blanchard Mbay Iyemosolo ◽  
Tawanda Chivese ◽  
Tonya Marianne Esterhuizen
Keyword(s):  
Risk Factors ◽  
South Africa ◽  
High Risk ◽  
Sexually Transmitted Infections ◽  
Cross Sectional Study ◽  
Adult Males ◽  
Sectional Study ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Mining Town

Abstract BackgroundSouth Africa has a persistent burden of sexually transmitted infections (STIs). Male circumcision has been shown to be effective in preventing HIV, and STIs but data are scarce on the protective effect of circumcision in high-risk populations such as migrant miners. The objective of this study was to assess the effect of medical and traditional circumcision on the prevalence of STIs after adjusting for other risk factors in Rustenburg, a mining town in North West Province, South Africa.MethodsThis cross-sectional study used baseline data collected from a cohort study. Adult males in a mining town were assessed for STIs (gonorrhea, chlamydia, and trichomoniasis) using syndromic assessment. Data on circumcision status and other risk factors for STIs were collected using an interviewer-administered questionnaire. Multivariable log binomial regression was used to assess the independent effect of circumcision on STI presence after adjusting for confounders.ResultsA total of 339 participants with a median age of 25 years (IQR 22-29) were included in the study, of whom 116 (34.2%) were circumcised. The overall STIs prevalence was 27.4% (95% CI 22.8% to 32.6%) and was lower in the circumcised participants compared with those who were uncircumcised (15.5% vs 33.6%, respectively, p<0.001). Both medical (OR 0.57, 95% CI 0.34-0.95, p = 0.030) and traditional circumcision (OR 0.34, 95% CI 0.13-0.86, p = 0.022) were strongly associated with a lower risk of STIs after adjustment for employment and condom use. ConclusionIn this high-risk population, with a relatively high prevalence of STIs, and where one third of males are circumcised, both medical and traditional circumcision appear to be protective against STIs.

scholarly journals A comparison of the prevalence of sexually transmitted infections among circumcised and uncircumcised adult males in Rustenburg, South Africa: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Blanchard Mbay Iyemosolo ◽  
Tawanda Chivese ◽  
Tonya M. Esterhuizen
Keyword(s):  
Risk Factors ◽  
South Africa ◽  
High Risk ◽  
Sexually Transmitted Infections ◽  
Cross Sectional Study ◽  
Adult Males ◽  
Sectional Study ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Mining Town

Abstract Background South Africa has a persistent burden of sexually transmitted infections (STIs). Male circumcision has been shown to be effective in preventing HIV and STIs, but data are scarce on the protective effect of circumcision in high-risk populations such as migrant miners. The objective of this study was to assess the effect of medical and traditional circumcision on the prevalence of STIs after adjusting for other risk factors in Rustenburg, a mining town in North West Province, South Africa. Methods This cross-sectional study used baseline data collected from a cohort study. Adult males in a mining town were assessed for STIs (gonorrhea, chlamydia, and trichomoniasis) using syndromic assessment. Data on circumcision status and other risk factors for STI syndromes were collected using an interviewer-administered questionnaire. The following symptoms were assessed; penile discharge, painful urination, dyspareunia or penile sores. These symptoms indicate sexually transmitted infection in general since laboratory tests were not performed. Multivariable log binomial regression was used to assess the independent effect of circumcision on STI presence after adjusting for confounders. Results A total of 339 participants with a median age of 25 years (IQR 22–29) were included in the study, of whom 116 (34.2%) were circumcised. The overall STIs prevalence was 27.4% (95% CI 22.8 to 32.6%) and was lower in the circumcised participants compared with those who were uncircumcised (15.5% vs 33.6%, respectively, p < 0.001). Both medical (OR 0.57, 95% CI 0.34–0.95, p = 0.030) and traditional circumcision (OR 0.34, 95% CI 0.13–0.86, p = 0.022) were strongly associated with a lower risk of STIs after adjustment for employment and condom use. Conclusion In this high-risk population in a mining town in South Africa, with a relatively high prevalence of STIs, and where one third of males are circumcised, both medical and traditional circumcision appear to be protective against STIs.

scholarly journals A Comparison of the Prevalence of Sexually Transmitted Infections Among Circumcised and Uncircumcised Adult Males in Rustenburg, South Africa: A Cross-Sectional Study

2020 ◽  
Author(s):  
Blanchard Mbay Iyemosolo ◽  
Tawanda Chivese ◽  
Tonya Marianne Esterhuizen
Keyword(s):  
Risk Factors ◽  
South Africa ◽  
High Risk ◽  
Sexually Transmitted Infections ◽  
Cross Sectional Study ◽  
Adult Males ◽  
Sectional Study ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Mining Town

Abstract Background South Africa has a persistent burden of sexually transmitted infections (STIs). Male circumcision has been shown to be effective in preventing HIV, and STIs but data are scarce on the protective effect of circumcision in high-risk populations such as migrant miners. The objective of this study was to assess the effect of medical and traditional circumcision on the prevalence of STIs after adjusting for other risk factors in Rustenburg, a mining town in North West Province, South Africa.Methods This cross-sectional study used baseline data collected from a cohort study. Adult males in a mining town were assessed for STIs (gonorrhea, chlamydia, and trichomoniasis) using syndromic assessment. Data on circumcision status and other risk factors for STIs were collected using an interviewer-administered questionnaire. Multiple logistic regression analysis was used to assess the independent effect of circumcision on STI presence after adjusting for confounders. Results A total of 339 participants with a median age of 25 years (IQR 22-29) were included in the study, of whom 116 (34.2%) were circumcised. The overall STIs prevalence was 27.4% (95% CI 22.8% to 32.6%) and was lower in the circumcised participants compared with those who were uncircumcised (15.5% vs 33.6%, respectively, p<0.001). Both medical (OR 0.57, 95% CI 0.34-0.95, p = 0.030) and traditional circumcision (OR 0.34, 95% CI 0.13-0.86, p = 0.022) were strongly associated with a lower risk of STIs after adjustment for employment and condom use. Conclusion In this high-risk population, with a relatively high prevalence of STIs, and 34% circumcision, both medical and traditional circumcision appear to be protective against STIs.

scholarly journals Clinico-epidemiologic-profile and associated behaviour patterns of patients presenting to sexually transmitted infections clinic in tertiary care hospital in South Gujarat: an observational cross-sectional study

2020 ◽  
Vol 7 (5) ◽  
pp. 1866
Author(s):  
Priyanka Chandrakant Patil ◽  
Dipak D. Umrigar
Keyword(s):  
High Risk ◽  
Sexually Transmitted Infections ◽  
Risk Behaviors ◽  
High Risk Population ◽  
Care Hospital ◽  
Cross Sectional ◽  
High Risk Behaviors ◽  
Sexually Transmitted ◽  
Epidemiologic Profile ◽  
Tract Infections

Background: Sexually transmitted infections (STI)/respiratory tract infections (RTIs) constitute major public health problems in society since they increase the risk of HIV transmission. As the different regions in the country show variability in the clinical profile and high-risk behaviors of patients, it is important to study the trend in the particular region before formulating control measures. To study the clinico-epidemiologic profile of patients presenting to STI clinic along with the high-risk behaviors associated with transmission of STIs.Methods: This was an observational cross-sectional retrospective study by data analysis of hospital records in STI clinic done from April 2012 to March 2013. The detailed history was taken into consideration with special emphasis on sexual history, sexual behaviours, specific exposures, socio-demographics and other high-risk markers.Results: Females formed the majority of the affected population with marital status, illiteracy, migrant status of the population being the independent demographic factors. The important findings were that the high-risk behaviors were more common in married population and the inconsistent condom use in marital encounters were found to be the cause of increasing prevalence in the study population.Conclusions: The spread of the STIs from high risk population to no risk general population is an alarming sign.

Risky sexual behavior and sexually transmitted infections among men who have sex with men and purchase sex attending an Israeli sexually transmitted infection clinic

2019 ◽  
Vol 31 (3) ◽  
pp. 236-243 ◽  
Author(s):  
Rivka S Rich ◽  
Alex Leventhal ◽  
Rivka Sheffer ◽  
Zohar Mor
Keyword(s):  
High Risk ◽  
Sexually Transmitted Infections ◽  
Sexual Behaviors ◽  
Risky Sexual Behavior ◽  
Laboratory Data ◽  
Cross Sectional Study ◽  
Transmitted Infection ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Sex With Men

Men who have sex with men (MSM) and purchase sex (MPS) are a sub-group potentially at high risk for acquiring and transmitting sexually transmitted infections (STIs). This is a hard-to-reach population resulting in a scarcity of studies covering the issue. This cross-sectional study aimed to assess the association between purchasing sex and high-risk behaviors related to HIV/STI transmission and appraise the STI prevalence among MSM. All MSM who attended the STI clinic in Tel Aviv between 2003 and 2010 were included. Demographics, behavioral, clinical, and laboratory data were compared between MPS and non-MPS to identify high-risk sexual behaviors and STI prevalence associated with purchasing sex. Of the first visits of 2694 MSM who attended the STI clinic during the study period, 151 (5.6%) paid for sex. MPS were more commonly older and married than non-MPS. MPS were more likely to engage in behaviors associated with high risk for HIV/STI transmission, including infrequent condom use during anal sex, substance use during sex, and selling sex themselves. MPS had a higher STI prevalence than non-MPS, although this was not statistically significant ( p = 0.05). These findings highlight the need to establish culturally tailored interventions for MPS addressing the potential risks associated with purchasing sex.

Treatment-seeking behavior for sexually transmitted infections in a high-risk population

AIDS Care ◽  
2010 ◽  
Vol 22 (11) ◽  
pp. 1350-1358 ◽  
Author(s):  
Rachel Rosenheck ◽  
David Ngilangwa ◽  
Rachael Manongi ◽  
Saidi Kapiga
Keyword(s):  
High Risk ◽  
Sexually Transmitted Infections ◽  
Treatment Seeking ◽  
High Risk Population ◽  
Risk Population ◽  
Sexually Transmitted ◽  
Seeking Behavior

scholarly journals SEXUAL BEHAVIOR AT RISK OF SEXUALLY TRANSMITTED INFECTIONS IN PRISON: A DESCRIPTIVE STUDY AT SEMARANG CLASS I PENITENTIARY

2020 ◽  
Vol 3 (1) ◽  
pp. 17-22
Author(s):  
Nur Wulan Nugrahani ◽  
Arie Udijono ◽  
Lintang Dian Saraswati ◽  
Arie Wuryanto
Keyword(s):  
Sexual Behavior ◽  
High Risk ◽  
Sexually Transmitted Infections ◽  
Cross Sectional Study ◽  
Class I ◽  
Risk Category ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Opposite Sex ◽  
Male Inmates

High-risk behavior placed inmates to be one of certain population to be vulnerable to sexually-transmitted infections (STI) due to the discontinuity of sexual needs in imprisonment. The purpose of this study is to describe the history of STIs-risked sexual behavior of inmates before and during imprisonment. This research was an observational study with a cross sectional study design. The samples were 100 male inmates in Semarang Class I Penitentiary. Univariate data analyzed and presented in frequency distribution. Characteristics of respondents in this study include the majority of respondents aged less than 40 years (70%), completed high school (42%), and married (48%). Sexual orientation before and during imprisonment were all heterosexual (100%). Historical description of STIs-risked sexual behavior with a high risk category were 53%, while during imprisonment were 71%. Based on sexual behavior in prison, 54% doing masturbation involving genital stimulation and pornography, 13% touching intimate parts in the visiting room, 5% had intercourse with the opposite sex in prisons. This findings implied that the sexual needs of inmates in prison are real and need to be channeled in a healthy manner.

scholarly journals Knowledge and Utilization of Condom among Gay, Bisexual and Transgender of Nepal

2020 ◽  
Vol 3 (1) ◽  
pp. 54-58
Author(s):  
Sudikshya Neupane ◽  
Lisa Soti ◽  
Ajma Shrestha ◽  
Akanksha Dahal ◽  
Nilam Tamang
Keyword(s):  
Sexually Transmitted Infections ◽  
Sexual Contact ◽  
High Risk Population ◽  
Snowball Sampling ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Good Utilization ◽  
Key Population ◽  
Bisexual And Transgender ◽  
Bisexual People

Introduction: Gay, Bisexual, Transgender community in Nepal are still stigmatized and regarded as vulnerable population. Since, male having sex with male are high risk population for various Sexually Transmitted Infections including Human Immunodeficiency Virus, the knowledge and utilization of condom plays an important role in reducing the risk of Sexually Transmitted Infections. The main purpose of this study was to assess the knowledge and utilization of condom among Gay, Bisexual and Transgender of Nepal. Methods: This was a cross-sectional descriptive quantative study, carried out in Kathmandu valley. Samples were collected from various LGBT related organizations through snowball sampling techniques, recruiting 59 respondents of age 18 and above. Semi structured questionnaire were developed and direct interview with the respondent was taken whose consent was taken before interview. Results: Among 59 respondents, 90% of gay people had enough knowledge regarding condom, 77% of bisexual people had enough knowledge and 52% transgender had enough knowledge regarding condom. Similarly, 68% of gay people had followed good utilization practice of condom, all bisexual people had followed good utilization practice and 78% transgender had followed good utilization practice. Out of total respondent, 80% were found to be using condom consistently during sexual contact in last 12 months. There was found to be significant association between alcohol consumption during sexual contact and utilization of condom. Conclusions: Gay, bisexual and transgender in Nepal are key population for HIV/AIDS transmission. Therefore, more efforts should be made for addressing this issue with proper prioritization, planning and implementation on condom programs.

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