The Influence of Behavior Factors on The Incidence of Syphilis in High-Risk Men in Public Health Centers, Medan, North Sumatera

2020 ◽  
Author(s):  
Vicky Arfeni Warongan ◽  
◽  
Fazidah Aguslina Siregar ◽  
Etti Sudaryati ◽  
◽  
...  
Keyword(s):  
Public Health ◽  
High Risk ◽  
Sexually Transmitted Diseases ◽  
Previous History ◽  
Case Control ◽  
Health Centers ◽  
Hiv Status ◽  
Sexually Transmitted ◽  
History Of ◽  
Dominant Influence

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

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
Keyword(s):  
Alcohol Consumption ◽  
Sexually Transmitted Diseases ◽  
Univariate Analysis ◽  
Previous History ◽  
Multivariate Logistic Regression Analysis ◽  
Risk Behaviour ◽  
Population Based ◽  
Sexual Partners ◽  
Sexually Transmitted ◽  
History Of

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.

Case-control study of sexually transmitted diseases as cofactors for HIV-1 transmission

1996 ◽  
Vol 7 (1) ◽  
pp. 34-38 ◽  
Author(s):  
E J Beck ◽  
S Mandalia ◽  
K Leonard ◽  
R J Griffith ◽  
J R W Harris ◽  
...  
Keyword(s):  
Sexually Transmitted Diseases ◽  
Case Control Study ◽  
Conditional Logistic Regression ◽  
Infected Individual ◽  
Case Control ◽  
Sexual Contact ◽  
Sexually Transmitted ◽  
History Of ◽  
Hiv 1 ◽  
Control Study

The aim of the study was to investigate the association between infection with HIV-1 infection and a history of other sexually transmitted diseases (STD). We were able to match 1295 HIV-1 infected patients who attended St Mary's Hospital between 1985 and 1991 with 1273 seronegative controls on gender, sexual orientation, injecting drug use and age at time of test. The cases were 3 times more likely to have a history of ever having had another STD than the controls: multivariate conditional logistic regression showed that, after controlling for sexual behaviour, for known sexual contact with an HIV infected individual or AIDS patient or with a resident from a high HIV prevalence area, area of residence and for year of test, a history of gonorrhoea, syphilis, hepatitis B, genital herpes or genital warts were all significantly associated with HIV-1 seropositive status. These findings reinforce the need for HIV containment strategies to be promoted in conjunction with containment programmes for other STDs.

Prison Health, Public Health: Obligations and Opportunities

2005 ◽  
Vol 31 (4) ◽  
pp. 447-478 ◽  
Author(s):  
John V. Jacobi
Keyword(s):  
Public Health ◽  
Sexually Transmitted Diseases ◽  
Chronic Conditions ◽  
Mental Illnesses ◽  
Constitutional Rights ◽  
Sexually Transmitted ◽  
Prison Health ◽  
History Of ◽  
The Republic ◽  
Poor Care

We don't care enough about prisoners’ welfare. We should care deeply because, as two prominent commentators on the history of prisons have said, “Prisoners are ourselves writ large or small. And, as such, they should not be subjected to suffering exceeding fair expiation for the crimes for which they have been convicted.” Well over two million persons are imprisoned in America today. We imprison a higher percentage of our population than any other country. Those we imprison are disproportionately poor, of color, uneducated, and sick. They have chronic conditions, mental illnesses, sexually transmitted diseases and other infectious diseases. They usually receive inadequate health care—and sometimes shockingly poor care.6 It has always been so. Prison reformers have argued for decent prison care based on humanitarian principles since the founding of the Republic, and, notwithstanding some notable achievements, have failed to achieve decent conditions. In the last fifty years, reformers shifted to individual rights arguments based on prisoners’ constitutional rights.

scholarly journals Prevalence and Factors Associated with Postpartum Depression Among Mothers Attending Public Health Centers of Addis Ababa, Ethiopia, 2016

2018 ◽  
Vol 14 (1) ◽  
pp. 196-206 ◽  
Author(s):  
Addishiwet Fantahun ◽  
Amsale Cherie ◽  
Leul Deribe
Keyword(s):  
Public Health ◽  
Postpartum Depression ◽  
Low Income ◽  
Random Sampling ◽  
Addis Ababa ◽  
Previous History ◽  
Health Centers ◽  
Factors Associated ◽  
History Of ◽  
Health Institutions

Objectives:Postpartum Depression (PPD) is a serious public health problem that leads to high maternal morbidity and mortality, enormously affecting the infant, family and society. Thus, the aim of this study was to assess the prevalence and factors associated with postpartum depression among postpartum mothers attending public health centers in Addis Ababa, Ethiopia, 2016.Methods:Facility-based cross-sectional study was conducted from March 2016-April 2016 among 633 postpartum women. Four sub cities were identified through simple random sampling technique among 10 sub cities in Addis Ababa, Ethiopia. Furthermore, the study participants were determined by systematic random sampling after 10 health centers were selected by lottery method and the number of participants in each health center was proportionally allocated. In order to determine postpartum depression, participants were rated using the Edinburgh Postnatal Depression Scale (EPDS) and the findings were analyzed using bivariate and multivariate logistic regression. P-value less than 0.05 with 95% confidence interval was used to state the association.Results:The study revealed prevalence of postpartum depression among mothers was 23.3%. Moreover, women who were unmarried, had unplanned pregnancy, delivered without presence of any relatives in health institutions, had previous history of child health, had history of substance use and had low income were found to more often display postpartum depression.Conclusion:For optimal maternal health care provision in regards to postpartum depression, integration of mental health service in addition to inter sectoral collaboration of women’s affair with health institutions is crucial.

scholarly journals Nurse-led PrEP-RN clinic: a prospective cohort study exploring task-Shifting HIV prevention to public health nurses

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e040817
Author(s):  
Patrick O'Byrne ◽  
Amanda Vandyk ◽  
Lauren Orser ◽  
Marlene Haines
Keyword(s):  
Public Health ◽  
Cohort Study ◽  
High Risk ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Secondary Outcome ◽  
Bivariate Analysis ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Risk Criteria

ObjectiveTo report the results of a nurse-led pre-exposure prophylaxis (PrEP) delivery service.DesignThis was a prospective cohort study conducted from 5 August 2018 to 4 March 2020. It involved manual chart review to collect data. Variables were described using frequencies and percentages and analysed using χ2 testing. Those significant in bivariate analysis were retained and entered into a binary multiple logistic regression. Hierarchical modelling was used, and only significant factors were retained.SettingThis study occurred in an urban public health unit and community-based sexually transmitted infection (STI) clinic in Ottawa, Canada.ParticipantsOf all persons who were diagnosed with a bacterial STI in Ottawa and everyone who presented to our STI clinic during the study period, there were 347 patients who met our high-risk criteria for PrEP; these criteria included patients who newly presented with any of the following: HIV contacts, diagnosed with a bacterial STI or single use of HIV PEP. Further, eligibility could be determined based on clinical judgement. Patients who met the foregoing criteria were appropriate for PrEP-RN, while lower-risk patients were referred to elsewhere. Of the 347 patients who met our high-risk criteria, 47% accepted and 53% declined. Of those who accepted, 80% selected PrEP-registered nurse (RN).Primary and secondary outcome measuresUptake, acceptance, engagement and attrition factors of participants who obtained PrEP through PrEP-RN.Findings69% of participants who were eligible attended their intake PrEP-RN visit. 66% were retained in care. Half of participants continued PrEP and half were lost to follow-up. We found no significant differences in the uptake, acceptance, engagement and attrition factors of participants who accessed PrEP-RN regarding reason for referral, age, ethnicity, sexual orientation, annual income, education attainted, insurance status, if they have a primary care provider, presence or absence of depression or anxiety and evidence of newly acquired STI during the study period.ConclusionsNurse-led PrEP is an appropriate strategy for PrEP delivery.

scholarly journals Association between eye diagnosis and positive syphilis test results in a large, urban sexually transmitted infection/primary care clinic population

2017 ◽  
Vol 29 (4) ◽  
pp. 357-361 ◽  
Author(s):  
Ann-Marie Lobo ◽  
Yan Gao ◽  
Laura Rusie ◽  
Magda Houlberg ◽  
Supriya D Mehta
Keyword(s):  
Primary Care ◽  
High Risk ◽  
Sexually Transmitted Infection ◽  
Laboratory Data ◽  
Primary Care Clinic ◽  
Eye Disease ◽  
Hiv Status ◽  
Transmitted Infection ◽  
Care Clinic ◽  
Sexually Transmitted

In 2015, the Centers for Disease Control and Prevention (CDC) and the American Academy of Ophthalmology (AAO) released clinical advisories on rising cases of ocular syphilis. We examined the association between eye disease and syphilis infection among primary care and sexually transmitted infection (STI) clinic patients attending an urban lesbian, gay, bisexual, transgender (LGBT) health center. We conducted a retrospective medical record review of all patients who underwent syphilis testing at Howard Brown Health between 1 January 2010 and 31 December 2015. Confirmed eye diagnosis was based on International Classification of Diseases, Ninth Revision (ICD-9) diagnosis codes for conjunctivitis, uveitis, keratitis, retinitis, and red eye. Demographic information, syphilis treatment, HIV status, and high-risk behaviors were abstracted. Syphilis diagnosis was defined by available laboratory data (enzyme immunoassay [EIA], rapid plasma reagin [RPR] titer, fluorescent treponemal antibody absorption [FTA-Abs], Treponema pallidum Ab). Multivariable logistic regression with robust variance was used to identify independent associations. During the study period, 71,299 syphilis tests were performed on 30,422 patients. There were 2288 (3.2%) positive syphilis tests. Seventy-seven patients had a confirmed eye diagnosis (0.25%). Patients with eye disease had higher probability of at least one positive syphilis test (33%) compared to those without eye disease (8%) ( p < 0.01). Of patients with eye disease, 77% were men who had sex with men (MSM) and 65% were HIV-positive. Patients with eye disease had 5.97 (95% CI: 3.70, 9.63) higher odds of having syphilis compared to patients without eye disease. When adjusted for age, race, gender/sexual orientation, insurance status, and HIV status, this association between positive syphilis test and eye disease decreased but was still significant (OR 2.00, 95% CI 1.17, 3.41). Patients who present with an eye diagnosis to STI/primary care clinic have a higher probability of positive syphilis tests even after adjusting for other risk factors for syphilis. High-risk patients with eye symptoms should have routine STI testing and in keeping with CDC and AAO recommendations, full ophthalmologic examination.

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