scholarly journals Sex-habit and Sexually Transmitted Infection (STIs) Among The Drug Abusers Undergoing Detoxification

2013 ◽  
Vol 14 (1) ◽  
pp. 5-10
Author(s):  
Kazi Jahangir Hossain ◽  
Md. Rizwanul Karim ◽  
Abul Masud Md. Nurul Karim ◽  
Md. Mustafa Kamal
Keyword(s):  
Addiction Treatment ◽  
Illicit Drugs ◽  
Drug Abusers ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Multiple Partners ◽  
Injection Drugs ◽  
Treatment Centre ◽  
N 93 ◽  
Drug Habit

Drug abuse is increasing alarmingly with time among the young-adults in Bangladesh. The objective of the study was to investigate sex-habit and STIs of the drug abusers. A total of 1076 drug abusers undergoing detoxification voluntarily at the Central Drug Addiction Treatment Centre (CTC), Tejgaon, Dhaka were investigated from September 2010 to August 2011. They were selected consecutively on the basis of defined selection criteria. Research instrument was an interviewer questionnaire and blood specimen. Results showed that 82.1% (n=883) were heterosexual and 16.2% (n=174) had no sex. The majority of them (55.3%, n=595) had enjoyed sex with multiple partners. They enjoyed sex with commercial sex sellers (11.1%, n=119) but majority of them (34.2%, n=368) had sex with all categories including spouse. Results also showed that majority of them had unethical sex, of which 24.9%(n=268) had experience about extramarital sex and 30.4%(n=327) premarital sex respectively. Around 55.0%(n=594) of them did not use condom during sex and 21.9%(n=236) used it occasionally. The 14.5%(n=156) of them had signsymptoms of gonorrhea and syphilis, of which 1.8%(n=19) had genital ulcer, 3.7%(n=40) genital discharge and 9.0%(n=97) had both ulcer and discharge respectively. In laboratory analysis, 16.3%(n=175) had STIs positive results, of which 9.9%(n=107) were RPR reactive, 1.8%(n=19) URS reactive and 4.6%(n=49) both RPR and URS reactive respectively. In drug habit, results also showed that 82.6% (n=889) of them had been using heroin and the rests used cannabis (8.6%, n=93), phensedyl (5.4%, n=58) and injections (3.3%, n=25) respectively. Forty two percent (n=455) of them had been abusing it for 1-5 years, 31.4% (n=338) for 6-10 years and 26.3%(n=283) for 11-20 years. Most of them (91.1%, n=980) used multiple illicit drugs and their ultimate choice of drug was heroin (77.3%, n=832). About 22.6%(n=243) addicts abused injection drugs in their lifetime. Altering behaviors, especially their drug habit and sexual lifestyle are still the only applicable ways to stop this human catastrophe. DOI: http://dx.doi.org/10.3329/jom.v14i1.14529 J MEDICINE 2013; 14 : 5-10 

scholarly journals Nutritional status of drug addicts undergoing detoxification: prevalence of malnutrition and influence of illicit drugs and lifestyle

2002 ◽  
Vol 88 (5) ◽  
pp. 507-513 ◽  
Author(s):  
S. K. Nazrul Islam ◽  
Kazi Jahangir Hossain ◽  
Afsaruddin Ahmed ◽  
Monira Ahsan
Keyword(s):  
Nutritional Status ◽  
Addiction Treatment ◽  
Illicit Drugs ◽  
Clinical Signs ◽  
Nutrient Deficiency ◽  
Drug Addicts ◽  
Nutritional Indices ◽  
Sexually Transmitted ◽  
Negative Effect ◽  
Drug Habit

The aim of the present study was to investigate the nutritional status of drug addicts, the prevalence of malnutrition among them and the influence of their drug habit and lifestyle factors on their nutritional indices. The study was conducted among 253 male drug addicts, who sought detoxification at the Central Drug Addiction Treatment Hospital, Dhaka, during the period of June 1998–July 1999. One hundred age-, height- and socioeconomic-matched non-addicted healthy men were recruited by convenience as cohort controls. Results showed that the drug addicts had significantly (P<0·001) lowered BMI, haemoglobin, and serum total protein and albumin levels. Clinical signs of nutrient deficiency were diagnosed in about 74 % of drug addicts. The BMI, biochemical values and nutrient deficiency signs indicated that more than 60 % of drug addicts were suffering from multiple malnutrition. One-way ANOVA demonstrated a significant (P<0·05) negative correlation between drug habit, sexually transmitted diseases and selected nutritional indices, and a positive correlation between education, income and the nutritional indices. A series of multiple regression analyses revealed that education, income and age showed significantly predicted BMI and biochemical indices, and the group (non-drug addicts or drug addicts) had a significant negative effect on these parameters in favour of controls.

Domestic violence in a genitourinary medicine setting – an anonymous prevalence study in women

2008 ◽  
Vol 19 (11) ◽  
pp. 747-751 ◽  
Author(s):  
W C Loke ◽  
L Bacchus ◽  
C Torres ◽  
E Fox
Keyword(s):  
Domestic Violence ◽  
Partner Violence ◽  
Illicit Drugs ◽  
Cross Sectional Survey ◽  
Transmitted Infection ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Medicine Clinic ◽  
History Of ◽  
The Uk

Domestic violence (DV) affects around one in four women in the UK. This study aimed to determine the prevalence of DV and the associations with sociodemographic and sexual behaviour variables in female attendees of an inner-city genitourinary (GU) medicine clinic. In this cross-sectional survey, 177 of 380 women (46.6%) disclosed a history of abuse and 17.4% reported DV in the preceding 12 months. Women with a history of a sexually transmitted infection (STI) were more likely to have experienced DV at some point in their lives (odds ratio [OR] = 2.39; 95% confidence interval [CI]: 1.58–3.63). Logistic regression analysis revealed that being black compared with white, (OR = 1.7; 95% CI: 2.4–12.5) current cohabitation with a partner (OR = 2.24; 95% CI: 1.06–4.75), increasing number of sexual partners in the last year (OR = 1.24; 95% CI: 1.01–1.5) and consumption of illicit drugs (OR = 2.05; 95% CI: 1.02–4.11) were significantly associated with DV in the last 12 months but age, current occupation, history of STIs, age of coitarche and condom use were not. DV was common in this GU medicine clinic population and associated with STIs. We recommend that health practitioners undergo training to increase awareness of the links between partner violence and sexual health problems.

scholarly journals Sociodemographic and clinical factors of women with HPV and their association with HIV

2015 ◽  
Vol 23 (1) ◽  
pp. 74-81 ◽  
Author(s):  
Joice Gaspar ◽  
Silvana Maria Quintana ◽  
Renata Karina Reis ◽  
Elucir Gir
Keyword(s):  
Illicit Drugs ◽  
White Women ◽  
Low Grade ◽  
Chi Square ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Multiple Partners ◽  
Chi Square Test ◽  
Reference Service ◽  
Intraepithelial Lesions

OBJECTIVE: to identify the association between HIV-seropositive or HIV-seronegative status and the sociodemographic and clinical variables of women with genital HPV infection.METHOD: cross-sectional, retrospective study in a reference service in Ribeirão Preto. A total of 824 women undergoing HIV testing who had high or low grade cervical intraepithelial lesions or condylomatous genital lesions caused by HPV were studied. The chi-square test and logistic regression analysis with the calculation of the odds ratio and a confidence interval of 95% were conducted to verify the association.RESULTS: a higher probability of seropositivity was identified for non-white women; with low education; widowed; who consumed alcohol, tobacco or illicit drugs; with hepatitis C; who had multiple partners; and that worked as prostitutes.CONCLUSION: the increasing impairment of women due to sexually transmitted infections, considering the influence of the socioeconomic and behavioral context on the course of these infections, highlights the importance of public policies that establish intervention strategies involving the prevention, early diagnosis and timely treatment of these diseases, so that there is the promotion of quality of life in this population.

scholarly journals Psychosocial illness among the drug abusers undergoing detoxification in Dhaka, Bangladesh

2015 ◽  
Vol 4 (2) ◽  
pp. 36-41
Author(s):  
Bushra Zaman ◽  
SM Moslehuddin Ahmed ◽  
Mir Mahmud Hossain ◽  
Md Mustafa Kamal
Keyword(s):  
Drug Addiction ◽  
Addiction Treatment ◽  
Influencing Factor ◽  
Age Groups ◽  
Severe Depression ◽  
Peer Pressure ◽  
Life Time ◽  
Drug Abusers ◽  
Control Drug ◽  
Treatment Centre

Abuse of drugs is a worldwide problem. Drug addiction is increasing tremendously in the South Asian countries especially in Bangladesh where such addiction is widespread among the younger age groups. It causes rapid erosion of educational, cultural, moral and family values. On the basis of defined criteria a total of 300 drug abusers who undergoing detoxification at the outpatient department of Central Drug Addiction Treatment Centre, Tejgaon, Dhaka were selected. The study was done for a period of one year from July 2013 to June 2014. Data were collected by face to face interview using pre-tested questionnaire. The analysis was done by computer using SPSS version 22.0. About 68% of the drug abusers had taken drugs for 2-5 years and 38% had taken three drugs during their life time. The major influencing factor for taking drugs was for peer pressure. Among the drug abusers 77% had taken Ganja, 60% Heroin as their first drug and 37% Yaba as their last drug. The depression was measured by the Beck's Depression Inventory that showed 55% of the drug abusers had moderate depression, 23% borderline clinical depression, 15% mild mood disturbance, 4% severe depression, and 3% had extreme depression. There were s ignificant associations between the duration of taking drugs (p<0.001), the number of taking drugs (p<0.006), and the age of first use of drugs (p<0.019) with depression. Majority of the drug abusers had depression and a significant number of them were involved in antisocial activities as well as violence. Family and social participation, behavioral therapies and proper medical management are essential to control drug addiction.South East Asia Journal of Public Health Vol.4(2) 2014: 36-41

Pelvic inflammatory disease

2019 ◽  
pp. 169-180
Keyword(s):  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Past History ◽  
Age Group ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Multiple Partners ◽  
History Of ◽  
Supporting Structures

Pelvic inflammatory disease (PID) is inflammation of the female upper genital tract—endometrium, fallopian tubes, ovaries, and supporting structures. Annual incidence is estimated at 1/1000 women, most common in the 15–24 age group. It is usually sexually acquired, commonly caused by C. trachomatis, N. gonorrhoeae, M. genitalium, and organisms associated with bacterial vaginosis. Risk factors include recent new sexual partner or multiple partners, and a past history of a sexually transmitted infection. Long-term sequelae include infertility and chronic pelvic pain. A diagnosis of PID is usually based on signs, symptoms, and examination. This chapter describes aetiology, diagnosis, and management of pelvic inflammatory disease.

scholarly journals “You can smell the freedom”: a qualitative study on perceptions and experiences of sex among Swedish men who have sex with men in Berlin

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e024459 ◽  
Author(s):  
Nicklas Dennermalm ◽  
Kristina Ingemarsdotter Persson ◽  
Sarah Thomsen ◽  
Birger C Forsberg
Keyword(s):  
Qualitative Study ◽  
High Mobility ◽  
Structured Interviews ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Cultural Aspects ◽  
Multiple Partners ◽  
Sti Testing ◽  
Sex With Men ◽  
Exposure Prophylaxis

PurposeThe purpose of this study was to explore the perceptions and experiences of sex among Swedish Men who have Sex with Men (MSM) in Berlin.BackgroundMSM are disproportionally affected by HIV.Berlin is also a key destination when looking into where Swedish MSM sero-convert, while travelling.MethodA qualitative study with semi-structured interviews using open-ended questions with participants recruited through network sampling. Data were analysed with content analysis.Participants15 Swedish cis-men (as in non-transgender) who have sex with men aged 25–44 years, who travelled to or were living in Berlin. To be included in the study, the participants had to be cis-MSM, Swedish citizens, spending time in Berlin and having sex in both settings.ResultsFor a majority of the participants, sex was the main reason for going to Berlin but cultural aspects like art and the techno scene were also important. Berlin was perceived as a sex-oriented city providing venues where respondents did not have to care about reputation and status and where social and sexual spaces co-existed side by side. This in sharp contrast to Sweden, which represented a limiting environment both in culture and what was available culturally and sexually.ConclusionThe men interviewed experienced multiple partners and had a broad sexual repertoire both abroad and at home. However, the behaviour was amplified in Berlin. The men did not alter their safer sex practice depending on if they had sex in Sweden or Berlin. The high mobility and vulnerability for HIV/sexually transmitted infection (STI) among these men highlights the need of increased access to antiretroviral treatment, pre-exposure prophylaxis for HIV and low-threshold HIV/STI testing services in Europe.

scholarly journals Characteristics of youth agreeing to electronic sexually transmitted infection risk assessment in the emergency department

2017 ◽  
Vol 35 (1) ◽  
pp. 46-51 ◽  
Author(s):  
Fahd A Ahmad ◽  
Donna B Jeffe ◽  
Katie Plax ◽  
Kenneth B Schechtman ◽  
Dwight E Doerhoff ◽  
...  
Keyword(s):  
Demographic Data ◽  
Chief Complaint ◽  
Sexual History ◽  
Computer Assisted ◽  
Inconsistent Condom ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Multiple Partners ◽  
Sti Testing ◽  
To Receive

ObjectivesAdolescents and young adults are at high risk for sexually transmitted infections (STIs). We previously reported an increase in STI testing of adolescents in our ED by obtaining a sexual history using an Audio-enhanced Computer-Assisted Self-Interview (ACASI). We now examine associations among demographics, sexual behaviour, chief complaint and willingness to be tested.MethodsThis was a prospective study conducted in a paediatric ED between April and December 2011. After triage, eligible patients between 15 and 21 years presenting with non-life-threatening conditions were asked to participate in the study. Consenting participants used an ACASI to provide their demographic data and answer questions about their sexual history and willingness to be tested. Our primary outcome was the association of demographics, chief complaint and ACASI recommendation with the participant’s willingness to be tested.ResultsWe approached 1337 patients, of whom 800 (59%) enrolled and completed the ACASI. Eleven who did not answer questions related to their sexual history were excluded from analysis. Of 789 participants, 461 (58.4%) were female and median age was 16.9 years (IQR 16.0–17.8); 509 (64.5%) endorsed a history of anal, oral and/or vaginal intercourse. Disclosing a sexual history and willingness to be tested did not differ significantly by gender. 131 (16.6%) had a chief complaint potentially referable to an STI; among the 658 participants with non-STI-related complaints, 412 (62.6%) were sexually active, many of whom disclosed risky behaviours, including multiple partners (46.4%) and inconsistent condom use (43.7%). The ACASI identified 419 patients as needing immediate STI testing; the majority (81%) did not have a chief complaint potentially related to STIs. 697 (88.3%) participants were willing to receive STI testing. Most (94.6%) of the patients with STI-related complaints were willing to be tested, and 92.1% of patients with a recommendation for immediate testing by the ACASI indicated a willingness to be tested.ConclusionsAdolescents were willing to disclose sexual activity via electronic questionnaires and were willing to receive STI testing, even when their chief complaint was not STI related. The ACASI facilitated identification of adolescent ED patients needing STI testing regardless of chief complaint.

scholarly journals Condom use errors and problems: a study of high-risk young Black men residing in three Southern US cities

2014 ◽  
Vol 25 (13) ◽  
pp. 943-948 ◽  
Author(s):  
Richard A Crosby ◽  
Robin R Milhausen ◽  
Stephanie A Sanders ◽  
Cynthia A Graham ◽  
William L Yarber
Keyword(s):  
Condom Use ◽  
Black Men ◽  
Sexually Transmitted Infection ◽  
Sexual Partner ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Multiple Partners ◽  
Southern Us ◽  
Us Cities

The primary aim of this study was to assess self-reported frequencies of selected condom use errors and problems, using a retrospective recall period of 2 months, among young Black men attending sexually transmitted infection clinics. A secondary objective was to determine whether more errors/problems occurred among men reporting sex with multiple partners compared with those reporting one sexual partner. Data were collected in clinics treating patients with sexually transmitted infections in three Southern US cities. Men, 15–23 years of age who identified as Black/African American and reported recent (past 2 months) condom use were eligible (N = 475). Condom use errors and problems were common, with some of the most critical errors occurring for greater than one of every five young Black men, such as late application, early removal, slipping off during sex, and re-using condoms. For 8 (33.3%) of the 24 errors/problems assessed, young Black men reporting more than one sexual partner in the previous 2 months experienced more errors and problems than men reporting only one partner. The disease protective value of condoms may be sub-optimal in this population. A need exists to improve the quality of condom use among young Black men at risk of sexually transmitted infection acquisition or transmission. Intensified clinic-based intervention that helps young Black men improve the quality of their condom use behaviours is warranted.

scholarly journals Optimizing Coverage vs Frequency for Sexually Transmitted Infection Screening of Men Who Have Sex With Men

2019 ◽  
Vol 6 (10) ◽  
Author(s):  
Kevin M Weiss ◽  
Jeb S Jones ◽  
Emeli J Anderson ◽  
Thomas Gift ◽  
Harrell Chesson ◽  
...  
Keyword(s):  
Population Level ◽  
Transmission Model ◽  
Sexually Active ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Multiple Partners ◽  
Number Needed To Screen ◽  
Control And Prevention ◽  
Optimal Screening ◽  
Sex With Men

Abstract Background The incidence of bacterial sexually transmitted infections (STIs) in men who have sex with men (MSM) has increased substantially despite availability of effective antibiotics. The US Centers for Disease Control and Prevention (CDC) recommends annual screening for all sexually active (SA) MSM and more frequent screening for high-risk (HR) MSM. The population-level benefits of improved coverage vs increased frequency of STI screening among SA vs HR MSM are unknown. Methods We used a network transmission model of gonorrhea (NG) and chlamydia (CT) among MSM to simulate the implementation of STI screening across different scenarios, starting with the CDC guidelines at current coverage levels. Counterfactual model scenarios varied screening coverage and frequency for SA MSM and HR MSM (MSM with multiple recent partners). We estimated infections averted and the number needed to screen to prevent 1 new infection. Results Compared with current recommendations, increasing the frequency of screening to biannually for all SA MSM and adding some HR screening could avert 72% of NG and 78% of CT infections over 10 years. Biannual screening of 30% of HR MSM at empirical coverage levels for annual SA screening could avert 76% of NG and 84% of CT infections. Other scenarios, including higher coverage among SA MSM and increasing frequency for HR MSM, averted fewer infections but did so at a lower number needed to screen. Conclusions The optimal screening scenarios in this model to reduce STI incidence among MSM included more frequent screening for all sexually active MSM and higher coverage of screening for HR men with multiple partners.

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