scholarly journals De-Sexualizing Partner Notification: A Qualitative Study on Chinese Young Adults with Chlamydia

Author(s):  
Bobo H. P. Lau ◽  
Lucia Liu ◽  
Celia H. Y. Chan ◽  
Cecilia L. W. Chan ◽  
Jason J. Ong ◽  
...  

Background: Chlamydia is common amongst the sexually active population in Hong Kong. As most cases are asymptomatic, partner notification may be helpful in controlling chlamydia. This study examined attitudes towards partner notification for chlamydia among Hong Kong Chinese youths in order to inform a culturally appropriate, patient-empowering sexual health service. Methods: Sixteen individuals (aged 20 to 31) who received a confirmed diagnosis of chlamydia within the previous twelve months of data collection were recruited from two community-based organizations between June and December 2017. Semi-structured individual interviews were conducted by a health psychologist. Results: Nine participants notified a total of eleven current and ex-partners. Seven participants did not notify their sexual partner(s). Our findings revealed how participants struggled with the discrediting sexual aspect of their infection, and how de-sexualizing the infection and selected disclosure facilitated partner notification and social acceptance. Perceived stigma regarding chlamydia however did not dissipate with their disclosure. Participants did not perceive lasting impact of chlamydia on their well-being as they thought they have much control over whether and how to disclose to their (future) partners. All participants agreed there was a pressing need to raise public awareness on this silent but highly prevalent sexually transmitted infection. Conclusions: Our findings illustrate the complex struggle behind communicating about chlamydia to one’s sexual partner and how strategizing the disclosure process served to circumvent embarrassment and foster testing of sexual partners.

2020 ◽  
Vol 31 (7) ◽  
pp. 627-636 ◽  
Author(s):  
Pooja Chitneni ◽  
Mags Beksinska ◽  
Janan J Dietrich ◽  
Manjeetha Jaggernath ◽  
Kalysha Closson ◽  
...  

Partner notification and treatment are essential components of sexually transmitted infection (STI) management, but little is known about such practices among adolescents and young adults. Using data from a prospective cohort study (AYAZAZI) of youth aged 16–24 years in Durban, South Africa, we assessed the STI care cascade across participant diagnosis, STI treatment, partner notification, and partner treatment; index recurrent STI and associated factors; and reasons for not notifying partner of STI. Participants completed laboratory-based STI screening ( Chlamydia trachomatis, Neisseria gonorrhoeae, Mycoplasma genitalium, Trichomonas vaginalis) at enrollment and at 12 months. Of the 37/216 participants with STI (17%), 27/37 (73%) were women and 10/37 (27%) were men. Median age was 19 years (IQR: 18–20). Of the participants with STI, 23/37 (62%) completed a Treatment and Partner Tracing Survey within 6 months of diagnosis. All survey participants reported completing STI treatment (100%), 17/23 (74%) notified a partner, and 6/23 (35%) reported partner treatment. Overall, 4/23 (11%) participants had 12-month recurrent C. trachomatis infection, with no association with partner notification or treatment. Stigma and lack of STI knowledge were reasons for not notifying partner of STI. STI partner notification and treatment is a challenge among youth. Novel strategies are needed to overcome barriers along the STI care cascade.


2021 ◽  
pp. 187-240
Author(s):  
Victoria Mckenzie ◽  
Leila Frodsham ◽  
Debra Holloway

This chapter covers problems that can occur with sexual health in women. It starts with the definition, assessment, diagnosis, investigations, and treatment of different sorts of vaginal discharge. It provides information about sexual health in context, including its links with other forms of disease and psychological well-being. Protocols for partner notification in the cases of diagnosis with a sexually transmitted disease are explained. The signs, symptoms, and treatment for gonorrhea, chlamydia, and Mycoplasma genitalium are all covered. It also covers the definition, causes, diagnosis, and treatment of pelvic inflammatory disease. Hepatitis B and C are described, along with anogenital warts, genital herpes, and genital lumps and ulcers. Finally HIV and new developments such as PrEP and PEP are covered.


2012 ◽  
Vol 23 (7) ◽  
pp. 518-519
Author(s):  
L Mercer ◽  
T C Harry

We retrospectively reviewed partner notification of patients diagnosed with first episode genital warts seen in the genitourinary (GU) medicine clinic, Great Yarmouth, UK, from January 2005 to December 2008. Of 947 patients diagnosed with genital warts, 486 (51.3%) were men, median age 25 years; 461 (48.7%) were women, median age 21 years and the partner notification index was 32.9%. In our cohort, 310 patients 33.2% reported having had a casual partner that could not be traced. The median relationship duration of partners whose contact attended was nine months and those whose contact did not attend was two months, (χ2 = 49.72, P < 0.0001). The odds ratio (OR) of a contact attending after seeing a health adviser was 2.94 (95% confidence interval [CI] = 1.79–4.86). In our cohort 35.6% of contacts whose partners saw a health adviser attended compared with 15.7% of contacts whose partner did not see a health adviser (χ2 = 19.7, P < 0.0001). Among the contacts 26% had genital warts, 28% had another sexually transmitted infection (STI) and 12% had both genital warts and another STI. The low partner notification index was associated with the reported casual partnerships seen in the cohort. Partner notification was enhanced when patients saw a health adviser.


2018 ◽  
Vol 45 (5) ◽  
pp. 354-357 ◽  
Author(s):  
Martijn S. van Rooijen ◽  
Hannelore Gotz ◽  
Pjer Vriens ◽  
Titia Heijman ◽  
Rik Koekenbier ◽  
...  

Treponema pallidum is the bacterial spirochaete responsible for the sexually transmitted infection syphilis. Syphilis has been recognized as an STI since at least the mid-1500s. Rates declined in the second half of the 20th century, but in the past 20 years have risen >20-fold with >4000 cases per year since 2014. This chapter discusses epidemiology, clinical features of the different stages of syphilis, and management of adults, pregnant women, and children diagnosed with syphilis. The management of complications of syphilis are also explained, including neurosyphilis. Treatment side effects, partner notification, and epidemiological treatment is also covered


2021 ◽  
pp. 095646242110332
Author(s):  
Emily Hansman ◽  
Adriane Wynn ◽  
Neo Moshashane ◽  
Kehumile Ramontshonyana ◽  
Atlang Mompe ◽  
...  

Partner notification and treatment are essential to sexually transmitted infection (STI) management. However, in low- and middle-income countries, half of partners do not receive treatment. A mixed methods study was conducted to explore experiences and preferences around partner notification and treatment in patients seeking STI care in Gaborone, Botswana. Thirty participants were administered a quantitative survey, followed by a semi-structured interview on partner notification, treatment, and expedited partner therapy (EPT). Among the 30 participants, 77% were female with a median age of 28 years (IQR = 24–36), 87% notified their partner, and 45% of partners requiring treatment received treatment. Partners who received a contact slip were more likely to have been treated than those who did not (75% vs. 25%). Contact slips were identified as facilitators of notification and treatment, while asymptomatic partners and limited clinic resources were identified as barriers to treatment. Few participants expressed a preference for EPT and concerns included preference for medical supervision, a belief their partner would refuse, and an inability to explain the treatment. Despite successful notification, partner treatment was modest within this population. Information for partners, provider counseling, and improved access to services may increase partner treatment. Education on STIs and treatment options may improve EPT acceptability.


2019 ◽  
Vol 1 (1) ◽  
pp. 1-5
Author(s):  
Nasyifa Nurul Fitriany ◽  
Raden Ganang Ibnusantosa ◽  
Titik Respati ◽  
Deis Hikmawati ◽  
Tony S. Djajakusumah

Gonore merupakan infeksi menular seksual yang disebabkan oleh Neisseria gonorrhoeae. Salah satu karakteristik yang memengaruhi seseorang terkena gonore antara lain  pengetahuan mengenai infeksi gonore. Gonore  memiliki komplikasi seperti epididimitis, orkitis, prostatitis, cowperitis, bahkan infertilitas. Di samping itu, gonore dapat meningkatkan angka kejadian HIV. Tujuan penelitian ini mengetahui karakteristik dan tingkat pengetahuan dampak infeksi gonore pada pasien pria dengan gonore berdasar atas karakteristik usia dan jenis pasangan di salah satu  Klinik IMS di Kota Bandung periode Maret–Mei 2018. Penelitian ini menggunakan metode deskriptif cross sectional. Subjek penelitian berjumlah 60 orang dengan pengambilan sampel secara consecutive sampling. Pengumpulan data menggunakan kuesioner dan wawancara. Pada penelitian ini didapatkan kejadian gonore terbanyak pada rentang usia 25–49 tahun (67%), wiraswasta (92%), belum menikah (77%), dan memiliki pasangan pria (53%).  Responden memiliki pengetahuan baik mengenai dampak infeksi gonore sebanyak (54%). Bila dilihat berdasar atas karakteristik usia, responden yang memiliki pengetahuan baik adalah responden pada rentang usia 25–49 tahun (74%), sedangkan karakteristik berdasar atas jenis pasangan, responden berpengetahuan baik yaitu yang memiliki pasangan pria (52%). Simpulan penelitian ini bahwa pengetahuan mengenai dampak infeksi gonore pada pasien pria dengan gonore tergolong baik.KNOWLEDGE ABOUT  THE IMPACT OF GONORRHEA INFECTION IN GONORRHEA MALE PATIENTSGonorrhea is a sexually transmitted infection caused by Neisseria gonorrhoeae. One of the characteristics that affect people is knowledge of affected by gonorrhea. Complications of gonorrhea are epididymitis, orchitis, prostatitis, cowperitis, and even infertility. Also, gonorrhea could increase the number of HIV incidence. The purpose of this study was to determine the characteristics and level of knowledge of male patients with gonorrhea based on the characteristics of age and gender of sexual partner at Klinik IMS in Kota Bandung period March–May 2018. This study used the descriptive cross-sectional method. There were 60 participants in this study, chosen using consecutive sampling technique. The data collected from questionnaires and interviews. In this study, the highest incidence found in 25 to 49 years old (67%), enterpreneur (92%), single (77%), and male partner (53%). Respondents had good knowledge about gonorrhea infection (54%). According to the results of this study, respondents who had good knowledge about the impact of gonorrhea infection were 25 to 49 years (74%), while according to gender sexual partner, well-informed respondents were men who had a male sexual partner (52%). The conclusion of this study is the patient’s knowledge about the impact of gonorrhea were good.


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