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

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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Pola Penyakit Infeksi Menular Seksual di Poliklinik Kulit Dan Kelamin RSP Bintang Amin Periode 2 Januari 2016 – 31 Desember 2020

ARTERI : Jurnal Ilmu Kesehatan ◽

10.37148/arteri.v2i2.145 ◽

2021 ◽

Vol 2 (2) ◽

pp. 43-48

Author(s):

Arif Effendi ◽

Eka Silvia ◽

Syafei Hamzah ◽

Muhammad Alkabir Ridhwan

Keyword(s):

Sexually Transmitted Infections ◽

Sampling Technique ◽

Hpv Infection ◽

Sexual Contact ◽

Condyloma Acuminata ◽

Cross Sectional ◽

Sexually Transmitted ◽

Cross Sectional Design ◽

And Gender ◽

Quantitative Descriptive

Sexually Transmitted Infections (STIs) are infections that are spread primarily through sexual contact. More than 30 types of microorganisms are known to be transmitted through sexual contact. The most common infections include gonorrhea, chlamydia, syphilis, trichomoniasis, hepatitis B, genital herpes, and human papillomavirus (HPV) infection. Some of the factors that may contribute to the incidence of STIs are sociodemographic and behavioral factors. Purpose: To find out the pattern of sexually transmitted infections at the Skin and Venereal Polyclinic of Bintang Amin Hospital for the period of January 2, 2016 - December 31, 2020. Research Methods: Quantitative descriptive study and cross sectional design and total sampling technique using a questionnaire. Results: The number of samples was 51 from 51 populations, the pattern of sexually transmitted infections in the Polyclinic of Skin and Sex at RSP Bintang Amin, namely condyloma acuminata as many as 28 people (54.9%), candidiasis as many as 16 people (31.4%), Herpes simplex as many as 4 people (7.8%), syphilis as much as 2 people (3.9%) and the lowest was Gonorrhea 1 person (2.0%). Conclusion: The prevalence of sexually transmitted infections that most often occurred in the Skin and Gender Polyclinic of Bintang Amin Hospital for the period January 2, 2016 - December 31, 2020, was obtained the most, namely condyloma acuminata as many as 28 patients (54.9%), with the most female sex being 40 patients ( 78.4%). Age 25-49 years were 36 patients (70.6%), and those who were married were 46 patients (90.2%).

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

10.21203/rs.3.rs-21895/v1 ◽

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.

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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

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20201996 ◽

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.

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Faculty Opinions recommendation of Travel-associated sexually transmitted infections: an observational cross-sectional study of the GeoSentinel surveillance database.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.717968613.793470510 ◽

2013 ◽

Author(s):

Raul Raz ◽

Hana Edelstein

Keyword(s):

Sexually Transmitted Infections ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Sexually Transmitted ◽

Surveillance Database

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Prevalence and health care seeking behaviour for sexually transmitted infections among in-school adolescents in Ado-Ekiti, South-Western Nigeria

International Journal of Adolescent Medicine and Health ◽

10.1515/ijamh-2016-0011 ◽

2016 ◽

Vol 29 (6) ◽

Author(s):

Patrick T. Adegun ◽

Eyitope O. Amu

Keyword(s):

Health Care ◽

Sexually Transmitted Infections ◽

Health Care Seeking ◽

Care Seeking ◽

Self Medication ◽

Cross Sectional ◽

Sexually Transmitted ◽

Stomach Pain ◽

Health Care Seeking Behaviour ◽

Care Seeking Behaviour

Abstract Background: In Nigeria, adolescents are highly vulnerable to sexually transmitted infections (STIs) which have the potential of jeopardising their future reproductive lives if poorly treated. Objective: To determine the prevalence and health care seeking behaviour for STIs among secondary school adolescents in Ado, South-Western Nigeria. Subjects: Male and female adolescents aged 10–19 years. Methods: The study employed a descriptive cross-sectional design. A pre-tested, self-administered, semi-structured questionnaire was used to elicit information from 560 adolescents selected from public and private secondary schools in Ado Local Government Area (LGA) of Ekiti State, using a multistage sampling technique. The data were analyzed using descriptive and inferential statistics. Analyzed data were presented in the form of tables and charts. Results: Two hundred and fifty-one (47.1%) respondents had previous symptoms of STIs. The commonest symptoms among the males were penile discharge (30.5%), painful micturition (30.5%) and stomach pain with swollen testes (25.4%). The commonest symptoms among the females were genital itching (27.6%), genital sores (14.1%) and painful micturition (13.1%). Only 26.7% sought treatment from a health facility; 37.0% did nothing; 15.9% went to patent medicine stores, 10.0% used herbs; the rest did self-medication or prayed. Conclusion: The prevalence of STI symptoms among adolescents in Ado-Ekiti is high but their health care seeking behaviour is poor. Health education about the dangers of untreated STI and the importance of seeking treatment early, targeted at adolescents, should be intensified.

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High Prevalence of Sexually Transmitted Infections and Risk Factors Among HIV-Positive Individuals in Yunnan, China

10.21203/rs.3.rs-936581/v1 ◽

2021 ◽

Author(s):

Wei Tu ◽

Yu-Ye Li ◽

Yi-Qun Kuang ◽

Rong-Hui Xie ◽

Xing-Qi Dong ◽

...

Keyword(s):

Risk Factors ◽

Sexually Transmitted Infections ◽

Genital Tract ◽

Mycoplasma Genitalium ◽

Cross Sectional Study ◽

Multiple Infections ◽

Hiv Positive ◽

Cross Sectional ◽

Sexually Transmitted ◽

High Prevalence

Abstract Background Yunnan has the highest rates of HIV in the country. Other treatable sexually transmitted infections (STIs) are associated with accelerated HIV transmission and poor ART outcomes, but are only diagnosed by syndromic algorithms. Methods We recruited 406 HIV-positive participants for a cross-sectional study (204 ART-naive and 202 ART). Blood samples and first-voided urine samples were collected. Real-time polymerase chain reaction methods were used for Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG) and Mycoplasma genitalium (MG). Syphilis and HSV-2 tests were also performed. Results Among 406 participants, the overall prevalence of STI was 47.0% and 45.1% in ART-naive individuals and 49.0% in ART individuals, respectively. Testing frequency was 11.6% (11.8% vs 11.4%), 33.2% (29.4% vs 37.1%), 3.2% (3.4% vs 3.0%), 2.0% (3.4% vs 0.5%) and 4.7% (6.4% vs 3.0%) for active syphilis, HSV-2, chlamydia, gonorrhoeae and genitalium. Percentage of multiple infections in both groups was 10.8% (22/204) in ART-naive participants and 9.9% (20/202) in ART participants. Females, age between 18 to 35 years, ever injected drugs, homosexual or bisexual, HIV/HBV coinfection, and not receiving ART were identified as risk factors. Self-reported asymptom was not eliminating of having a laboratory-diagnosed STI. Conclusions STI prevalence was 47.0% (45.1% vs 49.0%), HSV-2, syphilis and MG were the most common STIs in HIV-infected individuals. We found high prevalence (6.4%) of Mycoplasma genitalium in ART-naive individuals. ART can reduce the diversity of STI-HIV coinfection but not the prevalence. HIV-positive individuals tend to neglect or maybe hide their genital tract discomfort, thus we suggest strengthening STI joint screening and treatment services among HIV-infected individuals whether they describe genital tract discomfort or not.

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Coinfection of Sexually Transmitted Infections among HIV-Positive Individuals: Cross-Sectional Results of a Community-Based Positive Living with HIV (POLH) Study in Nepal

Journal of the International Association of Providers of AIDS Care (JIAPAC) ◽

10.1177/2325957415614644 ◽

2015 ◽

Vol 16 (4) ◽

pp. 338-346 ◽

Cited By ~ 2

Author(s):

Krishna C. Poudel ◽

Kalpana Poudel-Tandukar ◽

Paula H. Palmer ◽

Tetsuya Mizoue ◽

Masamine Jimba ◽

...

Keyword(s):

Sexually Transmitted Infections ◽

Odds Ratio ◽

Adjusted Odds Ratio ◽

Sexual Practices ◽

Hiv Positive ◽

Community Based ◽

Cross Sectional ◽

Sexually Transmitted ◽

Neisseria Gonorrhea ◽

Living With Hiv

In Asian concentrated HIV epidemics, data on coinfection of sexually transmitted infections (STIs) among HIV-positive individuals are limited. The authors measured the prevalence of Chlamydia trachomatis (CT), Neisseria gonorrhea (NG), and syphilis, and their correlates among 319 HIV-positive individuals in Kathmandu, Nepal. The authors tested blood samples for syphilis and urine samples for CT and NG. Overall, 17 (5.3%) participants had at least 1 STI (CT: 1.3%, NG: 2.8%, and syphilis: 1.2%). Of 226 participants who had sex in past 6 months, 51.3% did not always use condoms. Older (aged 35-60 years) participants were more likely (adjusted odds ratio [AOR] = 3.83; 95% confidence interval [CI] = 1.19-12.33; P = .024) and those who were currently married (AOR = 0.30; 95% CI = 0.09-0.97; P = .046) or on antiretroviral therapy (AOR = 0.21; 95% CI = 0.06-0.71; P = .012) were less likely to have at least 1 STI. Our results suggest the need to strengthen the efforts to screen and treat STIs and to promote safer sexual practices among Nepalese HIV-positive individuals.

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