scholarly journals Hospitalizations due to Congenital Syphilis in Neonates: Associated Factors from the Prenatal Care Process

Aquichan ◽  
2020 ◽  
Vol 20 (4) ◽  
pp. 1-11
Author(s):  
Érica de Brito Pitilin ◽  
Vanessa Aparecida Gasparin ◽  
Debora Tavares de Resende e Silva ◽  
Jeane Barros de Souza ◽  
Fabiana Brum Haag
Keyword(s):  
Prenatal Care ◽  
Congenital Syphilis ◽  
Previous History ◽  
Rapid Test ◽  
Educational Activity ◽  
Care Process ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Skin Contact ◽  
History Of

Objective: To identify the factors associated with hospitalizations due to congenital syphilis in neonates, based on the characteristics of prenatal care. Materials and method: A quantitative case-control study, conducted by applying a questionnaire to 65 puerperal women with their babies hospitalized from July to November 2017. The data were analyzed using logistic regression, according to the plan proposed in the hierarchical approach. Results: 20% of the hospitalizations were due to syphilis (cases) and 80% to other causes (control). The vulnerability risk (p = 0.036), previous history of sexually transmitted infection (p = 0,006), use of oral contraceptives (p = 0.011) and parity (p = 0.043) variables were statistically significant. The absence of the partner during the consultation (p = 0.028), failure to perform a rapid test for syphilis (p = 0.035) and educational activity for the partner (p = 0.033) were also associated with the occurrence of the outcome, in addition to the variables of the newborn: low birth weight (p = 0.025), not being on exclusive breastfeeding (p = 0.036) and not having had skin-to-skin contact (p = 0.043). Conclusions: Congenital syphilis has several risk factors for its occurrence. It was possible to observe that the assistance inequalities existing in care during the prenatal consultations directly reflect on the occurrence of this condition.

scholarly journals Syphilis in riverine communities: prevalence and associated factors

2022 ◽  
Vol 56 ◽  
Author(s):  
Wynne Pereira Nogueira ◽  
Matheus Figueiredo Nogueira ◽  
Jordana de Almeida Nogueira ◽  
Maria Eliane Moreira Freire ◽  
Elucir Gir ◽  
...  
Keyword(s):  
Associated Factors ◽  
Previous History ◽  
Rapid Test ◽  
Screening Tests ◽  
Rapid Screening ◽  
Weight Of Evidence ◽  
Transmitted Infection ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
History Of

Abstract Objective: To estimate the prevalence of syphilis and associated factors in riverine communities. Method: This is a cross-sectional and analytical study carried out with 250 riverside dwellers living in five communities in the city of João Pessoa, state of Paraíba. Data were collected through interviews and rapid screening tests to investigate syphilis. Bivariate, logistic regression and weight of evidence analysis were performed to identify the association between risk factors and behavior variables and rapid test positivity. Results: he prevalence of syphilis was 11.6% (95%CI: 7.5–15.6). Riverside dwellers who have a previous history of Sexually Transmitted Infection (OR 8.00; 95%CI: 2.76–23.2), history of imprisonment (OR 7.39; 95%CI: 1.61–33.7) and who reported having more than two sexual partners in the last 12 months (OR 4.31; 95%CI: 1.55–11.9) were more likely to be positive for syphilis. Conclusion: High prevalence of syphilis among riverside dwellers and the presence of behavioral factors that increase vulnerability to acquiring the infection. The need to invest in preventive and screening strategies for syphilis in populations considered vulnerable is highlighted.

Previous STI and risk of HIV infection in men

2003 ◽  
Vol 14 (5) ◽  
pp. 341-343 ◽  
Author(s):  
M Vall Mayans ◽  
J M Escribá
Keyword(s):  
Hiv Infection ◽  
Odds Ratio ◽  
Previous History ◽  
Heterosexual Men ◽  
Bisexual Men ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Factors Associated ◽  
Hiv Test ◽  
History Of

To determine the prevalence of a previous history of sexually transmitted infection (STI) and its influence as a risk factor for HIV infection among men tested for HIV, data from men having a voluntary HIV test at the STI Unit of Barcelona during a 6-month period of 1998 were analysed. Descriptive and logistic regression analysis were done to examine the prevalence of previous STI and factors associated with HIV infection. Prevalences of HIV were 5.6% in homo/bisexual and 0.5% in heterosexual men ( P<0.001). Risk factors for HIV were STI history: odds ratio (OR)=8.7 and homo/bisexual behaviour: OR=6.6; 19.8% of heterosexuals had a history of STI compared with 44.2% of homo/bisexual men ( P<0.01). A previous STI was associated with HIV seropositivity in homosexual men.

Demographic Change, Prostitution, and Sexually Transmitted Infection Rates in China

2016 ◽  
Author(s):  
Avraham Ebenstein ◽  
Ethan J. Sharygin
Keyword(s):  
Sex Work ◽  
Sex Workers ◽  
Census Data ◽  
Supply And Demand ◽  
Transmitted Infection ◽  
Demand And Supply ◽  
Sexually Transmitted ◽  
Policy Responses ◽  
Large Numbers ◽  
History Of

China has experienced an explosion in the sex ratio at birth, with 25 million more men than women younger than 20 (2005 census). This chapter examines the implications of large numbers of men failing to marry on the supply-and-demand dynamics of sex work, with a focus on how this affects the prevalence of sexually transmitted infections (STIs). The chapter begins with a history of prostitution in China and describes the massive increase in sex work following economic reforms in the late 1970s. It then analyzes the current dynamics of demand and supply for sex work in China, using national census data and detailed microdata on sex workers. The authors find a clear link between high-population sex ratios, the prevalence of sex work, and STI rates. The analysis concludes with projections for the future and a discussion of policy responses in light of an anticipated increase in sex work.

scholarly journals Challenges and motivators for male partner involvement in prenatal care for HIV testing in a tertiary setting in Brazil

2019 ◽  
Vol 30 (9) ◽  
pp. 875-884
Author(s):  
Nava Yeganeh ◽  
Tara Kerin ◽  
Mariana Simon ◽  
Karin Nielsen-Saines ◽  
Jeffrey D Klausner ◽  
...  
Keyword(s):  
Prenatal Care ◽  
Hiv Testing ◽  
Male Partner ◽  
Computer Assisted ◽  
Transmitted Infection ◽  
Entire Family ◽  
Middle Income ◽  
Sexually Transmitted ◽  
Male Partner Involvement ◽  
Partner Involvement

Male partner involvement in prenatal care has been shown to improve outcomes for the entire family in low- and middle income countries. In Brazil, partners of pregnant women are encouraged to attend prenatal care for HIV testing. From November 2016 to July 2017, male partners of women delivering at Hospital Conceiçao were interviewed using computer-assisted telephone interviews regarding individual, relationship and system-wide facilitators and barriers to attending prenatal care. Of 403 men interviewed, 202 attended prenatal care and 201 did not. Individual factors that predicted prenatal care attendance included over-estimating the risk of mother to child transmission (AOR 2.13, 95% CI: 1.35–3.4), and endorsing that HIV-infected individuals can live satisfying lives (AOR 7.24, 95% CI: 1.9–47.5). Partnership factors associated with attendance included invitation by partner (AOR 5.6, 95% CI: 2.4–15.6). Systemic factors negatively associated with prenatal care attendance included a history of not being able to afford medical care (AOR 0.3, 95% CI: 0.15–0.6) and identifying work as a barrier to prenatal care attendance (AOR 0.19 95% CI: 0.11–0.31). Partners should be actively invited to prenatal care during flexible flexible hours. Once involved, almost all would accept HIV and sexually transmitted infection (STI) testing to protect partners and unborn infants during this vulnerable period.

Sexual Relationship Power and Safe Sex Communication Among Partnered Women in the Dominican Republic

2019 ◽  
Vol 31 (1) ◽  
pp. 28-37
Author(s):  
Heidi Luft ◽  
Weiming Ke ◽  
Lara Trifol ◽  
Mina Halpern ◽  
Elaine Larson
Keyword(s):  
Dominican Republic ◽  
Sexual Behaviors ◽  
Sexually Transmitted Infection ◽  
Self Efficacy ◽  
Safe Sex ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Sex Communication ◽  
History Of ◽  
Dominican Women

Introduction: Research is needed to identify influences on safe sex communication among specific culture groups. This study aimed to (1) describe sexual behaviors and indicators of sexual power among partnered Dominican women and (2) identify which of these indicators are significantly associated with safe sex communication. Methodology: Cross-sectional surveys, grounded in the theory of gender and power, were conducted with 100 partnered women at a clinic in southeastern Dominican Republic. Linear regression modeling was used to identify significant associations. Results: Self-efficacy (β = 0.48), total personal monthly income (β = 0.21), and history of sexually transmitted infection (β = 0.19) were significantly associated with higher level of partner safe sex communication. Discussion: Nurse clinicians, educators, and researchers should consider self-efficacy, personal income, and history of sexually transmitted infection when addressing communication in HIV prevention efforts among Dominican women.

Infection in the Pregnant Patient

2016 ◽  
Author(s):  
Vanessa Vasquez
Keyword(s):  
Social History ◽  
Preterm Labor ◽  
Labor History ◽  
Pregnant Patient ◽  
Vaginal Fluid ◽  
Uterine Contractility ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
History Of ◽  
High Degree

Infections in pregnancy can result in significant complications for both the mother and fetus and can increase the risk of preterm labor. Fever in a pregnant woman also raises concern for its associated risk of preterm birth due to the release of prostaglandins and cytokines that stimulate uterine contractility. Infection can be passed to the neonate hematogenously or ascend from the genital tract. Treatment during pregnancy creates problems, as many antimicrobials cross the placenta and may have a teratogenic risk. Prophylaxis, vaccination, a high degree of suspicion, and early intervention can help improve morbidity and mortality. The pregnant patient should be asked important questions that include history of uterine tenderness and leakage of vaginal fluid, exposure to or symptoms of sexually transmitted infection, previous preterm labor, history of pregnancy complications, and a thorough social history.

scholarly journals Perinatal Outcomes in HIV Positive Pregnant Women with Concomitant Sexually Transmitted Infections

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Erin Burnett ◽  
Tammy L. Loucks ◽  
Michael Lindsay
Keyword(s):  
Preterm Birth ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Perinatal Outcomes ◽  
Neonatal Outcomes ◽  
Hiv Positive ◽  
City Hospital ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Increased Risk

Objective. To evaluate whether HIV infected pregnant women with concomitant sexually transmitted infection (STIs) are at increased risk of adverse perinatal and neonatal outcomes.Methods. We conducted a cohort study of HIV positive women who delivered at an inner-city hospital in Atlanta, Georgia, from 2003 to 2013. Demographics, presence of concomitant STIs, prenatal care information, and maternal and neonatal outcomes were collected. The outcomes examined were the association of the presence of concomitant STIs on the risk of preterm birth (PTB), postpartum hemorrhage, chorioamnionitis, preeclampsia, intrauterine growth restriction, small for gestational age, low Apgar scores, and neonatal intensive care admission. Multiple logistic regression was performed to adjust for potential confounders.Results. HIV positive pregnant women with concomitant STIs had an increased risk of spontaneous PTB (odds ratio (OR) 2.11, 95% confidence interval [CI] 1.12–3.97). After adjusting for a history of preterm birth, maternal age, and low CD4+ count at prenatal care entry the association between concomitant STIs and spontaneous PTB persisted (adjusted OR 1.96, 95% CI 1.01–3.78).Conclusions. HIV infected pregnant women with concomitant STIs relative to HIV positive pregnant women without a concomitant STI are at increased risk of spontaneous PTB.

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.

Increased risk of prostate cancer following sexually transmitted infection in an Asian population

2013 ◽  
Vol 141 (12) ◽  
pp. 2663-2670 ◽  
Author(s):  
S. D. CHUNG ◽  
Y. K. LIN ◽  
C. C. HUANG ◽  
H. C. LIN
Keyword(s):  
Prostate Cancer ◽  
Proportional Hazards ◽  
Asian Population ◽  
Population Based ◽  
Cox Proportional Hazards ◽  
Study Cohort ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Increased Risk ◽  
History Of

SUMMARYThe relationship between sexually transmitted infections (STIs) and prostate cancer (PC) remains inconclusive. Moreover, all such studies to date have been conducted in Western populations. This study aimed to investigate the risk of PC following STI using a population-based matched-cohort design in Taiwan. The study cohort comprised 1055 patients with STIs, and 10 550 randomly selected subjects were used as a comparison cohort. Cox proportional hazards regression analysis revealed that the hazard ratio for PC during the 5-year follow-up period for patients with a STI was 1·95 (95% confidence interval 1·18–3·23), that of comparison subjects after adjusting for urbanization level, geographical region, monthly income, hypertension, diabetes, hyperlipidaemia, obesity, chronic prostatitis, history of vasectomy, tobacco use disorder, and alcohol abuse. We concluded that the risk of PC was higher for men who were diagnosed with a STI in an Asian population.

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