Sexually Transmitted Diseases

No abstract text is available yet for this article.

BACKGROUND: Oral and anal sex with opposite-sex partners are common and associated with STI transmission. Trends in these behaviors over the last decade, during which bacterial STI diagnoses have reached historic highs while HIV diagnoses have decreased, are not well understood. We examined recent trends in oral and anal sex and associated condom use with opposite-sex partners among females and males. METHODS: We analyzed data from 16,926 female and 13,533 male respondents ages 15-44 who reported sex with an opposite-sex partner in the past 12 months from the National Survey of Family Growth, 2011-2019...

BACKGROUND: Sexually transmitted infections (STIs) such as syphilis, gonorrhea, and chlamydia have significantly increased over the past decade in the United States. Doxycycline as chemoprophylaxis (i.e., post-exposure prophylaxis [PEP]) offers promise for addressing bacterial STIs. The goal of the current study was to evaluate the safety of longer-term doxycycline use (defined as eight or more weeks) in the context of potential use as STI chemoprophylaxis through a systematic literature review and meta-analysis...

The contribution of chlamydia to secondary infertility in women is poorly understood. Among 404 female participants enrolled in a previous study in Cameroon, 142 with secondary infertility (cases) and 262 pregnant with no history of infertility (controls), Chlamydia trachomatis seropositivity was 92%. Seropositivity did not significantly differ by case/control status.

This experimental study on 70 women with human papillomavirus, referred to the specialized obstetrics and gynecology clinics of public hospitals in Iran in 2021, revealed that implementing the protection motivation theory-based empowerment intervention could promote their health behaviors.

With growing maternal and congenital syphilis epidemics and shortages of benzathine penicillin, alternative syphilis treatments are needed. Linezolid has shown efficacy against syphilis in animal models. This review found no teratogenic effects. Some adverse effects were seen in animals, but none were reported in a small number of human studies.

BACKGROUND: Human adenovirus (HAdV) is likely an underdiagnosed cause of urethritis although it was already associated with urethritis in descriptions published more than 40 years ago. Differential clinical features of this entity, such as meatitis, conjunctivitis and a predominance of mononuclear white blood cells in first-void urine and/or urethral smear, can be useful to increase diagnostic suspicion. METHODS: We retrospectively studied 91 episodes of HAdV-associated urethritis diagnosed over 9 years and 6 months after optimizing efforts to detect the pathogen mainly in patients with features suggestive of this condition...

Emergency departments (EDs) are a critical access point to care in safety net health systems. A retrospective chart review of patients with reactive RPRs collected in the ED of an Atlanta safety net hospital from 5/01/2020 to 10/31/2020 found suboptimal rates of syphilis treatment completion and linkage to PrEP services.

No abstract text is available yet for this article.

BACKGROUND: Black cis-gender women (CGW) are disproportionately impacted by the Human Immunodeficiency Virus (HIV) epidemic in the United States.Black women account for 57% of the total new diagnoses among CGW. Additionally, Black CGW women are nine times more likely to be diagnosed with HIV than their White counterparts. METHODS: We conducted surveys (September 2019-March 2020) and collected information on sociodemographics, HIV/ Pre-exposure Prophylaxis (PrEP) knowledge, HIV/PrEP stigma, sexual practices, and other factors identified as PrEP barriers among Black CGW (n = 795)...

BACKGROUND: Sexually transmitted infections (STI) among youth aged 12-24 years old have doubled in the last 13 years, accounting for 50% of STI nationally. We need to identify predictors of STI among youth in urban HIV epicenters. METHODS: Sexual and gender minority (SGM; gay, bisexual, transgender, gender-diverse) and other youth with multiple life stressors (homelessness, incarceration, substance use, mental health disorders) were recruited from 13 sites in Los Angeles and New Orleans (N = 1482)...

HIV pre-exposure prophylaxis (PrEP) is a highly effective class of drugs used to prevent the transmission of HIV-1. Despite its high efficacy, the uptake of PrEP has been very low. This project sought to understand the barriers and facilitators to prescribing PrEP in a community health clinic in a Midwestern state.

BACKGROUND: Condom distribution programs are a structural level intervention implemented on college campuses to reduce STIs and unplanned pregnancies. Understanding students' beliefs about these programs and attitudes that can affect condom use is critical. METHODS: Students at six different universities (n = 2,809) completed items related to beliefs about campus condom distribution programs and their personal condom embarrassment and condom self-efficacy levels...

No abstract text is available yet for this article.

No abstract text is available yet for this article.

BACKGROUND: Behavioral clustering is a phenomenon in which several risk or protective behaviors co-occur in an individual. We sought to determine if prior sexual risk behaviors among young Black men who have sex with women (MSW) could predict subsequent non-adherence to COVID-19 prevention behaviors. METHODS: Young Black MSW aged 15-24 previously enrolled in a community-based Chlamydia trachomatis (Ct) screening program were enrolled in a sub-study between May-June 2020 and asked about adherence to four COVID-19 recommended non-pharmaceutical prevention behaviors (hand washing, mask wearing, social distancing, and following stay at home orders)...

Most sexually transmitted infections (STIs) are acquired in resource-limited settings (RLS) where laboratory diagnostic access is limited. Advancements in point-of-care testing (POC) technology have the potential to bring STI testing to many RLS. We define POC as performed near the patient and with results readily available to inform clinical practice. The World Health Organization Special Programme for Research and Training in Tropical Diseases further outlines desirable POC characteristics with the REASSURED criteria...

BACKGROUND: Adverse childhood experiences (ACEs) contribute to adverse health outcomes in adulthood. Access to preventive healthcare services, including HPV vaccinations, may mitigate the impact of ACEs on adverse health outcomes. Our objective was to assess associations between ACEs and HPV vaccination coverage among young adults. METHODS: We included 3415 18-29-year-old respondents to the 2019-2020 Behavioral Risk Factor Surveillance System (BRFSS) ACE and HPV vaccination modules...

BACKGROUND: Electronic health records allow for inexpensive communication with patients. In March 2021, the Melbourne Sexual Health Centre (MSHC) implemented an automated email summary ("Sexual Health Automated Visit Email" (SHAVE)) of a client's visit. This study evaluates the proportion of attendees at a sexual health service who opted in or out of SHAVE. METHODS: This study was conducted at MSHC in Australia between March 2021 and June 2022. Univariable and multivariable logistic regression analyses were used to examine the client characteristics associated with consenting to SHAVE...

OBJECTIVE: Bacterial vaginosis (BV) is associated with adverse reproductive outcomes and recurrence is common. We examined factors associated with BV recurrence using electronic medical record data for patients attending New York City Department of Health and Mental Hygiene sexual health clinics (SHCs) from 2014-2018. METHODS: Clinician-diagnosed BV was defined using a clinical BV diagnosis code based on Amsel criteria. Recurrent BV was defined as any BV diagnosis occurring more than 30 days following the previous diagnosis...