Spatial and Temporal Epidemiology of Infectious Syphilis in Victoria, Australia, 2015–2018
This analysis of notified syphilis cases in Victoria, Australia between 2015 and 2018 shows that the syphilis epidemic in Victoria has become more generalized, with increases among heterosexual men and women residing in outer Melbourne suburbs—areas that differ from those of gay men. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - November 17, 2021 Category: Sexual Medicine Tags: Note Source Type: research
Program-Level Strategies for Addressing Sexually Transmitted Disease Disparities: Overcoming Critical Determinants That Impede Sexual Health
No abstract available (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - November 17, 2021 Category: Sexual Medicine Tags: Commentary Source Type: research
Maternal and Fetal Outcomes in an Observational Cohort of Women With Mycoplasma genitalium Infections
Conclusions
Our results indicate that MG is common in pregnant women and often presents as a coinfection. More research using population-based designs is needed to determine whether screening or treatment for women at risk for low birth weight or coinfections is warranted. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - November 17, 2021 Category: Sexual Medicine Tags: Original Studies Source Type: research
Bacterial Vaginosis and Alcohol Consumption: A Cross-Sectional Retrospective Study in Baltimore, Maryland
Conclusions
In this population, at-risk alcohol consumption was associated with an increased risk of BV. The mechanisms remain uncertain. Future prospective studies are needed to verify and evaluate causality in these associations. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - November 17, 2021 Category: Sexual Medicine Tags: Original Studies Source Type: research
Disparities in Awareness of Hepatitis C Virus Among US Adults: An Analysis of the 2019 Health Information National Trends Survey
Background
The U.S. Preventive Services Task Force updated hepatitis C virus (HCV) screening 2020 guidelines to target adults aged 18 to 79 years: a major shift from the prior focus on high-risk populations (“baby boomers” aged ≥55 years as of 2019). To inform efforts to maximize HCV screening coverage, our objective was to identify demographic groups reporting a lack of HCV awareness, particularly by race/ethnicity and age, and sources of health information.
Methods
We used nationally representative data of adults (≥18 years) included in the 2019 Health Information National Trends Survey (n = 5438). Awa...
Source: Sexually Transmitted Diseases - November 17, 2021 Category: Sexual Medicine Tags: Original Studies Source Type: research
Effects of Condom Use on Human Immunodeficiency Virus Transmission Among Adolescent Sexual Minority Males in the United States: A Mixed Epidemiology and Epidemic Modeling Study
We examined condom use patterns and potential population-level effects of a hypothetical condom intervention on human immunodeficiency virus (HIV) transmission among adolescent sexual minority males (ASMM).
Methods
Using 3 data sets: national Youth Risk Behavior Survey 2015 to 2017 (YRBS-National), local YRBS data from 8 jurisdictions with sex of partner questions from 2011 to 2017 (YRBS-Trends), and American Men's Internet Survey (AMIS) 2014 to 2017, we assessed associations of condom use with year, age, and race/ethnicity among sexually active ASMM. Using a stochastic agent-based network epidemic model, structured...
Source: Sexually Transmitted Diseases - November 17, 2021 Category: Sexual Medicine Tags: Original Studies Source Type: research
Awareness of HIV Preexposure Prophylaxis Among People at Risk for HIV: Results From the 2017–2019 National Survey of Family Growth
Conclusions
This research supports the need for policies and programs to increase awareness of PrEP, especially among certain segments of the population at increased risk for HIV. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - November 17, 2021 Category: Sexual Medicine Tags: Original Studies Source Type: research
Effects of Patient Sexual Orientation and Gender Identity on Medical Students' Decision Making Regarding Preexposure Prophylaxis for Human Immunodeficiency Virus Prevention: A Vignette-Based Study
Conclusions
These analyses suggest that assumptions about epidemiological risk based on patients' gender identity or sexual orientation may reduce willingness to prescribe PrEP to heterosexual women, ultimately hindering uptake in this critical population. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - November 17, 2021 Category: Sexual Medicine Tags: Original Studies Source Type: research
Low Awareness of Mycoplasma genitalium in Men Who Have Sex With Men in Sydney, Australia
Conclusions
Knowledge of M. genitalium remains low among MSM. Targeted messages using AMR and treatment difficulties with M. genitalium is unlikely to change behavior for a large proportion of MSM. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - November 17, 2021 Category: Sexual Medicine Tags: Original Studies Source Type: research
Frequency and Correlates of Mycoplasma genitalium Antimicrobial Resistance Mutations and Their Association With Treatment Outcomes: Findings From a National Sentinel Surveillance Pilot in England
Conclusions
Although macrolide resistance was widespread, particularly among specimens from men who have sex with men and those with a previous sexually transmitted infection diagnosis in the past year, resistance-associated mutations in M. genitalium did not seem to be unequivocally predictive of treatment failure. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - November 17, 2021 Category: Sexual Medicine Tags: Original Studies Source Type: research
A Comparative Analysis of Reported Chlamydia and Gonorrhea Cases Among US Army Soldiers, 2015 to 2019
Conclusions
Observed increases in chlamydia and gonorrhea and identified risk factors are consistent with those reported nationally. Higher adjusted chlamydia rates among soldiers may reflect greater individual or sexual network risks, screening biases, or increased health care access. The Army's lower adjusted gonorrhea rates may reflect differences in high-risk subgroups (e.g., men who have sex with men), differing sexual networks, or other confounders. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - November 17, 2021 Category: Sexual Medicine Tags: Original Studies Source Type: research
Community-Based Prevalence Estimates of Chlamydia trachomatis and Neisseria gonorrhoeae Infections Among Gay, Bisexual, and Other Men Who Have Sex With Men in Montréal, Canada
Conclusions
This community-based study among GBM shows that the CT prevalence was about half of that observed for NG. A large part of CT/NG infections involves only the extragenital sites, highlighting the need for systematic multisite screening regardless of symptoms. In the mist of the COVID-19 pandemic and the limited CT/NG screening capacity due to test kits shortage, it might be considered to prioritize rectal and pharyngeal CT/NG testing over urogenital testing in asymptomatic GBM. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - November 17, 2021 Category: Sexual Medicine Tags: Original Studies Source Type: research
Chlamydia trachomatis and Neisseria gonorrhoeae in Pregnancy: Trends in United States, 2010 to 2018
This study evaluated changes over time for CT and NG positivity and testing rates of pregnant persons.
Methods
Prenatal testing results from persons aged 16 to 40 years tested by a national reference clinical laboratory were analyzed for CT and NG testing and positivity from 2010 to 2018 (n = 3,270,610).
Results
Testing rates increased among pregnant persons for CT (from 56.3% in 2010 to 64.1% in 2018, P (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - November 17, 2021 Category: Sexual Medicine Tags: Original Studies Source Type: research
Association of Delayed Treatment of Chlamydial Infection and Gonorrhea in Pregnancy and Preterm Birth
Background
Treating chlamydia and gonorrhea in pregnancy has been shown to decrease the associated risk of preterm birth in some studies. Delayed treatment of these infections among nonpregnant patients carries known consequences. It is unclear whether delayed treatment in pregnancy similarly increases adverse outcomes.
Methods
We conducted a retrospective cohort study of women who delivered at a safety-net hospital from July 2016 to June 2018. Women with at least one visit who were tested for chlamydia and gonorrhea were included. Women diagnosed after 36 weeks (preterm analysis) or 31 weeks (early preterm anal...
Source: Sexually Transmitted Diseases - November 17, 2021 Category: Sexual Medicine Tags: Original Studies Source Type: research
Decreasing Chlamydial Reinfections in a Female Urban Population
Background
Chlamydia is the most reported bacterial sexually transmitted infection (STI). The rates of chlamydia rose by 19% between 2011 and 2018. The STI National Strategic Plan (2021–2025), encourages coordinated solutions to address STIs and reduce disparities in disadvantaged populations.
Methods
We implemented institutional policy changes, clinical decision support, including a Best Practice Advisory, and defaulted SmartSet with provider and patient education for women's health clinics at a large county health system. The advisory prompted providers to follow best practices when treating Chlamydia tracho...
Source: Sexually Transmitted Diseases - November 17, 2021 Category: Sexual Medicine Tags: The Real World of STD Prevention Source Type: research
