Sexual Activity Rates Are Declining Both Before and During the COVID-19 Tragedy
No abstract available (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - February 7, 2022 Category: Sexual Medicine Tags: Letter to the Editor Source Type: research

Association of Bacterial Vaginosis With Higher Vaginal Indole Levels
We adapted a simple hydroxylamine-based indole assay to detect indole from stored vaginal swab specimens from women with and without bacterial vaginosis (BV). Women with BV had significantly higher vaginal indole levels compared with women without BV (6451.5 vs 5632.4 μM; P = 0.01), suggesting that indole-producing bacteria are a component of BV. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - February 7, 2022 Category: Sexual Medicine Tags: Notes Source Type: research

Chlamydial Infection Among Adolescents and Young Adults Receiving Sexual and Reproductive Health Care During the COVID-19 Pandemic
The impact of the COVID-19 pandemic on adolescent and young adult chlamydial infection is unknown. Patient testing data were extracted from the electronic health records of 10 family planning clinics. Prepandemic and pandemic comparisons revealed an increase in observed chlamydial infection, with greater positivity among Black/African American female adolescent patients. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - February 7, 2022 Category: Sexual Medicine Tags: Notes Source Type: research

Prevalence of High-Risk Human Papillomavirus by RNA Assay in Home Self-Collected Samples Among Underscreened People in North Carolina
Background Low-income and uninsured people with a cervix (PWC) are at the highest risk of being underscreened for cervical cancer. We evaluated the prevalence of high-risk human papillomavirus (hrHPV) on home self-collected samples, as well as rates of in-clinic follow-up and risk factors associated with hrHPV positivity in this at-risk population. Methods My Body My Test 3 was conducted between 2016 and 2019 in North Carolina among individuals aged 25 to 64 years, overdue for cervical cancer screening, and with incomes of (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - February 7, 2022 Category: Sexual Medicine Tags: Original Studies Source Type: research

Rapid Point-of-Care Testing for Genital Tract Inflammatory Cytokine Biomarkers to Diagnose Asymptomatic Sexually Transmitted Infections and Bacterial Vaginosis in Women: Cost Estimation and Budget Impact Analysis
Conclusions This screening tool is likely to increase case detection, contributing to better STI/BV management and control, in addition to reducing women's risk of HIV acquisition. The incremental cost estimates could make implementation affordable. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - February 7, 2022 Category: Sexual Medicine Tags: Original Studies Source Type: research

A Comparison of Single-Dose Versus Multidose Metronidazole by Select Clinical Factors for the Treatment of Trichomonas vaginalis in Women
Conclusions Although multidose MTZ is recommended for all women with T. vaginalis, it is especially important for women with a T. vaginalis history and, given high posttreatment infection rates, a TOC should be performed. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - February 7, 2022 Category: Sexual Medicine Tags: Original Studies Source Type: research

Rates of Sexually Transmitted Infection Diagnoses Among US Youth With Perinatally and Nonperinatally Acquired HIV
Background Of new sexually transmitted infections (STIs) in the United States, 50% occur among youth aged 15 to 24 years. Previous studies among youth with HIV (YHIV) do not distinguish STI trends among individuals with perinatally (YPHIV) and nonperinatally (YNPHIV) acquired HIV. Methods Among 3 Adolescent Medicine Trials Network for HIV/AIDS Interventions (ATN) studies conducted between 2009 and 2015, we estimated incident diagnoses of trichomonal, bacterial, viral, and overall STIs stratified by sex assigned at birth, mode of HIV acquisition (perinatal [YPHIV] and nonperinatal [YNPHIV]), age (13–17 and 18â€...
Source: Sexually Transmitted Diseases - February 7, 2022 Category: Sexual Medicine Tags: Original Studies Source Type: research

Examining the Relative Contributions of Methamphetamine Use, Depression, and Sexual Risk Behavior on Rectal Gonorrhea/Chlamydia Among a Cohort of Men Who Have Sex With Men in Los Angeles, California
Background Methamphetamine use, sexual risk behaviors, and depression contribute to ongoing human immunodeficiency virus (HIV) and sexually transmitted infection (STI) disparities among men who have sex with men (MSM). The relative contributions of these effects longitudinally are not well understood. Methods This analysis used visit-level data from a longitudinal cohort of MSM, half with HIV, in Los Angeles, CA. From August 2014 to March 2020, participants completed follow-up visits every 6 months and underwent testing for rectal gonorrhea/chlamydia (GC/CT) and completed questionnaires including depressive symp...
Source: Sexually Transmitted Diseases - February 7, 2022 Category: Sexual Medicine Tags: Original Studies Source Type: research

Human Immunodeficiency Virus/Sexually Transmitted Infection Testing Preferences for Young Black Men Who Have Sex With Men in the Southeastern United States: Implications for a Post–COVID-19 Era
Background Little is known regarding human immunodeficiency virus (HIV)/sexually transmitted infection (STI) testing preferences for location, staffing, and hours of operation among Young Black men who have sex with men (YBMSM) in the Southeastern United States, a population at high risk for HIV/STIs. We used a discrete choice experiment to explore these preferences. Methods Young Black men who have sex with men ages 16 to 35 years in Birmingham, AL and Jackson, MS completed online surveys evaluating their preferences (best/worst) for HIV/STI testing locations, staffing, hours, method of results notification, an...
Source: Sexually Transmitted Diseases - February 7, 2022 Category: Sexual Medicine Tags: Original Studies Source Type: research

If We Make It, Will They Take It? Attitudes Toward the Acceptability of Chlamydia Point-of-Care Testing Among Adolescents and Young Adults
Conclusions Nearly half (44%) of adolescents in our population would be interested in using a potential OTC test for C. trachomatis. Cost was a major disincentive. Knowledge of infection remains cursory. However, those with a history of C. trachomatis infection and familiar with its complications were more interested in purchasing a home test. Although 100% of the respondents reported that they would follow-up with their physician if they tested positive, past behavior suggests that partner notification might be suboptimal. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - February 7, 2022 Category: Sexual Medicine Tags: Original Studies Source Type: research

Factors Associated With Partner Notification, Testing, and Positivity in HIV Partner Services Programs in the United States, 2013 to 2017
Conclusions Partner service programs provided through CDC-funded health departments were effective in both partner notification and identification of undiagnosed HIV infection among partners. However, HIV testing rate among notified partners remained low. Implementing strategies to address gaps in HIV testing can contribute toward ending the HIV epidemic in the United States. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - February 7, 2022 Category: Sexual Medicine Tags: Original Studies Source Type: research

Syphilis in Greenland, 2015 to 2019
Conclusions The burden of syphilis in Greenland is high, primarily among the age group 15 to 29 years. A higher incidence among females than among males was found, suggesting mainly heterosexual transmission, as seen for other sexually transmitted infections in Greenland. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - February 7, 2022 Category: Sexual Medicine Tags: Original Studies Source Type: research

Identification of United States Counties at Elevated Risk for Congenital Syphilis Using Predictive Modeling and a Risk Scoring System, 2018
Conclusions Identifying which counties are at highest risk for CS can help target prevention efforts and interventions. The relatively low live birth to CS case ratio in elevated risk counties suggests that implementing routine 28-week screening among pregnant women in these counties may be an efficient way to target CS prevention efforts. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - February 7, 2022 Category: Sexual Medicine Tags: Original Studies Source Type: research

Predicting Emergence of Primary and Secondary Syphilis Among Women of Reproductive Age in US Counties
Conclusions Jurisdictions can identify counties at elevated risk for emergence of syphilis in women and tailor prevention efforts. Prevention of syphilis requires multidisciplinary collaboration to address underlying social factors. (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - February 7, 2022 Category: Sexual Medicine Tags: Original Studies Source Type: research

Erasure and Health Equity Implications of Using Binary Male/Female Categories in Sexual Health Research and Human Immunodeficiency Virus/Sexually Transmitted Infection Surveillance: Recommendations for Transgender-Inclusive Data Collection and Reporting
No abstract available (Source: Sexually Transmitted Diseases)
Source: Sexually Transmitted Diseases - January 19, 2022 Category: Sexual Medicine Tags: Commentary Source Type: research