A prospective study of contraceptive use among African women in HIV-1 serodiscordant partnerships.

Abstract:

BACKGROUND:Dual contraception is important for averting HIV-1 transmission, unintended pregnancy, and maternal-to-child HIV-1 transmission. Few studies have explored contraceptive use in HIV-1 serodiscordant couples, a population at high risk for HIV-1 transmission. METHODS:Data from a prospective study of 3407 women in HIV-1 heterosexual serodiscordant partnerships were analyzed to describe use and correlates of contraception. RESULTS:Among 2298 HIV-1 seropositive women, 23.5% used contraception at enrollment and 30.2% used contraception after 24 months of follow-up; among 1109 HIV-1 seronegative women, contraceptive use decreased from 21.3% to 14.2%. For both HIV-1 seropositive and seronegative women, contraceptive use was less common among women from East Africa compared to women from southern Africa (adjusted odds ratio [AOR], 0.6; 95% confidence interval [CI], 0.5-0.8 and AOR, 0.6; 95% CI, 0.4-0.8, respectively) and more common among women with at least one child (AOR, 2.4; 95% CI, 1.7-3.4 and AOR, 2.3; 95% CI, 1.2-4.5, respectively). Condom use increased significantly during follow-up from 71.2% to 92.6% and 73.5% to 95.6% among HIV-1 seropositive and HIV-1 seronegative women, respectively, at baseline and 24 months. However, contraceptive use was associated with unprotected sexual activity among both HIV-1 seropositive and seronegative women (AOR, 1.3; 95% CI, 1.1-1.5 and AOR, 1.4; 95% CI, 1.1-1.8, respectively), although not among women who initiated contraception during follow-up. CONCLUSIONS:Counseling and provision of dual contraception should receive high priority in programs that care for women in HIV-1 serodiscordant partnerships.

journal_name

Sex Transm Dis

authors

Heffron R,Were E,Celum C,Mugo N,Ngure K,Kiarie J,Baeten JM,Partners in Prevention HSV\/HIV Transmission Study Team.

doi

10.1097/OLQ.0b013e3181e1a162

subject

Has Abstract

pub_date

2010-10-01 00:00:00

pages

621-8

issue

10

eissn

0148-5717

issn

1537-4521

journal_volume

37

pub_type

杂志文章
  • Provision of Sexually Transmitted Infection Services in a Mobile Clinic Reveals High Unmet Need in Remote Areas of South Africa: A Cross-sectional Study.

    abstract:BACKGROUND:The burden of sexually transmitted infections (STIs) in areas of sub-Saharan Africa with poor access to health care services is not well documented. In remote areas of South Africa, we investigated the prevalence of STIs and approaches to providing STI services through a mobile clinic. METHODS:We recruited ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0000000000000931

    authors: Hoffman CM,Mbambazela N,Sithole P,Morré SA,Dubbink JH,Railton J,McIntyre JA,Kock MM,Peters RPH

    更新日期:2019-03-01 00:00:00

  • Seroprevalence of human immunodeficiency virus type I (HIV-1) antibodies in a family-planning population.

    abstract::Blind testing of 743 women who attended an inner-city hospital family-planning clinic showed 8 (1.1%) patients to have serum antibodies to human immunodeficiency virus type I (HIV-1). A retrospective chart survey did not show an association between HIV-1 antibody seropositivity and ethnicity, marital status, education...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/00007435-199107000-00003

    authors: Spence MR,Robbins SM,Polansky M,Schable CA

    更新日期:1991-07-01 00:00:00

  • A systematic review of HIV partner counseling and referral services: client and provider attitudes, preferences, practices, and experiences.

    abstract:OBJECTIVES:The objectives of this study were to understand client and provider attitudes, experiences, and practices regarding HIV partner notification in the United States and to help identify future research and program needs. GOALS:The goals of this study were to synthesize the literature reporting client and provi...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章,meta分析

    doi:10.1097/01.olq.0000194597.16236.48

    authors: Passin WF,Kim AS,Hutchinson AB,Crepaz N,Herbst JH,Lyles CM,HIV\/AIDS Prevention Research Synthesis Project Team.

    更新日期:2006-05-01 00:00:00

  • High prevalence of sexual concurrency and concurrent unprotected anal intercourse across racial/ethnic groups among a national, Web-based study of men who have sex with men in the United States.

    abstract:BACKGROUND:Men who have sex with men (MSM) are the largest human immunodeficiency virus (HIV) risk group in the United States. Sexual concurrency may contribute to high HIV incidence or to racial/ethnic HIV disparities among MSM. Limited information is available on concurrency and racial/ethnic differences among MSM or...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0b013e31825ec09b

    authors: Rosenberg ES,Khosropour CM,Sullivan PS

    更新日期:2012-10-01 00:00:00

  • Evaluation of immunoglobulin M and G Western blot and ELISA for screening antibodies to Treponema pallidum in blood donors.

    abstract:BACKGROUND:Enzyme-linked immunosorbent assay (ELISA) is the most popular method used by blood banks in China to screen for antibodies to Treponema pallidum (TP). However, this method produces a high percentage of false-positive reactions.The current study aimed to propose a more effective procedure for screening anti-T...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0b013e31819db594

    authors: Wang LN,Li JM

    更新日期:2009-07-01 00:00:00

  • Vaginal swabs are the optimal specimen for detection of genital Chlamydia trachomatis or Neisseria gonorrhoeae using the Cobas 4800 CT/NG test.

    abstract::Performance characteristics of the Cobas 4800 CT/NG assay were estimated for vaginal swab samples from more than 4000 women. Vaginal samples identified 92.9% and 98.5% of Chlamydia and Gonorrhea infections, respectively, which was more than any other single specimen type (endocervical swabs or urine) regardless of col...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/OLQ.0b013e3182717833

    authors: Van Der Pol B,Taylor SN,Liesenfeld O,Williams JA,Hook EW 3rd

    更新日期:2013-03-01 00:00:00

  • A novel method to increase the viability of Trichomonas vaginalis in urine.

    abstract:OBJECTIVES:Two of the major diagnostic methods for Trichomonas vaginalis, wet mount and culture, rely on the continued viability of the organism. Methods to increase the viability of T. vaginalis in urine are needed. GOAL:The goal of this study was to develop a method that increases the time of viability of T. vaginal...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/01.olq.0000249724.72816.a0

    authors: Shafir SC,Sorvillo FJ,Upcroft JA,Upcroft P

    更新日期:2007-07-01 00:00:00

  • Prevalence and correlates of HIV testing among sexually active African American adolescents in 4 US cities.

    abstract:BACKGROUND:Routine HIV testing is recommended for all adolescents ages 13 years and older. This study aims to report the prevalence of HIV testing among black adolescents, describe characteristics of adolescents who have been tested, and identify potentially modifiable factors associated with greater likelihood of test...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0b013e3181b4704c

    authors: Swenson RR,Rizzo CJ,Brown LK,Payne N,DiClemente RJ,Salazar LF,Vanable PA,Carey MP,Valois RF,Romer D,Hennessy M

    更新日期:2009-09-01 00:00:00

  • Metronidazole-Resistant Trichomoniasis: Beneficial Pharmacodynamic Relationship With High-Dose Oral Tinidazole and Vaginal Paromomycin Combination Therapy.

    abstract::Metronidazole-resistant trichomoniasis is an uncommon condition that presents significant therapeutic challenges. Combination therapy with high-dose oral tinidazole and vaginal paromomycin cream has been uniformly successful. We present a case report of a patient who responded to combination therapy with high-dose ora...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0000000000000903

    authors: Henien M,Nyirjesy P,Smith K

    更新日期:2019-01-01 00:00:00

  • Neisseria gonorrhoeae resistant to ciprofloxacin: first report in Cuba.

    abstract:BACKGROUND AND OBJECTIVES:The Cuban Ministry of Public Health plans to implement the syndromic approach to sexually transmitted diseases in persons with urethral or vaginal syndrome in Cuba using 500 mg ciprofloxacin as therapy. Although the emergence of clinical isolates of Neisseria gonorrhoeae with decreased suscept...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/00007435-200102000-00004

    authors: Llanes R,Sosa J,Guzmán D,Gutiérrez Y,Llop A,Ricardo O

    更新日期:2001-02-01 00:00:00

  • Changing patterns of sexual risk behavior among London gay men: 1998-2008.

    abstract:OBJECTIVES:To examine changes in the sexual behavior of London gay men between 1998 and 2008. METHODS:Gay men using London gyms were surveyed annually between 1998 and 2005, and again in 2008 (n=6064; range, 482-834 per year). Information was collected on human immunodeficiency virus (HIV) status of the respondent, un...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0b013e3181f2ebe1

    authors: Lattimore S,Thornton A,Delpech V,Elford J

    更新日期:2011-03-01 00:00:00

  • Uptake of Home-Based Syphilis and Human Immunodeficiency Virus Testing Among Male Partners of Pregnant Women in Western Kenya.

    abstract:BACKGROUND:Few men are tested for syphilis or human immunodeficiency virus (HIV) during their partner's pregnancy, a high-risk period for HIV and syphilis transmission. Offering home-based rapid testing of syphilis to couples during pregnancy can support prevention efforts to reduce transmission of sexually transmitted...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/OLQ.0000000000000649

    authors: Mark J,Kinuthia J,Roxby AC,Krakowiak D,Osoti A,Richardson BA,Gone MA,Asila V,Parikh S,Farquhar C

    更新日期:2017-09-01 00:00:00

  • Epidemiologic and prophylactic treatment of gonorrhea: a decision analysis review.

    abstract::This review of the treatment of patients exposed to gonorrhea uses decision analysis techniques to estimate and compare the probabilities of disease and treatment risks for epidemiologic treatment, for treatment contingent on results of gram stains and culture, and for treatment contingent on culture results alone. E...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/00007435-197904000-00022

    authors: Johnson RE

    更新日期:1979-04-01 00:00:00

  • Changes in incidence of anogenital warts diagnoses after the introduction of human papillomavirus vaccination in Germany-an ecologic study.

    abstract::In a large health insurance database in Germany, incidence of anogenital warts among 15- to 19-year-old females decreased from 316/100,000 person-years in 2007 to 242 in 2008 (23% reduction, P = 0.0001). The decrease started between the first and second quarter of 2007 (human papillomavirus vaccination was introduced ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0b013e3182756efd

    authors: Mikolajczyk RT,Kraut AA,Horn J,Schulze-Rath R,Garbe E

    更新日期:2013-01-01 00:00:00

  • Knowing What We Do Not Know: Analysis of an Online Consultation Service to Identify Provider Knowledge Gaps in Sexually Transmitted Disease Care.

    abstract::The national Sexually Transmitted Diseases (STD) Clinical Consultation Network receives requests regarding complex STD cases. A total of 927 requests from Western states, 2017 to 2019, were analyzed for STD of inquiry and syphilis-specific subtopics. Syphilis requests accounted for most queries, and the number and pro...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0000000000001233

    authors: Plotzker RE,Hauschild BC,Kelley D,Blakley LA,Park IU

    更新日期:2021-01-01 00:00:00

  • Sexually transmitted infections in women with disabilities: diagnosis, treatment, and prevention: a review.

    abstract:BACKGROUND AND OBJECTIVES:Women with disabilities can and do contract sexually transmitted diseases (STDs). However, because of access barriers, attitudinal misconceptions, and lack of awareness of their risk status, these infections may go under or undiagnosed. GOAL:To address issues regarding the treatment of women ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章,评审

    doi:10.1097/00007435-200005000-00007

    authors: Welner SL

    更新日期:2000-05-01 00:00:00

  • HIV-related risk behavior among Hispanic immigrant men in a population-based household survey in low-income neighborhoods of northern California.

    abstract:OBJECTIVES/GOAL:We compared risk behaviors and HIV testing between recent (in the U.S. <5 years) and established (in the U.S. >5 years) Hispanic immigrant men (N = 410). STUDY:This study was a population-based, cross-sectional survey of HIV/sexually transmitted disease markers and risk behaviors in men age 18 to 35 ye...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/01.olq.0000161185.06387.94

    authors: Levy V,Page-Shafer K,Evans J,Ruiz J,Morrow S,Reardon J,Lynch M,Raymond HF,Klausner JD,Facer M,Molitor F,Allen B,Ajufo BG,Ferrero D,Sanford GB,McFarland W,HeyMan Study Team.

    更新日期:2005-08-01 00:00:00

  • Cocaine use and high-risk sexual behavior among STD clinic patients.

    abstract:BACKGROUND AND OBJECTIVES:Crack-smoking sexually transmitted disease (STD) patients are at high-risk for contracting HIV. GOAL OF THE STUDY:To examine the effects of cocaine use and other correlates on high-risk sexual behavior among STD clinic patients. STUDY DESIGN:This was a cross-sectional study of 1,490 consecut...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/00007435-199902000-00003

    authors: Hser YI,Chou CP,Hoffman V,Anglin MD

    更新日期:1999-02-01 00:00:00

  • Seroprevalence of Herpes Simplex Virus Type 1 and Type 2 and Coinfection With HIV and Syphilis: The First National Seroprevalence Survey in Saudi Arabia.

    abstract:BACKGROUND:Herpes simplex virus (HSV) infection is one of the most common viral infections worldwide. Genital herpes is associated with other sexually transmitted infections (STIs) including HIV. Data on prevalence of HSV infections and other STIs in the Kingdom of Saudi Arabia are limited. METHODS:We conducted the fi...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0000000000000336

    authors: Memish ZA,Almasri M,Chentoufi AA,Al-Tawfiq JA,Al-Shangiti AM,Al-Kabbani KM,Otaibi B,Assirri A,Yezli S

    更新日期:2015-09-01 00:00:00

  • No Pathogen-Specific Sign or Symptom Predicts the Etiology of Monomicrobial Nongonococcal Urethritis in Men.

    abstract::Identifying pathogen-specific signs or symptoms of nongonococcal urethritis could improve syndromic management accuracy. We evaluated nongonococcal urethritis signs and symptoms in 220 men with single-pathogen infections (Chlamydia trachomatis, Mycoplasma genitalium, Trichomonas vaginalis, or Ureaplasma urealyticum) o...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0000000000001158

    authors: Jordan SJ,Toh E,Williams JA,Fortenberry LJ,LaPradd M,Ryan JD,Nelson DE,Batteiger TA

    更新日期:2020-05-01 00:00:00

  • Emergency care of urban women with sexually transmitted infections: time to address deficiencies.

    abstract:BACKGROUND:Patient education upon diagnosis of a sexually transmitted infection (STI) may effect changes in high-risk sexual behavior. OBJECTIVE:Describe emergency department (ED) communication with urban female patients treated for STIs. METHODS:: This secondary analysis of data collected during a study of ED commun...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0b013e318188389b

    authors: Rhodes KV,Bisgaier J,Becker N,Padowitz N,Vashi A,McNutt LA

    更新日期:2009-01-01 00:00:00

  • Diagnosis of male Chlamydia trachomatis urethritis by polymerase chain reaction.

    abstract:BACKGROUND AND OBJECTIVES:A quick and highly sensitive diagnostic test would be valuable in the diagnosis of Chlamydia trachomatis. GOAL OF THIS STUDY:We compared a new polymerase chain reaction (PCR) technique to Chlamydiazyme (Abbott, North Chicago, IL) in the detection of male chlamydial urethritis, and evaluated t...

    journal_title:Sexually transmitted diseases

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007435-199409000-00004

    authors: Wiesenfeld HC,Uhrin M,Dixon BW,Sweet RL

    更新日期:1994-09-01 00:00:00

  • National laboratory reports of Chlamydia trachomatis seriously underestimate the frequency of genital chlamydial infections among women in Switzerland.

    abstract:BACKGROUND:Public health authorities want to evaluate their sexually transmitted disease (STD) surveillance systems to promote the most effective use of health resources. GOAL:The goal of this study was to estimate the sensitivity of national laboratory reports of in Switzerland (the proportion of cases detected by na...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/00007435-200211000-00016

    authors: Paget WJ,Zbinden R,Ritzler E,Zwahlen M,Lengeler C,Stürchler D,Matter HC,Swiss Sentinel Surveillance Network of Gynecologists.

    更新日期:2002-11-01 00:00:00

  • The estimated direct medical cost of selected sexually transmitted infections in the United States, 2008.

    abstract:BACKGROUND:Millions of cases of sexually transmitted infections (STIs) occur in the United States each year, resulting in substantial medical costs to the nation. Previous estimates of the total direct cost of STIs are quite dated. We present updated direct medical cost estimates of STIs in the United States. METHODS:...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0b013e318285c6d2

    authors: Owusu-Edusei K Jr,Chesson HW,Gift TL,Tao G,Mahajan R,Ocfemia MC,Kent CK

    更新日期:2013-03-01 00:00:00

  • Evaluation of an advertising program on sexually transmitted diseases.

    abstract::The Division of Venereal Disease Control in British Columbia undertook a three-year, $235,000 advertising campaign to increase demand for information on sexually transmitted disease, increase clinic attendance, and decrease the incidence of gonorrhea. As a result of the campaign, demand for information increased, and ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/00007435-198207000-00002

    authors: Labonte RN

    更新日期:1982-07-01 00:00:00

  • Predicting Neisseria gonorrhoeae and Chlamydia trachomatis infection using risk scores, physical examination, microscopy, and leukocyte esterase urine dipsticks among asymptomatic women attending a family planning clinic in Kenya.

    abstract:BACKGROUND:Sexually transmitted infections (STIs) continue to exert a tremendous health burden on women in developing countries. Poor socioeconomic status, inadequate knowledge, lack of diagnostic facilities, and shortages of effective treatment all contribute to the high incidence of STIs. The use of clinical algorith...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/00007435-199909000-00010

    authors: Tyndall MW,Kidula N,Sande J,Ombette J,Temmerman M

    更新日期:1999-09-01 00:00:00

  • Profile of callers to the Centers for Disease Control and Prevention national sexually transmitted diseases hotline.

    abstract:BACKGROUND AND OBJECTIVES:The Centers for Disease Control and Prevention funds a national telephone hotline as a source of information for persons with questions about sexually transmitted diseases. Hotline callers were last surveyed in 1980. GOAL:To determine the current profile of callers to the Centers for Disease ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/00007435-199603000-00008

    authors: Neumann MS

    更新日期:1996-03-01 00:00:00

  • Role of the Papanicolaou smear in diagnosis of chlamydial infections.

    abstract::The accuracy of the routine Papanicolaou (Pap) smear in diagnosis of Chlamydia trachomatis infection of the cervix has stimulated controversial reports over the years. In the present study Pap smears from 100 women, evenly divided between culture-positive and culture-negative for C. trachomatis, who had been seen in a...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/00007435-198901000-00003

    authors: Arroyo G,Linnemann C,Wesseler T

    更新日期:1989-01-01 00:00:00

  • Factors associated with herpes simplex virus type 2 incidence in a cohort of human immunodeficiency virus type 1-seronegative Kenyan men and women reporting high-risk sexual behavior.

    abstract:BACKGROUND:Herpes simplex virus type 2 (HSV-2) is an important cause of genital ulcers and can increase the risk for human immunodeficiency virus type 1 (HIV-1) transmission. Our objective was to determine the incidence and correlates of HSV-2 infection in HIV-1-seronegative Kenyan men reporting high-risk sexual behavi...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0b013e31821a6225

    authors: Okuku HS,Sanders EJ,Nyiro J,Ngetsa C,Ohuma E,McClelland RS,Price MA,Graham SM

    更新日期:2011-09-01 00:00:00

  • A Pilot Study to Increase the Efficiency of HIV Outreach Testing Through the Use of Timely and Geolocated HIV Viral Load Surveillance Data.

    abstract:BACKGROUND:Eliminating HIV transmission in a population necessitates identifying population reservoirs of HIV infection and subgroups most likely to transmit. HIV viral load is the single most important predictor of HIV transmission. The objective of this analysis was to evaluate whether a public health practice pilot ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0000000000000730

    authors: Jennings JM,Schumacher C,Perin J,Myers T,Fields N,Greiner Safi A,Chaulk P

    更新日期:2018-03-01 00:00:00