Abstract:
:SummarySexually transmitted diseases (STDs) are leading causes of substantial morbidity worldwide. Identification of risk factors for estimating STD risk provides opportunities for optimising service delivery in clinical settings, including improving case finding accuracy and increasing cost-efficiency by limiting the testing of low-risk individuals. The current study was undertaken to synthesise the evidence supporting commonly cited chlamydia and gonorrhoea risk factors. The level of empirical support for the following predictors was strong/moderate: age, race/ethnicity, multiple lifetime sexual partners, sex with symptomatic partners and concurrent STD diagnosis. The following predictors had weak evidence: socio-economic status, transactional sex, drug/alcohol use, condom use and history of STD diagnosis. The most frequently listed predictors among nine clinical guidelines were younger age and multiple sexual partners; the least consistently listed predictor was inconsistent condom use. We found reasonably good concordance between risk factors consistently listed in the recommendations and predictors found to have strong empirical support in the literature. There is a need to continue building the evidence base to explicate the mechanisms and pathways of STD acquisition. We recommend periodic reviews of the level of support of predictors included in clinical guidelines to ensure that they are in accordance with empirical evidence.
journal_name
Int J STD AIDSjournal_title
International journal of STD & AIDSauthors
Falasinnu T,Gilbert M,Hottes TS,Gustafson P,Ogilvie G,Shoveller Jdoi
10.1177/0956462414555930subject
Has Abstractpub_date
2015-10-01 00:00:00pages
839-51issue
12eissn
0956-4624issn
1758-1052pii
0956462414555930journal_volume
26pub_type
杂志文章,评审abstract::A 21-year-old man presented to genitourinary (GU) medicine physicians with (initially) painful penile and scrotal swelling. A diagnosis of ano-genital granulomatosis was confirmed on histological analysis of penile skin. Enquiring about systemic symptoms resulted in the additional diagnosis of gastrointestinal Crohn's...
journal_title:International journal of STD & AIDS
pub_type: 杂志文章
doi:10.1258/ijsa.2012.012183
更新日期:2013-02-01 00:00:00
abstract::This cross-sectional study assessed beliefs about highly active antiretroviral therapy (HAART) and their association with reported adherence to HAART among 109 HIV-positive patients receiving HAART while attending an ambulatory care clinic in Brighton, UK. Patients' beliefs about the necessity for and concerns about H...
journal_title:International journal of STD & AIDS
pub_type: 杂志文章
doi:10.1258/095646204322637245
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abstract::Community viral load is an aggregate measure of HIV viral load in a particular geographic location, community, or subgroup. Community viral load provides a measure of disease burden in a community and community transmission risk. This study aims to examine community viral load trend in South Carolina and identify diff...
journal_title:International journal of STD & AIDS
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journal_title:International journal of STD & AIDS
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journal_title:International journal of STD & AIDS
pub_type: 杂志文章
doi:10.1177/0956462417740487
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journal_title:International journal of STD & AIDS
pub_type: 杂志文章
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journal_title:International journal of STD & AIDS
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journal_title:International journal of STD & AIDS
pub_type: 杂志文章
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journal_title:International journal of STD & AIDS
pub_type: 杂志文章,评审
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journal_title:International journal of STD & AIDS
pub_type: 杂志文章
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更新日期:2008-11-01 00:00:00
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journal_title:International journal of STD & AIDS
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journal_title:International journal of STD & AIDS
pub_type: 杂志文章
doi:10.1258/0956462961917681
更新日期:1996-01-01 00:00:00
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journal_title:International journal of STD & AIDS
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abstract::The current cervical screening guidelines lay the duty of care of women under 25 years of age on genitourinary (GU) medicine clinics. To date there has not been an extensive review of cervical cytology results sourced from GU medicine departments. We reviewed the annual reports of the cervical screening programme, wit...
journal_title:International journal of STD & AIDS
pub_type: 杂志文章,评审
doi:10.1258/ijsa.2009.009122
更新日期:2009-10-01 00:00:00
abstract::Over the Christmas and New Year period the Health Education Authority launched a sexual health promotion campaign aimed at increasing the awareness of and reducing the incidence of sexually transmitted infections (STIs) and unwanted pregnancy. We undertook a study to assess the effect of this campaign locally in 2 gen...
journal_title:International journal of STD & AIDS
pub_type: 杂志文章
doi:10.1258/0956462001916560
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journal_title:International journal of STD & AIDS
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doi:10.1177/0956462415600570
更新日期:2016-09-01 00:00:00
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journal_title:International journal of STD & AIDS
pub_type: 杂志文章
doi:10.1258/ijsa.2009.009349
更新日期:2010-05-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2014-09-01 00:00:00
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journal_title:International journal of STD & AIDS
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更新日期:1993-07-01 00:00:00
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