Help and Care Seeking for Sexually Transmitted Infections Among Youth in Low- and Middle-Income Countries.

Abstract:

BACKGROUND:The ability to seek help or medical care for sexually transmitted infections (STIs) is vital for sexually active youth; yet, their needs are often unmet. METHODS:We conducted a qualitative systematic review of studies to assess youth and provider views about the behaviors of young people in help seeking and care seeking for STI services in low- and middle-income countries. We searched peer-reviewed literature for studies published between 2001 and 2014 with a study population of youth (age, 10-24 years) and/or health service providers. Eighteen studies were identified for inclusion from 18 countries. Thematic analyses identified key themes across the studies. RESULTS:The majority of studies included discussion of youth not seeking treatment, resorting to self-treatment, or waiting to access care, suggesting that many youth still do not seek timely care for STIs. Youth desired more information on sexual health and cited barriers related to fear or taboos in obtaining help or information, especially from providers or parents. Many did not recognize symptoms or waited until symptoms worsened. However, many youth were able to identify a number of sources for STI related care including public and private clinics, pharmacies, alternative healers, and nongovernmental organizations. Youth's help seeking and care seeking preferences were frequently influenced by desires for confidentiality, friendliness, and cost. CONCLUSIONS:Youth in low- and middle-income countries experience significant barriers in help seeking for STIs and often do not seek or postpone medical care. Improving uptake may require efforts to address clinic systems, provider attitudes, confidentiality, and cultural norms related to youth sexuality.

journal_name

Sex Transm Dis

authors

Newton-Levinson A,Leichliter JS,Chandra-Mouli V

doi

10.1097/OLQ.0000000000000607

subject

Has Abstract

pub_date

2017-06-01 00:00:00

pages

319-328

issue

6

eissn

0148-5717

issn

1537-4521

pii

00007435-201706000-00001

journal_volume

44

pub_type

杂志文章,meta分析,评审
  • Hepatitis due to herpes simplex virus in a nonpregnant patient: treatment with acyclovir.

    abstract::A previously healthy 19-year-old nonpregnant woman had disseminated infection with herpes simplex virus. The disseminated disease was accompanied by hepatitis. The patient was treated with parenteral acyclovir (5 mg/kg) given every 8 hr. The patient's symptoms resolved after three days of therapy. A review of five sim...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/00007435-198607000-00014

    authors: Baxter RP,Phillips LE,Faro S,Hoffman L

    更新日期:1986-07-01 00:00:00

  • 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

  • Serum concentration of protein CA-125 in women with pelvic inflammatory disease.

    abstract::The concentration of the protein CA-125 in serum was determined in women with a normal pelvis visualized at laparoscopy (control group, n = 15) and compared with serum levels of this protein in women with pelvic inflammatory disease (PID) (n = 14). Mean serum concentrations of CA-125 were similar in the two groups: 17...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/00007435-198807000-00005

    authors: Brumsted JR,Mead PB,Gibson M

    更新日期:1988-07-01 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

  • HIV/AIDS behavioral surveillance surveys of the cross-border sex-networker population in Hong Kong from 1997 to 2001.

    abstract:BACKGROUND:Mobility is an important risk factor in the spread of HIV. GOAL:The goal was to conduct behavioral surveillance surveys on Hong Kong males crossing the border to mainland China to have sex with female sex workers (FSW) or nonregular female sex partners who were not FSW (NRP). STUDY DESIGN:Four surveys (199...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/01.OLQ.0000086605.65963.12

    authors: Lau JT,Tsui HY

    更新日期:2003-11-01 00:00:00

  • From trial intervention to scale-up: costs of an adolescent sexual health program in Mwanza, Tanzania.

    abstract:OBJECTIVE:To estimate annual costs of a multifaceted adolescent sexual health intervention in Mwanza, Tanzania, by input (capital and recurrent), component (in-school, community activities, youth-friendly health services, condom distribution), and phase (development, startup, trial implementation, scale-up). STUDY DES...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/01.olq.0000200606.98181.42

    authors: Terris-Prestholt F,Kumaranayake L,Obasi AI,Cleophas-Mazige B,Makokha M,Todd J,Ross DA,Hayes RJ

    更新日期:2006-10-01 00:00:00

  • Podophyllotoxin in serum: absorption subsequent to three-day repeated applications of a 0.5% ethanolic preparation on condylomata acuminata.

    abstract::High-performance liquid chromatography was used for quantitative determination of podophyllotoxin in serum subsequent to repeated applications of a 0.5% ethanolic preparation on condylomata acuminata. The drug was not detectable in the serum of ten men treated with < or = 50 microliters. In serum of seven patients rec...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:

    authors: von Krogh G

    更新日期:1982-01-01 00:00:00

  • Cytokine expression during syphilis infection in HIV-1-infected individuals.

    abstract:BACKGROUND:Little is known about cytokine responses to syphilis infection in HIV-1-infected individuals. METHODS:We retrospectively identified patients with HIV-1 and Treponema pallidum coinfection. Plasma samples from before, during, and after coinfection were analyzed for interleukin (IL)-2, IL-4, IL-6, IL-8, IL-10,...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0b013e318193ca26

    authors: Knudsen A,Benfield T,Kofoed K

    更新日期:2009-05-01 00:00:00

  • Lack of evidence for intertypic recombinants in the pathogenesis of recurrent genital infections with herpes simplex virus type 1.

    abstract::Clinical observations indicate that herpes simplex virus type 1 (HSV-1) is significantly less likely than herpes simplex virus type 2 (HSV-2) to establish latency in (or reactivate from) sacral ganglionic tissue. In an effort to identify viral functions associated with latency, we analyzed HSV-1 isolates from three pa...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/00007435-198607000-00005

    authors: Fife KH,Boggs D

    更新日期:1986-07-01 00:00:00

  • Analysis of routine data describing morbidity from gonorrhea.

    abstract::A system was developed for the collection, coding, and processing of data from routine reports describing morbidity caused by gonorrhea. These data are coded centrally, and tables that provide information about the age, sex, race, source of care, and geographic and temporal distributions of the population affected by ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/00007435-197901000-00002

    authors: Rothenberg RB

    更新日期:1979-01-01 00:00:00

  • Prevalence and risk factors for human herpesvirus 8 infection in northern Cameroon.

    abstract:BACKGROUND:The modes of transmission of HHV-8 are still unclear. GOAL:To evaluate the distribution and transmission of HHV-8 infection. DESIGN:Serosurvey conducted in a Cameroon hospital among 292 persons, including children (5-10 years), adolescents (15-20 years), and adults (30-40 years). Antibodies against lytic a...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/00007435-200003000-00008

    authors: Rezza G,Tchangmena OB,Andreoni M,Bugarini R,Toma L,Bakary DK,Glikoutou M,Sarmati L,Monini P,Pezzotti P,Ensoli B

    更新日期:2000-03-01 00:00:00

  • Incidence and Predictors of Chlamydia, Gonorrhea and Trichomonas Among a Prospective Cohort of Cisgender Female Sex Workers in Baltimore, Maryland.

    abstract:BACKGROUND:Cisgender female sex workers (CFSWs) have elevated rates of sexually transmitted infections (STI) yet are underrepresented in targeted programming and research in the United States. We examined the prevalence, incidence and predictors of chlamydia, gonorrhea, and trichomonas infection among CFSW. METHODS:Tw...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0000000000001085

    authors: Park JN,Gaydos CA,White RH,Decker MR,Footer KHA,Galai N,Silberzahn BE,Riegger K,Morris M,Huettner SS,Allen ST,Sherman SG

    更新日期:2019-12-01 00:00:00

  • Sexual bridging socially and over time: a simulation model exploring the relative effects of mixing and concurrency on viral sexually transmitted infection transmission.

    abstract:BACKGROUND:Sexual partnerships between people at higher and lower risk for sexually transmitted infections (STIs) (i.e., bridging) occur through dissortative mixing and concurrent partnerships, yet the relative effects of these network patterns on population STI spread are poorly understood. GOAL:Using a stochastic mo...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/01.olq.0000194586.66409.7a

    authors: Doherty IA,Shiboski S,Ellen JM,Adimora AA,Padian NS

    更新日期:2006-06-01 00:00:00

  • Declining prevalence rates of syphilis among police officers in Guinea-Bissau, West Africa, 1990-2010.

    abstract::We analyzed prevalence rates of syphilis (positive Treponema pallidum hemagglutinin antigen/T. pallidum particle antigen and venereal disease research laboratory test) among police officers in Guinea-Bissau from 1990 to 2010 and found a significant decline from 4.5% to 0.4% (P = 0.0065). Our results are in line with o...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0000000000000012

    authors: Lindman JL,Månsson F,Biague A,Da Silva ZJ,Andersson S,Norrgren H

    更新日期:2013-10-01 00:00:00

  • The prevalence and incidence of oral human papillomavirus infection among young men and women, aged 18-30 years.

    abstract:BACKGROUND:Oral human papillomavirus (HPV) infection is a cause of oropharyngeal squamous cell carcinoma, yet little is known about the epidemiology and natural history of infection. METHODS:At a baseline and 3-month follow-up visit, 1000 young adults aged 18 to 30 years provided an oral rinse sample and completed a s...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0b013e31824f1c65

    authors: Pickard RK,Xiao W,Broutian TR,He X,Gillison ML

    更新日期:2012-07-01 00:00:00

  • Neighborhoods at risk: estimating risk of higher Neisseria gonorrhoeae incidence among women at the census tract level.

    abstract:BACKGROUND:The association between area-based social factors and sexually transmitted diseases has been demonstrated in numerous studies. Such associations have not previously been explored for their potential to quantify likelihood of higher transmission of gonorrhea in small geographic areas. METHODS:Aggregate censu...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章,多中心研究

    doi:10.1097/OLQ.0000000000000195

    authors: Stenger MR,Samuel MC,Anschuetz GL,Pugsley R,Eaglin M,Klingler E,Reed M,Schumacher CM,Simon J,Weinstock H

    更新日期:2014-11-01 00:00:00

  • Screening for gonorrhea and chlamydia by DNA amplification in adolescents attending middle school health centers. Opportunity for early intervention.

    abstract:GOAL:To determine prevalence and incidence of Neisseria gonorrhoeae (GC) and Chlamydia trachomatis (CT) infection and assess risk factors predictive for such infections in a middle school-based clinic sample. STUDY DESIGN:170 female students and 43 male students making 256 and 47 visits, respectively, > or = 30 days a...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/00007435-199809000-00001

    authors: Burstein GR,Waterfield G,Joffe A,Zenilman JM,Quinn TC,Gaydos CA

    更新日期:1998-09-01 00:00:00

  • CXCL13 as a cerebrospinal fluid marker for neurosyphilis in HIV-infected patients with syphilis.

    abstract:BACKGROUND:Asymptomatic neurosyphilis is more difficult to diagnose in human immunodeficiency virus (HIV)-infected patients because HIV itself can cause cerebrospinal fluid (CSF) pleocytosis. The proportion of CSF lymphocytes that are B cells is elevated in neurosyphilis, suggesting that the CSF concentration of the B ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0b013e3181d877a1

    authors: Marra CM,Tantalo LC,Sahi SK,Maxwell CL,Lukehart SA

    更新日期:2010-05-01 00:00:00

  • Molecular Typing of Syphilis-Causing Strains Among Human Immunodeficiency Virus-Positive Patients in Antwerp, Belgium.

    abstract::Centers for Disease Control and Prevention and sequencing-based treponeme typing was used to analyze 72 blood samples, collected from human immunodeficiency virus and syphilis co-infected patients during 2014 to 2015 in Antwerp, Belgium. Twenty-nine (40.3%) isolates were polymerase chain reaction positive for Treponem...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0000000000000600

    authors: Mikalová L,Grillová L,Osbak K,Strouhal M,Kenyon C,Crucitti T,Šmajs D

    更新日期:2017-06-01 00:00:00

  • Critical Elements of Community Engagement to Address Disparities and Related Social Determinants of Health: The Centers of Disease Control and Prevention Community Approaches to Reducing Sexually Transmitted Disease Initiative.

    abstract:BACKGROUND:Community Approaches to Reducing Sexually Transmitted Disease (CARS), a unique initiative of the US Centers for Disease Control and Prevention, promotes the use of community engagement to increase sexually transmitted disease (STD) prevention, screening, and treatment and to address locally prioritized STD-r...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0000000000001267

    authors: Rhodes SD,Daniel-Ulloa J,Wright SS,Mann-Jackson L,Johnson DB,Hayes NA,Valentine JA

    更新日期:2021-01-01 00:00:00

  • Sexual patterns and human immunodeficiency virus infection among homosexuals in Taiwan.

    abstract::Between 1988 and 1991, 64 homosexual men and 43 bisexual men were screened for human immunodeficiency virus (HIV) in Southern Taiwan; 5 of them were found to carry HIV antibodies. According to a self-administered questionnaire completed before screening, the average age of the men in the study group was 27 years, and ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:

    authors: Ko YC,Chang SJ

    更新日期:1992-11-01 00:00:00

  • High human immunodeficiency virus incidence in a cohort of Rwandan female sex workers.

    abstract:BACKGROUND:Measurement of human immunodeficiency virus(HIV) incidence among female sex workers in Rwanda is a key part of preparing for HIV prevention trials. METHODS:HIV-negative, nonpregnant female sex workers (N =397) were tested for HIV-1, sexually transmitted infections, and pregnancy quarterly for 12 months, and...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/olq.0b013e31820b8eba

    authors: Braunstein SL,Ingabire CM,Kestelyn E,Uwizera AU,Mwamarangwe L,Ntirushwa J,Nash D,Veldhuijzen NJ,Nel A,Vyankandondera J,van de Wijgert JH

    更新日期:2011-05-01 00:00:00

  • 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 ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0b013e3181e1a162

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

    更新日期:2010-10-01 00:00:00

  • Assessment of the routine, occupation-based gonorrhea and syphilis screening program in Moscow, Russia: an analysis of sexually transmitted infection prevalence and cost-effectiveness.

    abstract:OBJECTIVES:In the Russian Federation, large sectors of the population regularly undergo mandatory occupational screening for sexually transmitted infections (STIs). Objectives of our study were to determine the prevalence of syphilis and gonorrhea in the screened occupational groups in Moscow and to conduct a cost-effe...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0b013e31816f1c65

    authors: Kourbatova EV,Akovbyan VA,Chesson HW,Lytkina IN,Dmitriev GA,Tikhonova LI,Koubanova AA,Petukhova II,Latypova MF,Aboymova OA,Lewis JS,Ryan CA,Shakarishvili A

    更新日期:2008-05-01 00:00:00

  • Acyclovir ointment does not affect the dark-field examination in primary syphilis.

    abstract::In the cases of two patients and in a rabbit with experimental syphilis, treatment of primary syphilis lesions with 5% acyclovir ointment did not affect detection of Treponema pallidum by dark-field microscopy. These results indicate that the dark-field examination need not be delayed in patients whose genital ulcers ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/00007435-198311000-00008

    authors: Roddy R,Lukehart SA,Handsfield HH

    更新日期:1983-10-01 00:00:00

  • A Comparison of U.S. Clinical Laboratory Chlamydia and Gonorrhea Testing Practices Prior to and Following the 2014 CDC Testing Recommendations.

    abstract:BACKGROUND:Adherence to recommended laboratory testing practices is crucial for sexually transmitted infection (STI) prevention and control. The objective of this paper is to compare Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) testing practices of US clinical laboratories in 2013 prior to the updated 2014...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0000000000001299

    authors: Davis A,Gaynor A

    更新日期:2020-09-18 00:00:00

  • Factors Associated With Increased Syphilis Screening Among People Living With Human Immunodeficiency Virus.

    abstract:BACKGROUND:Antiretroviral therapy effectively reduces the risk of human immunodeficiency virus transmission, but in the context of undetectable equals untransmittable and decreased condom use, rates of syphilis are increasing. In Oregon, syphilis has risen over 20-fold in the past decade, from less than 30 to approxima...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0000000000001015

    authors: Hixson LK,Drach L,Maher JE,Knapp AT,Ferrer JS,Menza TW

    更新日期:2019-08-01 00:00:00

  • Recidivism among patients with gonococcal infection presenting to a venereal disease clinic.

    abstract::We studied the incidence of gonorrhea, gonococcal recidivism and related factors in venereal disease clinic patients. A sample of 2029 records, which were selected randomly, were reviewed. Gonorrhea and gonococcal recidivism were more common in nonwhite patients, particularly in nonwhite men. Gonorrhea occurred more t...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/00007435-197704000-00001

    authors: Noble RC,Kirk NM,Slagel WA,Vance BJ,Somes GW

    更新日期:1977-04-01 00:00:00

  • Antimicrobial susceptibility of Neisseria gonorrhoeae strains isolated in 2004-2006 in Bangui, Central African Republic; Yaoundé, Cameroon; Antananarivo, Madagascar; and Ho Chi Minh Ville and Nha Trang, Vietnam.

    abstract:GOAL:To investigate the in vitro antimicrobial susceptibility of Neisseria gonorrhoeae strains isolated in 2004 and 2005 in Bangui, Central African Republic; Yaoundé, Cameroon; Antananarivo, Madagascar; and Ho Chi Minh Ville and Nha Trang, Vietnam. STUDY DESIGN:Antimicrobial susceptibility testing was performed by bot...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/OLQ.0b013e31818318d8

    authors: Cao V,Ratsima E,Van Tri D,Bercion R,Fonkoua MC,Richard V,Talarmin A

    更新日期:2008-11-01 00:00:00

  • The cost effectiveness of azithromycin for Chlamydia trachomatis infections in women.

    abstract:BACKGROUND AND OBJECTIVES:Azithromycin, an approved single-dose therapy for cervical chlamydia infections, costs four times as much as doxycycline, the standard multidose theapy. GOAL OF THIS STUDY:This study examined whether azithromycin is cost effective for treating cervical chlamydia infections. STUDY DESIGN:Two ...

    journal_title:Sexually transmitted diseases

    pub_type: 杂志文章

    doi:10.1097/00007435-199509000-00002

    authors: Haddix AC,Hillis SD,Kassler WJ

    更新日期:1995-09-01 00:00:00