2006 United Kingdom National Guideline on the Sexual Health of People with HIV: Sexually Transmitted Infections

Nandwani, Rak; Hiv,

doi:10.1258/095646206778113032

Cited by 13 publications

(19 citation statements)

References 78 publications

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“…Serosorting still presents a risk of other STI transmission [29], and just under half of the men with diagnosed HIV reported having an STI in the previous year. This supports the recommendation for six monthly sexual health assessments among people living with HIV [32]. In our surveys, men were not asked if they were the insertive or receptive partners, so whether they were adopting strategic positioning as a risk reduction strategy could not be determined.…”

Section: Discussionsupporting

confidence: 70%

Sexual risk behaviour and knowledge of HIV status among community samples of gay men in the UK

Williamson

Dodds²,

Mercey³

et al. 2008

Aids

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A high proportion of the HIV-positive men were undiagnosed and not receiving benefits of clinical care, but sexual risk and sexually transmitted infections were highest among men who were aware of their HIV-positive status. Clinics should proactively offer testing to reduce undiagnosed HIV, target repeat testing at high-risk men who have previously tested negative, and initiate evidence-based behavioural interventions to reduce sexual risk among men living with diagnosed HIV as well as those testing negative.

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Section: Discussionsupporting

confidence: 70%

Sexual risk behaviour and knowledge of HIV status among community samples of gay men in the UK

Williamson

Dodds²,

Mercey³

et al. 2008

Aids

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“…4 Current guidance, introduced in April 2006, recommends that 'Syphilis serology should be incorporated into the routine HIV blood set and checked at three-monthly clinic visits to detect asymptomatic cases'. 2 Only a minority of the patients in the audit had their syphilis serology performed in the previous three months, but performance was better in syphilis outbreak areas (45% versus 25%, see Table 1). …”

Section: Discussionmentioning

confidence: 99%

UK national audit of sexual health care for people with HIV infection: case-notes audit

et al. 2007

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The case-notes of 3210 patients with HIV infection were audited. A sexual history was documented within four weeks before or after initial HIV diagnosis in 69% of cases (regional range 45-84%), and in the six months before attendance during the audit interval in 34% (12-53%). An offer of tests for sexually transmitted infections was documented within four weeks before or after HIV diagnosis in 58% (30-83%), and in the prior six months in 28% (14-47%). Syphilis serology was offered in the previous three months to 45% (14-100%) of cases resident in syphilis outbreak areas and to 25% (7-62%) of other cases. Hepatitis B testing was performed for 98% (95-100%) of cases and for hepatitis C, for 91% (79-100%). Cervical cytology results in the past year were documented for 73% (43-94%) of eligible women. Considerable inter-regional variation in performance exists. Interventions are needed to improve the sexual health care of people with HIV infection.

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“…However, there are other important factors to consider for an HIVpositive woman wanting to become pregnant, including the prevention of horizontal transmission between partners, the optimization of antiretroviral therapy (ART), including the discontinuation of potentially teratogenic drugs, and the promotion of a healthy pre-conception lifestyle to reduce maternal and fetal complications [2,3]. While promotion of a healthy pre-conception lifestyle is applicable to all pregnancies, the additional considerations in the context of HIV infection make planning pregnancies of vital importance.…”

Section: Introductionmentioning

confidence: 99%

“…While promotion of a healthy pre-conception lifestyle is applicable to all pregnancies, the additional considerations in the context of HIV infection make planning pregnancies of vital importance. This has been demonstrated by the release and updating of guidelines on the management of HIV infection and pregnancy by many countries and, most recently, by the World Health Organization (WHO) [2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

High prevalence of unintended pregnancies in HIV‐positive women of reproductive age in Ontario, Canada: a retrospective study

et al. 2011

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There is speculation, but there are few data, on the high rates of unintended pregnancies in HIV-positive women. We investigated rates and correlates of unintended pregnancies among HIV-positive women of reproductive age. MethodsA cross-sectional study was conducted with recruitment stratified to match the geographical distribution of HIV-positive women of reproductive age (18-52 years) living in Ontario, Canada. Women, recruited from 38 sites between October 2007 and April 2009, were invited to complete a 189-item self-administered survey. This analysis focused on questions relating to pregnancy and whether the last pregnancy was intended. Logistic regression models were fitted to calculate unadjusted and adjusted odds ratios of correlates of unintended pregnancies occurring after HIV diagnosis. Happiness with unintended pregnancies was also assessed. ResultsThe median age at the time of the survey of the 416 participating HIV-positive women who were previously pregnant (53% before and 47% after HIV diagnosis) was 38 years [interquartile range (IQR) 33-44 years] and their last pregnancy was a median of 8 years (IQR 3-14 years) prior to the survey (n 5 283). Fifty-nine per cent were born outside Canada and 47% were of African ethnicity. Of the 416, 56% [95% confidence interval (CI) 51-61%] identified that their last pregnancy was unintended (57% before and 54% after HIV diagnosis). In the multivariable model, significant correlates of unintended pregnancy after HIV diagnosis were: marital status (P 5 0.01) and never having given birth (P 5 0.01). Women were less happy if their pregnancy was unintended (Po0.01). ConclusionsThe prevalence of unintended pregnancy was high in this cohort. Pregnancy planning programmes are needed for this population to decrease fetal and maternal complications and reduce vertical and horizontal transmission.

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2006 United Kingdom National Guideline on the Sexual Health of People with HIV: Sexually Transmitted Infections

Cited by 13 publications

References 78 publications

Sexual risk behaviour and knowledge of HIV status among community samples of gay men in the UK

Sexual risk behaviour and knowledge of HIV status among community samples of gay men in the UK

UK national audit of sexual health care for people with HIV infection: case-notes audit

High prevalence of unintended pregnancies in HIV‐positive women of reproductive age in Ontario, Canada: a retrospective study

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