Genital Herpes: Diagnosis, Treatment, and Counseling in the Adolescent Patient

Bavis, Margaret Perlia; Smith, Diane Yeager; Siomos, Martha Zervopoulos

doi:10.1016/j.nurpra.2008.11.004

Cited by 4 publications

(5 citation statements)

References 8 publications

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“…All interviews were recorded and transcribed verbatim. Analysis was conducted using Burnard’s thematic content analysis 19 from which four key themes were established. ‘ HSV–The Facts’ reviewed the medical aspects of the infection; ‘ Stigma and Psychological Aspects of HSV ’ explored participants’ experiences of the emotional aspects of an HSV diagnosis; ‘ The Challenge of Disclosure ’ examined participants’ views and experiences of discussing disclosure and ‘ Revenge not Justice ’ analysed the motivation of legal action.…”

Section: Methodsmentioning

confidence: 99%

Herpes simplex virus: ‘to disclose or not to disclose.’ An exploration of the multi-disciplinary team’s role in advising patients about disclosure when diagnosed with genital herpes simplex virus

Caulfield¹,

Willis

2016

Int J STD AIDS

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The first UK prosecution for genital herpes simplex virus (HSV) transmission in 2011 attracted strong criticism from medical experts. To address the dearth of research on the topic, this study aimed to explore the nature of advice given to patients by the multidisciplinary team (MDT) in the West of Scotland on HSV disclosure to partners. Ten semi-structured interviews with members of the MDT were conducted and the interviews were analysed using Burnard's Thematic Content Analysis. Four themes emerged which explored practitioners' knowledge of HSV and their feelings regarding the emotional aspects of the diagnosis on clients including the challenges of discussing disclosure. Within this framework, participants' attitudes to the legal prosecution were also surveyed. This study revealed that participants had good knowledge about HSV. Furthermore, participants believed disclosure to be the patient's choice and had not altered their practice to advise disclosure to all partners in accordance with local protocol. However, there was a general consensus that disclosure was not required due to the prevalence of HSV and prevalence was used to dissipate emotional reactions to HSV diagnosis.

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Section: Methodsmentioning

confidence: 99%

Herpes simplex virus: ‘to disclose or not to disclose.’ An exploration of the multi-disciplinary team’s role in advising patients about disclosure when diagnosed with genital herpes simplex virus

Caulfield¹,

Willis

2016

Int J STD AIDS

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“…We did not consider how the psychological effects of testing would affect results. STI testing can be viewed as a form of commitment in a relationship [47] or cause significant distress [48]. Further work can model this through a survey item or qualitative techniques.…”

Section: Limitationsmentioning

confidence: 99%

Lack of sexual behavior disclosure may distort STI testing outcomes

et al. 2020

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Background: Men who have sex with men (MSM) globally have a high burden of curable sexually transmitted infections (STIs). MSM do not frequently receive rectal STI testing because of several barriers, such as not being out (disclosure of sexual behavior). We evaluate whether Chinese MSM select an STI test (rectal vs urethral) appropriate for their sexual behavior (insertive and/or receptive), and the interactions with being out. Methods: This was a secondary analysis of data from a cross sectional MSM survey conducted at a multisite randomized controlled trial (RCT) (December 2018 to January 2019) around uptake of gonorrhea and chlamydia testing among Chinese MSM (N = 431). We collected socio demographics, relevant medical and sexual history, and disclosure of sexual behavior (outness). We estimated the decision to test and test choice, and the extent to which disclosure plays a role in decision making. Results: Among 431 MSM, mean age was 28 years (SD = 7.10) and 65% were out to someone. MSM who indicated versatile sexual behavior and were out to someone had a 26.8% (95%CI = 6.1, 47.5) increased likelihood for selecting the rectal test vs the ure thral test, compared to those versatile and not out. Versatile MSM out to their health provider outside of the study context had a 29.4% (95%CI = 6.3, 52.6) greater likelihood for selecting the rectal STI test vs the urethral test, compared to versatile MSM not out to their health provider. Conclusions: Sexual behavior and outness may affect gonorrhea and chlamydia testing provision. Apart from clinicians, community based efforts may reduce stigma based barriers to testing.

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Section: Limitationsmentioning

confidence: 99%

Lack of Sexual Behavior Disclosure May Distort STI Testing Outcomes

Kumar

Forastiere

Zhang

et al. 2020

Preprint

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Background. To evaluate whether Chinese men who have sex with men (MSM) selectan STI test (rectal vs urethral) appropriate for their sexual behavior (insertive and/orreceptive).Methods. We studied uptake of gonorrhea and chlamydia testing among ChineseMSM (N=431) in a multi-site randomized controlled trial (RCT) (December 2018 toJanuary 2019). We collected socio-demographics, relevant medical and sexual history,and disclosure of sexual behavior (outness). Drawing data from the RCT, we estimatedthe decision to test and test choice, and the extent to which disclosure plays a role indecision-making. Results. Among 431 MSM, mean age was 28 years (SD=7.10) and 65% were outto someone. MSM who indicated versatile sexual behavior and were out to someone hada 26.8% (95%CI=6.1, 47.5) increased likelihood for selecting the rectal test vs the ure-thral test, compared to those versatile and not out. Versatile MSM out to their healthprovider outside of the study context had a 29.4% (95%CI=6.3, 52.6) greater likelihoodfor selecting the rectal STI test vs the urethral test, compared to versatile MSM not outto their health provider. Conclusions. Sexual behavior and outness may affect gonorrhea and chlamydia test-ing provision. Apart from clinicians, community-based efforts may reduce stigma-basedbarriers to testing. Keywords. MSM; Sexual Health; Sexual Behavior Disclosure; China

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Genital Herpes: Diagnosis, Treatment, and Counseling in the Adolescent Patient

Cited by 4 publications

References 8 publications

Herpes simplex virus: ‘to disclose or not to disclose.’ An exploration of the multi-disciplinary team’s role in advising patients about disclosure when diagnosed with genital herpes simplex virus

Herpes simplex virus: ‘to disclose or not to disclose.’ An exploration of the multi-disciplinary team’s role in advising patients about disclosure when diagnosed with genital herpes simplex virus

Lack of sexual behavior disclosure may distort STI testing outcomes

Lack of Sexual Behavior Disclosure May Distort STI Testing Outcomes

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