Prevalence and Correlates of a Diagnosis of Sexually Transmitted Infection Among Young Aboriginal and Torres Strait Islander People

Ward, James; Wand, Handan; Bryant, Joanne; Delaney-Thiele, Dea; Worth, Heather; Pitts, Marian; Byron, Kat; Moore, Elizabeth A.; Donovan, Basil; Kaldor, John

doi:10.1097/olq.0000000000000417

Cited by 8 publications

(9 citation statements)

References 19 publications

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“…In contrast, there were very few reported cases of mouth-anus oral sex as well as anal sex. Such data are similar to data from another study where higher percentages were found for vaginal intercourse [24], or where oral sex was more frequent than anal sex [18]. Our findings with respect to a higher frequency of vaginal sex as opposed to anal sex may be conditioned by mostly heterosexual subjects in our sample.…”

Section: Discussionsupporting

confidence: 92%

“…In relation to condom use, results show an inconsistent use when asking subjects about the time elapsed from the last time they had sex without using a condom, which could increase contagion and transmission of STIs. It is worth mentioning that evidence is firm when relating the low use of condom to a higher risk of getting an STI [ 13 , 24 , 26 , 27 ]. In general, the epidemiological studies available has shown that, when condoms are used constantly and correctly, they are highly effective to prevent HIV infection and they reduce the risk of other STIs [ 28 , 29 ].…”

Section: Discussionmentioning

confidence: 99%

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Association between Sexual Habits and Sexually Transmitted Infections at a Specialised Centre in Granada (Spain)

Santa-Bárbara

Hueso‐Montoro

Martín-Salvador

et al. 2020

IJERPH

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Sexually transmitted infections are an important public health issue. The purpose of this study is to analyse the association between different sexual habits and the prevalence of sexually transmitted infections in the population of Granada who consult with a specialised centre. An observational, cross-sectional study was conducted based on the medical records of 678 people from the Sexually Transmitted Diseases and Sexual Orientation Centre of Granada, who were diagnosed positively or negatively with a sexually transmitted infection, during the 2000−2014 period. Sociodemographic and clinical data, as well as data on frequency and type of sexual habits, frequency of condom use and sexually transmitted infection positive or negative diagnosis were collected. Univariate and bivariate analyses were conducted. The most popular sexual habits were vaginal intercourse, oral sex (mouth–vagina and mouth–penis) and the least popular were anus–mouth and anal sex. The use of condom is frequent in vaginal and anal sex and less frequent in oral sex. Sexually transmitted infection is associated with mouth–penis (p = 0.004) and mouth–vagina (p = 0.023) oral sex and anal sex (p = 0.031). It is observed that there is a relationship between the presence of STIs and oral sex practices, people having such practices being the ones who use condoms less frequently. There is also a relationship between anal sex and the prevalence of STIs, although in such sexual practice the use of condom does prevail.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Association between Sexual Habits and Sexually Transmitted Infections at a Specialised Centre in Granada (Spain)

Santa-Bárbara

Hueso‐Montoro

Martín-Salvador

et al. 2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…In relation to risk indicators, we have found that drug use becomes a risky practice for transmission of STIs, due to the limitation imposed on the individual’s decision-making capability, making them more vulnerable, as pointed out by other authors [ 33 , 47 , 48 ]. Evidence associates the low use of condoms with a higher risk of STI contagion [ 49 , 50 , 51 , 52 ], in line with our results, despite some nuances. We have analyzed the time period elapsed since the last time a condom was used and not its frequency of use, but literature identifies both factors as strongly associated with a significant risk of acquiring an STI [ 22 , 24 , 53 ].…”

Section: Discussionsupporting

confidence: 91%

Sexually Transmitted Infections and Associated Factors in Southeast Spain: A Retrospective Study from 2000 to 2014

Pérez-Morente

Gázquez-López

Álvarez-Serrano

et al. 2020

IJERPH

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The World Health Organization estimates that more than one million people acquire a Sexually Transmitted Infection (STI) every day, compromising quality of life, sexual and reproductive health, and the health of newborns and children. It is an objective of this study to identify the factors related to a Sexually Transmitted Infection diagnosis in the province of Granada (Spain), as well as those better predicting the risk of acquiring such infections. In this study, 678 cases were analyzed on a retrospective basis, which were treated at the Centre for Sexually Transmitted Diseases and Sexual Orientation in Granada, between 2000–2014. Descriptive statistics were applied, and by means of binary logistic regression, employing the forward stepwise-likelihood ratio, a predictive model was estimated for the risk of acquiring an STI. Sex, age, occupation, economic crisis period, drug use, number of days in which no condoms were used, number of sexual partners in the last month and in the last year, and number of subsequent visits and new subsequent episodes were associated with an STI diagnosis (p < 0.05). The risk of being diagnosed with an STI increased during the economic crisis period (OR: 1.88; 95%-CI: 1.28–2.76); during the economic crisis and if they were women (OR:2.35, 95%- CI: 1.24–4.44); and if they were women and immigrants (OR: 2.09; 95%- CI:1.22–3.57), while it decreased with age (OR: 0.97, 95%-CI: 0.95–0.98). Identification of the group comprised of immigrant women as an especially vulnerable group regarding the acquisition of an STI in our province reflects the need to incorporate the gender perspective into preventive strategies and STI primary health care.

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“…STI notifications in Aboriginal populations in Australia occur at a higher rate in young people aged 15–29 years than in the corresponding age bracket in the non‐Indigenous population 18 . The most common STI diagnosis in Aboriginal young people across Australia is chlamydia, followed by gonorrhoea and syphilis 19 . HIV prevalence in the Aboriginal population remains low, 20 but the HIV notification rate for Aboriginal people has increased in recent years while simultaneously decreasing in the non‐Indigenous Australian‐born population 18…”

Section: Epidemiological Contextmentioning

confidence: 99%

Integrating testing for sexually transmissible infections into routine primary care for Aboriginal young people: a strengths‐based qualitative analysis

McCormack

Guy

Bourne

et al. 2022

Australian and New Zealand Journal of Public Health

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Objectives: This paper examines factors that enabled successful integration of testing for sexually transmissible infections into routine care in Aboriginal Community Controlled Health Services.Methods: This paper reports analysis of qualitative interview data recorded with 19 purposively sampled key informants in New South Wales, Australia, representing six Aboriginal Community Controlled Health Services and five government health bodies supporting those services. The analysis explicitly adopted a strengths-based approach.Results: Participants reported a strong belief that routine screening overcomes shame and increases engagement with sexual health screening. Incorporating sexual health screening into general medical consultations increases the capture of asymptomatic cases. The Medicare Benefits Schedule 715 Adult Health Check was highlighted as an ideal lever for effective integration into routine care. Conclusion:Integration of testing for sexually transmissible infections into routine care is widely perceived as best practice by senior stakeholders in Aboriginal healthcare in NSW. Findings support continued work to optimise the MBS 715 as a lever to increase testing. Implications for public health:Identifying accessible strategies to increase testing for sexually transmissible infections in Aboriginal Community Controlled Health Services can reduce disparities in notifications affecting Aboriginal young people.

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Prevalence and Correlates of a Diagnosis of Sexually Transmitted Infection Among Young Aboriginal and Torres Strait Islander People

Cited by 8 publications

References 19 publications

Association between Sexual Habits and Sexually Transmitted Infections at a Specialised Centre in Granada (Spain)

Association between Sexual Habits and Sexually Transmitted Infections at a Specialised Centre in Granada (Spain)

Sexually Transmitted Infections and Associated Factors in Southeast Spain: A Retrospective Study from 2000 to 2014

Integrating testing for sexually transmissible infections into routine primary care for Aboriginal young people: a strengths‐based qualitative analysis

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