Risk behaviors for sexually transmitted infections in noninjecting drug users: A cross-sectional study

Guimarães, Rafael Alves; Monteiro, Luiz Hb; Teles, Sheila Araújo; Fernandes, Inaina Lara; Rodovalho, Aurélio Goulart; Silva, Graciele C.; Lucchese, Roselma; Vêra, Ivânia; Silva, Andrécia C; Gregório, Valéria Duarte; Ferreira, Priscilla Martins; Almeida, Mayara Ms de; Guimarães, Vanessa Alves; Amorim, Thiago Aquino de; Souza, Marise Ramos de

doi:10.1177/0956462417750332

Cited by 5 publications

(4 citation statements)

References 42 publications

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“…Illicit drug users are exposed to additive and intoxicating effects of drugs, which alter judgment and inhibition, often causing impulsive and unsafe sexual behaviors such as multiple partners and unprotected sex (without condom use) (GUIMARÃES et al, 2018;WENDLAND et al, 2018a;PAQUETTE et al, 2017;DEV et al, 2006;PLITT, et al, 2007;RAWSON, et al, 2002), and in the present study.…”

Section: Subject Areassupporting

confidence: 48%

Prevalence Of Human Papillomavirus And Co-existent Sexually Transmitted Infections Among Female

Belfort¹,

Leite²,

Belfort³

et al. 2019

Preprint

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Background: human papillomavirus is one of the most common sexually transmitted infections in the world, with a higher prevalence among young adults at the onset of sexual activity, Methods: prospective cross-sectional study were performed among 162 women aged between 18 and 73 years. For the DNA/HPV isolation, samples were collected and placed in the HC2 DNA Collection buffer (QIAGEN, CA, USA), and frozen at -20°C until processed. DNA/HPV extraction were performed by using QIAamp DNA Mini and Blood kit (QIAGEN, CA, USA) according to manufacturer instructions. Total DNA was isolated, eluted in 100 mL AE buffer and stored at 80˚C. Extracted DNA was quantified using a NanoVue unit (GE Healthcare Life Sciences, Little Chalfont, UK). Statistical analysis was performed using IBM SPSS® software version 23. Data were initially subjected to descriptive analysis, plus mean and standard deviation. Results: among the participants, 61.7% had DNA / HPV and 66.7% were users of illicit drugs and 59.3% were non-users, making them statistically significant. Among DNA/HPV positive users there was a higher proportion of sexually transmitted infections (STIs) (27.9%) compared to non-users (9.27%) (p> 0.05). Conclusion: the vulnerability of women to STIs and the high influence caused by the socioeconomic context in the course of these infections, the importance of public policies that establish appropriate strategies for their prevention, early diagnosis and treatment is emphasized, so that there is. The Research Ethics Committee of the University Hospital of the Federal University of Maranhão approved the project under the number CAAE 76328917.5.0000.5086, and informed consent was obtained from all subjects.

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Section: Subject Areassupporting

confidence: 48%

Prevalence Of Human Papillomavirus And Co-existent Sexually Transmitted Infections Among Female

Belfort¹,

Leite²,

Belfort³

et al. 2019

Preprint

View full text Add to dashboard Cite

show abstract

“…We ran unadjusted models without covariates and adjusted models with covariates selected a priori based on covariates associated with STI in ours and others previous work. 1,28,29 We explored potential modification of the intervention effect on the main outcome by assessing interaction terms of selected factors with the intervention, including an interaction of baseline condomless sex and intervention community. Linear combinations of coefficients with their corresponding standard errors were used to calculate odds ratios comparing combinations of levels of baseline condomless sex and intervention community.…”

Section: Discussionmentioning

confidence: 99%

“…The standard error for the estimated intervention effect was obtained from the distribution of coefficients in the inverse probability weighting models in the replicated 1000 bootstrap samples to obtain a 95% confidence interval (CI) of the coefficient and P value. We ran unadjusted models without covariates and adjusted models with covariates selected a priori based on covariates associated with STI in ours and others previous work 1,28,29 …”

Section: Methodsmentioning

confidence: 99%

Impact of a Community Empowerment Intervention on Sexually Transmitted Infections Among Female Sex Workers in Baltimore, Maryland

et al. 2023

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Background: Female sex workers (FSWs) are vulnerable to a number of health issues, but often delay seeking health care due to structural barriers. Multiservice drop-in centers have been shown to increase FSW access to health services globally, but their impact on FSW in the United States is lacking. This study seeks to evaluate the effect of a community-level empowerment intervention (the multiservice drop-in SPARC center) on cumulative sexually transmitted infections (STIs) among FSW in a city in the United States.Methods: Between September 2017 and January 2019, 385 FSWs were recruited in Baltimore. Participants from areas served by SPARC were recruited to the intervention; other areas of Baltimore were the control. Follow-up occurred at 6, 12, and 18 months. The primary outcome is cumulative STI (ie, positive gonorrhea or chlamydia test at any follow-up). We tested effect modification by condomless sex with paying clients reported at baseline. Logistic regressions with propensity score weighting were used to estimate intervention effect, accounting for loss to follow-up, with bootstrap confidence intervals.Results: Participants completed 713 follow-up study visits (73%, 70%, 64% retention at 6, 12, and 18 months, respectively). Baseline STI prevalence was 28% and cumulative STI prevalence across follow-ups was 26%; these both did not differ between control and intervention communities in bivariate analyses. After adjusting for covariates, FSW in the intervention had a borderline-significant decrease in odds of cumulative STI compared with control (odds ratio, 0.61, P = 0.09). There was evidence of effect modification by baseline condomless sex, such that FSW in the intervention who reported condomless sex had lower odds of cumulative STI compared with FSW in the control community who also reported baseline condomless sex (odds ratio, 0.29; P = 0.04). Conclusions:Results demonstrate the value of a low-barrier, multiservice model on reducing STIs among the highest-risk FSW. Clinical Trial Number: NCT04413591

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“…People who use drugs (PWUD) are at high risk of sexually transmitted infections (STIs) and blood-borne viruses (BBVs)i.e., HIV, Hepatitis B and C - (1)(2)(3)(4)(5)(6)(7)(8)(9)(10). Most preventive strategies for PWUD have focused on the prevention of HIV and Hepatitis C, especially among people who inject drugs.…”

Section: Introductionmentioning

confidence: 99%

Sexual health services in community pharmacy for women on opioid substitution treatment: a qualitative study

Medina-Perucha

Scott

Chapman

et al. 2020

European Journal of Public Health

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Background Women on opioid substitution treatment (WOST) are at heightened risk for the sexual transmission of sexually transmitted infections and blood-borne viruses. This study aimed to explore the opportunities to promote their sexual health in community pharmacies in UK. Methods Semi-structured interviews were conducted with 20 WOST and 14 community pharmacists (CPs). A focus group was run with three CPs. Participants were recruited in drug services and a service for sex workers (WOST), and in CP. Data collection took place between October 2016 and September 2017. Data were analyzed using Framework Analysis and directed Content Analysis. Results CPs could play a role in promoting sexual health among WOST. Sexual health screening, treatment and condom supply were suggested as potential ways of delivering pharmacy-based sexual health services. These services should be actively offered to WOST, delivered in a private space and free of cost. We identified several challenges to overcome in order to design and implement sexual health services for WOST in community pharmacies. Conclusions This study highlights the potentially key role CPs can have promoting sexual health and addressing health inequities among WOST. Improvements in pharmacists’ training are required in order to address stigma towards WOST, and promote trust and positive rapport. Structural changes are also needed to broaden the services available for this group of women and improve their access to healthcare.

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Risk behaviors for sexually transmitted infections in noninjecting drug users: A cross-sectional study

Cited by 5 publications

References 42 publications

Prevalence Of Human Papillomavirus And Co-existent Sexually Transmitted Infections Among Female

Prevalence Of Human Papillomavirus And Co-existent Sexually Transmitted Infections Among Female

Impact of a Community Empowerment Intervention on Sexually Transmitted Infections Among Female Sex Workers in Baltimore, Maryland

Sexual health services in community pharmacy for women on opioid substitution treatment: a qualitative study

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