Sexually Transmitted Infections Prevalence in the United States and the Relationship to Social Determinants of Health

Tapp, Jannyse; Hudson, Tamika

doi:10.1016/j.cnur.2020.05.001

Cited by 10 publications

(16 citation statements)

References 10 publications

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“…(1,2) A comparison between 2017 and 2018 showed that syphilis increased 11.3% in men and 30.4% in women. (3) A study conducted in some Brazilian cities showed an increase in human immunodeficiency virus (HIV) prevalence among men who have sex with men (MSM), from 12.1% in 2016 to 18.4% in 2019. (4) The main difficulties in facing STIs are the prevention and treatment strategies used in key groups with higher rates of exposure and transmission, such as sex workers, MSM, transgender people, intravenous drug users (IDU), and other marginalized individuals who generally have restricted access to prevention and treatment actions.…”

Section: ❚ Introductionmentioning

confidence: 99%

HIV, syphilis, hepatitis B and C in key populations: results of a 10-year cross-sectional study, Southern Brazil

Silva

Ferreira

Ribeiro

et al. 2022

Einstein (São Paulo)

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Objective: Although the development of prevention and treatment strategies for sexually transmitted infections in key groups has improved over the years, they still remain a challenge for health systems worldwide. In this context, the objective of this study is to assess the seroprevalence in the tested population, with an emphasis on key populations, aiming at identifying the participants’ profile and consequently the development of testing strategies. Methods: The present study analyzed the seroprevalence of HIV, syphilis, and hepatitis B and C, and the epidemiological profiles of key and general populations tested at a reference public health facility for sexually transmitted infections testing and counseling in the city of Curitiba, Southern Brazil. A cross-sectional study was conducted to report data from 2010 to 2019. Results: A total of 67,448 samples were analyzed, 9,086 of these tested positive, 3,633 (56%) for HIV, 4,978 (77%) for syphilis, 340 (5%) for hepatitis C virus (HCV), and 135 (2%) for hepatitis B virus (HBV). Overall, most of the participants were men (79 to 87%), and predominantly white. For HIV and syphilis, the predominant age groups were 21-30 years old (48 and 50%), HBV 21-40 years old (31%), and HCV 41-60 years old (25%). A high seroprevalence of HIV and syphilis was observed in the investigated key populations with a higher frequency in sex workers, men who have sex with men, and transgender. Conclusion: The progressive increase in syphilis cases emphasizes the need for effective interventions to enhance adherence to the use of condoms, and to expand diagnosis and treatment for these key populations.

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Section: ❚ Introductionmentioning

confidence: 99%

HIV, syphilis, hepatitis B and C in key populations: results of a 10-year cross-sectional study, Southern Brazil

Silva

Ferreira

Ribeiro

et al. 2022

Einstein (São Paulo)

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“…International research has highlighted strong links between higher levels of deprivation and higher rates of teenage pregnancy [ 42 , 43 ] and increased STI diagnoses [ 44 ]. Here, being a teenage parent, having early sex (males only), and having an accidental teenage pregnancy (females only) were associated with increased deprivation in adulthood, although participants’ childhood socioeconomic status was not measured.…”

Section: Discussionmentioning

confidence: 99%

Adverse Childhood Experiences and Their Relationship with Poor Sexual Health Outcomes: Results from Four Cross-Sectional Surveys

Wood

Ford

Madden

et al. 2022

IJERPH

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Improving understanding of risk factors for risky sexual behaviour is fundamental to achieve better population sexual health. Exposure to adverse childhood experiences (ACEs) can increase the risk of poor sexual health outcomes, but most research is US-based. This study explored associations between ACEs and poor sexual health outcomes in the UK. Data from four cross-sectional ACE surveys with adult general populations in different regions of the UK from 2013–2015 (n = 12,788) were analysed. Data included participants’ demographics, ACE exposure, and four sexual health outcomes: having early sex (<16 years), having an accidental teenage pregnancy, becoming a teenage parent, or having a lifetime diagnosis of a sexually transmitted infection. ACE count was a consistent and significant predictor of all four sexual health outcomes for both males and females, with odds of these outcomes between three and seven times higher for those with 4+ ACEs compared to those with no ACEs. Increased risks of some, but not all, sexual health outcomes were also found with higher residential deprivation, younger age, being of white ethnicity, and being born to a teenage mother. Findings highlight the need for effective interventions to prevent and ameliorate the lifelong effects of ACEs. Trauma-informed relationships and sex education, sexual health services, and antenatal/postnatal services, particularly for teenagers and young parents, could provide opportunities to prevent ACEs and support those affected. Ensuring that those living in deprived areas have access to services and that barriers to uptake are addressed is also key.

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“…[1] They are identi ed to be the underlying factors for a wide-range of diseases and di culty in care engagement that are linked directly to health disparities. [2][3][4][5] SDOH is an important factor to be considered in order to reduce expenditures due to hospital readmissions. [6 7] Identifying SDOH is key to increasing health equity and quality of life for patients historically impacted by SDOH.…”

Section: Introductionmentioning

confidence: 99%

Completeness of Social and Behavioral Determinants of Health in Electronic Health Records: A case study on the Patient-Provided Information from a minority cohort with sexually transmitted diseases

Kshatriya¹,

Balls-Berry²,

Freeman³

et al. 2020

Preprint

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IntroductionRacially and ethnically diverse minorities often experience the disease burden of sexually transmitted infections or diseases (STD) more often than their White counterparts. Yet, little is known about the connection of STD systematic discrimination, racism, and social and behavioral determinants. Plus, little to no details exists related to how this information is recorded in their Electronic Health Records (EHRs). The objective of this study is to assess the completeness of social and behavioral determinants of health (SDOH) data in the EHRs of a minority cohort with STD.Materials and Methods2,993 minority patients diagnosed with a STD at the Mayo Clinic were identified for this study. A natural language processing (NLP) algorithm was applied on the Patient-Provided Information (PPI) in their EHRs to extract SDOH information in six domains that are associated with STD, namely alcohol use, substance use, sexual activity, sexual orientation, housing status, and employment status. The completeness of SDOH was assessed in terms of documentation, breadth, and density.ResultsOur study indicates that nearly half of 2,993 patients did not have SDOH-related PPI records in their EHRs whereas the patients who had SDOH-related PPI records had well-documented records for five out of six SDOH domains, including alcohol use, substance use, sexual activity, housing status, and employment status, except for sexual orientation. A total of 1,504 patients had PPI in their EHRs for at least one of six SDOH domains, which is about 50.3% of the study cohort. Most SDOH domains have a short time span of 1 year, with up to 18 years of record data. Our analysis also indicated that education and age have a significant impact on the recording of SDOH-related PPI records. Patients that are female, older, and higher educated tend to have more SDOH information available in their records.Discussion and ConclusionWe assessed the completeness of SDOH information recorded in the PPI from patients’ EHRs. Due to large amounts of missing SDOH information in the PPI, future research is needed to integrate accurate and robust SDOH related data for downstream research and the impact of systematic discrimination on how this information is collected and interpreted in the EHRs.

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Sexually Transmitted Infections Prevalence in the United States and the Relationship to Social Determinants of Health

Cited by 10 publications

References 10 publications

HIV, syphilis, hepatitis B and C in key populations: results of a 10-year cross-sectional study, Southern Brazil

HIV, syphilis, hepatitis B and C in key populations: results of a 10-year cross-sectional study, Southern Brazil

Adverse Childhood Experiences and Their Relationship with Poor Sexual Health Outcomes: Results from Four Cross-Sectional Surveys

Completeness of Social and Behavioral Determinants of Health in Electronic Health Records: A case study on the Patient-Provided Information from a minority cohort with sexually transmitted diseases

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