Update on Sexually Transmitted Infections, 2008

Akhter, Sabreen; Beckmann, Kathleen; Gorelick, Marc H.

doi:10.1097/pec.0b013e3181b54860

Cited by 3 publications

(4 citation statements)

References 15 publications

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“…Todos estos resultados se pueden relacionar con varias enfermedades asociadas al sistema reproductor femenino, como lo son la vaginitis por cándida, vaginosis bacteriana, enfermedad pélvica inflamatoria, entre otras (5)(6)(7).…”

Section: Discussionunclassified

Efectos del consumo de alcohol vía vaginal en adolescentes en cuatro colegios de la ciudad de Medellín, Colombia

2014

Rev. chil. obstet. ginecol.

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RESUMENAntecedentes: La adolescencia es una etapa de la vida en la que los adolescentes intentan reafirmar su independencia y en muchas ocasiones se puede ver esto rechazando la escala de valores de sus padres. No es de sorprender que en este proceso los adolescentes tengan un consumo mayor de alcohol, el cual puede traer muchas consecuencias tanto en la salud física como psicológica y social. Adicional al consumo vía oral las jóvenes buscan vías alternas para evitar ser descubiertos por la sociedad como es el uso de la vía vaginal. Objetivo: Describir los efectos del uso de alcohol vía vaginal y su entorno social en adolescentes escolarizadas. Método: Estudio descriptivo, en el que se efectuaron 1028 encuestas a las adolescentes de los grados 9, 10 y 11 de cuatro colegios de diferente estrato socio-económico en la ciudad de Medellín. El análisis y la interpretación de los datos se realizaron mediante estadística descriptiva. Resultados: El consumo de alcohol en las adolescentes escolarizados es frecuente tanto vía oral como vaginal en un 59,2% y 1,7% respectivamente. El uso vaginal se acompaña de efectos locales y sistémicos. Los efectos locales en los genitales más frecuentes fueron: ardor, prurito y edema vulvo-vaginal; los efectos sistémicos se presentaron en la primera hora de uso con sensación de "borrachera". Conclusión: El consumo de alcohol vía oral y vaginal es frecuente en las adolescentes con efectos locales y sistémicos. PALABRAS CLAVE: Alcohol, vagina, adolescentes, efectos secundarios SUMMARYBackground: Adolescence is a stage in life when adolescents try to reaffirm their independence. In many occasions this can be observed in their disregard of their parents´ values scale. It is not a surprise that through this process adolescents consume more alcohol; which brings many psychological, social and physical health consequences. In addition to the oral consumption, adolescents look for alternative ways to avoid being discovered. Consumption via vagina is one example. Aims: Describe the side effects of alcohol consumption via vagina and the social environment of schooled adolescents. Method: Descriptive study in which 1028 surveys were administered to adolescents from 9º, 10º and 11º grades in 4 different socio-economic level schools in Medellin. The analysis and interpretation of the data was performed using descriptive statistics. Results: Schooled adolescents frequently consume alcohol orally in 59.2% as well as via vagina in 1.7%. The consumption via vagina brings with it local and systemic side effects. The most frequent local side effects in the genital area were burning sensation, itching, vulvo-vaginal edema. The only

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Section: Discussionunclassified

Efectos del consumo de alcohol vía vaginal en adolescentes en cuatro colegios de la ciudad de Medellín, Colombia

2014

Rev. chil. obstet. ginecol.

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“…Sexually transmitted infections (STIs) are a significant public health concern that disproportionately affects adolescents. Adolescents contract approximately 25% of all STIs annually in the United States, 1 resulting in 17 billion dollars in total medical costs annually. 2 Asymptomatic screening programs in the primary care setting have been effective with STI screening.…”

Section: Introductionmentioning

confidence: 99%

“…4-6 Instead, adolescents heavily rely on the Emergency Department (ED) for health care access, comprising approximately fifteen percent of all annual ED visits. 1,7-10…”

Section: Introductionmentioning

confidence: 99%

“…11,12 ED providers often fail to inquire about sexual behavior and assess for STI risk factors, suggesting a missed opportunity for early identification and treatment of STIs. 1,13 Given the low rate of primary care utilization by adolescents in the context of high STI rates, the ED may be a strategic setting for the provision of sexual health services in a population with otherwise limited health care access. 4,6 Further, the ED may be an important venue to connect underserved and high risk adolescents with ongoing longitudinal primary care.…”

Section: Introductionmentioning

confidence: 99%

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Adolescent Sexual Behavior and Emergency Department Use

et al. 2018

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Objectives To determine whether adolescents in EDs who report engaging in high risk sexual behaviors are less likely to identify a primary care provider (PCP) and more likely to access the emergency department (ED) than their sexually inexperienced peers. Methods Secondary analysis of adolescents presenting to a pediatric ED with non-sexually transmitted infection (STI)-related complaints who completed surveys to assess sexual behavior risk and health care access. We measured differences in self-reported PCP identification, preferential use of the ED, and number of ED visits over a 12-month period by sexual experience. Secondary outcomes included clinician documented sexual histories and STI testing. Results Of 758 patients meeting inclusion criteria, 341 (44.9%) were sexually experienced and of those, 129 (37.8%) reported engaging in high risk behavior. Participants disclosing high risk behavior were less likely to identify a PCP (aOR 0.5; 95% CI 0.3, 0.9), more likely to prefer the ED for acute care issues (aOR 1.6; 95% CI 1.0, 2.6) and had a higher rate of ED visits (aRR 1.2; 95% CI 1.0,1.3) compared to sexually inexperienced peers. Among patients disclosing high risk behavior, 10.9% had clinician-documented sexual histories and 2.6% underwent STI testing. Conclusion Adolescents who reported engaging in high risk sexual behaviors were less likely to identify a PCP, and more likely to prefer ED-based care and make more ED visits. However, ED clinicians infrequently obtained sexual histories and performed STI testing in asymptomatic youth, thereby missing opportunities to screen high-risk adolescents who may lack access to preventive care.

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