Women's Dermatologic Diseases, Health Care Delivery, and Socioeconomic Barriers

Robinson, June K.; Ramos-e-Siliva, Marcia

doi:10.1001/archderm.142.3.362

Cited by 6 publications

(2 citation statements)

References 20 publications

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“…Studies on other populations, however, have revealed some general correlates. One of these is gender, with females more susceptible to STD due to biological, economic, and social factors 6 . Another is having a much older sexual partner, which is common among women in sub-Saharan Africa 7 and puts women, especially, at risk for STD 8–10 , including HIV.…”

Section: Introductionmentioning

confidence: 99%

Associations Between Psychosocial Factors and Incidence of Sexually Transmitted Disease Among South African Adolescents

O’Leary

Jemmott

et al. 2015

Sexually Transmitted Diseases

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Background Adolescents living in South Africa are at high risk for HIV and other sexually transmitted disease (STD). The present study sought to identify correlates of curable STD incidence among a cohort of adolescents in Eastern Cape Province, South Africa. Methods Data were collected in conjunction with an HIV/STD prevention intervention randomized controlled trial1. At 54 months post-intervention, curable STD incidence (gonorrhea, chlamydial infection and trichomoniasis) was assayed and self-report measures of potential correlates of STD incidence were collected. Results Participants were adolescents reporting at least one sexual partner in the past 3 months (N = 659). As expected, univariate analyses revealed that girls were more likely than boys to have an STD. In addition, intimate partner violence, unprotected sex, and having older partners were associated with incident STD. In Poisson multiple regression analyses, gender (risk ratio [RR] = 4.00, 95% confidence interval [CI]: 2.51–6.39), intimate partner violence (RR = 1.23, 95% CI: 1.12–1.35), unprotected sex (RR = 1.42, 95% CI: 1.09–2.01), and multiple partners (RR = 1.70, 95% CI: 1.11–2.61), but not partner’s age (RR = 1.00, 95% CI: 0.94–1.07) were associated with incident STD, adjusting for 42-month STD prevalence. Binge drinking, forced sex, and age were unrelated to STD incidence in both analyses. Interactions between gender and the hypothesized correlates were non-significant, suggesting that gender did not modify these relationships. Conclusions Interventions to reduce HIV/STD incidence among adolescents in South Africa should address the risk associated with gender, unprotected sex, intimate partner violence, and multiple partnerships.

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Section: Introductionmentioning

confidence: 99%

Associations Between Psychosocial Factors and Incidence of Sexually Transmitted Disease Among South African Adolescents

O’Leary

Jemmott

et al. 2015

Sexually Transmitted Diseases

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“…12,13 Numerous studies suggest that BCS post-bariatric surgery improves the quality of life and psychosocial functioning of patients. 9,[14][15][16][17][18][19][20] Despite these reported benefits with BCS, there is a large disparity between the number of individuals getting BCS in comparison to those who desire this procedure. Up to 90% of post-bariatric surgery patients have expressed a desire for BCS, 4,5 yet only 25% of women and 6% of men ultimately obtain BCS.…”

mentioning

confidence: 99%

Examining the Barriers to Accessing Body Contouring Surgery: A Qualitative Study

ZhouCarrol

AzinArash

Al-Ozairi

et al. 2015

Bariatric Surgical Practice and Patient Care

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Objectives: Only a fraction of post-bariatric patients who develop excess skin folds receive their desired body contouring surgery (BCS) to correct this complication. Our study aimed to explore all potential barriers to accessing BCS in a Canadian setting. Methods: Semi-structured interviews were conducted with 10 patients who have received either bariatric surgery and BCS or only bariatric surgery in order to achieve saturation of themes using grounded theory analysis. Results: Nine out of 10 interviewees reported having significant excess skin folds, and all nine of these patients reported a desire for BCS. The most frequently reported barrier was cost (n = 9). Patients identified six additional barriers preventing access to BCS that were classified into two categories: patient barriers, which included fear of the surgery, others' perception of surgery, information seeking difficulties, and logistics of the surgery, and healthcare system barriers, which consisted of the prolonged wait time for BCS and lack of advocacy for patients. Conclusion: Despite the potential benefit of and strong desire for BCS for excess skin folds post-bariatric surgery, our study highlighted cost and several barriers beyond cost that influence patient access to this surgical procedure. This suggests reassessing strategies for more comprehensive post-bariatric care.

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Anatomical and Hormonal Influences on Women's Dermatologic Health

Robinson¹

2006

JAMA

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Women's Dermatologic Diseases, Health Care Delivery, and Socioeconomic Barriers

Cited by 6 publications

References 20 publications

Associations Between Psychosocial Factors and Incidence of Sexually Transmitted Disease Among South African Adolescents

Associations Between Psychosocial Factors and Incidence of Sexually Transmitted Disease Among South African Adolescents

Examining the Barriers to Accessing Body Contouring Surgery: A Qualitative Study

Anatomical and Hormonal Influences on Women's Dermatologic Health

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