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Pesquisa : Doenças and Sexualmente and Transmissíveis [Palavras]
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  1 / 20525 MEDLINE  
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[PMID]:25316919
[Au] Autor:Giang le M; Clatts MC; Goldsamt LA; Yu G
[Ad] Endereço:Center for Research and Training on HIV/AIDS, Hanoi Medical University, Hanoi, Vietnam....
[Ti] Título:High rates of oral STIs among male sex workers in Vietnam.
[So] Source:Sex Transm Infect;90(7):528, 2014 Nov.
[Is] ISSN:1472-3263
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Infecções por Chlamydia/epidemiologia
Gonorreia/epidemiologia
Doenças da Boca/epidemiologia
Infecções por Papillomavirus/epidemiologia
Profissionais do Sexo/estatística & dados numéricos
Comportamento Sexual/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Humanos
Masculino
Doenças Sexualmente Transmissíveis/epidemiologia
Vietnã/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:LETTER; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1412
[Cu] Atualização por classe:150404
[Lr] Data última revisão:
150404
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:141015
[St] Status:MEDLINE
[do] DOI:10.1136/sextrans-2013-051423


  2 / 20525 MEDLINE  
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[PMID]:25320878
[Au] Autor:Spielberg F; Levy V; Lensing S; Chattopadhyay I; Venkatasubramanian L; Acevedo N; Wolff P; Callabresi D; Philip S; Lopez TP; Padian N; Blake DR; Gaydos CA
[Ad] Endereço:Freya Spielberg is with the Department of Prevention and Community Health, George Washington University, Washington, DC. Vivian Levy and Teresa P. Lopez are with the San Mateo County Health System, San Mateo, CA. Shelly Lensing is with University of Arkansas for Medical Sciences, Department of Biostatistics, Little Rock. Ishita Chattopadhyay is with Research Triangle Institute International, Research Triangle Park, NC. Lalitha Venkatasubramanian and Nincoshka Acevedo are with FHI 360, Durham, NC. Peter Wolff is with the National Institute of Allergy and Infectious Diseases, Bethesda, MD. Debra Callabresi is with N-tonic, Los Angeles, CA. Susan Philip is with the San Francisco Department of Public Health, San Francisco, CA. Nancy Padian is with the Berkeley School of Public Health, Berkeley, CA. Diane R. Blake is with the Department of Pediatrics, University of Massachusetts Medical School, Worcester. Charlotte A. Gaydos is with the Division of Infectious Diseases, Department of Medicine, Johns Hopkins University, Baltimore, MD.
[Ti] Título:Fully integrated e-services for prevention, diagnosis, and treatment of sexually transmitted infections: results of a 4-county study in California.
[So] Source:Am J Public Health;104(12):2313-20, 2014 Dec.
[Is] ISSN:1541-0048
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: We examined the acceptability, feasibility, and cost of a fully integrated online system (eSTI) for sexually transmitted infection (STI) testing, treatment, and linkage to care with 4 Northern California health departments. METHODS: In April 2012, we implemented the eSTI system, which provided education; testing of self-collected vaginal swabs for chlamydia, gonorrhea, and trichomoniasis; e-prescriptions; e-partner notification; and data integration with clinic electronic health records. We analyzed feasibility, acceptability, and cost measures. RESULTS: During a 3-month period, 217 women aged 18 to 30 years enrolled; 67% returned the kit. Of these, 92% viewed their results online. STI prevalence was 5.6% (chlamydia and trichomoniasis). All participants with STIs received treatment either the same day at a pharmacy (62%) or within 7 days at a clinic (38%). Among participants completing follow-up surveys, 99% would recommend the online eSTI system to a friend, and 95% preferred it over clinic-based testing within a study. CONCLUSIONS: The fully integrated eSTI system has the potential to increase diagnosis and treatment of STIs with higher patient satisfaction at a potentially lower cost.
[Mh] Termos MeSH primário: Internet
Vigilância em Saúde Pública
Doenças Sexualmente Transmissíveis
[Mh] Termos MeSH secundário: Adolescente
Adulto
California/epidemiologia
Registros Eletrônicos de Saúde
Estudos de Viabilidade
Feminino
Humanos
Satisfação do Paciente
Doenças Sexualmente Transmissíveis/diagnóstico
Doenças Sexualmente Transmissíveis/epidemiologia
Doenças Sexualmente Transmissíveis/prevenção & controle
Doenças Sexualmente Transmissíveis/terapia
Esfregaço Vaginal
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1501
[Cu] Atualização por classe:150402
[Lr] Data última revisão:
150402
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:141113
[St] Status:MEDLINE
[do] DOI:10.2105/AJPH.2014.302302


  3 / 20525 MEDLINE  
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[PMID]:25415290
[Au] Autor:Giuliano AR; Botha MH; Zeier M; Abrahamsen ME; Glashoff RH; van der Laan LE; Papenfuss M; Engelbrecht S; Schim van der Loeff MF; Sudenga SL; Torres BN; Kipping S; Taylor D
[Ad] Endereço:*Center for Infection Research in Cancer, Moffitt Cancer Center, Tampa, FL; †Department of Obstetrics and Gynaecology and Unit for Gynaecological Oncology, Tygerberg Hospital, Stellenbosch University, Cape Town, South Africa; ‡Department of Medicine and Centre for Infectious Diseases, Stellenbosch University, Cape Town, South Africa; §Division of Medical Virology, Stellenbosch University and NHLS Tygerberg, Cape Town, South Africa; ‖Department of Research, Cluster Infectious Diseases, Public Health Service of Amsterdam, Amsterdam, the Netherlands; ¶Department of Internal Medicine, Center for Infection and Immunity Amsterdam (CINIMA), Academic Medical Center, Amsterdam, the Netherlands; and #FHI 360, Durham, NC.
[Ti] Título:High HIV, HPV, and STI prevalence among young Western Cape, South African women: EVRI HIV prevention preparedness trial.
[So] Source:J Acquir Immune Defic Syndr;68(2):227-35, 2015 Feb 1.
[Is] ISSN:1944-7884
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: This study sought to assess the feasibility of conducting a phase III HIV prevention trial using a multivalent human papillomavirus (HPV) vaccine (Gardasil; Merck, Whitehouse Station, NJ). METHODS: A total of 479 sexually active women aged 16-24 years in the Western Cape, South Africa, were enrolled in the Efficacy of HPV Vaccine to Reduce HIV Infection (EVRI) Trial. Of these, 402 were HIV negative, nonpregnant, and randomized 1:1 to receive Gardasil or a saline placebo vaccine. Vaccine doses were administered at enrollment, month 2, and month 6, and participants were followed for 1 month after the third dose. Enrollment HIV, HPV, other sexually transmitted infections (STIs), and cervical cytology were evaluated. Rates of accrual, vaccine compliance, and adherence to protocol were monitored. RESULTS: High rates of accrual of eligible females to study (93%) and completion of the 3-dose vaccine series (91%) were noted, with few protocol violations. Ineligibility due to reported HIV positivity was 19%, and another 12% of those enrolled tested HIV positive. STI prevalence was high, with 6.2%, 10.9%, and 32.8% testing positive for syphilis, gonorrhea, and chlamydia, respectively. Cervical prevalence of ≥1 of 37 HPV types was 71%. STI and HPV prevalence was highest among the youngest women (<19 years). CONCLUSIONS: Feasibility (successful accrual, retention, and vaccination) of conducting randomized placebo-controlled trials of HPV vaccines among HIV high-risk women in South Africa was demonstrated. This work demonstrates that phase III HIV prevention trials need to intervene at young ages and screen and treat multiple STIs concurrently to have a measurable impact on HIV acquisition.
[Mh] Termos MeSH primário: Vacinas contra Papillomavirus/administração & dosagem
Doenças Sexualmente Transmissíveis/epidemiologia
Doenças Sexualmente Transmissíveis/prevenção & controle
[Mh] Termos MeSH secundário: Adolescente
Feminino
Humanos
Placebos/administração & dosagem
Prevalência
África do Sul/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:CLINICAL TRIAL, PHASE II; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Nm] Nome de substância:
0 (Papillomavirus Vaccines); 0 (Placebos); 0 (human papillomavirus vaccine L1, type 6,11,16,18)
[Em] Mês de entrada:1503
[Cu] Atualização por classe:150401
[Lr] Data última revisão:
150401
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:150115
[St] Status:MEDLINE
[do] DOI:10.1097/QAI.0000000000000425


  4 / 20525 MEDLINE  
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[PMID]:25437726
[Au] Autor:Agger WA; Siddiqui D; Lovrich SD; Callister SM; Borgert AJ; Merkitch KW; Mason TC; Baumgardner DJ; Burmester JK; Shukla SK; Welter JD; Stewart KS; Washburn MJ; Bailey HH
[Ad] Endereço:Gundersen Health System and Gundersen Medical Foundation, La Crosse, Aurora Health Care, Inc., Milwaukee, the Marshfield Clinic Research Foundation, Marshfield, the University of Wisconsin, and the Wisconsin Network for Health Research Central Administration, Madison, Wisconsin.
[Ti] Título:Epidemiologic factors and urogenital infections associated with preterm birth in a midwestern U.S. population.
[So] Source:Obstet Gynecol;124(5):969-77, 2014 Nov.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To correlate epidemiologic factors with urogenital infections associated with preterm birth. METHODS: Pregnant women were sequentially included from four Wisconsin cohorts: large urban, midsize urban, small city, and rural city. Demographic, clinical, and current pregnancy data were collected. Cervical and urine specimens were analyzed by microscopy, culture, and polymerase chain reaction for potential pathogens. RESULTS: Six hundred seventy-six women were evaluated. Fifty-four (8.0%) had preterm birth: 12.1% (19/157) large urban, 8.8% (15/170) midsize urban, 9.4% (16/171) small city, and 2.3% (4/178) rural city. Associated host factors and infections varied significantly among sites. Urogenital infection rates, especially Mycoplasma hominis and Ureaplasma parvum, were highest at the large urban site. Large urban site, minority ethnicity, multiple infections, and certain historical factors were associated with preterm birth by univariable analysis. By multivariable analysis, preterm birth was associated with prior preterm birth (adjusted odds ratio [aOR] 2.76, 95% confidence interval [CI] 1.27-6.02) and urinary tract infection (aOR 2.62, 95% CI 1.32-519), and negatively associated with provider-assessed good health (aOR 0.42, 95% CI 0.23-0.76) and group B streptococcal infection treatment (surrogate for health care use) (aOR 0.38, 95% CI 0.15-.99). Risk and protective factors were similar for women with birth at less than 35 weeks, and additionally associated with M hominis (aOR 3.6, 95% CI 1.4-9.7). CONCLUSION: These measured differences among sites are consistent with observations that link epidemiologic factors, both environmental and genetic, with minimally pathogenic vaginal bacteria, inducing preterm birth, especially at less than 35 weeks of gestation.
[Mh] Termos MeSH primário: Complicações Infecciosas na Gravidez/epidemiologia
Nascimento Prematuro/epidemiologia
Doenças Sexualmente Transmissíveis/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Colo do Útero/microbiologia
Feminino
Idade Gestacional
Humanos
Recém-Nascido
Meio-Oeste dos Estados Unidos/epidemiologia
Mycoplasma hominis/isolamento & purificação
Gravidez
Complicações Infecciosas na Gravidez/microbiologia
Fatores de Risco
Doenças Sexualmente Transmissíveis/microbiologia
Ureaplasma/isolamento & purificação
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1503
[Cu] Atualização por classe:150401
[Lr] Data última revisão:
150401
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:141202
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000000470


  5 / 20525 MEDLINE  
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[PMID]:25414415
[Au] Autor:Cone RA
[Ad] Endereço:Department of Biophysics, Johns Hopkins University, Baltimore, Maryland.
[Ti] Título:Vaginal microbiota and sexually transmitted infections that may influence transmission of cell-associated HIV.
[So] Source:J Infect Dis;210 Suppl 3:S616-21, 2014 Dec 15.
[Is] ISSN:1537-6613
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Vaginal microbiota and sexually transmitted infections (STIs) are likely to influence the transmission of cell-associated human immunodeficiency virus (HIV). Lactic acid produced by Lactobacillus-dominated microbiota (Nugent score 0-3) will likely inhibit transmission, especially female-to-male transmission. In contrast, polymicrobial microbiota (Nugent score 4-10), community state types IV-A and IV-B, and STIs will likely increase transmission of cell-associated HIV.
[Mh] Termos MeSH primário: Infecções por HIV/transmissão
Doenças Sexualmente Transmissíveis/complicações
Doenças Vaginais/complicações
[Mh] Termos MeSH secundário: Feminino
Humanos
Ácido Láctico/metabolismo
Lactobacillus/fisiologia
Leucócitos/fisiologia
Masculino
Microbiota/fisiologia
Vagina/microbiologia
Vagina/virologia
Doenças Vaginais/microbiologia
Doenças Vaginais/virologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; REVIEW
[Nm] Nome de substância:
33X04XA5AT (Lactic Acid)
[Em] Mês de entrada:1502
[Cu] Atualização por classe:150401
[Lr] Data última revisão:
150401
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:141121
[St] Status:MEDLINE
[do] DOI:10.1093/infdis/jiu459


  6 / 20525 MEDLINE  
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[PMID]:24837992
[Au] Autor:Lurie MN; Kirwa K; Daniels J; Berteler M; Kalichman SC; Mathews C
[Ad] Endereço:Brown University School of Public Health, Providence, Rhode Island, USA....
[Ti] Título:High burden of STIs among HIV-infected adults prior to initiation of ART in South Africa: a retrospective cohort study.
[So] Source:Sex Transm Infect;90(8):615-9, 2014 Dec.
[Is] ISSN:1472-3263
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To assess the burden of sexually transmitted infections (STIs) among HIV-positive South Africans in the period prior to antiretroviral therapy (ART) initiation compared with the period once on ART. METHODS: We linked the clinic records of 1465 patients currently on ART to the electronic database which records all visits to city clinics. We used a mixed effects Poisson model to assess the relative rates of occurrence of treatment seeking for an STI in the periods prior to initiation of ART and while on ART. RESULTS: We accumulated 4214 person-years of follow-up, divided nearly equally between the pre-ART and on-ART periods. The rate of treatment seeking for new STIs was 5.50 (95% CI 5.43 to 5.78) per 100 person-years, and individuals had on average a sevenfold higher rate of seeking treatment for STIs in the period prior to initiating ART (9.57 per 100 person-years) compared with the period once on ART (5.5 per 100 person-years) (adjusted rate ratio (RR) 7.01, 95% CI 4.64 to 10.59). Being male (RR 1.73, 95% CI 1.18 to 2.55) or younger (age <25) (RR 2.67, 95% CI 1.53 to 4.65) was associated with higher incidence of clinic visits for STI treatment, while advanced stage of HIV disease (WHO stage 4) (RR 0.33, 95% CI 0.15 to 0.69) was associated with lower incidence. CONCLUSIONS: The period prior to the initiation of ART is a critical period where increased attention should be focused on the detection and treatment of STIs. A successful effort to treat STIs in this period will likely reduce further HIV transmission and fits within a test-and-treat approach.
[Mh] Termos MeSH primário: Doenças Sexualmente Transmissíveis/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Estudos de Coortes
Feminino
Humanos
Incidência
Masculino
Meia-Idade
Prevalência
Estudos Retrospectivos
Fatores de Risco
África do Sul/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1501
[Cu] Atualização por classe:150402
[Lr] Data última revisão:
150402
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:141115
[St] Status:MEDLINE
[do] DOI:10.1136/sextrans-2013-051446


  7 / 20525 MEDLINE  
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[PMID]:25334054
[Au] Autor:Goulet JL; Martinello RA; Bathulapalli H; Higgins D; Driscoll MA; Brandt CA; Womack JA
[Ad] Endereço:*VA Connecticut Healthcare System †Department of Psychiatry, Yale School of Medicine, New Haven, CT ‡Office of Public Health, Department of Veterans Affairs, Washington, DC Departments of §Internal Medicine and Pediatrics ∥Emergency Medicine, Yale School of Medicine ¶Yale School of Nursing, New Haven, CT.
[Ti] Título:STI diagnosis and HIV testing among OEF/OIF/OND veterans.
[So] Source:Med Care;52(12):1064-7, 2014 Dec.
[Is] ISSN:1537-1948
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:IMPORTANCE: Patients with sexually transmitted infection (STI) diagnosis should be tested for human immunodeficiency virus (HIV), regardless of previous HIV test results. OBJECTIVE: Estimate HIV testing rates among recent service Veterans with an STI diagnosis and variation in testing rates by patient characteristics. DESIGN, SETTING, AND PARTICIPANTS: The sample comprised 243,843 Veterans who initiated Veterans Health Administration (VHA) services within 1 year after military separation. Participants were followed for 2 years to determine STI diagnoses and HIV testing rates. We used relative risks regression to examine variation in testing rates. MAIN OUTCOMES AND MEASURES: We used VHA administrative data to identify STI diagnoses and HIV testing and results. RESULTS: Veterans with an STI diagnosis (n = 1815) had higher HIV testing rates than those without (34.9% vs. 7.3%, P<0.0001), but were not more likely to have a positive test result (1.1% vs. 1.4%, P = 0.53). Among Veterans with an STI diagnosis, testing increased from 25% to 45% over the observation period; older age was associated with a lower rate of testing, whereas race and ethnicity, multiple deployments, posttraumatic stress disorder, and substance abuse disorders were associated with a higher rate. CONCLUSIONS AND RELEVANCE: Since VHA implemented routine HIV testing, overall rates of testing have increased. However, among Veterans at significant risk for HIV because of an STI diagnosis, only 45% had an HIV test in the most recent year of observation. Other patient characteristics such as alcohol and drug abuse were associated with being tested for HIV. Providers should be reminded that an STI is a sufficient reason to test for HIV.
[Mh] Termos MeSH primário: Programas de Rastreamento
Doenças Sexualmente Transmissíveis/diagnóstico
Doenças Sexualmente Transmissíveis/epidemiologia
Veteranos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Campanha Afegã de 2001-
Fatores Etários
Idoso
Feminino
Infecções por HIV/diagnóstico
Infecções por HIV/epidemiologia
Humanos
Guerra do Iraque 2003-2011
Masculino
Meia-Idade
Fatores Socioeconômicos
Transtornos de Estresse Pós-Traumáticos/epidemiologia
Transtornos Relacionados ao Uso de Substâncias/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1502
[Cu] Atualização por classe:150401
[Lr] Data última revisão:
150401
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:141115
[St] Status:MEDLINE
[do] DOI:10.1097/MLR.0000000000000253


  8 / 20525 MEDLINE  
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[PMID]:25346379
[Au] Autor:Wright PB; Booth BM; Curran GM; Borders TF; Ounpraseuth ST; Stewart KE
[Ad] Endereço:College of Nursing, University of Arkansas for Medical Sciences, 4301 W. Markham, Slot 529, Little Rock, AR, 72205.
[Ti] Título:Correlates of HIV testing among rural African American cocaine users.
[So] Source:Res Nurs Health;37(6):466-77, 2014 Dec.
[Is] ISSN:1098-240X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Andersen's Revised Behavioral Model of Health Services Use (RBM) was used as a framework in this correlational cross-sectional study to examine factors associated with HIV testing among a sample of 251 rural African American cocaine users. All participants reported using cocaine and being sexually active within the past 30 days. Independent variables were categorized according to the RBM as predisposing, enabling, need, or health behavior factors. Number of times tested for HIV (never, one time, two to four times, five or more times) was the outcome of interest. In ordered logistic regression analyses, HIV testing was strongly associated with being female, of younger age (predisposing factors); having been tested for sexually transmitted diseases or hepatitis, ever having been incarcerated in jail or prison (enabling factors); and having had one sex partner the past 30 days (health behavior factor). Other sexual risk behaviors, drug use, health status, and perception of risk were not associated with HIV testing. Our findings confirm the importance of routine testing in all healthcare settings rather than risk-based testing.
[Mh] Termos MeSH primário: Afro-Americanos/estatística & dados numéricos
Transtornos Relacionados ao Uso de Cocaína/epidemiologia
Infecções por HIV/diagnóstico
Infecções por HIV/epidemiologia
Doenças Virais Sexualmente Transmissíveis/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Arkansas/epidemiologia
Feminino
Humanos
Masculino
Meia-Idade
Fatores de Risco
População Rural
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1501
[Cu] Atualização por classe:150401
[Lr] Data última revisão:
150401
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:141114
[St] Status:MEDLINE
[do] DOI:10.1002/nur.21629


  9 / 20525 MEDLINE  
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[PMID]:25226209
[Au] Autor:Grov C; Rendina HJ; Ventuneac A; Parsons JT
[Ad] Endereço:*Department of Health and Nutrition Sciences, Brooklyn College of the City University of New York, Brooklyn, NY; †Doctoral Program in Public Health, The Graduate Center of the City University of New York; ‡Center for HIV/AIDS Educational Studies and Training; §Doctoral Program in Basic and Applied Social Psychology, The Graduate Center of the City University of New York; ‖Doctoral Program in Health Psychology, The Graduate Center of the City University of New York; and ¶Department of Psychology, Hunter College of the City University of New York, New York, NY.
[Ti] Título:Partners met via sex parties present significantly greater odds for condomless anal sex among MSM: an event-level analysis of venues where male partners are met.
[So] Source:J Acquir Immune Defic Syndr;67(5):564-8, 2014 Dec 15.
[Is] ISSN:1944-7884
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:One hundred forty-seven men who have sex with men completed time-line follow-back interviews about the venues where they met their male partners (n = 1180 sexual events with first-time partners, <30 days). We ran multivariate models to determine the association between venues and condomless anal sex (CAS). After adjusting for known correlates of CAS, partners met at sex parties presented significantly greater odds for CAS compared with meeting a partner at a gay bar/club (adjusted odds ratio = 0.44), online (adjusted odds ratio = 0.42), bathhouse (adjusted odds ratio = 0.35), or via "other" venues (adjusted odds ratio = 0.35), all P < 0.01. These findings highlight the need to develop innovative HIV/sexually transmitted infection prevention initiatives for men who attend sex parties.
[Mh] Termos MeSH primário: Homossexualidade Masculina
Doenças Sexualmente Transmissíveis/epidemiologia
Doenças Sexualmente Transmissíveis/transmissão
Sexo sem Proteção/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Estudos de Coortes
Humanos
Entrevistas como Assunto
Masculino
Meia-Idade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1502
[Cu] Atualização por classe:150401
[Lr] Data última revisão:
150401
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:141113
[St] Status:MEDLINE
[do] DOI:10.1097/QAI.0000000000000343


  10 / 20525 MEDLINE  
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[PMID]:25190056
[Au] Autor:DiClemente RJ; Davis TL; Swartzendruber A; Fasula AM; Boyce L; Gelaude D; Gray SC; Hardin J; Rose E; Carry M; Sales JM; Brown JL; Staples-Horne M
[Ad] Endereço:a Emory University Rollins School of Public Health , Department of Behavioral Sciences and Health Education , Atlanta , Georgia , USA.
[Ti] Título:Efficacy of an HIV/STI sexual risk-reduction intervention for African American adolescent girls in juvenile detention centers: a randomized controlled trial.
[So] Source:Women Health;54(8):726-49, 2014.
[Is] ISSN:1541-0331
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Few HIV/STI interventions exist for African American adolescent girls in juvenile detention. The objective was to evaluate the efficacy of an intervention to reduce incident STIs, improve HIV-preventive behaviors, and enhance psychosocial outcomes. We conducted a randomized controlled trial among African American adolescent girls (13-17 years, N = 188) in juvenile detention from March 2011 to May 2012. Assessments occurred at baseline and 3- and 6-months post-randomization and included: audio computer-assisted self-interview, condom skills assessment, and self-collected vaginal swab to detect Chlamydia and gonorrhea. The Imara intervention included three individual-level sessions and four phone sessions; expedited partner therapy was offered to STI-positive adolescents. The comparison group received the usual care provided by the detention center: STI testing, treatment, and counseling. At the 6-month assessment (3-months post-intervention), Imara participants reported higher condom use self-efficacy (p < 0.001), HIV/STI knowledge (p < 0.001), and condom use skills (p < 0.001) compared to control participants. No significant differences were observed between trial conditions in incident Chlamydia or gonorrhea infections, condom use, or number of vaginal sex partners. Imara for detained African American adolescent girls can improve condom use skills and psychosocial outcomes; however, a critical need for interventions to reduce sexual risk remains.
[Mh] Termos MeSH primário: Afro-Americanos/psicologia
Preservativos/utilização
Infecções por HIV/prevenção & controle
Comportamento de Redução do Risco
Comportamento Sexual/psicologia
Doenças Sexualmente Transmissíveis/prevenção & controle
[Mh] Termos MeSH secundário: Adolescente
Afro-Americanos/estatística & dados numéricos
Infecções por Chlamydia/etnologia
Infecções por Chlamydia/prevenção & controle
Preservativos/estatística & dados numéricos
Feminino
Gonorreia/etnologia
Gonorreia/prevenção & controle
Infecções por HIV/etnologia
Conhecimentos, Atitudes e Prática em Saúde
Promoção da Saúde
Humanos
Incidência
Estudos de Intervenção
Prisioneiros
Prisões
Comportamento Sexual/etnologia
Doenças Sexualmente Transmissíveis/etnologia
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, U.S. GOV'T, P.H.S.
[Em] Mês de entrada:1501
[Cu] Atualização por classe:150401
[Lr] Data última revisão:
150401
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:141107
[St] Status:MEDLINE
[do] DOI:10.1080/03630242.2014.932893



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