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Pesquisa : Doenças and Sexualmente and Transmissíveis [Palavras]
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[PMID]:25314928
[Au] Autor:Frost JJ; Sonfield A; Zolna MR; Finer LB
[Ad] Endereço:Guttmacher Institute.
[Ti] Título:Return on investment: a fuller assessment of the benefits and cost savings of the US publicly funded family planning program.
[So] Source:Milbank Q;92(4):696-749, 2014 Dec.
[Is] ISSN:1468-0009
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:UNLABELLED: Policy Points: The US publicly supported family planning effort serves millions of women and men each year, and this analysis provides new estimates of its positive impact on a wide range of health outcomes and its net savings to the government. The public investment in family planning programs and providers not only helps women and couples avoid unintended pregnancy and abortion, but also helps many thousands avoid cervical cancer, HIV and other sexually transmitted infections, infertility, and preterm and low birth weight births. This investment resulted in net government savings of $13.6 billion in 2010, or $7.09 for every public dollar spent. CONTEXT: Each year the United States' publicly supported family planning program serves millions of low-income women. Although the health impact and public-sector savings associated with this program's services extend well beyond preventing unintended pregnancy, they never have been fully quantified. METHODS: Drawing on an array of survey data and published parameters, we estimated the direct national-level and state-level health benefits that accrued from providing contraceptives, tests for the human immunodeficiency virus (HIV) and other sexually transmitted infections (STIs), Pap tests and tests for human papillomavirus (HPV), and HPV vaccinations at publicly supported family planning settings in 2010. We estimated the public cost savings attributable to these services and compared those with the cost of publicly funded family planning services in 2010 to find the net public-sector savings. We adjusted our estimates of the cost savings for unplanned births to exclude some mistimed births that would remain publicly funded if they had occurred later and to include the medical costs for births through age 5 of the child. FINDINGS: In 2010, care provided during publicly supported family planning visits averted an estimated 2.2 million unintended pregnancies, including 287,500 closely spaced and 164,190 preterm or low birth weight (LBW) births, 99,100 cases of chlamydia, 16,240 cases of gonorrhea, 410 cases of HIV, and 13,170 cases of pelvic inflammatory disease that would have led to 1,130 ectopic pregnancies and 2,210 cases of infertility. Pap and HPV tests and HPV vaccinations prevented an estimated 3,680 cases of cervical cancer and 2,110 cervical cancer deaths; HPV vaccination also prevented 9,000 cases of abnormal sequelae and precancerous lesions. Services provided at health centers supported by the Title X national family planning program accounted for more than half of these benefits. The gross public savings attributed to these services totaled approximately $15.8 billion-$15.7 billion from preventing unplanned births, $123 million from STI/HIV testing, and $23 million from Pap and HPV testing and vaccines. Subtracting $2.2 billion in program costs from gross savings resulted in net public-sector savings of $13.6 billion. CONCLUSIONS: Public expenditures for the US family planning program not only prevented unintended pregnancies but also reduced the incidence and impact of preterm and LBW births, STIs, infertility, and cervical cancer. This investment saved the government billions of public dollars, equivalent to an estimated taxpayer savings of $7.09 for every public dollar spent.
[Mh] Termos MeSH primário: Redução de Custos
Análise Custo-Benefício
Serviços de Planejamento Familiar
Financiamento Governamental
[Mh] Termos MeSH secundário: Sorodiagnóstico da AIDS/economia
Aborto Induzido/economia
Aborto Induzido/estatística & dados numéricos
Aborto Espontâneo/economia
Aborto Espontâneo/prevenção & controle
Redução de Custos/economia
Redução de Custos/estatística & dados numéricos
Análise Custo-Benefício/economia
Análise Custo-Benefício/estatística & dados numéricos
Serviços de Planejamento Familiar/economia
Serviços de Planejamento Familiar/métodos
Serviços de Planejamento Familiar/organização & administração
Feminino
Financiamento Governamental/economia
Financiamento Governamental/organização & administração
Humanos
Masculino
Vacinas contra Papillomavirus/economia
Vacinas contra Papillomavirus/uso terapêutico
Gravidez
Gravidez não Planejada
Doenças Sexualmente Transmissíveis/economia
Doenças Sexualmente Transmissíveis/prevenção & controle
Estados Unidos
Neoplasias do Colo do Útero/economia
Neoplasias do Colo do Útero/prevenção & controle
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Papillomavirus Vaccines)
[Em] Mês de entrada:1502
[Cu] Atualização por classe:150214
[Lr] Data última revisão:
150214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:141210
[St] Status:MEDLINE
[do] DOI:10.1111/1468-0009.12080


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[PMID]:24832014
[Au] Autor:Urbanus AT; Van De Laar TJ; Geskus R; Vanhommerig JW; Van Rooijen MS; Schinkel J; Heijman T; Coutinho RA; Prins M
[Ad] Endereço:aAmsterdam Public Health Service, Cluster of Infectious Diseases bSanquin Blood Supply Foundation, Department of Blood-borne Infections cAcademic Medical Center (AMC), Department of Clinical Epidemiology, Biostatistics and Bioinformatics dAMC, Department of Clinical Virology, Amsterdam eNational Institute for Public Health and the Environment, Center for Infectious Disease Control, Bilthoven fAMC, Department of Internal Medicine, Division of Infectious Diseases, Tropical Medicine and AIDS (CINIMA), Amsterdam gJulius Center for Health Science and Primary Care, University Medical Center, Utrecht, The Netherlands.
[Ti] Título:Trends in hepatitis C virus infections among MSM attending a sexually transmitted infection clinic; 1995-2010.
[So] Source:AIDS;28(5):781-90, 2014 Mar 13.
[Is] ISSN:1473-5571
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Since 2000, there is growing evidence that hepatitis C virus (HCV) infection has emerged as a sexually transmitted infection (STI) among HIV-positive MSM. Here, we present a 15-year overview of the HCV epidemic among MSM visiting a large STI-clinic in the Netherlands. METHODS: During biannual cross-sectional anonymous surveys (1995-2010), participants were interviewed and tested for HIV and HCV-antibodies. Additional HCV RNA tests were performed in all HIV-positives. Determinants of HCV infection were analysed using logistic regression. Phylogenetic analysis provided evidence for sexual transmission. RESULTS: HCV prevalence among HIV-positive MSM increased from 1995 onwards (5.6%) and peaked in 2008 (20.9%). Prevalent HCV infection was more strongly associated with fisting in 2007-2008 [adjusted odds ratio (aOR) 2.85, 95% confidence interval (CI) 1.19-6.82] than in 2009-2010 (aOR 0.92, 95% CI0.42-2.02). In addition, HCV infection was independently associated with Chlamydia, injecting drug use, unprotected anal intercourse and older age. Phylogenetic analysis revealed a high degree of MSM-specific clustering from 2000 onwards. Identification of a new MSM-specific HCV lineage and the finding of recent HCV infections (0-4%) in established HCV clusters during recent years argue for ongoing transmission of HCV among HIV-positive MSM. HCV prevalence among HIV-negative MSM remained low (2007-2010: 0.5%). CONCLUSION: HCV prevalence among HIV-positive MSM significantly increased over calendar time but appears to level off in recent years, possibly due to increased awareness, saturation in the population, decreased risk behaviour and earlier HCV screening and treatment. The association with fisting became less strong over time, but our analyses continue to support sexual transmission. Monitoring HIV-positive and HIV-negative MSM for HCV infection remains needed to guide prevention efforts.
[Mh] Termos MeSH primário: Infecções por HIV/complicações
Hepatite C/epidemiologia
Homossexualidade Masculina
Doenças Virais Sexualmente Transmissíveis/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Estudos de Coortes
Estudos Transversais
Feminino
Anticorpos Anti-HIV/sangue
Hepatite C/transmissão
Hepatite C/virologia
Anticorpos Anti-Hepatite C/sangue
Humanos
Masculino
Meia-Idade
Países Baixos/epidemiologia
Prevalência
RNA Viral/sangue
Fatores de Risco
Doenças Virais Sexualmente Transmissíveis/transmissão
Doenças Virais Sexualmente Transmissíveis/virologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (HIV Antibodies); 0 (Hepatitis C Antibodies); 0 (RNA, Viral)
[Em] Mês de entrada:1502
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:140702
[St] Status:MEDLINE
[do] DOI:10.1097/QAD.0000000000000126


  3 / 20473 MEDLINE  
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[PMID]:24736094
[Au] Autor:Jemmott JB; Jemmott LS; Ngwane Z; Zhang J; Heeren GA; Icard LD; O'Leary A; Mtose X; Teitelman A; Carty C
[Ad] Endereço:University of Pennsylvania, Perelman School of Medicine, Department of Psychiatry, Philadelphia, PA, USA; University of Pennsylvania, Annenberg School for Communication, Philadelphia, PA, USA. Electronic address: jjemmott@asc.upenn.edu....
[Ti] Título:Theory-based behavioral intervention increases self-reported physical activity in South African men: a cluster-randomized controlled trial.
[So] Source:Prev Med;64:114-20, 2014 Jul.
[Is] ISSN:1096-0260
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To determine whether a health-promotion intervention increases South African men's adherence to physical-activity guidelines. METHOD: We utilized a cluster-randomized controlled trial design. Eligible clusters, residential neighborhoods near East London, South Africa, were matched in pairs. Within randomly selected pairs, neighborhoods were randomized to theory-based, culturally congruent health-promotion intervention encouraging physical activity or attention-matched HIV/STI risk-reduction control intervention. Men residing in the neighborhoods and reporting coitus in the previous 3 months were eligible. Primary outcome was self-reported individual-level adherence to physical-activity guidelines averaged over 6-month and 12-month post-intervention assessments. Data were collected in 2007-2010. Data collectors, but not facilitators or participants, were blind to group assignment. RESULTS: Primary outcome intention-to-treat analysis included 22 of 22 clusters and 537 of 572 men in the health-promotion intervention and 22 of 22 clusters and 569 of 609 men in the attention-control intervention. Model-estimated probability of meeting physical-activity guidelines was 51.0% in the health-promotion intervention and 44.7% in attention-matched control (OR=1.34; 95% CI, 1.09-1.63), adjusting for baseline prevalence and clustering from 44 neighborhoods. CONCLUSION: A theory-based culturally congruent intervention increased South African men's self-reported physical activity, a key contributor to deaths from non-communicable diseases in South Africa. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT01490359.
[Mh] Termos MeSH primário: Dieta/normas
Comportamentos Saudáveis/etnologia
Promoção da Saúde/métodos
Atividade Motora
Comportamento de Redução do Risco
[Mh] Termos MeSH secundário: Adolescente
Adulto
Grupo com Ancestrais do Continente Africano
Análise por Conglomerados
Competência Cultural
Frutas
Fidelidade a Diretrizes/estatística & dados numéricos
Infecções por HIV/prevenção & controle
Infecções por HIV/transmissão
Humanos
Masculino
Meia-Idade
Doenças Sexualmente Transmissíveis/prevenção & controle
Teoria Social
África do Sul
Verduras
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1502
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140614
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE


  4 / 20473 MEDLINE  
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[PMID]:23921562
[Au] Autor:Huang W; Operario D; Dong Y; Zaller N; Song D; He H; Tao H; Xia J; Zhang H
[Ad] Endereço:Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, 69 Meishan Road, Hefei, 230032, Anhui Province, China.
[Ti] Título:HIV-related risk among female migrants working in entertainment venues in China.
[So] Source:Prev Sci;15(3):329-39, 2014 Jun.
[Is] ISSN:1573-6695
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:China has experienced a surge in internal migration during the past decade, and migrant populations have been identified as a high-risk group for HIV and other sexually transmitted infections (STIs). Young female migrants often find employment in entertainment venues (bars, karaoke parlors, and massage parlors) located in metropolitan cities, and sex work transactions frequently occur in these venues. We examined factors associated with risk for HIV, other STIs, and reproductive health challenges in a cross-sectional study of 358 young female migrants, ages 18-29, working in entertainment venues in a rapidly growing urban city in China. Results indicate high levels of behavioral risk for HIV and other STIs, low rates of HIV testing, and high prevalence of problem drinking and mental health problems, including recent depression symptoms and suicidal ideation. Factors associated with increased STIs and genitourinary tract infections included commercial sex work, early sexual debut, abortion history, illicit drug use, and anxiety. Factors associated with increased HIV testing included employment in an affluent entertainment venue, education level, knowledge about where to obtain free HIV tests, condom use, and general HIV/AIDS knowledge. Findings of this study highlight the insufficient coverage of current public health services to female migrants working in entertainment venues and call for more assertive prevention interventions to mitigate risk for sexual, reproductive, behavioral, and mental health problems in this mobile population.
[Mh] Termos MeSH primário: Infecções por HIV/epidemiologia
Prostituição
Doenças Sexualmente Transmissíveis/epidemiologia
Migrantes
[Mh] Termos MeSH secundário: Adolescente
Adulto
China/epidemiologia
Estudos Transversais
Feminino
Conhecimentos, Atitudes e Prática em Saúde
Humanos
Fatores de Risco
Assunção de Riscos
Meio Social
Fatores Socioeconômicos
[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:150219
[Lr] Data última revisão:
150219
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140519
[St] Status:MEDLINE
[do] DOI:10.1007/s11121-013-0423-5


  5 / 20473 MEDLINE  
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[PMID]:25497293
[Au] Autor:McCarthy M
[Ad] Endereço:Seattle.
[Ti] Título:CDC proposes stronger endorsement of male circumcision.
[So] Source:BMJ;349:g7494, 2014.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Circuncisão Masculina
Doenças Sexualmente Transmissíveis/prevenção & controle
[Mh] Termos MeSH secundário: Adolescente
Adulto
Centers for Disease Control and Prevention (U.S.)
Criança
Humanos
Lactente
Masculino
Estados Unidos
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1502
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:141216
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.g7494


  6 / 20473 MEDLINE  
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[PMID]:25244227
[Au] Autor:LeFevre ML; U.S. Preventive Services Task Force
[Ti] Título:Behavioral counseling interventions to prevent sexually transmitted infections: U.S. PreventiveServices Task Force recommendation statement.
[So] Source:Ann Intern Med;161(12):894-901, 2014 Dec 16.
[Is] ISSN:1539-3704
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:DESCRIPTION: Update of the U.S. Preventive Services Task Force (USPSTF) 2008 recommendation on behavioral counseling interventions to prevent sexually transmitted infections (STIs). METHODS: The USPSTF reviewed the evidence on behavioral counseling for sexual risk reduction in primary care, including interventions targeting risky sexual behaviors to prevent STIs (alone or in combination with other behaviors) in persons of any sexual orientation or level of reported sexual activity. POPULATION: This recommendation applies to all sexually active adolescents and to adults who are at increased risk for acquiring or transmitting STIs. RECOMMENDATION: The USPSTF recommends intensive behavioral counseling for all sexually active adolescents and for adults who are at increased risk for STIs. (B recommendation).
[Mh] Termos MeSH primário: Terapia Comportamental
Aconselhamento
Atenção Primária à Saúde
Comportamento de Redução do Risco
Comportamento Sexual
Doenças Sexualmente Transmissíveis/prevenção & controle
[Mh] Termos MeSH secundário: Adolescente
Adulto
Pesquisa Biomédica
Humanos
Incidência
Medição de Risco
Doenças Sexualmente Transmissíveis/epidemiologia
Estados Unidos/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; PRACTICE GUIDELINE
[Em] Mês de entrada:1502
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:141216
[St] Status:MEDLINE
[do] DOI:10.7326/M14-1965


  7 / 20473 MEDLINE  
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[PMID]:25244088
[Ti] Título:Summaries for patients. Behavioral counseling interventions to prevent sexually transmitted infections: U.S. Preventive Services Task Force recommendation statement.
[So] Source:Ann Intern Med;161(12):I-26, 2014 Dec 16.
[Is] ISSN:1539-3704
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Terapia Comportamental
Aconselhamento
Atenção Primária à Saúde
Comportamento de Redução do Risco
Comportamento Sexual
Doenças Sexualmente Transmissíveis/prevenção & controle
[Mh] Termos MeSH secundário: Adolescente
Adulto
Humanos
Incidência
Medição de Risco
Doenças Sexualmente Transmissíveis/epidemiologia
Estados Unidos/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:PATIENT EDUCATION HANDOUT
[Em] Mês de entrada:1502
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:141216
[St] Status:MEDLINE
[do] DOI:10.7326/P14-9043


  8 / 20473 MEDLINE  
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[PMID]:25243895
[Au] Autor:O'Connor EA; Lin JS; Burda BU; Henderson JT; Walsh ES; Whitlock EP
[Ti] Título:Behavioral sexual risk-reduction counseling in primary care to prevent sexually transmitted infections: a systematic review for the U.S. Preventive Services Task Force.
[So] Source:Ann Intern Med;161(12):874-83, 2014 Dec 16.
[Is] ISSN:1539-3704
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Sexually transmitted infections (STIs) are common and preventable. PURPOSE: To update a previous systematic review about the benefits and harms of sexual risk-reduction counseling to prevent STIs for the U.S. Preventive Services Task Force. DATA SOURCES: Selected databases from January 2007 through October 2013, manual searches of references lists and gray literature, and studies from the previous review. STUDY SELECTION: English-language fair- or good-quality trials conducted in adolescents or adults. DATA EXTRACTION: One investigator abstracted data and a second checked the abstraction. Study quality was dual-reviewed. DATA SYNTHESIS: 31 trials were included: 16 (n=56,110) were newly published and 15 (n=14,214) were from the previous review. Most trials targeted persons at increased risk for STIs based on sociodemographic characteristics, risky sexual behavior, or history of an STI. High-intensity (>2 hours) interventions reduced STI incidence in adolescents (odds ratio, 0.38 [95% CI, 0.24 to 0.60]) and adults (odds ratio, 0.70 [CI, 0.56 to 0.87]). Lower-intensity interventions were generally not effective in adults, but some approaches were promising. Although moderate-intensity interventions may be effective in adolescents, data were very sparse. Reported behavioral outcomes were heterogeneous and most likely to show a benefit with high-intensity interventions at 6 months or less. No consistent evidence was found that sexual risk-reduction counseling was harmful. LIMITATIONS: Low-risk populations and male adolescents were underrepresented. Reliability of self-reported behavioral outcomes was unknown. CONCLUSION: High-intensity counseling on sexual risk reduction can reduce STIs in primary care and related settings, especially in sexually active adolescents and in adults at increased risk for STIs. PRIMARY FUNDING SOURCE: Agency for Healthcare Research and Quality.
[Mh] Termos MeSH primário: Terapia Comportamental
Aconselhamento
Atenção Primária à Saúde
Comportamento de Redução do Risco
Comportamento Sexual
Doenças Sexualmente Transmissíveis/prevenção & controle
[Mh] Termos MeSH secundário: Humanos
Incidência
Medição de Risco
Doenças Sexualmente Transmissíveis/epidemiologia
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; REVIEW
[Em] Mês de entrada:1502
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:141216
[St] Status:MEDLINE
[do] DOI:10.7326/M14-0475


  9 / 20473 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
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:141113
[St] Status:MEDLINE
[do] DOI:10.1097/QAI.0000000000000343


  10 / 20473 MEDLINE  
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[PMID]:24733876
[Au] Autor:Berlan ED; Ireland AM; Morton S; Byron SC; Canan BD; Kelleher KJ
[Ad] Endereço:Department of Pediatrics, The Ohio State University College of Medicine, Columbus, Ohio; Section of Adolescent Medicine, Nationwide Children's Hospital, Columbus, Ohio; Centers for Clinical and Translational Research, and elise.berlan@nationwidechildrens.org....
[Ti] Título:Variations in measurement of sexual activity based on EHR definitions.
[So] Source:Pediatrics;133(5):e1305-12, 2014 May.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The goal of this study was to compare the performance of 4 operational definitions of sexual activity by using data electronically abstracted from electronic health records (EHRs) and examine how documentation of Chlamydia screening and positivity vary according to definition of sexual activity. METHODS: Extracts were created from EHRs of adolescent females 12 to 19 years old who had ≥1 visit to a primary care practice during 2011 at 4 US pediatric health care organizations. We created 4 definitions of sexual activity derived from electronically abstracted indicator variables. Percent sexually active, documentation of Chlamydia screening, and rate of positive Chlamydia test results per 1000 adolescent females according to the sexual activity definition were calculated. RESULTS: The most commonly documented individual indicator of sexual activity was "patient report of being sexually active" (mean across 4 sites: 19.2%). The percentage of adolescent females classified as sexually active varied by site and increased as more indicator variables were included. As the definition of sexual activity expanded, the percentage of sexually active females who received at least 1 Chlamydia test decreased. Using a broader definition of sexual activity resulted in improved identification of adolescent females with Chlamydia infection. For each sexual activity definition and performance item, the difference was statistically significant (P < .0001). CONCLUSIONS: Information about sexual activity may be gathered from a variety of data sources, and changing the configurations of these indicators results in differences in the percentage of adolescent females classified as sexually active, screened for Chlamydia infection, and Chlamydia infection rates.
[Mh] Termos MeSH primário: Registros Eletrônicos de Saúde
Comportamento Sexual/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Criança
Infecções por Chlamydia/diagnóstico
Infecções por Chlamydia/epidemiologia
Infecções por Chlamydia/transmissão
Comportamento Contraceptivo/estatística & dados numéricos
Estudos Transversais
Feminino
Humanos
Programas de Rastreamento
Gravidez
Atenção Primária à Saúde
Autorrevelação
Comportamento Sexual/classificação
Doenças Sexualmente Transmissíveis/epidemiologia
Doenças Sexualmente Transmissíveis/transmissão
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RESEARCH SUPPORT, U.S. GOV'T, P.H.S.
[Em] Mês de entrada:1502
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:141003
[St] Status:MEDLINE
[do] DOI:10.1542/peds.2013-3232



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