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[PMID]:26624850
[Au] Autor:Molina JM; Capitant C; Spire B; Pialoux G; Cotte L; Charreau I; Tremblay C; Le Gall JM; Cua E; Pasquet A; Raffi F; Pintado C; Chidiac C; Chas J; Charbonneau P; Delaugerre C; Suzan-Monti M; Loze B; Fonsart J; Peytavin G; Cheret A; Timsit J; Girard G; Lorente N; Préau M; Rooney JF; Wainberg MA; Thompson D; Rozenbaum W; Doré V; Marchand L; Simon MC; Etien N; Aboulker JP; Meyer L; Delfraissy JF; ANRS IPERGAY Study Group
[Ad] Endereço:From the Departments of Infectious Diseases (J.-M.M., C.P., P.C., B.L., W.R.) and Sexually Transmitted Diseases (J.T.), and the Laboratories of Virology (C.D.) and Biochemistry (J.F.), Hôpital Saint-Louis, Assistance Publique-Hôpitaux de Paris, Université de Paris Diderot, Sorbonne Paris Cité, INSERM UMR 941, Department of Infectious Diseases, Hôpital Tenon (G.Pialoux, J.C.), Collège des Universitaires de Maladies Infectieuses et Tropicales (F.R.), Laboratoire de Toxicologie et Pharmacologie, Centre Hospitalier Bichat-Claude Bernard (G.Peytavin), Collège d'Etudes Mondiales (G.G.), France Recherche Nord et Sud Sida-HIV et Hépatites (V.D., L.Marchand, M.-C.S., N.E., J.-F.D.), Université de Paris Sud, Kremlin Bicêtre (L.Meyer), Paris, INSERM SC10 US19, Villejuif (C. Capitant, I.C., J.-P.A., L.Meyer), Department of Medicine, INSERM UMR 912 SESSTIM, Marseille (B.S., M.S.-M., N.L.), Department of Infectious Diseases, Hôpital de la Croix Rousse, Centre Hospitalier et Universitaire de Lyon (L.C., C. Chidiac), and Groupe de Recherche en Psychologie Sociale EA 4163, University of Lumière (M.P.), Lyon, Department of Infectious Diseases, Hôpital de l'Archet, Centre Hospitalier de Nice, Nice (E.C.), Department of Infectious Diseases, Hôpital G. Dron, Centre Hospitalier Universitaire de Tourcoing, Lille (A.P., A.C.), and Association AIDES, Pantin (J.-M.L.G.) - all in France; Centre Hospitalier de l'Université de Montréal (C.T.), Institut de Recherche en Santé Publique de l'Université de Montréal (G.G.), McGill University AIDS Centre, Jewish General Hospital (M.A.W.), and Association REZO (D.T.) - all in Montreal; and Gilead Sciences, Foster City, CA (J.F.R.).
[Ti] Título:On-Demand Preexposure Prophylaxis in Men at High Risk for HIV-1 Infection.
[So] Source:N Engl J Med;373(23):2237-46, 2015 Dec 3.
[Is] ISSN:1533-4406
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Antiretroviral preexposure prophylaxis has been shown to reduce the risk of human immunodeficiency virus type 1 (HIV-1) infection in some studies, but conflicting results have been reported among studies, probably due to challenges of adherence to a daily regimen. METHODS: We conducted a double-blind, randomized trial of antiretroviral therapy for preexposure HIV-1 prophylaxis among men who have unprotected anal sex with men. Participants were randomly assigned to take a combination of tenofovir disoproxil fumarate (TDF) and emtricitabine (FTC) or placebo before and after sexual activity. All participants received risk-reduction counseling and condoms and were regularly tested for HIV-1 and HIV-2 and other sexually transmitted infections. RESULTS: Of the 414 participants who underwent randomization, 400 who did not have HIV infection were enrolled (199 in the TDF-FTC group and 201 in the placebo group). All participants were followed for a median of 9.3 months (interquartile range, 4.9 to 20.6). A total of 16 HIV-1 infections occurred during follow-up, 2 in the TDF-FTC group (incidence, 0.91 per 100 person-years) and 14 in the placebo group (incidence, 6.60 per 100 person-years), a relative reduction in the TDF-FTC group of 86% (95% confidence interval, 40 to 98; P=0.002). Participants took a median of 15 pills of TDF-FTC or placebo per month (P=0.57). The rates of serious adverse events were similar in the two study groups. In the TDF-FTC group, as compared with the placebo group, there were higher rates of gastrointestinal adverse events (14% vs. 5%, P=0.002) and renal adverse events (18% vs. 10%, P=0.03). CONCLUSIONS: The use of TDF-FTC before and after sexual activity provided protection against HIV-1 infection in men who have sex with men. The treatment was associated with increased rates of gastrointestinal and renal adverse events. (Funded by the National Agency of Research on AIDS and Viral Hepatitis [ANRS] and others; ClinicalTrials.gov number, NCT01473472.).
[Mh] Termos MeSH primário: /uso terapêutico
Infecções por HIV/prevenção & controle
HIV-1
Homossexualidade Masculina
Profilaxia Pré-Exposição
/uso terapêutico
[Mh] Termos MeSH secundário: Adulto
Preservativos/utilização
Método Duplo-Cego
Quimioterapia Combinada
/efeitos adversos
Humanos
Estimativa de Kaplan-Meier
Masculino
Adesão à Medicação
Meia-Idade
Fatores de Risco
Comportamento Sexual
Doenças Sexualmente Transmissíveis/epidemiologia
/efeitos adversos
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
99YXE507IL (Tenofovir); G70B4ETF4S (Emtricitabine)
[Em] Mês de entrada:1512
[Cu] Atualização por classe:160122
[Lr] Data última revisão:
160122
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:151203
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE
[do] DOI:10.1056/NEJMoa1506273


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[PMID]:25299178
[Au] Autor:Lo YC; Ji DD; Hung CC
[Ad] Endereço:Office of Preventive Medicine, Centers for Disease Control, Taipei, Taiwan; Department of Internal Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
[Ti] Título:Prevalent and incident HIV diagnoses among Entamoeba histolytica-infected adult males: a changing epidemiology associated with sexual transmission--Taiwan, 2006-2013.
[So] Source:PLoS Negl Trop Dis;8(10):e3222, 2014 Oct.
[Is] ISSN:1935-2735
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Sexually transmitted Entamoeba histolytica infection (EHI) has been increasingly recognized among men who have sex with men (MSM). We used the National Disease Surveillance Systems (NDSS) to identify prevalent and incident HIV diagnoses among adults with EHI and to determine the associated factors. METHODOLOGY: The NDSS collect demographic, clinical, and behavioral characteristics of case patients through physician reports and public health interviews. EHI was confirmed by polymerase-chain-reaction assays, histopathology, or serology with documented liver abscess. We linked NDSS databases to identify prevalent and incident HIV diagnoses among noninstitutionalized Taiwanese adults with confirmed EHI during 2006-2013. Cox proportional-hazards analysis was used to determine associated factors. PRINCIPAL FINDINGS: Of noninstitutionalized adults with EHI, we identified prevalent HIV diagnosis in 210 (40%) of 524 males and one (1.7%) of 59 females, and incident HIV diagnosis in 71 (23%) of 314 males. MSM accounted for 183 (87%) and 64 (90%) of prevalent and incident HIV diagnoses in males, respectively. From 2006-2009 to 2010-2013, the prevalence of HIV diagnosis increased from 32% to 45% (P = 0.001) while the incidence of HIV diagnosis increased from 5.4 to 11.3 per 100 person-years (P = 0.001) among males with EHI. Incident HIV diagnosis was independently associated with a younger age, residing in metropolitan areas, hospitalization, previous syphilis, and engagement in oral, anal, or oral-anal sex before illness onset. CONCLUSIONS/SIGNIFICANCE: Prevalent and incident HIV diagnoses were increasingly identified among adult males in Taiwan, preferentially affecting younger urban MSM. Surveillance and risk-reduction interventions are recommended against the interplay of HIV epidemic and sexually transmitted EHI.
[Mh] Termos MeSH primário: Entamebíase/epidemiologia
Infecções por HIV/epidemiologia
Doenças Sexualmente Transmissíveis/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Feminino
Homossexualidade Masculina
Humanos
Masculino
Meia-Idade
Prevalência
Sífilis/epidemiologia
Taiwan/epidemiologia
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1601
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:141010
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pntd.0003222


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[PMID]:19713817
[Au] Autor:Holcomb MA; Williams R; Skipper MT
[Ad] Endereço:College of Nursing, East Carolina University, Greenville, NC, USA.
[Ti] Título:Adolescent contraception: sorting out the facts.
[So] Source:Nurse Pract;34(9):18-26; quiz 27, 2009 Sep.
[Is] ISSN:1538-8662
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Anticoncepção/enfermagem
Relações Enfermeiro-Paciente
Educação de Pacientes como Assunto
[Mh] Termos MeSH secundário: Adolescente
Anticoncepção/métodos
Anticoncepção/utilização
Feminino
Humanos
Gravidez
Gravidez não Desejada
Comportamento Sexual
Doenças Sexualmente Transmissíveis/enfermagem
Doenças Sexualmente Transmissíveis/prevenção & controle
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1601
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:090828
[St] Status:MEDLINE
[do] DOI:10.1097/01.NPR.0000360144.05066.e6


  4 / 21127 MEDLINE  
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[PMID]:26732001
[Au] Autor:Kim Y; Kim J; Lee KA
[Ti] Título:Analytical Performance of Multiplex Real-Time PCR for Six Sexually Transmitted Pathogens.
[So] Source:Clin Lab;61(11):1749-54, 2015.
[Is] ISSN:1433-6510
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Most organisms that cause sexual transmitted diseases (STDs) are fastidious pathogens that are difficult to detect with conventional microbiological methods and the proportions of multiple infections were noted up to 39.3% among the STI-positive subjects. However, only a few multiplex PCR and multiplex real-time PCR tests that can screen more than six microorganisms that cause STDs have been assessed. METHODS: A total of 114 endocervical swabs (ThinPrep PAPTEST PreservCyt Solution, Hologic Inc., Marlborough, MA, USA) were collected from healthy Korean women. Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), Mycoplasma genitalium (MG), Mycoplasma hominis (MH), Ureaplasma urealyticum (UU), and Trichomonas vaginalis (TV) were detected by uniplex PCR with Seeplex kits and by multiplex real-time PCR with Real-Q Kits (Biosewoom Inc., Seoul, Korea). To evaluate analytical sensitivity, plasmids containing target genes from CT, NG, MG, MH, UU, and TV were serially diluted five times with saline buffer and replicated eight times per dilution. RESULTS: Real-Q STIs Kit assays showed 100% sensitivity for detecting MH, MG, CT, TV, NG and 94.1% sensitivity for detecting UU. In addition, it showed 100% specificity for UU, MH, MG, CT, TV, and NG. The analytic sensitivity of UU (95% probit = 17.3 copy/µL, 95% CI = 11.6 to 138.6) and MH (95% probit = 30.9 copy/µL, 95% CI = 20.6 to 169.9) was relatively lower than for others pathogens. Thus, the cutoff Ct value of < 45 for UU and MH and a cutoff Ct value of < 38 for CT, MH, NG, TV could minimize differences in detection limit among the six STIs (95% probit values = 5.3 to 14.6) and to optimize overall diagnostic performance. CONCLUSIONS: For medical applications of a multiplex real-time PCR assay, one kind of cutoff value, which is according to manufacturer's instructions, was generally used without the consideration of lowest actual detectable concentration of each target substance. However, analytical performance at the low concentration limit often defines the ability of the test to diagnose disease and determine treatment endpoints. Therefore, suitable cutoffs for negative or positive screens by multiplex real-time PCR should be evaluated for accurate diagnosis.
[Mh] Termos MeSH primário: Bactérias/isolamento & purificação
Reação em Cadeia da Polimerase Multiplex/métodos
Reação em Cadeia da Polimerase em Tempo Real/métodos
Doenças Sexualmente Transmissíveis/microbiologia
[Mh] Termos MeSH secundário: Bactérias/classificação
Bactérias/genética
Colo do Útero/microbiologia
Feminino
Humanos
Sensibilidade e Especificidade
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1601
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160106
[St] Status:MEDLINE


  5 / 21127 MEDLINE  
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[PMID]:26469928
[Au] Autor:Green N; Hoenigl M; Morris S; Little SJ
[Ad] Endereço:From the Division of Infectious Diseases, Department of Medicine, University of California San Diego (UCSD) (NG, MH, SM, SJL); Division of Family Medicine, University of California San Diego (UCSD), San Diego, CA (SM); Section of Infectious Diseases and Tropical Medicine, Department of Internal Medicine (MH); and Division of Pulmonology, Department of Internal Medicine, Medical University of Graz, Graz, Austria (MH).
[Ti] Título:Risk Behavior and Sexually Transmitted Infections Among Transgender Women and Men Undergoing Community-Based Screening for Acute and Early HIV Infection in San Diego.
[So] Source:Medicine (Baltimore);94(41):e1830, 2015 Oct.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The transgender community represents an understudied population in the literature. The objective of this study was to compare risk behavior, and HIV and sexually transmitted infection (STI) rates between transgender women and transgender men undergoing community-based HIV testing.With this retrospective analysis of a cohort study, we characterize HIV infection rates as well as reported risk behaviors and reported STI in 151 individual transgender women and 30 individual transgender men undergoing community based, voluntary screening for acute and early HIV infection (AEH) in San Diego, California between April 2008 and July 2014.HIV positivity rate was low for both, transgender women and transgender men undergoing AEH screening (2% and 3%, respectively), and the self-reported STI rate for the prior 12 months was 13% for both. Although transgender women appeared to engage in higher rates of risk behavior overall, with 69% engaged in condomless receptive anal intercourse (CRAI) and 11% engaged in sex work, it is important to note that 91% of transgender women reported recent sexual intercourse, 73% had more than 1 sexual partner, 63% reported intercourse with males, 37% intercourse with males and females, and 30% had CRAI.Our results indicate that in some settings rates of HIV infection, as well as rates of reported STIs and sexual risk behavior in transgender men may resemble those found in transgender women. Our findings support the need for comprehensive HIV prevention in both, transgender women and men.
[Mh] Termos MeSH primário: Infecções por HIV/epidemiologia
Assunção de Riscos
Doenças Sexualmente Transmissíveis/epidemiologia
[Mh] Termos MeSH secundário: Adulto
California/epidemiologia
Feminino
Humanos
Masculino
Programas de Rastreamento
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1601
[Cu] Atualização por classe:151028
[Lr] Data última revisão:
151028
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:151016
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000001830


  6 / 21127 MEDLINE  
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[PMID]:25909508
[Au] Autor:Paudyal P; Llewellyn C; Lau J; Mahmud M; Smith H
[Ad] Endereço:Division of Primary Care and Public Health, Brighton and Sussex Medical School, Brighton, United Kingdom....
[Ti] Título:Obtaining self-samples to diagnose curable sexually transmitted infections: a systematic review of patients' experiences.
[So] Source:PLoS One;10(4):e0124310, 2015.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Routine screening is key to sexually transmitted infection (STI) prevention and control. Previous studies suggest that clinic-based screening programmes capture only a small proportion of people with STIs. Self-sampling using non- or minimally invasive techniques may be beneficial for those reluctant to actively engage with conventional sampling methods. We systematically reviewed studies of patients' experiences of obtaining self-samples to diagnose curable STIs. METHODS: We conducted an electronic search of MEDLINE, EMBASE, CINAHL, PsychINFO, BNI, and Cochrane Database of Systematic Reviews to identify relevant articles published in English between January 1980 and March 2014. Studies were included if participants self-sampled for the diagnosis of a curable STI and had specifically sought participants' opinions of their experience, acceptability, preferences, or willingness to self-sample. RESULTS: The initial search yielded 558 references. Of these, 45 studies met the inclusion criteria. Thirty-six studies assessed patients' acceptability and experiences of self-sampling. Pooled results from these studies shows that self-sampling is a highly acceptable method with 85% of patients reporting the method to be well received and acceptable. Twenty-eight studies reported on ease of self-sampling; the majority of patients (88%) in these studies found self-sampling an "easy" procedure. Self-sampling was favoured compared to clinician sampling, and home sampling was preferred to clinic-based sampling. Females and older participants were more accepting of self-sampling. Only a small minority of participants (13%) reported pain during self-sampling. Participants were willing to undergo self-sampling and recommend others. Privacy and safety were the most common concerns. CONCLUSION: Self-sampling for diagnostic testing is well accepted with the majority having a positive experience and willingness to use again. Standardization of self-sampling procedures and rigorous validation of outcome measurement will lead to better comparability across studies. Future studies need to conduct rigorous economic evaluations of self-sampling to inform policy development for the management of STI.
[Mh] Termos MeSH primário: Autocuidado
Doenças Sexualmente Transmissíveis/diagnóstico
Manejo de Espécimes
[Mh] Termos MeSH secundário: Adulto
Feminino
Humanos
Masculino
Avaliação de Resultados da Assistência ao Paciente
Doenças Sexualmente Transmissíveis/epidemiologia
Doenças Sexualmente Transmissíveis/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1601
[Cu] Atualização por classe:150513
[Lr] Data última revisão:
150513
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150427
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0124310


  7 / 21127 MEDLINE  
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[PMID]:26211884
[Au] Autor:Luttmer R; Dijkstra MG; Snijders PJ; Jordanova ES; King AJ; Pronk DT; Foresta C; Garolla A; Hompes PG; Berkhof J; Bleeker MC; Doorbar J; Heideman DA; Meijer CJ
[Ad] Endereço:Department of Pathology, VU University Medical Center, Amsterdam, the Netherlands....
[Ti] Título:Presence of human papillomavirus in semen of healthy men is firmly associated with HPV infections of the penile epithelium.
[So] Source:Fertil Steril;104(4):838-844.e8, 2015 Oct.
[Is] ISSN:1556-5653
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To study the source of human papillomavirus (HPV) in semen. DESIGN: Observational study (CCMO-NL3248800010). SETTING: Academic hospital-based laboratory. PATIENT(S): Healthy male volunteers (n = 213). INTERVENTION(S): One penile scrape and three semen samples were obtained per participant for HPV-DNA testing by both GP5+/6+ polymerase chain reaction (PCR) and SPF10-PCR to detect moderate/high and low viral loads, respectively; flat penile lesions (FPL) were detected by penoscopy. MAIN OUTCOME MEASURE(S): HPV-DNA presence in semen and penile scrapes, and the presence of FPL. RESULT(S): HPV-DNA at moderate/high viral loads (i.e., GP5+/6+ PCR-positive) was detected in ≥1 semen sample(s) in 27% of participants. Most men with moderate/high viral loads in the penile scrape also had moderate/high viral loads in semen (85%). Men with a HPV-negative penile scrape were very unlikely to have moderate/high viral loads in semen (3%). The presence of HPV in semen was associated with the presence of HPV in the penile scrape also on a genotype-specific level. Having FPL was a risk factor for HPV presence in semen. CONCLUSION(S): HPV-DNA presence in semen of healthy men is common and associated with HPV infections of the penile epithelium. HPV-DNA presence in semen may result from desquamation of HPV-infected penile cells.
[Mh] Termos MeSH primário: Papillomaviridae/isolamento & purificação
Infecções por Papillomavirus/patologia
Doenças do Pênis/virologia
Sêmen/virologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
DNA Viral/análise
Epitélio/patologia
Epitélio/virologia
Saúde
Humanos
Masculino
Meia-Idade
Papillomaviridae/genética
Infecções por Papillomavirus/epidemiologia
Doenças do Pênis/epidemiologia
Doenças do Pênis/patologia
Pênis/patologia
Pênis/virologia
Reação em Cadeia da Polimerase
Sêmen/metabolismo
Doenças Virais Sexualmente Transmissíveis/epidemiologia
Doenças Virais Sexualmente Transmissíveis/virologia
Carga Viral
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Nm] Nome de substância:
0 (DNA, Viral)
[Em] Mês de entrada:1601
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151003
[St] Status:MEDLINE


  8 / 21127 MEDLINE  
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[PMID]:25843203
[Au] Autor:Canfell K; Egger S; Velentzis LS; Brown JD; O'Connell DL; Banks E; Sitas F
[Ad] Endereço:Cancer Research Division, Cancer Council NSW, Sydney, NSW, Australia; Lowy Cancer Research Centre, Prince of Wales Clinical School, University of New South Wales, Sydney, NSW, Australia. Electronic address: k.canfell@unsw.edu.au....
[Ti] Título:Factors related to vaccine uptake by young adult women in the catch-up phase of the National HPV Vaccination Program in Australia: Results from an observational study.
[So] Source:Vaccine;33(20):2387-94, 2015 May 11.
[Is] ISSN:1873-2518
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Australia commenced a publically-funded, National Human Papillomavirus (HPV) Vaccination Program in 2007 with a two year catch-up phase for females aged 12-26 years. OBJECTIVE: To identify the factors associated with the uptake of the HPV vaccine (which has a recommended 3-dose schedule in Australia) by young adult women vaccinated by general practitioners and community-based programs within the catch-up phase. METHODS: 1139 women who were eligible to receive the free HPV vaccine during the catch-up period were recruited in 2008-2009 (age 20-29 years at recruitment), in New South Wales, after having a normal (negative) cervical smear result recorded on the NSW Pap Test Register. Participants completed a self-administered questionnaire providing information on vaccination status, and sociodemographic and other factors. RESULTS: Overall, 880 (77%) women reported receiving ≥ 1 dose of the vaccine and 777 women (68%) reported receiving ≥ 2 doses. In multivariable analysis (adjusting for the period for which each woman was eligible for free HPV vaccination), uptake of ≥ 1 dose of the vaccine was significantly associated with being born in Australia (p < 0.01), being single (p = 0.02), being nulliparous (p < 0.01), living in a higher socioeconomic status area (p-trend = 0.03), living in more remote areas (p = 0.03), drinking alcohol (p < 0.01) and using hormonal contraceptives (p < 0.01). Although vaccinated women were more likely to have fewer sexual partners than unvaccinated women (p-trend = 0.02), they were also more likely to report a prior sexually transmitted infection (STI) (p = 0.03). Similar factors were associated with receiving ≥ 2 doses. CONCLUSIONS: In this group, women living in higher socioeconomic status areas were more likely to be vaccinated against HPV in the catch-up phase of the national program. Although vaccinated women tended to have fewer sexual partners, they also reported prior STIs, which may be a marker of increased risk of prior exposure to HPV. The findings of this study reinforce the continuing need to prioritise equitable delivery of vaccination to various population subgroups.
[Mh] Termos MeSH primário: Conhecimentos, Atitudes e Prática em Saúde
Vacinação em Massa
Programas Nacionais de Saúde/estatística & dados numéricos
Vacinas contra Papillomavirus/administração & dosagem
Aceitação pelo Paciente de Cuidados de Saúde
[Mh] Termos MeSH secundário: Adulto
Austrália
Feminino
Humanos
New South Wales
Teste de Papanicolaou
Comportamento Sexual
Doenças Sexualmente Transmissíveis/epidemiologia
Fatores Socioeconômicos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Papillomavirus Vaccines)
[Em] Mês de entrada:1601
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150430
[St] Status:MEDLINE


  9 / 21127 MEDLINE  
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[PMID]:26563023
[Ti] Título:It's time to have 'the talk'. RISING STI RATES AMONG OLDER ADULTS A COMPLICATED ISSUE.
[So] Source:Alta RN;70(4):27, 2015.
[Is] ISSN:1481-9988
[Cp] País de publicação:Canada
[La] Idioma:eng
[Mh] Termos MeSH primário: Relações Enfermeiro-Paciente
Doenças Sexualmente Transmissíveis/epidemiologia
Doenças Sexualmente Transmissíveis/prevenção & controle
[Mh] Termos MeSH secundário: Idoso
Feminino
Humanos
Masculino
Meia-Idade
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1601
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:151113
[St] Status:MEDLINE


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[PMID]:25572834
[Au] Autor:Bien CH; Best JM; Muessig KE; Wei C; Han L; Tucker JD
[Ad] Endereço:University of North Carolina-Project-China, Number 2 Lujing Road, Guangzhou, 510095, China.
[Ti] Título:Gay Apps for Seeking Sex Partners in China: Implications for MSM Sexual Health.
[So] Source:AIDS Behav;19(6):941-6, 2015 Jun.
[Is] ISSN:1573-3254
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Anti-gay stigma and harsh local environments in many low and middle-income countries (LMIC) encourage men who have sex with men (MSM) partner-seeking mobile application (gay app) use. To investigate the sexual risk profiles of gay app users and guide future HIV prevention programs, we conducted a cross-sectional online survey among 1,342 MSM in China examining associations between gay app use and sexual behaviors, including HIV and sexually transmitted disease testing. Compared to non-app users, app users were more likely to be younger, better educated, "out" about their sexual orientation, and single. They were also more likely to report multiple recent sex partners and HIV testing, but there was no difference in condomless sex between the two groups. Future research among MSM in LMIC is needed to characterize gay app use and explore its potential for future public health interventions.
[Mh] Termos MeSH primário: Infecções por HIV/prevenção & controle
Homossexualidade Masculina/estatística & dados numéricos
Aplicativos Móveis/utilização
Parceiros Sexuais
Doenças Sexualmente Transmissíveis/prevenção & controle
Rede Social
[Mh] Termos MeSH secundário: Adolescente
Adulto
China
Estudos Transversais
Inquéritos Epidemiológicos
Humanos
Internet
Masculino
Assunção de Riscos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1601
[Cu] Atualização por classe:150621
[Lr] Data última revisão:
150621
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150620
[St] Status:MEDLINE
[do] DOI:10.1007/s10461-014-0994-6



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