Characteristics of Those Who Repeatedly Acquire Sexually Transmitted Infections

Autor: Kevin A. Fenton, Mike Catchpole, Anthony R. Brady, Gwenda Hughes, George Kinghorn, R. Nicol Thin, Danielle Mercey, Pauline A. Rogers
Rok vydání: 2001
Předmět:
Adult
Male
Microbiology (medical)
Sexual partner
Sexually transmitted disease
Pediatrics
medicine.medical_specialty
Adolescent
Sexual Behavior
Gonorrhea
Population
Sexually Transmitted Diseases
Dermatology
urologic and male genital diseases
Ambulatory Care Facilities
Cohort Studies
Age Distribution
Risk-Taking
Acquired immunodeficiency syndrome (AIDS)
Recurrence
Risk Factors
Ethnicity
Humans
Medicine
Sex Distribution
education
Proportional Hazards Models
Retrospective Studies
education.field_of_study
business.industry
Racial Groups
Hazard ratio
Urban Health
Public Health
Environmental and Occupational Health
virus diseases
Retrospective cohort study
medicine.disease
Survival Analysis
female genital diseases and pregnancy complications
Infectious Diseases
England
Population Surveillance
Acute Disease
Female
business
Cohort study
Demography
Zdroj: Sexually Transmitted Diseases. 28:379-386
ISSN: 0148-5717
Popis: Background: Individuals who repeatedly acquire sexually transmitted infections (STIs) may facilitate the persistence of disease at endemic levels. Identifying those most likely to become reinfected with an STI would help in the development of targeted interventions.Goal: To investigate the demographic and behavior characteristics of sexually transmitted disease (STD) clinic patients most likely to reattend with an STI,Study Design: The proportion of patients attending three STD clinics in England between 1994 and 1998 who reattended for treatment of acute STI within 1 year was estimated from Kaplan-Meier failure curves. A Cox proportional hazard model was used to investigate the relation between rate of reattendance with an acute STI and patient characteristics.Results: Of the 17,466 patients presenting at an STD clinic with an acute STI, 14% reattended for treatment of an STI within 1 year. Important determinants of reinfection were age, sexual orientation, and ethnicity: 20% of 12- to 15-year-old females (adjusted hazard ratio [HR], 1.90; CI, 1.13-3.18, compared with 20- to 24-year-old females), 22% of homosexual ;men (adjusted HR, 1.30; CI, 1.07-1.58, compared with heterosexual men), and 25% of black Caribbean attendees (adjusted HR, 1.87; CI, 1.63-2.13, compared with whites) reattended for treatment of acute STI within 1 year. In addition, 21% of those with a history of STI (adjusted HR, 1.42; CI, 1.28-1.59, compared with those with no history of STI) and 17% of individuals reporting three or more partners in the recent past (adjusted HR, 1.53; CI, 1.34-1.73, compared with those with one partner) reattended for treatment of an acute STI within 1 year.Conclusions: In this STD clinic population, teenage females, homosexual men, black Caribbean attendees, individuals with a history of STI, and those reporting high rates of sexual partner change repeatedly re-presented with acute STIs, Directing enhanced STD clinic-based interventions at these groups may be an effective strategy for STI control.
Databáze: OpenAIRE
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