Sexually Transmitted Infections: A Novel Screening Strategy for Improving Women’s Health in Vulnerable Populations

Autor: Elisabetta Tanzi, Ester Fasoli, Marianna Martinelli, Pierfranco Olivani, Elena Rosanna Frati, Antonella Amendola, D. Colzani, Silvia Bianchi, Luciana Carnelli
Přispěvatelé: Frati, E, Fasoli, E, Martinelli, M, Colzani, D, Bianchi, S, Carnelli, L, Amendola, A, Olivani, P, Tanzi, E
Rok vydání: 2017
Předmět:
0301 basic medicine
Pediatrics
Genotyping Techniques
Sexual health
Prevalence
Chlamydia trachomatis
medicine.disease_cause
Catalysi
lcsh:Chemistry
Undocumented migrant women
Gonorrhea
0302 clinical medicine
Pregnancy
Risk Factors
030212 general & internal medicine
lcsh:QH301-705.5
Papillomaviridae
Spectroscopy
Reproductive health
High prevalence
Computer Science Applications1707 Computer Vision and Pattern Recognition
General Medicine
Middle Aged
undocumented migrant women
sexual health
sexually transmitted infections
prevalence
STI screening
Gynecological Examination
Computer Science Applications
Italy
Social Conditions
Female
Trichomonas Vaginitis
Adult
medicine.medical_specialty
Adolescent
Sexual Behavior
030106 microbiology
Sexually Transmitted Diseases
Vulnerable Populations
Article
Catalysis
Inorganic Chemistry
Young Adult
03 medical and health sciences
Trichomonas vaginalis
medicine
Humans
Physical and Theoretical Chemistry
Molecular Biology
Aged
Sexually transmitted infection
business.industry
Papillomavirus Infections
Organic Chemistry
Chlamydia Infections
medicine.disease
Neisseria gonorrhoeae
lcsh:Biology (General)
lcsh:QD1-999
Family medicine
Women's Health
business
Zdroj: International Journal of Molecular Sciences; Volume 18; Issue 6; Pages: 1311
International Journal of Molecular Sciences
International Journal of Molecular Sciences, Vol 18, Iss 6, p 1311 (2017)
ISSN: 1422-0067
DOI: 10.3390/ijms18061311
Popis: Background: Migrant women are one of the most vulnerable population to health problems and well-being. This study aimed at implementing a counseling and preventive strategy for sexually transmitted infections (STIs) in undocumented migrant women in Milan, Italy. Methods: Women (ages 18–65) were enrolled at the NAGA Centre (2012–2013) and asked for a urine sample in order to carry out molecular detection of Human papillomavirus (HPV), Chlamydia trachomatis (Ct), Trichomonas vaginalis (Tv), Neisseria gonorrhoeae (Ng)-DNA. Socio-demographic and sexual behavior information were collected. All HPV/Ct+ women were offered Pap tests and/or were prescribed antibiotic treatment. Results: 537/757 women participated in the study (acceptability rate: 70.9%). Most of the women were from Latin America (45.6%) and Eastern Europe (30.7%); >60% of them had stable partners, did not use contraception and had had at least one pregnancy. The prevalence rates of HPV, Ct, Tv and Ng infections were 24.2%, 7.8%, 4.8% and 0%, respectively. In all, 43.2% of the positive women agreed to undergo a gynecological examination and accepted suitable treatment. Conclusions: This study shows an overall high prevalence of STIs in undocumented migrant women in Milan. The screening strategy based on counseling and urine testing contributed to the successfully high acceptability rate. More appropriate health services that adequately address all aspects of women’s health are required.
Databáze: OpenAIRE
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