检索结果-南通市图书馆

Prevalence and risks of reproductive tract infections among women of urban slums in North India: A cross-sectional study

引用

Asian pacific Journal of Reproduction 2022年第6期11卷 253-260页

作者： Mitasha Singh Shipra Saini Pooja Goyal Ekta Gupta Shweta Goswami Department of Community Medicine ESIC Medical College and HospitalFaridabadHaryanaIndia ICMR National Institute of Cancer Prevention and Research Sector 39NoidaGautam Budh NagarUttar PradeshIndia

Objective:To identify the prevalence,determinants of reproductive tract infection,and healthcare seeking behavior among ever married women of reproductive age residing in an urban slum of Faridabad,Haryana,North India.Methods:This community based cross-sectional study was conducted among ever married women aged between 15 and 49 years insured under employees state insurance scheme and residing in an urban slum of Faridabad.Simple random sampling technique was used to interview 149 eligible women using a predesigned structured questionnaire.Study variables included sociodemographic profile,family planning methods,menstrual absorbent usage,and symptoms of reproductive tract infection.Binary logistic regression was used to investigate the determinants of reproductive tract infection.Results:Of the women,46.3%had at least one reproductive tract infection or sexually transmitted infection symptom and 28.9%among them sought treatment for the symptom.Vaginal discharge,itching(14.1%)and lower abdominal pain(30.2%)were the major symptoms reported.Non-usage of condoms as contraceptive was significantly associated with a higher rate of symptoms(50.4%vs.20.0%).Abortion had a significantly high odds of having reproductive tract infection symptoms(aOR 3.71,95%CI 1.59-8.62;Pinfection symptom.Abortions and non-usage of condom increase the risk of reproductive tract infection.Menstrual hygiene and condom usage are the significant interventions,which may reduce the prevalence of these symptoms.

关键词： Reproductive tract infection sexually transmitted infection Migrants Factory workers Prevalence

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Intimate hygiene practices and reproductive tract infections: A systematic review

引用

Gynecology and Obstetrics Clinical Medicine 2022年第3期2卷 129-135页

作者： Alaa Daher Obey Albaini Lauren Siff Stephanie Farah Karl Jallad Department of Obstetrics and Gynecology American University of Beirut Medical CenterBeirutLebanon Department of Clinical Research Lebanese American University Medical CenterGilbert and Rose-Marie Chagoury School of MedicineBeirutLebanon Virginia Commonwealth University School of Medicine VirginiaUSA Lebanese American University Medical Center Gilbert and Rose-Marie Chagoury School of MedicineBeirutLebanon

Introduction:Worldwide,women perform a variety of vaginal practices to enhance their intimate hygiene and sexual health.Objective:To conduct a systematic review to assess the different kinds of intimate hygiene practices and their association with reproductive tract infections and complications.Methods:PubMed,Medline and The Cochrane Library were used.Both observational and interventional studies targeting the urogenital infections and their association with hygiene practices were included.Exclusion criteria included studies that assessed the knowledge and attitudes towards intimate hygiene practices rather than their relation to infections.The design of this systematic review complied with the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis(PRISMA).Results:Fifteen articles were included.Intravaginal practices were found to be associated with reproductive tract infections.Reusable absorbent material used during menstruation increased the risk of Candida infection with an adjusted proportional reported ratio(aPRR)of 1.54(95%CI 1.2–2.0),but no association with bacterial vaginosis or trichomonas vaginalis infection was noted.Bathing or vaginal washing during menstruation with water only showed a higher association with symptoms of urogenital infections when compared with washing with both soap and water during menstruation.Drying reusable pads inside the house and storing them inside the toilet was found to be associated with a higher candida infection prevalence.Moreover,bathing in sitting position during menstruation,not drying the genital area or using cloth for drying it,and not paying attention to hand washing,were all associated with a higher risk of genital infections.Finally,postpartum use of native homemade vaginal preparations might be a risk factor for ascending vaginal infections,and the use of inappropriate material for menstrual blood absorption was associated with secondary infertility.Conclusion:Several hygiene practices put women at higher risk for reproductive t

关键词： Intimate hygiene practice Reproductive tract infection sexually transmitted infection Vaginal douching

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Incidenee and time-varying predictors of HIV and sexually transmitted infections among male sex workers in Mexico City

引用

Infectious Diseases of Poverty 2021年第1期10卷 36-45页

作者： Karla Y.Ganley Marta Wilson-Barthes Andrew R.Zullo Sandra G.Sosa-Rubi Carlos J.Conde-Glez Santa Garcia-Cisneros Mark N.Lurie Brandon D.L.Marshall Don Operario Kenneth H.Mayer Omar Galarraga Department of Narrative Medicine Columbia UniversityNew YorkNYUSA Department of Epidemiology School of Public HealthBrown UniversityProvide neeRlUSA Department of Health Services Policyand PracticeSchool of Public HealthBrown University121 South Main StreetBox G-121S-2ProvidenceRl 02912USA National Institute of Public Health(INSP) CuernavacaMorelosMexico Department of Behavioral and Social Science School of Public HealthBrown UniversityProvidenceRlUSA Fenway Health and Harvard University BostonMAUSA.

Background:Male sex workers are at high-risk for acquisition of sexually transmitted infections(STIs),including human immunodeficiency virus(HIV).We quantified incidence rates of STIs and identified their time-varying predictors among male sex workers in Mexico City.Methods:From January 2012 to May 2014,male sex workers recruited from the largest HIV clinic and community sites in Mexico City were tested for chlamydia,gonorrhea,syphilis,hepatitis,and HIV at baseline,6-months,and 12-months.Incide nee rates with 95%bootstrapped confide nee limits were calculated.We examined potential timevarying predictors using generalized estimating equations for a population averaged model.Results:Among 227 male sex workers,median age was 24 and baseline HIV prevalence was 32%.Incidence rates(per 100 person-years)were as follows:HIV[5.23;95%confidence interval(CI):2.15-10.31],chlamydia(5.15;95%CI:2.58-9.34),gonorrhea(3.93;95%CI:1.88-7.83),syphilis(13.04;95%CI:8.24-19.94),hepatitis B(2.11;95%CI:0.53-4.89),hepatitis C(0.95;95%CI:0.00-3.16),any STI except HIV(30.99;95%CI:21.73-40.26),and any STI including HIV(50.08;95%CI:37.6062.55).In the multivariable-adjusted model,incident STI(excluding HIV)were lower among those who reported consistently using condoms during anal and vaginal intercourse(odds ratio=0.03,95%CI:0.00-0.68)compared to those who reported inconsistently using condoms during anal and vaginal intercourse.Conclusions:Incidence of STIs is high among male sex workers in Mexico City.Consistent condom use is an important protective factor for STIs,and should be an important comp on ent of interventions to prevent incide nt infect i ons.

关键词： Male sex worker Men who have sex with men HIV sexually transmitted infection Transmission Risk factor Mexico

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Contribution of high risk groups’unmet needs may be underestimated in epidemic models without risk turnover:A mechanistic modelling analysis

引用

Infectious Disease Modelling 2020年第1期5卷 549-562页

作者： Jesse Knight Stefan D.Baral Sheree Schwartz Linwei Wang Huiting Ma Katherine Young Harry Hausler Sharmistha Mishra MAP Centre for Urban Health Solutions Unity Health TorontoCanada Deptartment of Epidemiology Johns Hopkins Bloomberg School of Public HealthUSA TB HIV Care South Africa Division of Infectious Disease Department of MedicineUniversity of TorontoCanada Institute of Health Policy Management and EvaluationDalla Lana School of Public HealthUniversity of TorontoCanada Institute of Medical Sciences University of TorontoCanada

Background:Epidemic models of sexually transmitted infections(STIs)are often used to characterize the contribution of risk groups to overall transmission by projecting the transmission population attributable fraction(tPAF)of unmet prevention and treatment needs within risk groups.However,evidence suggests that STI risk is dynamic over an individual’s sexual life course,which manifests as turnover between risk groups.We sought to examine the mechanisms by which turnover influences modelled projections of the tPAF of high risk groups.Methods:We developed a unifying,data-guided framework to simulate risk group turnover in deterministic,compartmental transmission models.We applied the framework to an illustrative model of an STI and examined the mechanisms by which risk group turnover influenced equilibrium prevalence across risk groups.We then fit a model with and without turnover to the same risk-stratified STI prevalence targets and compared the inferred level of risk heterogeneity and tPAF of the highest risk group projected by the two models.Results:The influence of turnover on group-specific prevalence was mediated by three main phenomena:movement of previously high risk individuals with the infection into lower risk groups;changes to herd effect in the highest risk group;and changes in the number of partnerships where transmission can occur.Faster turnover led to a smaller ratio of STI prevalence between the highest and lowest risk groups.Compared to the fitted model without turnover,the fitted model with turnover inferred greater risk heterogeneity and consistently projected a larger tPAF of the highest risk group over time.Implications:If turnover is not captured in epidemic models,the projected contribution of high risk groups,and thus,the potential impact of prioritizing interventions to address their needs,could be underestimated.To aid the next generation of tPAF models,data collection efforts to parameterize risk group turnover should be prioritized.

关键词： Mathematical modelling Transmission Risk heterogeneity Turnover sexually transmitted infection Population attributable fraction

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Use of routine HIV testing data for early detection of emerging HIV epidemics in high-risk subpopulations:A concept demonstration study

引用

Infectious Disease Modelling 2018年第1期3卷 373-384页

作者： Houssein H.Ayoub Susanne F.Awad Laith J.Abu-Raddad Department of Mathematics Statisticsand PhysicsQatar UniversityDohaQatar Infectious Disease Epidemiology Group Weill Cornell Medicine-QatarCornell UniversityQatar Foundation-Education CityDohaQatar Department of Healthcare Policy and Research Weill Cornell MedicineCornell UniversityNew YorkUSA College of Health and Life Sciences Hamad Bin Khalifa UniversityDohaQatar

Introduction:HIV epidemics in hard-to-reach high-risk subpopulations are often discovered years after epidemic emergence in settings with poor surveillance infrastructure.Using hypothesis-generation modeling,we aimed to investigate and demonstrate the concept of using routine HIV testing data to identify and characterize hidden epidemics in high-risk subpopulations.We also compared this approach to surveillance based on AIDS case notifications.Methods:A deterministic mathematical model was developed to simulate an emerging HIV epidemic in a high-risk subpopulation.A stochastic Monte Carlo simulation was implemented on the total population to simulate the sampling process of generating routine HIV testing data.Epidemiological measures were estimated on the simulated epidemic and on the generated testing sample.Sensitivity analyses were conducted on the results.Results:In the simulated epidemic,HIV prevalence saturated at 32%in the high-risk subpopulation and at 0.33%in the total population.The epidemic started its emergingepidemic phase 28 years after infection introduction,and saturated 67 years after infection introduction.In the simulated HIV testing sample,a significant time trend in prevalence was identified,and the generated metrics of epidemic emergence and saturation were similar to those of the simulated epidemic.The epidemic was identified 4.0(95%CI 3.4e4.6)years after epidemic emergence using routine HIV testing,but 29.7(95%CI 15.8 e52.1)years after emergence using AIDS case notifications.In the sensitivity analyses,none of the sampling biases affected the conclusion of an emerging epidemic,but some affected the estimated epidemic growth rate.Conclusions:Routine HIV testing data provides a tool to identify and characterize hidden and emerging epidemics in high-risk subpopulations.This approach can be specially useful in resource-limited settings,and can be applied alone,or along with other complementary data,to provide a meaningful characterization of emerging but hidden epidemics.

关键词： HIV High-risk subpopulation Surveillance Mathematical modeling Monte Carlo simulations Epidemiology sexually transmitted infection

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Multiple Bone Involvement in Secondary Syphilis: Case Report

引用

Open Journal of Orthopedics 2022年第9期12卷 367-376页

作者： Faisal Mahmud Elmosrati Murad Langhi Mohamed Abdulrauf AlGabron The Orthopedic Surgery Department in Tripoli Medical Center Tripoli Libya

Syphilitic periostitis is not a common manifestation of bone involvement in congenital and acquired late syphilis, and it’s rarely seen in secondary syphilis. Syphilis should be considered as a differential diagnosis in patient with deep bony pain that worsens at night. We report a case of secondary syphilis presented with multiple bony swelling of both tibiae (sabre-like) and other long bones.

关键词： Secondary Syphilis Sabre Tibia sexually transmitted infection Periostitis

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

HIV/AIDs Risk Perception and Sexual Behavior among Commercial Female Sex Worker in Thailand

引用

World Journal of AIDS 2022年第3期12卷 141-155页

作者： Phrutthinun Surit Sukkid Yasothornsrikul Ratchanee Mitkitti Facuty of Medical Science and Centre of Excellence in Medical Biotechnology (CEMB) Naresuan University Phitsanulok Thailand School of Nursing Mae Fah Luang University Chiangrai Thailand

Background: Commercial female sex workers (CFSWs) are considered a high-risk group for HIV/AIDs. The prevalence of HIV/AIDs trends to increase among those groups also in Thailand. An adequate perception of the degree to which one is at risk of having HIV is necessary for behavioral change and of safe behaviors. HIV/AIDs risk perception among CFSWs was needed to reduce HIV/AIDs infection. Methods: A cross-sectional study was conducted among 141 CFSWs in Bangkok, Thailand. Participants were selected using convenient and purposive sampling methods for January to October 2019. Self-access questionnaire was used for collecting data with the reliability testing of 0.82. Logistic regression employed to identify adjusted odd ratio between demographic data, sexual behaviors and HIV/AIDs risk perception, p-value less than 0.05 was considered statistically significant. Results: 51.77% of CFSWs perceived themselves at high risk for HIV/AIDs infection. Most CFSWs reported that they did not consistently use condom (57.45%), factors associated with perception risk of HIV/AIDs including education level (adjusted OR = 2.23, 95% CI = 1.07 - 4.54), knowledge of HIV and STDs (adjusted OR = 3.65 and 3.22. 95% CI = 1.89 - 3.91), Condom use (adjusted OR = 2.56, 95% CI = 1.05 - 2.90) years engaged in sex work, age of initiating in sex work, frequency of sex work in the last month and unplanned sex work were significant with risk perception of HIV/AIDs (adjusted OR = 3.33, 2.71, 2.67, 2.56 and 95% CI = 1.99 - 3.84, 1.72 - 3.32, 1.29 - 3.12, 1.05 - 2.78 respectively), and had HIV/STDs test (adjusted OR = 3.22, 95% CI = 2.11 - 3.95). Other used illicit drugs by injection, smoking and alcohol consumption had a strong association with the high perception of HIV/AIDs among CFSWs. Conclusion: Majority of CFSWs with risky sexual behaviors had a high HIV/AIDs risk perception. Effective educational programmes are necessary to enable CFSWs to correctly assess their own HIV/AIDs risk and change risk behaviors based on self-assessment of actual risk

关键词： Commercial Female Sex Workers HIV/AIDs Prevalence sexually transmitted infection Epidemiology

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Trichomonas vaginalis and Chlamydia trachomatis Prevalence,Incidence and Associated Factors in Pregnant Adolescents from Belém City,in the Brazilian Amazon

引用

Open Journal of Obstetrics and Gynecology 2015年第12期5卷 677-687页

作者： Camila Marconi Marli Teresinha Cassamassimo Duarte Márcia Guimaraes da Silva Larissa Doddi Marcolino Jossimara Polettini Ana Paula Goncalves Adriano Dias Marilza Vieira Cunha Rudge Basic Pathology Department UFPR—Universidade Federal do Paraná Parana Brazil UNOESTE The University of Western Sao Paulo Sao Paulo Brazil Department of Pathology Botucatu Medical School UNESP—Universidade Estadual Paulista Sao Paulo Brazil Department of Nursing Botucatu Medical School UNESP—Universidade Estadual Paulista Sao Paulo Brazil Department of Nursing Institute of Health Sciences UFPA—Universidade Federal do Pará Belém Brazil Department of Public Health Botucatu Medical School UNESP—Universidade Estadual Paulista Sao Paulo Brazil Department of Gynecology and Obstetrics Botucatu Medical School UNESP—Universidade Estadual Paulista Sao Paulo Brazil

Background: Adolescents are disproportionally affected by sexually transmitted infections (STI). Chlamydia trachomatis (CT) and Trichomonas vaginalis (TV) are the most frequent curable STI in adolescents, causing serious consequences for their reproductive health. Therefore, we aimed to determine the prevalence and incidence of CT and TV, as well as their risk factors in pregnant adolescents from Belém, northern Brazilian Amazon. Methods: This prospective study enrolled 199 adolescents up to 20 weeks of pregnancy. They were scheduled for follow-up visit between 28 and 29 weeks of pregnancy. Sociodemographic and behavioral data were obtained by interview. Cervicovaginal samples were taken to test for TV, CT, Neisseria gonorrhoeae and bacterial vaginosis. Univariate and multivariate analyses were performed to test the association of prevalent/incident CT and TV with the variables. Results: Prevalence of cervical CT infection was 33.7% (n = 67/ 199), and for trichomoniasis it was 4.0% (n = 8/199). Cervical ectopy increased the risk for prevalent CT (OR, 1.93;95% CI, 1.01 - 3.70), while having treated vaginal discharge in the past (OR, 0.51;95% CI, 0.26 - 0.98) and being married (OR, 0.10;95% CI, 0.01 - 0.83) were protective against current CT and TV, respectively. Among the 95 (47.7%) adolescents who completed follow-up, 15 cases of incident CT were identified. Incident CT was associated with having a formal or informal job (OR, 28.4;95% CI, 2.1 - 391.6) and bacterial vaginosis treatment at the baseline (OR, 0.08;95% CI, 0.01 - 0.69). Conclusion: Prevalence and incidence rates of TV and CT are high in this population devoid of STI routine screening. Treatment of bacterial vaginosis may benefit this population by reducing risk for CT acquisition.

关键词： Adolescence Pregnancy sexually transmitted infection Chlamydia trachomatis Trichomonas vaginalis

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：