Gaps in sexually transmitted infection screening among youth living with HIV in Alabama.
Gaps in sexually transmitted infection screening among youth living with HIV in Alabama.
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DOI：
10.1186/s13104-022-06241-7
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发表时间：
2022-11-08
影响因子：
1.8
通讯作者：
中科院分区：
文献类型：
--
作者：
性传播感染（STI）检测方面的差距可能导致感染艾滋病毒（YLHIV）的青年疾病得不到治疗，从而导致不良的健康结果。因此，本研究的目的是在美国南部的YLHIV样本中检查性传播感染检测行为和结果。对阿拉巴马州（2017-2020年）139名接受HIV治疗的YLHIV患者的临床记录进行了评估，包括接受性传播感染检测（淋病、衣原体、梅毒）、阳性检测结果的患病率以及与检测结果相关的因素（933次临床就诊）。我们的样本中近80%被确定为非裔美国人，大多数年龄在20-24岁之间，约60%的人在研究期间第一次就诊时报告了可检测到的病毒载量。不到60%的顺性男性和变性女性客户报告至少接受过一次性传播感染检测，而顺性女性的这一比例不到40%。被认定为顺性男性和被诊断患有与男男性行为有关的艾滋病毒，接受性传播感染检测的可能性更大。顺性男性报告的梅毒检测阳性比例高于顺性女性；性传播感染检测呈阳性的比例最高的是变性女性。结果强调，提供者需要促进对艾滋病毒进行常规性传播感染检测。
Gaps in sexually transmitted infection (STI) testing can lead to poor health outcomes due to untreated illness among youth living with HIV (YLHIV). Thus, the objective of this study is to examine STI testing behavior and outcomes among a sample of YLHIV in the southern United States. Clinical records of 139 YLHIV who received HIV care in Alabama (2017–2020) were evaluated for receipt of STI testing (gonorrhea, chlamydia, syphilis), prevalence of positive test results, and factors associated with testing outcomes (933 clinical visits). Nearly 80% of our sample identified as African American, most were 20–24 years, and about 60% reported detectable viral load at first visit during the study period. Just under 60% of cisgender male and transgender female clients reported receipt of at least one STI test, compared to less than 40% of cisgender females. Identifying as a cisgender male and having been diagnosed with HIV related to sex with men were associated with greater likelihood receiving STI testing. Cisgender males reported higher rates of positive syphilis test results than cisgender females; the highest rates of positive STI tests were among transgender females. Results underscore need for providers to promote routine STI testing to YLHIV.
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影响因子：
3.1
作者：
Landovitz, Raphael J.;Gildner, Jennifer L.;Leibowitz, Arleen A.
通讯作者：
Leibowitz, Arleen A.
影响因子：
3.8
作者：
Buchacz, K;Patel, P;Klausner, JD
通讯作者：
Klausner, JD
影响因子：
4.1
作者：
Budhwani, Henna;Kiszla, B. Matthew;Hightow-Weidman, Lisa B.
通讯作者：
Hightow-Weidman, Lisa B.
影响因子：
3.6
作者：
Watson RJ;Collibee C;Maksut JL;Earnshaw VA;Rucinski K;Eaton L
通讯作者：
Eaton L
影响因子：
3.6
作者：
Gamarel KE;Nichols S;Kahler CW;Westfall AO;Lally MA;Wilson CM;Adolescent Medicine Trials Network for HIV/AIDS Intervention
通讯作者：
Adolescent Medicine Trials Network for HIV/AIDS Intervention