Frontiers in Medicine,
Journal Year:
2025,
Volume and Issue:
12
Published: March 26, 2025
Introduction
Sexually
transmitted
infections
(STI)
are
highly
prevalent
among
women
of
reproductive
age
(WRA)
and
increase
the
risk
HIV
acquisition
transmission.
However,
burden
extragenital
STIs
is
understudied
WRA
in
US.
Estimates
disease
urgently
needed
living
with
(WWH)
without
(WWOH),
to
inform
sex-specific
screening
guidelines.
Methods
Cross-sectional
data
from
cisgender
WWH
WWOH,
ages
18–45
years,
enrolled
Study
Treatment
Reproductive
Outcomes
(STAR)
March
2021
August
2023
at
six
Southern
US
sites
was
analyzed.
Sociodemographic
behavioral
assessments
were
performed
using
structured
interviewer-administered
questionnaires.
Nucleic-acid
amplification
tests
performed,
regardless
symptoms,
on
self-collected
urine,
rectal,
pharyngeal
swabs
detect
trichomoniasis,
chlamydia,
gonorrhea.
characteristics
factors
compared
by
STI
status
concordance
between
genital
examined.
Results
Among
543
participants,
55.2%
WWH,
mean
34.0
(SD
±
7.14)
years
old,
most
(72.5%)
non-Hispanic
Black,
41.6%
had
multiple
sexual
partners,
85.6%
engaged
unprotected
sex.
Overall,
1.9%
tested
positive
for
2.9%
rectal
0.6%
oropharyngeal
3.4%
gonorrhea,
1.2%
1.3%
12.2%
trichomoniasis.
Genital
chlamydia
associated
(
p
<
0.001)
but
not
chlamydia;
gonorrhea
=
0.0011)
Eight
(11.1%)
pregnant
participants
diagnosed
least
one
STI.
Higher
healthcare
provider
visits
past
year
[RR
7.14,
95%
CI
(1.92,
25.00);
0.043];
while
higher
trichomoniasis
lower
educational
attainment
high
school
or
below
2.94,
(1.49,
5.88);
0.009]
an
average
monthly
income
less
than
$1,500
USD
4.76,
(1.82,
12.5);
0.011].
HIV-status
STIs.
Discussion
Prevalence
genital,
oral
(1.8%,
2.8%,
0.6%)
(3.3%,
1.1%,
1.3%),
(11.4%)
HIV.
The
adverse
impact
women’s
health
transmission
highlights
importance
testing
areas
prevalence
BMC Infectious Diseases,
Journal Year:
2025,
Volume and Issue:
25(1)
Published: Feb. 24, 2025
Recent
data
on
sexually
transmitted
infections
(STIs)
and
bacterial
vaginosis
(BV)
in
the
general
population
of
Madagascar
is
scarce.
Our
objective
to
estimate
Chlamydia
trachomatis
(CT),
Neisseria
gonorrhoeae
(NG),
Trichomonas
vaginalis
(TV),
Mycoplasma
genitalium
(MG),
BV
prevalence
among
women
determine
associated
risk
factors.
We
recruited
aged
18–45
years
consulting
at
a
hospital
Antananarivo
cross-sectional
study.
collected
socio-demographic
behavioral
data.
Vaginal
swabs
were
for
each
individual.
STIs
detected
by
qPCR
using
Nugent
score.
explored
factors
with
having
an
STI
logistic
regressions.
Of
501
women,
242
(48%)
married.
Only
one
woman
three
ever
used
condoms.
The
CT
was
11.8%
(95%
Confidence
Interval:
9.0,
14.6),
NG:
4.2%
(2.4,
5.9),
TV:
14.8%
(11.7,
17.9),
MG:
8.2%
(5.8,
10.6),
BV:
39.6%
(35.3,
43.9).
Factors
sex
exchange
favors
(adjusted
Odds
Ratio
(aOR):
4.25,
95%CI:
1.27,
16.6),
(aOR:
2.14,
1.34,
3.47)
or
intermediate
vaginal
microbiota
2.10,
1.19,
3.72),
being
non-marital
relationship
compared
married
1.86,
1.16,
2.98).
To
address
high
STIs,
prevention
programs
should
target
who
are
more
likely
engage
empower
them
negotiation
skills
condom
use.
Given
elevated
dysbiosis
its
association
it
crucial
prioritize
research
efforts
toward
comprehensive
understanding
this
relationship.
The Canadian Journal of Human Sexuality,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Feb. 25, 2025
Despite
the
high
prevalence
of
sexually
transmitted
infections
(STIs)
in
our
society
and
their
increasing
rates
over
past
decade,
stigma
continues
to
be
harmful
pervasive.
This
study
examines
perceptions
STIs
implications
for
risk
social
perceptions.
Prolific
participants
(
N
=
440)
read
one
six
vignettes
involving
a
sexual
encounter
which
target
unknowingly
either
illness
(STI)
or
non-sexual
(H1N1)
that
varied
severity
(moderate,
severe,
fatal)
another
person.
Targets
who
were
rated
as
riskier,
more
negative
overall,
selfish,
regardless
severity.
In
line
with
flawed
evaluations,
did
not
distinguish
between
moderate
severe
both
interpersonal
All
dependent
variables
demonstrated
viewed
negatively
than
illnesses
an
equal
greater
shows
stigmatization
is
beyond
degree
severity,
this
produces
damaging
elevated
assessments.
Implications
center
around
need
continued
reduction
interventions
improve
evaluations
risk.
Frontiers in Medicine,
Journal Year:
2025,
Volume and Issue:
12
Published: March 26, 2025
Introduction
Sexually
transmitted
infections
(STI)
are
highly
prevalent
among
women
of
reproductive
age
(WRA)
and
increase
the
risk
HIV
acquisition
transmission.
However,
burden
extragenital
STIs
is
understudied
WRA
in
US.
Estimates
disease
urgently
needed
living
with
(WWH)
without
(WWOH),
to
inform
sex-specific
screening
guidelines.
Methods
Cross-sectional
data
from
cisgender
WWH
WWOH,
ages
18–45
years,
enrolled
Study
Treatment
Reproductive
Outcomes
(STAR)
March
2021
August
2023
at
six
Southern
US
sites
was
analyzed.
Sociodemographic
behavioral
assessments
were
performed
using
structured
interviewer-administered
questionnaires.
Nucleic-acid
amplification
tests
performed,
regardless
symptoms,
on
self-collected
urine,
rectal,
pharyngeal
swabs
detect
trichomoniasis,
chlamydia,
gonorrhea.
characteristics
factors
compared
by
STI
status
concordance
between
genital
examined.
Results
Among
543
participants,
55.2%
WWH,
mean
34.0
(SD
±
7.14)
years
old,
most
(72.5%)
non-Hispanic
Black,
41.6%
had
multiple
sexual
partners,
85.6%
engaged
unprotected
sex.
Overall,
1.9%
tested
positive
for
2.9%
rectal
0.6%
oropharyngeal
3.4%
gonorrhea,
1.2%
1.3%
12.2%
trichomoniasis.
Genital
chlamydia
associated
(
p
<
0.001)
but
not
chlamydia;
gonorrhea
=
0.0011)
Eight
(11.1%)
pregnant
participants
diagnosed
least
one
STI.
Higher
healthcare
provider
visits
past
year
[RR
7.14,
95%
CI
(1.92,
25.00);
0.043];
while
higher
trichomoniasis
lower
educational
attainment
high
school
or
below
2.94,
(1.49,
5.88);
0.009]
an
average
monthly
income
less
than
$1,500
USD
4.76,
(1.82,
12.5);
0.011].
HIV-status
STIs.
Discussion
Prevalence
genital,
oral
(1.8%,
2.8%,
0.6%)
(3.3%,
1.1%,
1.3%),
(11.4%)
HIV.
The
adverse
impact
women’s
health
transmission
highlights
importance
testing
areas
prevalence