Substantial discrepancies were observed in the healthcare services available for sexually transmitted diseases (STDs) among different countries. An assessment of the present situation in 26 European countries was performed through a questionnaire-based survey developed jointly by the European Board and College of Obstetrics and Gynaecology, and the European Society of Contraception. Considerable potential opportunities exist in European training and education programmes to bring about improvements. Nonetheless, the most significant disparity stems from the absence of formal education and training opportunities for healthcare professionals, that appears to have an impact and may be a significant factor contributing to the disparities observed in STD care delivery. The health impact of sexually transmitted infections (STIs) is frequently underestimated, but if left untreated, these common infections can lead to complications that have a disproportionate long-term impact on the health of women and children. The variation in the availability of educational initiatives and training opportunities on STDs across Europe underscores the necessity for a standardised, evidence-based care model to address disparities and enhance sexual healthcare outcomes. The implementation of such a model of training and care needs to become part of national health policies supported by the necessary governmental financial support.
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http://dx.doi.org/10.1016/j.ejogrb.2024.10.043 | DOI Listing |
JAMA Intern Med
January 2025
Department of Population Medicine, Harvard Pilgrim Health Care Institute, Boston, Massachusetts.
Importance: Doxycycline postexposure prophylaxis (doxyPEP) has been shown to decrease the incidence of bacterial sexually transmitted infections (STIs) among people assigned male sex at birth in clinical trials, but data from clinical practice are limited.
Objective: To describe early uptake of doxyPEP and evaluate changes in STI incidence following doxyPEP initiation.
Design, Setting, And Participants: This retrospective cohort study of adults (aged ≥18 years) dispensed HIV preexposure prophylaxis (PrEP) at Kaiser Permanente Northern California during November 1, 2022, to December 31, 2023, examined electronic health record data to compare HIV PrEP users dispensed and not dispensed doxyPEP and rates of bacterial STIs before and after starting doxyPEP.
JAMA Intern Med
January 2025
San Francisco Department of Public Health, San Francisco, California.
Importance: Increasing rates of sexually transmitted infections (STIs) have been associated with rises in serious morbidity. While doxycycline postexposure prophylaxis (doxyPEP), a strategy in which individuals take doxycycline, 200 mg, after condomless sex to prevent bacterial STIs, has been shown to be efficacious in randomized clinical trials, doxyPEP's potential effect on population-level STI incidence is unknown.
Objective: To assess the association of citywide doxyPEP guideline release with reported chlamydia, gonorrhea, and early syphilis cases in men who have sex with men (MSM) and in transgender women in San Francisco, California.
AIDS
January 2025
Clinical affiliations: None.
Andes Pediatr
August 2024
Facultad de Medicina, Universidad de Chile, Santiago, Chile.
Unlabelled: Migration is a phenomenon with an impact on the health of adolescents. Barriers to accessing health services expose them to risks such as sexual violence, unwanted pregnancies, and sexually transmitted infections/HIV.
Objective: To analyze variables of sexual and reproductive health in migrant and Chilean adolescents.
J Clin Aesthet Dermatol
December 2024
Dr. Rosen and Ms. Terrell are with the Dermatology Department, School of Medicine at Baylor College of Medicine in Houston, Texas.
Objective: This study aims to assess the correlation between Centers for Disease Control-reported syphilis incidence rates and case burden and public interest in syphilis as indicated by Google search trends.
Methods: This study utilized Google Trends data to analyze popular syphilis-related search terms from 2013 to 2023. The latest Centers for Disease Control-reported syphilis incidence rates for 2022 were compared to Google Trends data to identify patterns or correlations.
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