Assessment of the Routine, Occupation-Based Gonorrhea and Syphilis Screening Program in Moscow, Russia: An Analysis of Sexually Transmitted Infection Prevalence and Cost-Effectiveness

Kourbatova, Ekaterina V.; Akovbyan, Vagan A.; Chesson, Harrell W.; Лыткина, И Н; Dmitriev, G. A.; Tikhonova, Lilia; Koubanova, Anna A.; Petukhova, I. I.; Latypova, Munira F.; Aboymova, Olga A.; Lewis, John R.; Ryan, Caroline; Shakarishvili, Anna

doi:10.1097/olq.0b013e31816f1c65

Cited by 9 publications

(7 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Overall, STI prevalence among non-IDUs was comparable to the STI prevalence from the general population in St. Petersburg [52,53], and STI prevalence among IDUs in this study was similar to the prevalence found among IDUs in other countries [54,55]. The low STI prevalence might reflect a trend of reduced STIs being reported over the years in Russia [56-58].…”

Section: Discussionsupporting

confidence: 78%

Comparing sexual risks and patterns of alcohol and drug use between injection drug users (IDUs) and non-IDUs who report sexual partnerships with IDUs in St. Petersburg, Russia

et al. 2010

View full text Add to dashboard Cite

BackgroundTo date, the great majority of Russian HIV infections have been diagnosed among IDUs and concerns about the potential for a sexual transmission of HIV beyond the IDU population have increased. This study investigated differences in the prevalence of sexual risk behaviors between IDUs and non-IDUs in St. Petersburg, Russia and assessed associations between substance use patterns and sexual risks within and between those two groups.MethodsCross-sectional survey data and biological test results from 331 IDUs and 65 non-IDUs who have IDU sex partners were analyzed. Multivariate regression was employed to calculate measures of associations.ResultsIDUs were less likely than non-IDUs to report multiple sexual partners and unprotected sex with casual partners. The quantity, frequency and intensity of alcohol use did not differ between IDUs and non-IDUs, but non-IDUs were more likely to engage in alcohol use categorized as risky per the alcohol use disorders identification test (AUDIT-C). Risky sexual practices were independently associated with monthly methamphetamine injection among IDUs and with risky alcohol use among non-IDUs. Having sex when high on alcohol or drugs was associated with unprotected sex only among IDUs.ConclusionsGreater prevalence of sexual risk among non-IDUs who have IDU sex partners compared to IDUs suggests the potential for sexual transmission of HIV from the high-prevalence IDU population into the general population. HIV prevention programs among IDUs in St. Petersburg owe special attention to risky alcohol use among non-IDUs who have IDU sex partners and the propensity of IDUs to have sex when high on alcohol or drugs and forgo condoms.

show abstract

Section: Discussionsupporting

confidence: 78%

Comparing sexual risks and patterns of alcohol and drug use between injection drug users (IDUs) and non-IDUs who report sexual partnerships with IDUs in St. Petersburg, Russia

et al. 2010

View full text Add to dashboard Cite

show abstract

“…After reviewing the full articles, one article was excluded because it was not on Russia [35] and three were excluded because they were not original economic analyses. [1,36,37] The study's final sample consisted of 16 economic studies that satisfied our inclusion criteria ( Figure 1, Table 1 [4][5][6]9,[38][39][40][41][42][43][44][45][46][47][48][49] ).…”

Section: Resultsmentioning

confidence: 99%

“…[4,44,47] Economic analysis was the primary objective in 15 (93.8%) studies. Seven articles were on pharmaceuticals, three were on services, [42][43][44] three were on health technologies, [38,45,48] and three did not specify any primary health intervention. [9,40,41] Treatment (n = 8, 50%), and prevention and screening (n = 4, 25%) were the most investigated medical functions.…”

Section: Extent and Trend Of Health Economics Studiesmentioning

confidence: 99%

The state of health economics and pharmaceoconomics research in Russia: a systematic review

Gavaza

Shepherd

Shcherbakova

et al. 2010

Journal of Pharmaceutical Health Services Research

View full text Add to dashboard Cite

Objectives To investigate the state of health economic research in Russia available in the English language by describing the number and characteristics of the articles, and assessing the quality of these articles. Methods The study assessed the state of health economics and pharmacoeconomics research in Russia. We conducted a literature search to identify health economics articles pertaining to Russia. Each article in the final sample was scored by two reviewers independently using the data‐collection form designed for the study. Key findings In total, 16 studies investigating a wide variety of diseases were included in the study. These articles were published in 15 different journals all based outside of Russia between 1994 and 2009. On average, each article was written by seven authors. Most first authors had medical/clinical training and resided in the USA (n = 8) at the time of publication of the study. Based on a scale of 1–10, with 10 indicating the highest quality, the mean quality score for all studies was 8.09 (SD = 1.29) and 25% of the articles were of fair quality (score 5–7). The quality of articles was statistically significantly related (P < 0.05) to the primary health intervention (pharmaceuticals > non‐pharmaceuticals) and primary training of the first author (medical > non‐medical). Conclusions The conduct of health economics and pharmacoeconomics research in Russia in the English language is limited and, on average, the published articles were of good quality. However, about one‐quarter of published articles were of fair quality. More health economics research in English is warranted in Russia.

show abstract

“…[27] The global prevalence rate of syphilis has again surged because of multiple biological and social factors. [11282930] To date, syphilis has imposed considerable health and economic burden on many countries, especially the developing countries. [293132]…”

Section: Discussionmentioning

confidence: 99%

High prevalence of syphilis among street-based female sex workers in Nanchang, China

Tao

Jiang

Shao

et al. 2014

Indian Dermatol Online J

View full text Add to dashboard Cite

Background:Female sex workers (FSWs) play a critical role in the heterosexual transmission of human immunodeficiency virus (HIV)/sexually transmitted infections (STIs) in China. Several studies reported that street-based FSWs have higher risk behaviors than establishment-based FSWs. Therefore, street-based FSWs should be specifically targeted for HIV and STIs intervention programs.Objectives:This study aims to investigate the prevalence rates and risk factors of HIV and syphilis among FSWs in Nanchang, China.Materials and Methods:Using convenience sampling methods, 361 street-based FSWs were recruited from August 2011 to February 2012. All participants completed an anonymous questionnaire on socioeconomic and sex behavioral information and were tested for HIV and syphilis. Risk for HIV and syphilis infection was assessed using univariate and multivariate logistic regression analyses.Results:No HIV infections were found. The prevalence rate of syphilis was 43.5%. Nearly 46.1% of street-based FSWs reported having education for no more than 6 years. Having reproductive tract infections at current visit, duration of sex work more than 5 years, indulgence in unprotected sex trade in the last time, unprotected sex trade in the last month, and unprotected sex with boyfriend or spouse in the last month were reported by 35.2%, 43.5%, 33.8%, 60.4%, and 93.1% street-based FSWs, respectively. In multivariate logistic regression analysis, having reproductive tract infections at current visit [odds ratio (OR), 12.10; 95% confidence interval (CI), 6.01-24.37], duration of sex work more than five years (OR, 4.26; 95% CI, 2.40-7.54), and unprotected sex trade in the last month (OR, 1.85; 95% CI, 1.06-3.22) were independently associated with syphilis infection.Conclusion:The prevalence rate of syphilis among street-based FSWs is very high. Most street-based FSWs in our survey had low education, long experience of commercial sex, and high rate of inconsistent condom use. Comprehensive interventions targeting this high-risk group, especially scaling up screening and ensuring consistent use of condoms during sex are needed.

show abstract

Assessment of the Routine, Occupation-Based Gonorrhea and Syphilis Screening Program in Moscow, Russia: An Analysis of Sexually Transmitted Infection Prevalence and Cost-Effectiveness

Abstract: Modifications to occupation-based screening, including an increased focus on higher risk population and the adoption of more current diagnostic technologies, could help to use prevention resources more effectively.

Cited by 9 publications

References 12 publications

Comparing sexual risks and patterns of alcohol and drug use between injection drug users (IDUs) and non-IDUs who report sexual partnerships with IDUs in St. Petersburg, Russia

Comparing sexual risks and patterns of alcohol and drug use between injection drug users (IDUs) and non-IDUs who report sexual partnerships with IDUs in St. Petersburg, Russia

The state of health economics and pharmaceoconomics research in Russia: a systematic review

High prevalence of syphilis among street-based female sex workers in Nanchang, China

Contact Info

Product

Resources

About