Expositions sexuelles au VIH dans les armées françaises de 2005 à 2007

Santi, Vincent Pommier de; Ollivier, L.; Texier, Gaétan; Haus-Cheymol, R.; Morand, Jean‐Jacques; Boutin, Jean‐Paul; Deparis, Xavier

doi:10.1016/j.annder.2009.09.007

Cited by 3 publications

(2 citation statements)

References 19 publications

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“…A number of recent studies also indicate high rates of binge drinking among military personnel, reported to heighten sexual risk taking [ 17 , 18 , 21 – 24 ]. Finally, STI rates are also conditioned on professional transience, with potential heightened risk of transmission during deployment in high prevalence regions [ 4 , 25 ].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and risk factors of sexually transmitted infections among French service members

et al. 2018

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IntroductionSexually Transmitted Infections (STIs) have always represented a public health concern in the military, yet most studies rely on self-reports among non-random samples of military populations. In addition, most of the studies exploring STI rates among the military focus on US service members. This paper assesses the prevalence and correlates of STIs in the French military using biomarkers and compares self-reported versus diagnosed STIs.MethodsData are drawn from the COSEMIL study, a national sexual health survey conducted in the French military in 2014 and 2015. A random sample of 784 men and 141 women aged 18–57 years completed a self-administered questionnaire and provided biological samples for STI testing. We used logistic regression modeling to identify the correlates of STI diagnosis and self-reports.ResultsThe prevalence of diagnosed STIs was 4.7% [3.8–5.9], mostly due to Chlamydia trachomatis. This rate was four times higher than the 12 months self-reported rate of 1.1% [0.6–2.3]. Reported STI rates were similar among men and women (1.1% versus 1.8%), but diagnosed STI rates were twice as high among females versus males (10.4% versus 4.1%, p = 0.007). There were significant differences in the determinants of reported versus diagnosed STIs. In particular, age and sexual orientation were associated with reported STIs, but not with diagnosed STIs. Conversely, STI counseling and depression were associated with STI diagnosis but not with STI reports.ConclusionThis study underlines the need to use biomarkers in population-based surveys, given the differential and substantial underreporting of STIs. Results also highlight the need for programmatic adaptation to address gender inequalities in STI rates, by developing women’s health services in the French military. Addressing such needs not only benefits women but could also serve as a strategy to reduce overall STI rates as most military women have military partners, increasing the risk of internal transmission.

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Section: Introductionmentioning

confidence: 99%

“…Military institutions have generally responded by offering comprehensive STI prevention, including sexual health education, screening, post exposure prophylaxis and epidemiological surveillance [ 25 , 32 ]. The French military has implemented such a program, with reinforcing messages before deployment.…”

Section: Introductionmentioning

confidence: 99%