HIV/STI Prevalence Study Among Military Conscripts in Estonia

Parker, R. David; Regier, Michael; Widmeyer, Joseph

doi:10.1007/s10900-014-9926-7

Cited by 3 publications

(4 citation statements)

References 11 publications

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“…We found a prevalence rate of CTI of 15.4% among the members of the SAF. This CTI prevalence is higher than previously reported in the most of other studies conducted within the military population, noting the prevalence ranging from 2.5%-9.5% 13,15,19,20 . Our results were similar to a large survey among female military recruits conducted in the United States of America in 1997.…”

Section: Discussioncontrasting

confidence: 66%

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Prevalence and risk factors of Chlamydia trachomatis genital infection among military personnel of the Armed Forces of Serbia: A cross-sectional study

et al. 2019

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Background/Aim. Chlamydia trachomatis infection (CTI) is an increasing public health problem worldwide and is the most frequent sexually transmitted infection. Studies conducted in many armed forces worldwide showed that CTI is common within military population and generate significant healthcare costs. The aim of this study was to estimate the prevalence of CTI among members of the Serbian Armed Forces (SAF) and to determine risk factors for this infection. Methods. The study was designed as a cross-sectional survey and consisted of completing a questionnaire and chlamydial testing. The questionnaire was divided into two question groups: one was about demographic/service related characteristics and the other was about behavioral patterns/habits. Chlamydia trachomatis real time polymerase chain reaction (Real-TM PCR) was used for detection of pathogen genome specific sequence in the male urethral swabs and in the female endocervical swabs. All data collected were used to compare military personnel with and without CTI. Risk factors independently associated with CTI were identified by the stepwise multivariate logistic regression analysis (MLRA) of variables selected by the univariate logistic regression analysis (ULRA), with a limit for entering and removing variables from the model at 0.05. Results. The overall prevalence of CTI was 55 of 356 respondents (15.4%; 95% CI 0.5-2.7%). The ULRA identified that CTI was significantly associated with several characteristics: number of sexual partners during previous year (p = 0.008), knowledge about symptoms of CTI (p = 0.035), tattooing (p = 0.035) and married or in stable relationship (p = 0.022). The MLRA revealed that number of different sexual partners during last year was independent risk factor of CTI (p = 0.026; OR : 0.344; 95% CI: 0.13-0.88). Conclusion. CTI is significant problem in male and female military personnel in the SAF. The number of different sexual partners during previous year was independently associated with CTI. These finding indicates that screening for CTI should be undertaken in the SAF, to reduce rates of CTI in the SAF and to prevent morbidity due to this infection.

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Section: Discussioncontrasting

confidence: 66%

“…Studies conducted in the Armed Forces of Poland 12 , Estonia 13 , Brazil 14 , Israel 15 , Slovenia 16 and the United States of America 17 , shown that CTI is common within military population. High rates of CTI among military population generate significant healthcare costs in the armies 18 .…”

Section: Introductionmentioning

confidence: 99%

Prevalence and risk factors of Chlamydia trachomatis genital infection among military personnel of the Armed Forces of Serbia: A cross-sectional study

et al. 2019

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“…The US Navy and Marine Corps established a Sexual Health and Responsibility Program (SHARP) to coordinate activity in the field of STI prevention programs [46]. In line with the known preventive effects of early diagnosis and treatment [47][48][49], military entry screenings for STIs have been recommended as a strategy of reducing STIs within the military community [50]. Data evaluating the preventive effects of prevention programs addressing STIs in the military setting are, however, still missing.…”

Section: Discussionmentioning

confidence: 99%

Sexually transmitted infections in soldiers – a cross-sectional assessment in German paratroopers and navy soldiers and a literature review

Gottwald

Schwarz

Frickmann

2019

EuJMI

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Introduction: The study was performed to estimate the prevalence and determinants of occurrence of sexually transmitted infections (STIs) in paratroopers and navy soldiers by anonymously analyzing medical records from the medical departments of two large German barracks in order to assess the need for medical STI prevention. Methods: Medical records from 80 paratroopers and 80 navy soldiers were screened for records of STI. Results were anonymously collected next to information on risk factors, as well as diagnostic and therapeutic management, and comparatively assessed. Results: Proportions of suspected STIs were 17.5% and 20%, and proportions of diagnosed STIs were 13.9% and 11.3% for paratroopers and navy soldiers, respectively. Chlamydia trachomatis, human papillomavirus, and genital scabies were observed in paratroopers and navy soldiers, while Gardnerella vaginalis, herpes simplex virus, Molluscum contagiosum virus, Neisseria gonorrhoeae, and Trichomonas vaginalis were additionally identified in navy soldiers. Conclusions: Although clinical hints for STIs were frequently observed, clinical management was usually restricted to syndrome-based antibiotic treatment without detailed diagnostic workup, leaving room for procedural improvement. Ongoing need for medical STI prevention in the military could be confirmed.

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“…KABP questionnaires are commonly used in research to identify information related to sexual behaviours and stigmas associated with STIs (16,17). The KABP questionnaire used in this project was a modified version of the assessment administered to conscripts in 2012 (18). The modified version required approximately 20 minutes to complete and included 34 questions on sexual behaviours, drug use, testing for STIs, and knowledge.…”

Section: Methodsmentioning

confidence: 99%

Sexually Transmitted Infections - Prevalence, Knowledge and Behaviours among Professional Defence Forces in Estonia: a Pilot Study

Parker

2017

Cent Eur J Public Health

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These findings indicate a lower STI occurrence among professional defence forces in Estonia compared with the non-military population. While these rates were lower than expected, as a voluntary study, people suspicious of having an STI might opt not to participate, limiting generalizability to the remainder of the military. Militaries without regular screening programmes could consider regular scheduled testing for STIs, HIV and blood borne pathogens, even if voluntary, especially prior to foreign deployment. Consistent testing would align across many militaries who deploy international peace keepers.

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HIV/STI Prevalence Study Among Military Conscripts in Estonia

Cited by 3 publications

References 11 publications

Prevalence and risk factors of Chlamydia trachomatis genital infection among military personnel of the Armed Forces of Serbia: A cross-sectional study

Prevalence and risk factors of Chlamydia trachomatis genital infection among military personnel of the Armed Forces of Serbia: A cross-sectional study

Sexually transmitted infections in soldiers – a cross-sectional assessment in German paratroopers and navy soldiers and a literature review

Sexually Transmitted Infections - Prevalence, Knowledge and Behaviours among Professional Defence Forces in Estonia: a Pilot Study

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