Sexual and reproductive health services for people living with HIV/AIDS in Germany: are we up to the challenge?

Mueller, Matthias; Walentiny, C.; Seybold, Ulrich; Nöstlinger, C; Platteau, Tom; Borms, R.; Draenert, Rika; Bogner, Johannes R.

doi:10.1007/s15010-013-0499-7

Cited by 4 publications

(2 citation statements)

References 15 publications

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“…Much of the above-mentioned contrast between syphilis and CT/NG testing coverage may stem from physician’s lack of time and discomfort with sexual history taking and collection of STI swabs [ 20 , 21 ]. A survey analyzing the patients’ satisfaction with sexual and reproductive health (SRH) services in HIV primary care identified shortage of time, a lack of service providers’ initiative, and patients’ difficulty to address SRH topics as most relevant hindering factors for satisfying SRH services [ 22 ]. Structural or systems level interventions appear to be more effective and sustainable to improve STI screening rates than interventions on patients or clinicians level [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

Long-term follow-up after introduction of a systematic sexually transmitted infection screening program for men having sex with men living with HIV in a primary care setting: uptake, STI incidence, and risk factors for infection and reinfection

et al. 2022

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Purpose Annual screening for asymptomatic infections with Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) is recommended by international guidelines in people living with HIV but uptake in routine care remains poor. This study analyzed the effects of the implementation of a CT/NG screening program in a primary HIV treatment center. Methods In this single-center cohort study, we included men having sex with men (MSM) living with HIV during the study period from January 2016 to December 2019. From January 2018 on, annual sexual health counseling including CT/NG screening was proactively offered to all MSM presenting at the center. CT/NG screening rates, test positivity rates and case detection rates in the years 2018 and 2019 were compared to those in the years 2016 and 2017. Results A total of 234 patients were enrolled in the study contributing to 798.7 patient years (py) during the four-year study period. Screening rates increased from 3.1% and 3.9% in 2016 and 2017 to 51.1% in 2018 and decrease to 35.4% in 2019. Over the study period, 19.7% (46/234) had at least one positive CT/NG result. After the intervention, case detection per 100 py increased for CT (2016: 2.6, 2017: 3.7, 2018: 7.7, 2019: 7.1) and NG (2016: 3.2, 2017: 3.1, 2018: 5.3, 2019: 7.6). The number needed to test was 8.9 for CT and 10.4 for NG. Conclusion Regular CT/NG screening is feasible in a primary care setting, leads to an increase in case detection and may contribute to decrease transmission and complications of CT/NG. Trial registration The trial is registered in ClinicalTrials.gov (NCT02149004).

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Section: Introductionmentioning

confidence: 99%

Long-term follow-up after introduction of a systematic sexually transmitted infection screening program for men having sex with men living with HIV in a primary care setting: uptake, STI incidence, and risk factors for infection and reinfection

et al. 2022

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“…For instance, a European multicenter study found that 42% of 705 sexually active, HIV-positive MSM in 14 European countries reported at least 1 occasion of unprotected vaginal or anal intercourse with a casual partner in the previous 6 months. 5 , 6 The European MSM internet survey, an online survey with more than 180,000 MSM from 38 European countries participating, reported that almost twice as many HIV-positive MSM had unprotected sexual encounters with casual partners, compared with HIV-negative, and untested MSM. 7…”

Section: Introductionmentioning

confidence: 99%