TY - JOUR
T1 - Homelessness, sex and a tale of two sexually transmitted infections
AU - Henning, D.
AU - Parrott, C.
AU - Read, T.
AU - Cook, S.
AU - Bradshaw, C. S.
PY - 2021/1
Y1 - 2021/1
N2 - The Young People’s Health Service (YPHS) is a free, nurse-led Primary Health Care Clinic, in Melbourne, for young people aged 12–24 who are experiencing homelessness. Sexually transmitted infection (STI) screening is routinely offered as part of comprehensive psychosocial assessments. We wanted to determine the number of people positive for Chlamydia trachomatis (Ct) and Mycoplasma genitalium (Mg), amongst this asymptomatic high-risk population. We also wanted to review our screening practice. All asymptomatic sexually active clients seen by YPHS between 2014 and 2016 were offered a first pass urine polymerase chain reaction-based test for Ct and Mg. Urine samples were taken for men and women. Positivity for Ct and Mg out of those tested was determined and association with gender examined. Between 2014–2016, 272 males and 278 females (n = 550) were screened for Ct, and 72 infections were detected (13.1%. Chlamydia positivity did not differ between males (n = 35; 12.9%, 95% confidence interval [CI]: 8.8–16.8) and females (n = 37; 13.3%, 95%CI: 9.3–17.3). Over the same period 273 males and 284 females were screened for Mg (n = 557) and 55 infections were detected (9.9%). A higher proportion of females (n = 35; 12.3%, 95%CI: 8.5–16.1) tested positive compared to males (n = 20; 7.3%, 95%CI: 4.2–10.4), p = 0.048. Our study demonstrates both Ct and Mg are prevalent in the population, Mg being more common in young women than young men. Referral for specialist care for macrolide-resistant Mg increased and the updated Australian STI management guidelines led to a review of practice.
AB - The Young People’s Health Service (YPHS) is a free, nurse-led Primary Health Care Clinic, in Melbourne, for young people aged 12–24 who are experiencing homelessness. Sexually transmitted infection (STI) screening is routinely offered as part of comprehensive psychosocial assessments. We wanted to determine the number of people positive for Chlamydia trachomatis (Ct) and Mycoplasma genitalium (Mg), amongst this asymptomatic high-risk population. We also wanted to review our screening practice. All asymptomatic sexually active clients seen by YPHS between 2014 and 2016 were offered a first pass urine polymerase chain reaction-based test for Ct and Mg. Urine samples were taken for men and women. Positivity for Ct and Mg out of those tested was determined and association with gender examined. Between 2014–2016, 272 males and 278 females (n = 550) were screened for Ct, and 72 infections were detected (13.1%. Chlamydia positivity did not differ between males (n = 35; 12.9%, 95% confidence interval [CI]: 8.8–16.8) and females (n = 37; 13.3%, 95%CI: 9.3–17.3). Over the same period 273 males and 284 females were screened for Mg (n = 557) and 55 infections were detected (9.9%). A higher proportion of females (n = 35; 12.3%, 95%CI: 8.5–16.1) tested positive compared to males (n = 20; 7.3%, 95%CI: 4.2–10.4), p = 0.048. Our study demonstrates both Ct and Mg are prevalent in the population, Mg being more common in young women than young men. Referral for specialist care for macrolide-resistant Mg increased and the updated Australian STI management guidelines led to a review of practice.
KW - Australia
KW - bacterial disease
KW - screening
KW - sexual behaviour
UR - http://www.scopus.com/inward/record.url?scp=85095825050&partnerID=8YFLogxK
U2 - 10.1177/0956462420958904
DO - 10.1177/0956462420958904
M3 - Article
C2 - 33167804
AN - SCOPUS:85095825050
SN - 0956-4624
VL - 32
SP - 83
EP - 85
JO - International Journal of STD & AIDS
JF - International Journal of STD & AIDS
IS - 1
ER -