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SEXUALLY TRANSMITTED DISEASE: A CLINICAL PSYCHOLOGICAL PROFILE.

ABSTRACT: A clinical-psychological study of 400 consecutive patients with sexually transmitted disease (STD) was undertaken at 151 BH and MH Meerut during 1991-95. Majority of the STD patients were aged 34 years or less (90.25%), belonged to other ranks (68%), hailed from rural areas (90.75%), were Hindus (83.50%), were married (72.50%). Uncontrollable sexual urge was the reason for exposure in majority (69.25%) of the cases. Commonest source of STD was commercial sex workers (CSW) (72.80%). At the time of exposure 58.50% patients were at their place of work (on out-pass) and 11.75% had consumed alcohol. Commonest STDs were Chanchroid (30.50%), Syphilis (19.50%) and LGV (10.80%). A delay of more than one month from the onset of symptoms to reporting for treatment was observed in 18.50% patients, while 24.25% patients had taken treatment from unauthorised sources. A past history of STD was given by 8.80% of patients. Majority (57.75%) of the STD patients had inadequate knowledge of STD and only 6.75% had used a condom during exposure. Mean scores of STD patients on Maudsley personality inventory were: Neuroticism-37.98 and extroversion-46.03. The General Health questionnaire identified 19.75% patients as probable psychiatric cases. On clinical evaluation, psychiatric disorders were present in 5.75% of patients.

SUBMITTER: Chaudhury S

PROVIDER: S-EPMC5531875 | biostudies-other | 1999 Jul

REPOSITORIES: biostudies-other

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Project description:IntroductionSafety-net sexually transmitted disease services can prevent transmission of sexually transmitted disease. This study assesses the availability of safety-net sexually transmitted disease clinical services across the U.S.MethodsA 2018 survey of U.S. local health departments examined the availability of safety-net providers and the availability of specific sexually transmitted disease clinical services, including point-of-care testing and treatment. In 2019, Rao-Scott chi-square tests were used to compare service availability by clinic type (sexually transmitted disease clinic versus other clinics).ResultsA total of 326 local health departments completed the survey (49% response rate). Of respondents, 64.4% reported that a clinic in their jurisdiction provided safety-net sexually transmitted disease services. Having a safety-net clinic that provided sexually transmitted disease services was more common in medium and large jurisdictions. Sexually transmitted disease clinics were the primary provider in 40.5% of jurisdictions. A wide range of specific sexually transmitted disease services was offered at the primary safety-net clinic for sexually transmitted diseases. Most clinics offered human papillomavirus vaccination and appropriate point-of-care treatment for gonorrhea and syphilis. Fewer than one-quarter of clinics offered point-of-care rapid plasma reagin or darkfield microscopy syphilis testing. Compared with other clinics, services more commonly offered at sexually transmitted disease clinics included same-day services, hepatitis B vaccination, rapid plasma reagin testing (syphilis), any point-of-care testing for gonorrhea, point-of-care trichomonas testing, and extragenital chlamydia or gonorrhea testing.ConclusionsOne-third of local health departments reported no safety-net sexually transmitted disease services or were not aware of the services, and availability of specific services varied. Without an expansion of resources, local health departments might explore collaborations with healthcare systems and innovations in testing to expand sexually transmitted disease services.

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SEXUALLY TRANSMITTED DISEASE: A CLINICAL PSYCHOLOGICAL PROFILE.

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