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Cited by 27Reproductive tract infections researchHIV/AIDS Research and InterventionsAdolescent Sexual and Reproductive Health

The DOI matches its Crossref record; 25 of the 25 references it cites were found in a registry or an index.

Randomized controlled trial on the effectiveness of counseling messages for avoiding unprotected sexual intercourse during sexually transmitted infection and reproductive tract infection treatment among female sexually transmitted infection clinic patients.

Open access
Anderson, Clive, Gallo, Maria F., Hylton-Kong, Tina, Steiner, Markus J., Hobbs, Marcia M., Macaluso, Maurizio, Figueroa, J. Peter, Jamieson, Denise J., Legardy-Williams, Jennifer, Wiener, Jeffrey, Warner, Lee·2013·Sexually Transmitted Diseases
DOI 10.1097/olq.0b013e31827938a1PMC PMC3811001
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Abstract

BACKGROUND: The effectiveness of counseling messages to avoid unprotected sex during short-term treatment for curable sexually transmitted infections is unknown. METHODS: We randomized 300 female STI clinic patients 18 years or older with cervicitis and/or vaginal discharge in Kingston, Jamaica, in 2010 to 2011, to 1 of 2 counseling messages for their course of syndromic treatment: abstinence only or abstinence backed up by condom use. At a follow-up visit 6 days afterward, we collected vaginal swabs to test for prostate-specific antigen (PSA), a biological marker of recent semen exposure, and administered a questionnaire assessing sexual behavior. RESULTS: No differences were found in the proportions of women testing positive for PSA at follow-up in the abstinence-plus-condom group (11.9%) and abstinence-only group (8.4%) (risk difference, 3.5; 95% confidence interval, -3.5 to 10.5). There also was no significant difference in reporting of unprotected sex between groups. Reporting a history of condom use before enrollment significantly modified the effect of counseling arm on PSA positivity (P = 0.03). Among those reporting recent condom use, 10.3% in the abstinence-only arm and 4.8% in the abstinence-plus-condom arm tested positive for PSA. Conversely, among those not reporting recent condom use, 6.5% in the abstinence-only arm and 17.3% in the abstinence-plus-condom arm had PSA detected. CONCLUSIONS: We found no evidence to support the superiority of either counseling message. Post hoc analyses suggest that women with recent condom experience may benefit significantly more from abstinence-plus-condom messages, whereas women without such experience may benefit significantly more from abstinence-only messages. Providers should weigh individual condom use history when determining the most appropriate counseling message.

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  • A trial among women with cervicitis or vaginal discharge demonstrated that women whose sex partners have used condoms might benefit from a hierarchical message that includes condoms, but women without such experience might benefit more from an abstinence-only message.

    “A trial conducted among women regarding the effectiveness of counseling messages when patients have cervicitis or vaginal discharge demonstrated that women whose sex partners have used condoms might benefit from a hierarchical message that includes condoms but women without such experience might benefit more from an abstinence-only message (104).”

    From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [104]

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  1. Radcliffe, 2001, European STD guidelines., Int J STD AIDS, 12, S1

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Metadata

Authors
Anderson, C., Gallo, M. F., Hylton-Kong, T., Steiner, M. J., Hobbs, M. M., Macaluso, M., Figueroa, J. P., Jamieson, D. J., Legardy-Williams, J., Wiener, J., & Warner, L.
Affiliations
  • Ministry of Health (JM)
  • Centers for Disease Control and Prevention (US)
  • University of North Carolina at Chapel Hill (US)
  • Cincinnati Children's Hospital Medical Center (US)
  • University of the West Indies (JM)
Corresponding author
  • Anderson, Clive
  • Hylton-Kong, Tina
ORCID
Venue
Sexually Transmitted Diseases
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2013-02
Volume
40
Issue
2
Pages
105-110
ISSN
0148-5717 (ISSN-L)
DOI
10.1097/olq.0b013e31827938a1
PMC
PMC3811001
OpenAlex
W2026159868
Cited by
27
References
25
Citations by year
2023: 1 · 2022: 1 · 2021: 3 · 2020: 2 · 2019: 2 · 2018: 1 · 2017: 3 · 2016: 2 · 2015: 4 · 2014: 3 · 2013: 2
FWCI
3.37
Type
journal article
Language
en
Open access
Locations
  • Sexually Transmitted Diseases (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Allergy and Infectious Diseases (U19AI031496)
Topics
  • Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Adolescent Sexual and Reproductive Health
Keywords
sexually transmitted infections, reproductive tract infections, condom use, unprotected sex, prostate-specific antigen, semen exposure, syndromic management, cervicitis, vaginal discharge, female sexual behavior
MeSH terms
Adult, Ambulatory Care, Coitus, Female, Humans, Jamaica, Surveys and Questionnaires, Risk Factors, Risk-Taking, Semen, Sexual Abstinence, Sexually Transmitted Diseases, Vagina, Vaginal Smears, Biomarkers, Treatment Outcome, Condoms, Prostate-Specific Antigen, Directive Counseling, Unsafe Sex, Reproductive Tract Infections

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