Learn More
OBJECTIVES The purpose of this study was to assess the relationships between stigma and shame associated with seeking treatment for sexually transmitted diseases (STDs) and undergoing testing for gonorrhea and HIV. METHODS Participants were 847 males and 1126 females (mean age: 24.9 years) in 7 cities. Two scales assessed STD-related stigma and(More)
OBJECTIVES This study sought to define, among sexually transmitted disease (STD) clinic attendees, (1) patterns of sex partner selection, (2) relative risks for gonococcal or chlamydial infection associated with each mixing pattern, and (3) selected links and potential and actual bridge populations. METHODS Mixing matrices were computed based on(More)
BACKGROUND Theorectical studies have highlighted the importance of patterns of choice of sex partner in the transmission and persistence of sexually transmitted diseases (STDs). GOAL To describe reported patterns of sexual mixing according to numbers of sex partners in STD clinics. STUDY DESIGN Patients attending public health clinics in Seattle,(More)
OBJECTIVE To define clinical and laboratory features that identify patients with neurosyphilis. METHODS Subjects (n=326) with syphilis but no previous neurosyphilis who met 1993 Centers for Disease Control and Prevention criteria for lumbar puncture underwent standardized history, neurological examination, venipuncture, and lumbar puncture. Neurosyphilis(More)
To identify factors that affect normalization of laboratory measures after treatment for neurosyphilis, 59 subjects with neurosyphilis underwent repeated lumbar punctures and venipunctures after completion of therapy. The median duration of follow-up was 6.9 months. Stepwise Cox regression models were used to determine the influence of clinical and(More)
BACKGROUND AND OBJECTIVES To obtain patients' perspectives on why only some partners are notified in partner-notification programs, the cornerstone of sexually transmitted disease (STD) control, although low proportions of partners are located and evaluated. GOALS To describe patterns of partner notification reported by persons with STD infection. STUDY(More)
OBJECTIVE To assess the relation between health literacy and receipt of a screening test for gonorrhoea in the past year. METHODS Study design was multisite, cross sectional survey of subjects enrolled from clinics, from community based organisations, and by street intercept. Data were obtained using face to face interview. The dependent variable was self(More)
BACKGROUND Increasing availability of urine testing for Neisseria gonorrhoeae (GC) and Chlamydia trachomatis (CT) offers expanded opportunities to collaborate with community-based organizations (CBOs) to screen high-risk populations for sexually transmitted diseases (STDs). GOAL To determine the prevalence and correlates of genital tract gonococcal and(More)
Clinical management of patients with syphilis is controversial. This article summarizes recent research on syphilis treatment efficacy and outcomes and is based on a comprehensive systematic review of published literature, relevant abstracts, conference proceedings, technical reports, and guidelines. Penicillin remains the drug of choice for the treatment(More)
BACKGROUND Sexually transmitted infections (STIs) are efficiently spread via concurrent partnerships. GOAL This study identifies patterns of concurrency in Seattle STI clinics and community samples to enhance partner notification and counseling. STUDY DESIGN Semistructured interviews with heterosexuals (108 with gonorrhea, chlamydial infection, or(More)