STI’s and the Internet
This presentation is the property of its rightful owner.
Sponsored Links
1 / 38

STI’s and the Internet PowerPoint PPT Presentation


  • 75 Views
  • Uploaded on
  • Presentation posted in: General

STI’s and the Internet. Risks and Opportunities for Prevention. Kees Rietmeijer, MD, PhD Denver Public Health Department Denver, CO, USA. Discuss STIs and the Internet in 3 Contexts:. Within At-Risk Populations Provider-Population Interaction Among Providers. At-Risk Populations.

Download Presentation

STI’s and the Internet

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Sti s and the internet

STI’s and the Internet

Risks and Opportunities for Prevention

Kees Rietmeijer, MD, PhD

Denver Public Health Department

Denver, CO, USA


Discuss stis and the internet in 3 contexts

Discuss STIs and the Internet in 3 Contexts:

  • Within At-Risk Populations

    • Provider-Population Interaction

  • Among Providers


  • At risk populations

    At-Risk Populations


    The story begins

    The Story Begins….

    JAMA July 2000;284


    Sti s and the internet

    Klausner et al. JAMA 2000;284:448


    Internet and std

    Internet and STD

    “Clients who reported seeking sex on the Internet were more likely to have concomitant risk factors for STD/HIV than clients who did not seek sex on the Internet. Thus, seeking sex on the Internet may be a potential risk factor for STD/HIV”

    McFarlane et al. JAMA 2000;284


    Common knowledge

    “Common Knowledge”

    • “Multiple studies have identified Internet use to find sex partners as a risk factor of acquisition of sexually transmitted diseases, particularly among MSM”

      Manuscript recently submitted for journal review


    Sti s and the internet

    MSM

    MSW

    Women

    1847

    6453

    4703

    809

    (43.8%)

    356

    (5.5%)

    154

    (3.2%)

    0.92

    (0.70-1.20)

    0.59

    (0.42-0.81)

    0.57

    (0.31-1.01)

    Association Internet Sex with Prevalent Gonorrhea and/or Chlamydia

    N

    Sex with Internet

    Partner

    Odds Ratio

    (95% C.I.)

    Al-Tayyib et al. Poster C-02


    Sti s and the internet

    “Sexual encounters with partners met on the

    Internet may not be as risky as previously thought and may even be protective for some. However, a person’s risk for STI may depend on the type of Internet site on which they seek the partner and the explicit purpose of the partnership. Further investigation to elucidate these differences is needed.”

    Al-Tayyib. Poster C-02


    Sti s and the internet

    Rietmeijer et al.

    Sex Transm Dis 2007;34:215-219


    Survey among women using online personal ads n 588

    Survey Among Women Using Online Personal Ads (N=588)

    • Extensive e-mail use prior to face-to-face meeting to negotiate safety, boundaries, sexual preferences, STDs, and condom use

    • 30% had sex at first encounter

    • 77% did not use condoms

      “The high frequency and intensity of e-mail communication prior to meeting in person cultivated acceleration of intimacy for the individuals involved and may have affected women’s decisions to engage in risky sexual behaviors.”

    Padgett PM. Sexuality Research and Social Policy 2007;4:27-37.


    Sti s and the internet

    You’ve Got Mail


    Conclusions 1

    Conclusions - 1

    • Online (sex) partnering is no longer restricted to high-risk MSM

    • Using the Internet for sex-seeking purposes may enhance both risk taking and preventive behaviors

    • More research is needed to better understand online interactions between prospective sex partners


    Provider population interactions

    Provider-Population Interactions

    The Internet (and other new media) as a vehicle for prevention


    Hiv sti prevention online typology

    HIV/STI Prevention Online-Typology-

    • Interventions to enhance HIV/STI Testing

    • Efforts to enhance partner notification and treatment

    • Interventions to induce behavior change to prevent STI/HIV acquisition and transmission

    Rietmeijer & Shamos. Sexuality Research and Social Policy 2007;65-73.


    Hiv sti testing

    HIV/STI Testing


    Iwtk evaluation july 2004 january 2005

    IWTK Evaluation(July 2004 – January 2005)

    • 1254 kits placed in the community and 1168 kits requested by e-mail

    • 400 kits returned for testing; 350 (87.5%) requested by email

    • 41/400 (10.25%) were chlamydia positive

    • Of those testing positive, 95.1 received treatment

      Of users:

    • 89.5% prefers collecting own specimen

    • 75.9% prefers self-obtained vaginal swab or urine

    • 86.3% would use Internet again

    Gaydos et al. Sex Transm Dis 2006;33:451-457


    Online partner notification

    Online Partner Notification

    • Use of e-mail as additional modality to PN

    • Partner notification in chat rooms

    • Self-contained online partner notification programs


    Sti s and the internet

    Available at www.ncsddc.org and at www.stdpreventiononline.org


    Online pn inspot

    Online PN - InSpot


    Interventions to give information and induce behavior change

    Interventions to Give Information and Induce Behavior Change

    • Interactive Behavioral Interventions


    Interventions to give information and induce behavior change1

    Interventions to Give Information and Induce Behavior Change

    • Interactive Behavioral Interventions


    Conclusions 2

    Conclusions - 2

    • Internet-based and other “new media” interventions are widespread

    • Many are simple online adaptations of offline interventions

    • Some use the advantages for current Internet technology (Web 2.0)

    • Most “new media” interventions have not been evaluated


    The internet and sti hiv prevention providers

    The Internet and STI/HIV Prevention Providers

    Get With The Program!!


    Stdpreventiononline

    STDPreventionOnline


    Stdpo users areas of interest n 877

    STDPOUsers Areas of Interest (N=877)

    • HIV/AIDS: 71%

    • Chlamydia: 58%

    • Gonorrhea: 58%

    • Syphilis: 57%

    • Behavioral Interventions: 53%

    • Youth/Adolescents: 51%

    • HPV/Genital Warts: 48%

    • HSV/Genital Herpes: 45%

    • Program Improvement: 43%


    Membership by employment n 924

    Membership by EmploymentN = 924


    Stdpo membership focus of work

    STDPO MembershipFocus of Work


    Conclusion 3

    Conclusion – 3

    • Join STDPreventionOnline!!


    Sti s and the internet

    A Sneak Preview

    Next Screening

    5:30 PM

    To sign up for a Safe City package, please talk to

    Lee Warner or Kees Rietmeijer


  • Login