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Sexually Transmitted Infections: A Novel Screening Strategy for Improving Women’s Health in Vulnerable Populations

Background: Migrant women are one of the most vulnerable population to health problems and well-being. This study aimed at implementing a counseling and preventive strategy for sexually transmitted infections (STIs) in undocumented migrant women in Milan, Italy. Methods: Women (ages 18–65) were enro...

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Autores principales: Frati, Elena R., Fasoli, Ester, Martinelli, Marianna, Colzani, Daniela, Bianchi, Silvia, Carnelli, Luciana, Amendola, Antonella, Olivani, Pierfranco, Tanzi, Elisabetta
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5486132/
https://www.ncbi.nlm.nih.gov/pubmed/28632191
http://dx.doi.org/10.3390/ijms18061311
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author Frati, Elena R.
Fasoli, Ester
Martinelli, Marianna
Colzani, Daniela
Bianchi, Silvia
Carnelli, Luciana
Amendola, Antonella
Olivani, Pierfranco
Tanzi, Elisabetta
author_facet Frati, Elena R.
Fasoli, Ester
Martinelli, Marianna
Colzani, Daniela
Bianchi, Silvia
Carnelli, Luciana
Amendola, Antonella
Olivani, Pierfranco
Tanzi, Elisabetta
author_sort Frati, Elena R.
collection PubMed
description Background: Migrant women are one of the most vulnerable population to health problems and well-being. This study aimed at implementing a counseling and preventive strategy for sexually transmitted infections (STIs) in undocumented migrant women in Milan, Italy. Methods: Women (ages 18–65) were enrolled at the NAGA Centre (2012–2013) and asked for a urine sample in order to carry out molecular detection of Human papillomavirus (HPV), Chlamydia trachomatis (Ct), Trichomonas vaginalis (Tv), Neisseria gonorrhoeae (Ng)-DNA. Socio-demographic and sexual behavior information were collected. All HPV/Ct+ women were offered Pap tests and/or were prescribed antibiotic treatment. Results: 537/757 women participated in the study (acceptability rate: 70.9%). Most of the women were from Latin America (45.6%) and Eastern Europe (30.7%); >60% of them had stable partners, did not use contraception and had had at least one pregnancy. The prevalence rates of HPV, Ct, Tv and Ng infections were 24.2%, 7.8%, 4.8% and 0%, respectively. In all, 43.2% of the positive women agreed to undergo a gynecological examination and accepted suitable treatment. Conclusions: This study shows an overall high prevalence of STIs in undocumented migrant women in Milan. The screening strategy based on counseling and urine testing contributed to the successfully high acceptability rate. More appropriate health services that adequately address all aspects of women’s health are required.
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spelling pubmed-54861322017-06-29 Sexually Transmitted Infections: A Novel Screening Strategy for Improving Women’s Health in Vulnerable Populations Frati, Elena R. Fasoli, Ester Martinelli, Marianna Colzani, Daniela Bianchi, Silvia Carnelli, Luciana Amendola, Antonella Olivani, Pierfranco Tanzi, Elisabetta Int J Mol Sci Article Background: Migrant women are one of the most vulnerable population to health problems and well-being. This study aimed at implementing a counseling and preventive strategy for sexually transmitted infections (STIs) in undocumented migrant women in Milan, Italy. Methods: Women (ages 18–65) were enrolled at the NAGA Centre (2012–2013) and asked for a urine sample in order to carry out molecular detection of Human papillomavirus (HPV), Chlamydia trachomatis (Ct), Trichomonas vaginalis (Tv), Neisseria gonorrhoeae (Ng)-DNA. Socio-demographic and sexual behavior information were collected. All HPV/Ct+ women were offered Pap tests and/or were prescribed antibiotic treatment. Results: 537/757 women participated in the study (acceptability rate: 70.9%). Most of the women were from Latin America (45.6%) and Eastern Europe (30.7%); >60% of them had stable partners, did not use contraception and had had at least one pregnancy. The prevalence rates of HPV, Ct, Tv and Ng infections were 24.2%, 7.8%, 4.8% and 0%, respectively. In all, 43.2% of the positive women agreed to undergo a gynecological examination and accepted suitable treatment. Conclusions: This study shows an overall high prevalence of STIs in undocumented migrant women in Milan. The screening strategy based on counseling and urine testing contributed to the successfully high acceptability rate. More appropriate health services that adequately address all aspects of women’s health are required. MDPI 2017-06-20 /pmc/articles/PMC5486132/ /pubmed/28632191 http://dx.doi.org/10.3390/ijms18061311 Text en © 2017 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Frati, Elena R.
Fasoli, Ester
Martinelli, Marianna
Colzani, Daniela
Bianchi, Silvia
Carnelli, Luciana
Amendola, Antonella
Olivani, Pierfranco
Tanzi, Elisabetta
Sexually Transmitted Infections: A Novel Screening Strategy for Improving Women’s Health in Vulnerable Populations
title Sexually Transmitted Infections: A Novel Screening Strategy for Improving Women’s Health in Vulnerable Populations
title_full Sexually Transmitted Infections: A Novel Screening Strategy for Improving Women’s Health in Vulnerable Populations
title_fullStr Sexually Transmitted Infections: A Novel Screening Strategy for Improving Women’s Health in Vulnerable Populations
title_full_unstemmed Sexually Transmitted Infections: A Novel Screening Strategy for Improving Women’s Health in Vulnerable Populations
title_short Sexually Transmitted Infections: A Novel Screening Strategy for Improving Women’s Health in Vulnerable Populations
title_sort sexually transmitted infections: a novel screening strategy for improving women’s health in vulnerable populations
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5486132/
https://www.ncbi.nlm.nih.gov/pubmed/28632191
http://dx.doi.org/10.3390/ijms18061311
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