195 e-Letters

  • Trimming the estimate: Unmeasured confounding in the association between pubic hair grooming and sexually transmitted infections
    Rohit P. Ojha

    Osterberg et al. [1] assessed the association between pubic hair grooming and sexually transmitted infections (STIs) using self-reported data from a cross-sectional survey of adults aged 18 to 65 years in the United States. The primary result was that individuals who reported ever- grooming had 1.8 times the odds (odds ratio [OR]=1.8, 95% confidence limits [CL]: 1.4, 2.2) of a history of STIs compared with individuals who...

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  • Oral sex practice as an essential criteria to define the safe sex behavior
    Lukman A. Chandra

    Dear Editor,

    Modifying sexual behavior remains the primary goal of preventing the transmission of HIV/STIs among populations. However, with the various borderlines of "safe sex" definition, people sometimes get confused to describe how to practice low-risk sex activities. In general, safe sex is defined as sexual activities in which avoiding any bodily fluid exchanges (sperm, vaginal fluid, blood, and saliva),...

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  • Just a few thoughts
    Mustapha T Kamara

    The study by Girometti et al(1) on the incidence of human immunodeficiency virus(HIV) in men that have sex with men(MSM) with early syphilis illustrated the role syphilis plays in HIV transmission. However, although syphilis is a risk factor for HIV infection, chlamydia and gonorrhea are also risk factors for the transmission of HIV(2). Unless it is clearly stated that the participants that acquired HIV during the study...

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  • In support of a structured approach to service design and evaluation in chlamydia screening
    Sarah C Woodhall

    We read with interest the recent article by Chandrasekaran et al[1], which analysed national surveillance data on chlamydia testing and diagnoses among young adults in England in 2012. The paper raises a number of important points of relevance for the National Chlamydia Screening Programme in England.

    Firstly, the authors' findings further support the known association between deprivation and chlamydia infection...

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  • Re: Retesting Chlamydia trachomatis in a GUM clinic in London, UK
    CJG Kampman

    Thank you very much for carefully reading our article and for your positive feedback. We have read your E-letter with great interest. We are pleased that our publication contributed to adjustment of your policy concerning retesting. Implementing a text message reminder and lengthening the follow up period to 3 months is likely to elevate the return rate and positivity rate. According to our research, you may even consider...

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  • Source data used is not appropriate for this comparison
    John F Kane

    I am flabbergasted that this public health article exists at all. Where is the peer review. The problem lies in the appropriateness of source data which was used. In an email exchange I confirmed that I understood that the authors did indeed divide interviewed sex workers into two groups, one that experienced violence in the single preceding week and a second group that did not. They then compared health data for diff...

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  • Retesting Chlamydia trachomatis in a GUM clinic in London, UK
    Nadia Ahmed

    We read with interest the recent report by Kampman et al, 2016 [1] on the effect of text reminders on patients attending for repeat chlamydia tests and chlamydia diagnosis.

    In our service, the St. Ann's Sexual Health Centre, a GUM clinic in London, UK, our routine practice was to verbally advise patients treated for chlamydia to re-attend 6-8 weeks after treatment for re-testing. Sexual health appointments are...

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  • Awareness program Vs HPV Vaccination to prevent Cervical cancer
    kumar paudel

    I would like to welcome authors interest in analysing the data regarding knowledge of HPV among the male and females. HPV is commonly implicated virus in causing cervical cancer.Cervical cancer acompass top leading cause of cancer deaths in Nepal and other developing countries.Early age vaccination has shown positive results in preventing HPV trasmission.However in country like Nepal where there is no provison of HPV vacc...

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  • Utility of Chlamydia trachomatis genotyping in assessment of child sexual abuse
    Benu Dhawan

    The editorial by Giffard et al. rightly addresses the issue of the potential clinical and social response to the detection of C.trachomatis in urogenital (UGT) specimens from young children. [1] Clinical guidelines frequently state that detection of a sexually transmissible agent in a UGT specimen of a child is strongly indicative of sexual abuse (SA), and even in the absence of disclosure of SA, initiates an investigation...

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  • Re:Alternative forms of penile foreskin cutting and HIV infection in Papua New Guinea
    David J MacLaren

    We thank the author for her interest in our paper and are happy that she was able to exactly reproduce our findings.

    As explicitly stated - ours was an ecological study, and thus used aggregate data only. Here we comment on the author's additional statistical analysis and interpretations:

    First, the author of the reply apparently did not test "individual results" which we assume means the single, diff...

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