Early syphilis: relationship to sex, drugs, and changes in high-risk behavior from 1987-1990

Article Abstract:

Syphilis appears to be related to the use of crack cocaine and associated high-risk sexual behaviors. Of 144 people who attended a clinic for sexually transmitted diseases, 87 had either primary, secondary or early latent syphilis. People who had four or more sex partners in the previous three months had a significantly greater risk of syphilis. Among women with four or more sex partners in the previous three months, the risk was even greater. Use of crack cocaine in the previous three months was significantly associated with the acquisition of syphilis. Use of other forms of cocaine, other street drugs or alcohol was not associated with an elevated risk of syphilis. The risk of syphilis increased with the number of drug-using partners, the number of partners with whom the patient exchanged sex for drugs and the number of partners with whom the patient shared sex and drugs.

Sexual behavior, Health aspects, Syphilis patients

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The link between the use of crack cocaine and the sexually transmitted diseases of a clinic population: a comparison of adolescents with adults

Article Abstract:

Linkages between use of crack cocaine and contracting syphilis or gonorrhea may vary. Researchers analyzed behavior among 1,442 heterosexual patients attending sexually transmitted disease clinics in Philadelphia, Tampa, or San Diego. Men contracting syphilis were more likely to use drugs while having sex. Men contracting gonorrhea were more likely to be younger, to have sex with a crack user, and not to use condoms with a casual partner. No behavioral associations were found for women contracting syphilis, but women contracting gonorrhea were younger. None of these associations held true for adolescents.

Usage, Disease transmission, Gonorrhea

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Features of Sexually Transmitted Disease Services Important to African American Adolescents

Article Abstract:

When seeking health care services for a possible sexually transmitted disease (STD), low income African-American adolescents place the greatest importance on the personal qualities of the doctor and/or nurse. As they define them, those qualities are that the clinicians will tell them exactly what's wrong, will answer questions about STDs, explain what they're doing during the examination and that they understand teenage medical problems Less important to the adolescents is availability and confidentiality, although confidentiality increases in importance as they get older as do the personal qualities.

Psychological aspects, Statistical Data Included, Evaluation, Medical examination, Medical care, Physicians, Medical professions, African American youth, African American teenagers

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