DOI QR코드

DOI QR Code

Laboratory Investigation of Sexually Transmitted Infections in the Elderly Population of South Korea

  • Oh, Eun Ju (Department of Medical Laser, Dankook University Graduate School of Medicine) ;
  • Kim, Jang Mook (Department of Health Administration, Dankook University College of Health Sciences) ;
  • Kim, Jae Kyung (Department of Biomedical Laboratory Science, Dankook University College of Health Sciences)
  • Received : 2022.04.13
  • Accepted : 2022.06.03
  • Published : 2022.06.28

Abstract

This study analyzed the epidemiological trends of sexually transmitted infections (STIs) according to age and sex among individuals aged 50 years or older in South Korea from September 2018 to December 2020. We found that the positivity rate for Gardnerella vaginalis was the highest in the study group, followed by the positivity rate for Ureaplasma parvum (UP). Interestingly, the positivity rates for Mycoplasma hominis and UP were higher in female participants than in male participants. The positivity rate for Treponema pallidum was very low in the female participants. During the study period, the positivity rate for herpes simplex virus 2 increased in the female participants, while the positivity rate for Candida increased in the male participants. These results show that the STI positivity rate varies according to age and sex, and a difference was observed in the average age of positive participants according to the type of STIs. We found a clear pattern of infection in the elderly population and according to sex. Our findings are expected to be used as baseline data for future research, education, and prevention of STIs in the elderly population.

Keywords

References

  1. Bae YS, Shon KH, Kim NH. 2021. Development and effects of sexually transmitted disease prevention programs for the elderly. J. Korean Public Health Nurs. 35: 239-253. https://doi.org/10.5932/JKPHN.2021.35.2.239
  2. Relhan V, Bansal A, Hegde P, Sahoo B. 2021. Sexually transmitted infections in the elderly: A 6-year retrospective study in a tertiary care hospital in New Delhi. Indian J. Sex Transm. Dis. AIDS 42: 144-149. https://doi.org/10.4103/ijstd.IJSTD_60_20
  3. Yoon H. 2019. Necessity and methods of sexual education in the elderly population. J. Korean Med. Assoc. 62: 320-324. https://doi.org/10.5124/jkma.2019.62.6.320
  4. Andrade J, Ayres JA, Alencar RA, Duarte MT, Parada CM. 2017. Vulnerability of the elderly to sexually transmitted infections. Acta Paul. Enferm. 30: 8-15. https://doi.org/10.1590/1982-0194201700003
  5. Smith ML, Bergeron CD, Goltz HH, Coffey T, Boolani A. 2020. Sexually transmitted infection knowledge among older adults: Psychometrics and test-retest reliability. Int. J. Environ. Res. Public Health 17: 2462. https://doi.org/10.3390/ijerph17072462
  6. Gillespie BJ. 2017. Correlates of sex frequency and sexual satisfaction among partnered older adults. J. Sex Marital Ther. 43: 403-423. https://doi.org/10.1080/0092623X.2016.1176608
  7. Lee SJ. 2019. What is the current status of sexually transmitted infections in the elderly? J. Korean Med Assoc. 62: 315-319. https://doi.org/10.5124/jkma.2019.62.6.315
  8. Wang V, Depp CA, Ceglowski J, Thompson WK, Rock D, Jeste DV. 2015. Sexual health and function in later life: A population-based study of 606 older adults with a partner. Am. J. Geriatr. Psychiatry 23: 227-233. https://doi.org/10.1016/j.jagp.2014.03.006
  9. Liu H, Waite LJ, Shen S, Wang DH. 2016. Does sex affect cardiovascular risk for older male and older female? J. Health Soc. Behav. 57: 275. https://doi.org/10.1177/0022146516664902
  10. Liu H, Waite LJ, Shen S, Wang DH. 2016. Is sex good for your health? A national study on partnered sexuality and cardiovascular risk among older male and female. J. Health Soc. Behav. 57: 276-296. https://doi.org/10.1177/0022146516661597
  11. Smith L, Yang L, Veronese N, Soysal P, Stubbs B, Jackson SE. 2019. Sexual activity is associated with greater enjoyment of life in older adults. Sex Med. 7: 11-18. https://doi.org/10.1016/j.esxm.2018.11.001
  12. Poynten IM, Grulich AE, Templeton DJ. 2013. Sexually transmitted infections in older populations. Curr. Opin. Infect. Dis. 26: 80-85. https://doi.org/10.1097/QCO.0b013e32835c2173
  13. Caruso G, Giammanco A, Virruso R, Fasciana T. 2021. Current and future trends in the laboratory diagnosis of sexually transmitted infections. Int. J. Environ. Res. Public Health 18: 1038. https://doi.org/10.3390/ijerph18031038
  14. Eisinger RW, Erbelding E, Fauci AS. 2020. Refocusing research on sexually transmitted infections. J. Infect. Dis. 222: 1432-1434. https://doi.org/10.1093/infdis/jiz442
  15. Hanna J, Yassine R, El-Bikai R, Curran MD, Azar M, Yeretzian J, et al. 2020. Molecular epidemiology and sociodemographic risk factors of sexually transmitted infections among female in Lebanon. BMC Infect. Dis. 20: 375. https://doi.org/10.1186/s12879-020-05066-8
  16. Minkin MJ. 2010. Sexually transmitted infections and the aging female: Placing risks in perspective. Maturitas 67: 114-116. https://doi.org/10.1016/j.maturitas.2010.05.003
  17. Cetolin SF, Schoeninger MD, Berber GC, Beltrame V. 2019. Sexually transmitted infections among the elderly from Sao Miguel do Oeste-SC. Sci. Electron. Arch. 12: 105-110. https://doi.org/10.36560/1232019896
  18. Aguirrebengoa OA, Garcia MV, Sanchez MR, D Elia G, Mendez BC, Arrancudiaga MA, et al. 2020. Risk factors associated with sexually transmitted infections and HIV among adolescents in a reference clinic in Madrid. PLoS One 15: e0228998. https://doi.org/10.1371/journal.pone.0228998
  19. Centers for Disease Control and Prevention. 2018. Atlas plus: HIV, hepatitis, STD, TB, social determinants of health data. Available from https://gis.cdc.gov/grasp/nchhstpatlas/charts.html. Accessed Dec. 12, 2019.
  20. World Health Organization. 2018. Report on Global Sexually Transmitted Infection Surveillance. World Health Organization, Geneva, Switzerland.
  21. Kim HY, Choe HS, Lee DS, Yoo JM, Lee SJ. 2019. Sexual behavior and sexually transmitted infection in the elderly population of South Korea. Investig. Clin. Urol. 60: 202-209. https://doi.org/10.4111/icu.2019.60.3.202
  22. Choudhri Y, Miller J, Sandhu J, Leon A, Aho J. 2018. Gonorrhea in Canada, 2010-2015. Can. Commun. Dis. Rep. 44: 37-42. https://doi.org/10.14745/ccdr.v44i02a01