{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:09:10Z","timestamp":1787018950796,"version":"build-2736575974"},"reference-count":31,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2013,7,19]],"date-time":"2013-07-19T00:00:00Z","timestamp":1374192000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:p>High annual figures of sexually transmitted infections (STIs) are diagnosed in the Netherlands despite significant efforts to control them. Herein, we analyse trends and determinants of STI diagnoses, co-infections, and sexual risks among visitors of 26 STI clinics between 2007 and 2011. We recorded increased positivity rates of STIs (chlamydia, syphilis, gonorrhoea, and\/or HIV) in women and heterosexual men up to 12.6% and 13.4%, respectively, in 2011, while rates in men having sex with men (MSM) were stable but high (18.8%) through the documented years. Younger age, origin from Surinam\/Antilles, history of previous STI, multiple partners, or a previous notification are the identified risk factors for an STI in this population. Known HIV-infected men (MSM and heterosexuals) were at highest risk for co-infections (relative rate heterosexual men: 15.6; MSM: 11.6). STI positivity rates remained high (MSM) or increased over time (women and heterosexual men), a fact that highlights the importance of continuing STI prevention. Most importantly, the very high STI co-infection rates among HIV-positive men requires intensified STI reduction strategies to put an end to the vicious circle of re-infection and spread of HIV and other STIs.<\/jats:p>","DOI":"10.1177\/0956462413491736","type":"journal-article","created":{"date-parts":[[2013,7,19]],"date-time":"2013-07-19T23:12:27Z","timestamp":1374275547000},"page":"40-51","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":26,"title":["Sexual behaviour and sexually transmitted infections in sexually transmitted infection clinic attendees in the Netherlands, 2007\u20132011"],"prefix":"10.1177","volume":"25","author":[{"given":"ELM Op","family":"de Coul","sequence":"first","affiliation":[{"name":"Centre for Infectious Disease Control, National Institute of Public Health and the Environment, Bilthoven, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"TD","family":"Warning","sequence":"additional","affiliation":[{"name":"Centre for Infectious Disease Control, National Institute of Public Health and the Environment, Bilthoven, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"FDH","family":"Koedijk","sequence":"additional","affiliation":[{"name":"Centre for Infectious Disease Control, National Institute of Public Health and the Environment, Bilthoven, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"on behalf of the Dutch STI clinics","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,7,19]]},"reference":[{"key":"bibr1-0956462413491736","doi-asserted-by":"publisher","DOI":"10.1136\/sti.75.1.3"},{"key":"bibr2-0956462413491736","volume-title":"Sexually transmitted disease surveillance 2010","author":"Centers for Disease Control and Prevention","year":"2011"},{"key":"bibr3-0956462413491736","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2010.0186"},{"key":"bibr4-0956462413491736","doi-asserted-by":"publisher","DOI":"10.1097\/01.olq.0000149786.09706.66"},{"key":"bibr5-0956462413491736","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-12-114"},{"key":"bibr6-0956462413491736","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-008-9396-z"},{"key":"bibr7-0956462413491736","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-199910010-00019"},{"key":"bibr8-0956462413491736","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2009.041954"},{"key":"bibr9-0956462413491736","unstructured":"Trienekens SCM, Koedijk FDH, Van den Broek, et\u00a0al.\n                      Sexually transmitted infections, including HIV, in the Netherlands in 2011.\n                      RIVM-report 201051001. Bilthoven, 2012."},{"key":"bibr10-0956462413491736","doi-asserted-by":"publisher","DOI":"10.1007\/BF03078633"},{"key":"bibr11-0956462413491736","doi-asserted-by":"publisher","DOI":"10.1007\/BF03082166"},{"key":"bibr12-0956462413491736","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e3181cfcb34"},{"key":"bibr13-0956462413491736","unstructured":"Nederlandse Vereniging voor Dermatologie en Venereologie. Diagnostiek en Behandeling van Seksueel Overdraagbare Aandoeningen (SOA). Nederlandse Vereniging voor Dermatologie en Venereologie, 2012. http:\/\/www.huidarts.info\/documents\/?v=2&id=96 (accessed 2013)."},{"key":"bibr14-0956462413491736","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-3-21"},{"key":"bibr15-0956462413491736","unstructured":"Netherlands Institute for Social Research. SCP (\u201cSociaal en Cultureel Plan bureau\u201d), The Hague, http:\/\/www.scp.nl\/ (accessed 2013)."},{"key":"bibr16-0956462413491736","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2007.0240"},{"key":"bibr17-0956462413491736","doi-asserted-by":"publisher","DOI":"10.1097\/01.olq.0000260919.34598.5b"},{"key":"bibr18-0956462413491736","unstructured":"Van Empelen P, Van Berkel M, Roos E, et\u00a0al.\n                      Schorer Monitor 2011.\n                      Amsterdam, 2012. Report ISBN 978-90-73341-03-6."},{"key":"bibr19-0956462413491736","doi-asserted-by":"publisher","DOI":"10.1097\/01.aids.0000226964.17966.75"},{"key":"bibr20-0956462413491736","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2011-050041"},{"key":"bibr21-0956462413491736","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-199810000-00001"},{"key":"bibr22-0956462413491736","doi-asserted-by":"publisher","DOI":"10.1097\/01.olq.0000149786.09706.66"},{"key":"bibr23-0956462413491736","doi-asserted-by":"publisher","DOI":"10.1136\/sti.77.3.184"},{"key":"bibr24-0956462413491736","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckm120"},{"key":"bibr25-0956462413491736","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2296-11-39"},{"key":"bibr26-0956462413491736","unstructured":"Trienekens SCM, Van den Broek IVF, Donker GA, et\u00a0al. Consultations for sexually transmitted infections in the general practice in the Netherlands: missed opportunities for STI\/HIV testing (submitted for publication)."},{"key":"bibr27-0956462413491736","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-199910010-00019"},{"key":"bibr28-0956462413491736","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e3182354e81"},{"key":"bibr29-0956462413491736","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdq056"},{"key":"bibr30-0956462413491736","doi-asserted-by":"publisher","DOI":"10.1080\/09540120802270292"},{"key":"bibr31-0956462413491736","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.307.6900.361"}],"container-title":["International Journal of STD &amp; AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0956462413491736","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0956462413491736","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0956462413491736","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:32:40Z","timestamp":1777674760000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0956462413491736"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,7,19]]},"references-count":31,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2014,1]]}},"alternative-id":["10.1177\/0956462413491736"],"URL":"https:\/\/doi.org\/10.1177\/0956462413491736","relation":{},"ISSN":["0956-4624","1758-1052"],"issn-type":[{"value":"0956-4624","type":"print"},{"value":"1758-1052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,7,19]]}}}