{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T21:18:07Z","timestamp":1785100687708,"version":"3.55.0"},"reference-count":38,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"BioReference Laboratories","award":["Private funding"],"award-info":[{"award-number":["Private funding"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Therapeutic Advances in Infection"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Sexually transmitted infections (STIs) are a major health issue, exacerbated by limited financial and infrastructural resources in developing countries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Prevalence of STIs was assessed in two urban centers of the Dominican Republic (DR) among populations at high risk for STIs: pregnant youth, men who have sex with men (MSM), trans women (TG), batey residents, female sex workers, and people living with human immunodeficiency virus (HIV). We conducted a cross-sectional survey and biological specimen collection to screen for Chlamydia trachomatis, Neisseria gonorrhea, Mycoplasma genitalium, Trichomonas vaginalis (trichomoniasis), Treponema pallidum (syphilis), HIV, hepatitis B and C, and human papillomavirus (HPV) among at-risk populations between 2015 and 2018. Ureaplasma urealyticum testing was also conducted even though it is not considered a STI. A non-probability community sample was recruited. Descriptive statistics examined the prevalence of STIs by population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 1991 subjects participated in the study. The median age was 26\u2009years (range: 18\u201365). Most participants were female (65.3%), heterosexual (76.7%), and were not partnered (55.7%). Most of the participants reported unprotected vaginal sex in the last 6\u2009months (54%); among MSM and TG almost half of the participants reported unprotected anal sex in the last 6\u2009months and 17.6% reported drug use in the last 6\u2009months. Almost half of the participants (49%) tested positive for one or more STIs. The most prevalent STI was Chlamydia trachomatis (12.8%), and human papillomavirus (11.9%). Among transgender women, 65.3% tested positive for an STI, 64.8% of female sex workers tested positive for an STI, and 53.8% of pregnant adolescents tested positive for an STI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>There is a high prevalence of STIs among key and under resourced populations in the DR. Our findings highlight the need to conduct further research to optimize prevention and care strategies for structurally vulnerable and under resourced populations in the DR.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20499361231193561","type":"journal-article","created":{"date-parts":[[2023,8,31]],"date-time":"2023-08-31T05:06:31Z","timestamp":1693458391000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["High burden of sexually transmitted infections among under-resourced populations in the Dominican Republic"],"prefix":"10.1177","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5843-9655","authenticated-orcid":false,"given":"Silvia","family":"Amesty","sequence":"first","affiliation":[{"name":"Department of Medical Humanities and Ethics, Center for Family and Community Medicine, Mailman School of Public Health, Columbia University Irving Medical Center, 10 Ft. Washington Avenue, PH, New York, NY 10032-8300, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafael","family":"Perez-Figueroa","sequence":"additional","affiliation":[{"name":"Department of Urban-Global Health, Rutgers University School of Public Health, Piscataway, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Stonbraker","sequence":"additional","affiliation":[{"name":"University of Colorado College of Nursing, Anschutz Medical Campus, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mina","family":"Halpern","sequence":"additional","affiliation":[{"name":"Cl\u00ednica de Familia La Romana, La Romana, Dominican Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yeycy","family":"Donastorg","sequence":"additional","affiliation":[{"name":"Instituto Dermatol\u00f3gico de Cirug\u00eda y Piel Humberto Borgart, Santo Domingo, Dominican Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martha","family":"Perez-Mencia","sequence":"additional","affiliation":[{"name":"Instituto Dermatol\u00f3gico de Cirug\u00eda y Piel Humberto Borgart, Santo Domingo, Dominican Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flavia","family":"Lantigua","sequence":"additional","affiliation":[{"name":"Instituto Dermatol\u00f3gico de Cirug\u00eda y Piel Humberto Borgart, Santo Domingo, Dominican Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leidy","family":"Soriano","sequence":"additional","affiliation":[{"name":"Cl\u00ednica de Familia La Romana, La Romana, Dominican Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela","family":"Baez-Caraballo","sequence":"additional","affiliation":[{"name":"Cl\u00ednica de Familia La Romana, La Romana, Dominican 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