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BMC Infect Dis. 2016 Aug 15;16(1):419. doi: 10.1186/s12879-016-1705-x.

Sexually transmitted infections after bereavement - a population-based cohort study.

Author information

1
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Nobels väg 12A, Box 281, Stockholm, 17177, Sweden. emily.bond@ki.se.
2
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Nobels väg 12A, Box 281, Stockholm, 17177, Sweden. donghao.lu@ki.se.
3
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Nobels väg 12A, Box 281, Stockholm, 17177, Sweden.
4
Department of Laboratory Medicine, Karolinska Institutet, H5, Division of Pathology, Karolinska Universitetssjukhuset Huddinge, Stockholm, 14186, Sweden.
5
Center of Public Health Sciences, Faculty of Medicine, University of Iceland, Stapi v/Hringbraut, 101, Reykjavik, Iceland.
6
Department of Epidemiology, Harvard School of Public Health, 677 Huntington Avenue, Boston, MA, 02115, USA.
7
Clinical Epidemiology and Biostatistics, School of Medical Sciences, Örebro University, Örebro, Sweden.

Abstract

BACKGROUND:

Loss of a loved one has consistently been associated with various health risks. Little is however known about its relation to sexually transmitted infections (STIs).

METHODS:

We conducted a population-based cohort study during 1987-2012 using the Swedish Multi-Generation Register, including 3,002,209 women aged 10-44 years. Bereavement was defined as death of a child, parent, sibling or spouse (N = 979,579, 33 %). STIs were defined as hospital visits with an STI as main or secondary diagnosis. Poisson regression and negative binomial regression were used to estimate incidence rate ratios (IRRs) and 95 % confidence intervals (CIs) of STIs, comparing incidence rates of women who had experienced loss to those who had not.

RESULTS:

Bereaved women were at significantly higher risk of nearly all STIs studied. The relative risk of any STI was highest during the first year after loss (IRR: 1.45, 95 % CI: 1.27-1.65) and predominantly among women with subsequent onset of psychiatric disorders after bereavement (IRR: 2.61, 95 % CI: 2.00-3.34). Notably, a consistent excess risk, persisting for over five years, was observed for acute salpingitis (IRR: 1.28, 95 % CI: 1.13-1.44), a severe complication of bacterial STIs.

CONCLUSION:

These data suggest that women who have experienced bereavement are at increased risk of STIs.

KEYWORDS:

Bereavement; Condyloma; HPV vaccination; Psychological stress; Salpingitis; Sexually transmitted infections

PMID:
27528204
PMCID:
PMC4986385
DOI:
10.1186/s12879-016-1705-x
[Indexed for MEDLINE]
Free PMC Article

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