Skip to main content
Erschienen in: AIDS and Behavior 7/2017

25.05.2016 | Original Paper

Vaginal Prostate Specific Antigen (PSA) Is a Useful Biomarker of Semen Exposure Among HIV-Infected Ugandan Women

verfasst von: Sarah E. Woolf-King, Winnie Muyindike, Marcia M. Hobbs, Adrine Kusasira, Robin Fatch, Nneka Emenyonu, Mallory O. Johnson, Judith A. Hahn

Erschienen in: AIDS and Behavior | Ausgabe 7/2017

Einloggen, um Zugang zu erhalten

Abstract

The practical feasibility of using prostate specific antigen (PSA) as a biomarker of semen exposure was examined among HIV-infected Ugandan women. Vaginal fluids were obtained with self-collected swabs and a qualitative rapid test (ABAcard®p30) was used to detect PSA. Trained laboratory technicians processed samples on-site and positive PSA tests were compared to self-reported unprotected vaginal sex (UVS) in the last 48 h. A total of 77 women submitted 126 samples for PSA testing at up to three study visits. Of these samples, 31 % (n = 39/126) were PSA positive, and 64 % (n = 25/39) of the positive PSA samples were accompanied by self-report of no UVS at the study visit the PSA was collected. There were no reported difficulties with specimen collection, storage, or processing. These findings provide preliminary data on high levels of misreported UVS among HIV-infected Ugandan women using practically feasible methods for PSA collection and processing.
Literatur
1.
Zurück zum Zitat Foss AM, Hossain M, Vickerman PT, Watts CH. A systematic review of published evidence on intervention impact on condom use in sub-Saharan Africa and Asia. Sex Transm Infect. 2007;83:510–6.CrossRefPubMedPubMedCentral Foss AM, Hossain M, Vickerman PT, Watts CH. A systematic review of published evidence on intervention impact on condom use in sub-Saharan Africa and Asia. Sex Transm Infect. 2007;83:510–6.CrossRefPubMedPubMedCentral
2.
Zurück zum Zitat Gallo MF, Steiner MJ, Hobbs MM, Warner L, Jamieson DJ, Macaluso M. Biological markers of sexual activity: tools for improving measurement in HIV/sexually transmitted infection prevention research. Sex Transm Dis. 2013;40:447–52.CrossRefPubMed Gallo MF, Steiner MJ, Hobbs MM, Warner L, Jamieson DJ, Macaluso M. Biological markers of sexual activity: tools for improving measurement in HIV/sexually transmitted infection prevention research. Sex Transm Dis. 2013;40:447–52.CrossRefPubMed
3.
Zurück zum Zitat Hahn JA, Emenyonu NI, Fatch R, Muyindike WR, Kekiibina A, Carrico AW, et al. Declining and rebounding unhealthy alcohol consumption during the first year of HIV care in rural Uganda, using phosphatidylethanol to augment self-report. Addiction. 2016;111:272–9.CrossRefPubMed Hahn JA, Emenyonu NI, Fatch R, Muyindike WR, Kekiibina A, Carrico AW, et al. Declining and rebounding unhealthy alcohol consumption during the first year of HIV care in rural Uganda, using phosphatidylethanol to augment self-report. Addiction. 2016;111:272–9.CrossRefPubMed
4.
Zurück zum Zitat Marrazzo JM, Ramjee G, Richardson BA, Gomez K, Mgodi N, Nair G, et al. Tenofovir-based preexposure prophylaxis for HIV infection among African women. N Engl J Med. 2015;372:509–18.CrossRefPubMedPubMedCentral Marrazzo JM, Ramjee G, Richardson BA, Gomez K, Mgodi N, Nair G, et al. Tenofovir-based preexposure prophylaxis for HIV infection among African women. N Engl J Med. 2015;372:509–18.CrossRefPubMedPubMedCentral
5.
6.
Zurück zum Zitat Farmer KC. Methods for measuring and monitoring medication regimen adherence in clinical trials and clinical practice. Clin Ther. 1999;21:1074–90.CrossRefPubMed Farmer KC. Methods for measuring and monitoring medication regimen adherence in clinical trials and clinical practice. Clin Ther. 1999;21:1074–90.CrossRefPubMed
7.
Zurück zum Zitat Gallo MF, Behets FM, Steiner MJ, Hobbs MM, Hoke TH, Van Damme K, et al. Prostate-specific antigen to ascertain reliability of self-reported coital exposure to semen. Sex Transm Dis. 2006;33:476–9.CrossRefPubMed Gallo MF, Behets FM, Steiner MJ, Hobbs MM, Hoke TH, Van Damme K, et al. Prostate-specific antigen to ascertain reliability of self-reported coital exposure to semen. Sex Transm Dis. 2006;33:476–9.CrossRefPubMed
8.
Zurück zum Zitat Hobbs MM, Steiner MJ, Rich KD, Gallo MF, Alam A, Rahman M, et al. Good performance of rapid prostate-specific antigen test for detection of semen exposure in women: implications for qualitative research. Sex Transm Dis. 2009;36:501–6.CrossRefPubMedPubMedCentral Hobbs MM, Steiner MJ, Rich KD, Gallo MF, Alam A, Rahman M, et al. Good performance of rapid prostate-specific antigen test for detection of semen exposure in women: implications for qualitative research. Sex Transm Dis. 2009;36:501–6.CrossRefPubMedPubMedCentral
10.
Zurück zum Zitat Gallo MF, Behets FM, Steiner MJ, Thomsen SC, Ombidi W, Luchters S, et al. Validity of self-reported ‘safe sex’ among female sex workers in Mombasa, Kenya—PSA analysis. Int J STD AIDS. 2007;18:33–8.CrossRefPubMed Gallo MF, Behets FM, Steiner MJ, Thomsen SC, Ombidi W, Luchters S, et al. Validity of self-reported ‘safe sex’ among female sex workers in Mombasa, Kenya—PSA analysis. Int J STD AIDS. 2007;18:33–8.CrossRefPubMed
11.
Zurück zum Zitat McCoy SI, Ralph LJ, Padian NS, Minnis AM. Are hormonal contraceptive users more likely to misreport unprotected sex? Evidence from a biomarker validation study in Zimbabwe. AIDS Behav. 2014;18:2259–64.CrossRefPubMedPubMedCentral McCoy SI, Ralph LJ, Padian NS, Minnis AM. Are hormonal contraceptive users more likely to misreport unprotected sex? Evidence from a biomarker validation study in Zimbabwe. AIDS Behav. 2014;18:2259–64.CrossRefPubMedPubMedCentral
12.
Zurück zum Zitat Minnis AM, Steiner MJ, Gallo MF, Warner L, Hobbs MM, van der Straten A, et al. Biomarker validation of reports of recent sexual activity: results of a randomized controlled study in Zimbabwe. Am J Epidemiol. 2009;170:918–24.CrossRefPubMedPubMedCentral Minnis AM, Steiner MJ, Gallo MF, Warner L, Hobbs MM, van der Straten A, et al. Biomarker validation of reports of recent sexual activity: results of a randomized controlled study in Zimbabwe. Am J Epidemiol. 2009;170:918–24.CrossRefPubMedPubMedCentral
13.
Zurück zum Zitat Mose F, Newman LP, Njunguna R, Tamooh H, John-Stewart G, Farquhar C, et al. Biomarker evaluation of self-reported condom use among women in HIV-discordant couples. Int J STD AIDS. 2013;24:537–40.CrossRefPubMedPubMedCentral Mose F, Newman LP, Njunguna R, Tamooh H, John-Stewart G, Farquhar C, et al. Biomarker evaluation of self-reported condom use among women in HIV-discordant couples. Int J STD AIDS. 2013;24:537–40.CrossRefPubMedPubMedCentral
14.
15.
Zurück zum Zitat Gallo MF, Snead MC, Black CM, Brown TM, Kourtis AP, Jamieson DJ, et al. Optimal methods for collecting and storing vaginal specimens for prostate-specific antigen testing in research studies. Contraception. 2013;87:830–5.CrossRefPubMed Gallo MF, Snead MC, Black CM, Brown TM, Kourtis AP, Jamieson DJ, et al. Optimal methods for collecting and storing vaginal specimens for prostate-specific antigen testing in research studies. Contraception. 2013;87:830–5.CrossRefPubMed
16.
Zurück zum Zitat Brown JL, Vanable PA. Alcohol use, partner type, and risky sexual behavior among college students: findings from an event-level study. Addict Behav. 2007;32:2940–52.CrossRefPubMedPubMedCentral Brown JL, Vanable PA. Alcohol use, partner type, and risky sexual behavior among college students: findings from an event-level study. Addict Behav. 2007;32:2940–52.CrossRefPubMedPubMedCentral
17.
Zurück zum Zitat Thomsen SC, Gallo MF, Ombidi W, Omungo Z, Janowitz B, Hawken M, et al. Randomised controlled trial on whether advance knowledge of prostate-specific antigen testing improves participant reporting of unprotected sex. Sex Transm Infect. 2007;83:419–20.CrossRefPubMed Thomsen SC, Gallo MF, Ombidi W, Omungo Z, Janowitz B, Hawken M, et al. Randomised controlled trial on whether advance knowledge of prostate-specific antigen testing improves participant reporting of unprotected sex. Sex Transm Infect. 2007;83:419–20.CrossRefPubMed
18.
Zurück zum Zitat Valappil T, Kelaghan J, Macaluso M, Artz L, Austin H, Fleenor ME, et al. Female condom and male condom failure among women at high risk of sexually transmitted diseases. Sex Transm Dis. 2005;32:35–43.CrossRefPubMed Valappil T, Kelaghan J, Macaluso M, Artz L, Austin H, Fleenor ME, et al. Female condom and male condom failure among women at high risk of sexually transmitted diseases. Sex Transm Dis. 2005;32:35–43.CrossRefPubMed
19.
Zurück zum Zitat Bajunirwe F, Haberer JE, Boum Y 2nd, Hunt P, Mocello R, Martin JN, et al. Comparison of self-reported alcohol consumption to phosphatidylethanol measurement among HIV-infected patients initiating antiretroviral treatment in southwestern Uganda. PLoS One. 2014;9:e113152.CrossRefPubMedPubMedCentral Bajunirwe F, Haberer JE, Boum Y 2nd, Hunt P, Mocello R, Martin JN, et al. Comparison of self-reported alcohol consumption to phosphatidylethanol measurement among HIV-infected patients initiating antiretroviral treatment in southwestern Uganda. PLoS One. 2014;9:e113152.CrossRefPubMedPubMedCentral
20.
Zurück zum Zitat van der Straten A, Stadler J, Luecke E, Laborde N, Hartmann M, Montgomery ET. Perspectives on use of oral and vaginal antiretrovirals for HIV prevention: the VOICE-C qualitative study in Johannesburg, South Africa. J Int AIDS Soc. 2014;17:19146.PubMedPubMedCentral van der Straten A, Stadler J, Luecke E, Laborde N, Hartmann M, Montgomery ET. Perspectives on use of oral and vaginal antiretrovirals for HIV prevention: the VOICE-C qualitative study in Johannesburg, South Africa. J Int AIDS Soc. 2014;17:19146.PubMedPubMedCentral
21.
Zurück zum Zitat Carter MW, Bailey A, Snead MC, Costenbader E, Townsend M, Macaluso M, et al. Exploring discordance between biologic and self-reported measures of semen exposure: a qualitative study among female patients attending an STI clinic in Jamaica. AIDS Behav. 2013;17:728–36.CrossRefPubMedPubMedCentral Carter MW, Bailey A, Snead MC, Costenbader E, Townsend M, Macaluso M, et al. Exploring discordance between biologic and self-reported measures of semen exposure: a qualitative study among female patients attending an STI clinic in Jamaica. AIDS Behav. 2013;17:728–36.CrossRefPubMedPubMedCentral
22.
Zurück zum Zitat Marshall R. The predictive value of simple rules for combining two diagnostic tests. Biometrics. 1989;1:1213–22.CrossRef Marshall R. The predictive value of simple rules for combining two diagnostic tests. Biometrics. 1989;1:1213–22.CrossRef
Metadaten
Titel
Vaginal Prostate Specific Antigen (PSA) Is a Useful Biomarker of Semen Exposure Among HIV-Infected Ugandan Women
verfasst von
Sarah E. Woolf-King
Winnie Muyindike
Marcia M. Hobbs
Adrine Kusasira
Robin Fatch
Nneka Emenyonu
Mallory O. Johnson
Judith A. Hahn
Publikationsdatum
25.05.2016
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 7/2017
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-016-1433-7

Weitere Artikel der Ausgabe 7/2017

AIDS and Behavior 7/2017 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.