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

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

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Title: Sexually transmitted infections after bereavement – a population-based cohort study
Author: Bond, Emily; Lu, Donghao; Herweijer, Eva; Sundström, Karin; Valdimarsdóttir, Unnur; Fall, Katja; Arnheim-Dahlström, Lisen; Sparén, Pär; Fang, Fang

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Citation: Bond, Emily, Donghao Lu, Eva Herweijer, Karin Sundström, Unnur Valdimarsdóttir, Katja Fall, Lisen Arnheim-Dahlström, Pär Sparén, and Fang Fang. 2016. “Sexually transmitted infections after bereavement – a population-based cohort study.” BMC Infectious Diseases 16 (1): 419. doi:10.1186/s12879-016-1705-x.
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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. Electronic supplementary material The online version of this article (doi:10.1186/s12879-016-1705-x) contains supplementary material, which is available to authorized users.
Published Version: doi:10.1186/s12879-016-1705-x
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