Skip to main content

Advertisement

Log in

HIV/STI Prevalence Study Among Military Conscripts in Estonia

  • Original Paper
  • Published:
Journal of Community Health Aims and scope Submit manuscript

Abstract

Risk taking behavior and sexually transmitted infections (STIs) research outcomes vary among militaries. A common theme indicates STI prevalence and risk taking among military personnel is higher than the general population. Alcohol and drug misuse is well documented. From these behaviors, high-risk sexual encounters increase. Exploring STI prevalence, knowledge, and risk behaviors among conscripted military forces, we recruited 584 conscripts from a defense force in Eastern Europe. The observed STI prevalence in the young, male conscripts was equal or less than their non-conscripted counterparts. Military entry screenings could reduce STIs, creating a healthier population. However, these findings remain informative as the notion of high STI rates among military forces is not supported. As this study was one of the first of its type in the region, it demonstrates the ability of a nation to secure their defense forces against HIV/STIs even in the face of increased prevalence within that nation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Anastario, M., Manzanero, R., Blanco, R., Reyes, E., Jaramillo, R., Black, L., et al. (2011). HIV infection, sexual risk behaviour and condom use in the Belize defense force. International Journal of STD and AIDS, 22(2), 73–79. doi:10.1258/ijsa.2010.010274.

    Article  CAS  PubMed  Google Scholar 

  2. Armed Forces Health Surveillance Center. (2013). Sexually transmitted infections, active component, U.S. Armed Forces, 2000–2012. MSMR, 20(2), 5–10.

    Google Scholar 

  3. Brown, A. E., Ross, D. A., Simpson, A. J., Erskine, R. S., Murphy, G., Parry, J. V., et al. (2011). Prevalence of markers for HIV, hepatitis B and hepatitis C infection in UK military recruits. Epidemiology and Infection, 139, 1166–1171. doi:10.1017/S0950268810002712.

    Article  CAS  PubMed  Google Scholar 

  4. Chlamydia Control in Europe. (2009). European centre for disease prevention and control. Stockholm. Retrieved October, 2010 from http://www.ecdc.europa.eu/en/publications.

  5. Chun, H., Tavarez, M. I., Dann, G. E., & Anastario, M. P. (2011). Interviewer gender and self-reported sexual behavior and mental health among male military personnel. International Journal of Public Health, 56(2), 225–229. doi:10.1007/s00038-010-0185-9.

    Article  PubMed  Google Scholar 

  6. Institute of Medicine. (2013). Substance use disorders in the U.S. Armed Forces. Washington, DC: The National Academies Press.

  7. Estonian Statistical Database. (2011). Retrieved December 12, 2012 from Statistics Estonia.

  8. Feldbaum, H., Lee, K., & Patel, P. (2006). The national security implications of HIV/AIDS. PLoS Medicine, 3(6), e171. doi:10.1371/journal.pmed.0030171.

    Article  PubMed Central  PubMed  Google Scholar 

  9. Harbertson, J., Grillo, M., Zimulinda, E., Murego, C., Brodine, S., May, S., et al. (2012). HIV seroprevalence, associated risk behavior, and alcohol use among male Rwanda Defense Forces military personnel. AIDS and Behavior, 1–12. doi:10.1007/s10461-012-0343-6.

  10. Hasse, B., Ledergerber, B., Hirschel, B., Vernazza, P., Glass, T. R., Jeannin, A., et al. (2010). Frequency and determinants of unprotected sex among HIV-infected persons: The Swiss HIV cohort study. Clinical Infectious Diseases, 51(11), 1314–1322. doi:10.1086/656809.

    Article  PubMed  Google Scholar 

  11. Parker, R. D., & Ruutel, K. (2010). A surveillance report of HIV status and high risk behaviors among rapid testing participants in Tallinn Estonia. AIDS Behavior, 15(4), 761–766. doi:10.1007/s10461-010-9777-x.

    Article  Google Scholar 

  12. Platt, L., Bobrova, N., Rhodes, T., Uuskula, A., Parry, J. V., Ruutel, K., et al. (2006). High HIV prevalence among injecting drug users in Estonia: Implications for understanding the risk environment. AIDS, 20(16), 2120–2123. doi:10.1097/01.aids.0000247586.23696.20.

    Article  PubMed  Google Scholar 

  13. Romelsjo, A., Allebeck, P., Andreasson, S., & Leifman, A. (2012). Alcohol, mortality and cardiovascular events in a 35 year follow-up of a nationwide representative cohort of 50,000 Swedish conscripts up to age 55. Alcohol and Alcohol, 47(3), 322–327. doi:10.1093/alcalc/ags021.

    Article  CAS  Google Scholar 

  14. Rüütel, K., Trummal, A., Salekešin, M., & Pervilhac, C. (2011). HIV epidemic in Estonia: Analysis of strategic information. http://www.euro.who.int/en/what-we-publish/abstracts/hiv-epidemic-in-estonia-analysis-of-strategic-information.-case-study.

  15. Singer, D. E., Bautista, C. T., O’Connell, R. J., Sanders-Buell, E., Agan, B. K., Kijak, G. H., et al. (2010). HIV infection among US Army and Air Force military personnel: Sociodemographic and genotyping analysis. AIDS Research and Human Retroviruses, 26(8), 889–894. doi:10.1089/aid.2009.0289.

    Article  PubMed  Google Scholar 

  16. Spaulding, A. B., Lifson, A. R., Iverson, E. R., Ganesan, A., Landrum, M. L., Weintrob, A. C., et al. (2012). Gonorrhoea or chlamydia in a US military HIV-positive cohort. Sexually Transmitted Infections. doi:10.1136/sextrans-2011-050173.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to R. David Parker.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Parker, R.D., Regier, M., Widmeyer, J. et al. HIV/STI Prevalence Study Among Military Conscripts in Estonia. J Community Health 40, 271–275 (2015). https://doi.org/10.1007/s10900-014-9926-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10900-014-9926-7

Keywords

Navigation