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1.
J Acquir Immune Defic Syndr ; 86(2): 153-156, 2021 02 01.
Artículo en Inglés | MEDLINE | ID: mdl-33433122

RESUMEN

BACKGROUND: A second wave of COVID-19 began in late June in Victoria, Australia. Stage 3 then Stage 4 restrictions were introduced in July-August. This study aimed to compare the use of pre-exposure prophylaxis (PrEP) and sexual practices among men who have sex with men taking PrEP between May-June (post-first lockdown) and July-August (second lockdown). METHODS: This was an online survey conducted among men who have sex with men who had their PrEP managed at the Melbourne Sexual Health Centre, Australia. A short message service with a link to the survey was sent to 503 PrEP clients who provided consent to receive a short message service from Melbourne Sexual Health Centre in August 2020. RESULTS: Of the 192 participants completed the survey, 153 (80%) did not change how they took PrEP. Of the 136 daily PrEP users, 111 (82%) continued to take daily PrEP, 3 (2%) switched to on-demand PrEP, and 22 (16%) stopped PrEP in July-August. Men generally reported that they had no partners or decreased sexual activities during second lockdown compared with post-first lockdown; the number of casual sex partners (43% decreased vs. 3% increased) and the number of kissing partners (36% decreased vs. 3% increased). Most men reported no chemsex (79%) or group sex (77%) in May-August. 10% (13/127) of men had ever worn face masks during sex in May-August. CONCLUSION: During the second wave of COVID-19 in Victoria, most men did not change the way they used PrEP but the majority had no risks or reduced sexual practices while one in 10 men wore a face mask during sex.


Asunto(s)
Homosexualidad Masculina/estadística & datos numéricos , Máscaras , Sexo Seguro , Conducta Sexual/estadística & datos numéricos , Adulto , Australia , Control de Enfermedades Transmisibles , Infecciones por VIH/prevención & control , Conocimientos, Actitudes y Práctica en Salud , Humanos , Masculino , Persona de Mediana Edad , Profilaxis Pre-Exposición/estadística & datos numéricos , Encuestas y Cuestionarios
2.
Sex Med Rev ; 9(1): 3-14, 2021 01.
Artículo en Inglés | MEDLINE | ID: mdl-33309005

RESUMEN

INTRODUCTION: A novel coronavirus (COVID-19) reached pandemic levels by March 11th, 2020, with a destructive impact across socioeconomic domains and all facets of global health, but little is known of its impact on sexual health. OBJECTIVE: To review current knowledge on sexual health-related containment measures during pandemics, specifically COVID-19, and focus on 2 main areas: intimacy and relational dynamics and clinical effects on sexual health. METHODS: We carried out a literature search encompassing sexual health and pandemic issues using Entrez-PubMed and Google Scholar. We reviewed the implications of the COVID-19 pandemic on sexual health regarding transmission and safe sex practices, pregnancy, dating and intimacy amid the pandemic, benefits of sex, and impact on sexual dysfunctions. RESULTS: Coronavirus transmission occurs via inhalation and touching infected surfaces. Currently, there is no evidence it is sexually transmitted, but there are sexual behaviors that pose a higher risk of infectivity due to asymptomatic carriers. Nonmonogamy plays a key role in transmission hubs. New dating possibilities and intimacy issues are highlighted. Sexual activity has a positive impact on the immune response, psychological health, and cognitive function and could mitigate psychosocial stressors. COVID-19 pandemic affects indirectly the sexual function with implications on overall health. CONCLUSION: Increased awareness of health-care providers on sexual health implications related to the COVID-19 pandemic is needed. Telemedicine has an imperative role in allowing continued support at times of lockdown and preventing worsening of the sexual, mental, and physical health after the pandemic. This is a broad overview addressing sexual issues related to the COVID-19 pandemic. As this is an unprecedented global situation, little is known on sexuality related to pandemics. Original research is needed on the topic to increase the understanding of the impact the current pandemic may have on sexual health and function. Pennanen-Iire C, Prereira-Lourenço M, Padoa A, et al. Sexual Health Implications of COVID-19 Pandemic. Sex Med Rev 2021;9:3-14.


Asunto(s)
/epidemiología , Conductas Relacionadas con la Salud , Conducta Sexual/estadística & datos numéricos , Salud Sexual/estadística & datos numéricos , Adulto , Concienciación , Femenino , Humanos , Masculino , Telemedicina/organización & administración
3.
Int J Impot Res ; 33(1): 102-109, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-33311709

RESUMEN

During the COVID-19 outbreak, which is effective worldwide, the psychological conditions of healthcare professionals deteriorate. The aim of this study was to examine health professionals' changes in their sexual lives due to the COVID-19 outbreak in Istanbul, Turkey. This online survey was conducted between 2 and 26 May 2020 with 232 healthcare professionals working in a pandemic hospital. After obtaining informed consent, a questionnaire was sent online from the hospital database and health institutions social media accounts (Twitter®, Facebook®, Instagram®, WhatsApp® etc.) and e-mail addresses. The first section of the four-part questionnaire included demographic data, the second and third sections of pre-and post-COVID-19 attitudes, and the last section to assess sexual functions (International Index of Erecile Function for male and Female Sexual Function Index for female), anxiety and depression. Dependent sample t-test, Mc Nemar test, and multivariate analysis were used.The study was completed with 185 participants in total. Healthcare workers' sexual desire (3.49 ± 1.12 vs. 3.22 ± 1.17; p = 0.003), weekly sexual intercourse/masturbation number (2.53 ± 1.12 vs. 1.32 ± 1.27; p < 0.001), foreplay time (16.38 ± 12.35 vs. 12.02 ± 12.14; p < 0.001), sexual intercourse time (24.65 ± 19.58 vs. 19.38 ± 18.85; p < 0.001) decreased compared to the Pre-COVID-19 outbreak. In addition, participants prefer less foreplay (p < 0.001), less oral sex (p < 0.001) and anal sex (p = 0.007) during COVID-19 and more non-face to face sexual intercourse positions (p < 0.001). When factors affecting sexual dysfunction were analyzed as univariate and multivariate, sexual dysfunction was shown to be significantly more common in males (OR = 0.053) and alcohol users (OR = 2.925). During the COVID-19 outbreak, healthcare workers' sexual desires decreased, the number of sexual intercourses decreased, their foreplay times decreased, and their sexual intercourse positions changed to less face to face.


Asunto(s)
/psicología , Personal de Salud/psicología , Conducta Sexual/estadística & datos numéricos , Adulto , Ansiedad/epidemiología , Estudios Transversales , Depresión/epidemiología , Brotes de Enfermedades , Femenino , Personal de Salud/estadística & datos numéricos , Humanos , Masculino , Persona de Mediana Edad , Pandemias , Parejas Sexuales/psicología , Encuestas y Cuestionarios , Turquia/epidemiología
4.
Rev. enferm. UERJ ; 28: e45752, jan.-dez. 2020.
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1117683

RESUMEN

Objetivo: estimar a prevalência do uso do preservativo e os fatores associados em trabalhadores da construção civil. Método: estudo transversal, analítico, com 370 trabalhadores da grande João Pessoa, Paraíba. Considerou como variável de desfecho o uso do preservativo na última relação sexual. Utilizou-se questionário estruturado. Análise de regressão logística bivariada e múltipla foi utilizada para identificar associação entre as variáveis sociodemográficas e o uso do preservativo. Resultados: a maioria dos participantes é do sexo masculino, adultos jovens, casados e com baixa escolaridade. A prevalência estimada de uso do preservativo foi de 23,5% (IC 95%: 19,2% - 27,8%). Indivíduos com menos de 39 anos possuem 1,82 vezes mais chances de usar o preservativo e ser casado diminui (RC=0,26) as chances de uso. Conclusão: há baixa prevalência de uso do preservativo em trabalhadores da construção civil. A prevenção combinada é uma alternativa para controle das infecções transmissíveis, sendo o preservativo o principal coadjuvante.


Objective: to estimate the prevalence of condom use and the associated factors in construction workers. Method: in this crosssectional, analytical study with 370 workers from greater João Pessoa, Paraíba, Brazil, the outcome variable was condom use at last sexual intercourse. A structured questionnaire was used. Bivariate and multiple logistic regression analysis was used to identify associations between sociodemographic variables and condom use. Results: most participants were young, male adults, married and with little education. Estimated prevalence of condom use was 23.5% (95% CI; 19.2% - 27.8%). Individuals under 39 years old were found to be 1.82 times more likely to use condoms than individuals aged 40 years or older (OR = 1.82; 95% CI), while being married reduced the likelihood (OR = 0.26). Conclusion: prevalence of condom use is low among construction workers. Combined prevention is one option for controlling communicable diseases, with condoms as the main support.


Objetivo: estimar la prevalencia del uso de condón y los factores asociados en trabajadores de la construcción. Método: en este estudio transversal y analítico con 370 trabajadores del área metropolitana de João Pessoa, Paraíba, Brazil, la variable de resultado fue el uso de condón en la última relación sexual. Se utilizó un cuestionario estructurado y análisis de regresión logística bivariada y múltiple para identificar asociaciones entre las variables sociodemográficas y el uso del condón. Resultados: la mayoría de los participantes fueron jóvenes, varones adultos, casados y con poca educación. La prevalencia estimada del uso de condones fue del 23,5% (IC del 95%; 19,2% - 27,8%). Se encontró que las personas menores de 39 años tenían 1,82 veces más probabilidades de usar condones que las personas de 40 años o más (OR = 1,82; IC del 95%), mientras que estar casado redujo la probabilidad (OR = 0,26). Conclusión: la prevalencia del uso de condones es baja entre los trabajadores de la construcción. La prevención combinada es una opción para controlar las enfermedades transmisibles, con el condón como principal apoyo.


Asunto(s)
Humanos , Masculino , Femenino , Adolescente , Adulto , Persona de Mediana Edad , Adulto Joven , Conducta Sexual/estadística & datos numéricos , Salud Laboral , Condones/estadística & datos numéricos , Sexo Inseguro/estadística & datos numéricos , Brasil , Industria de la Construcción , Estudios Transversales , Prevención de Enfermedades , Correlación de Datos , Enfermería del Trabajo
5.
Ann Agric Environ Med ; 27(4): 599-604, 2020 Dec 22.
Artículo en Inglés | MEDLINE | ID: mdl-33356067

RESUMEN

INTRODUCTION: Life satisfaction is the result of valuing one's own life, and it is higher when the individual situation is closer to the general norm. It is characterized by dynamic and subjectivity and the way it is perceived is regulated by internal and external factors. Life satisfaction can be described in subjective and objective categories, by various indicators. OBJECTIVE: The aim of the study was to evaluate the determinants of satisfaction with life in selected aspects among women of reproductive age. MATERIAL AND METHODS: The study was conducted on 280 women, selected according to the following criteria: age range 18-45, at least one sexual intercourse per month, lack of chronic diseases or cancer, and consent to participate in the research. The research instruments used were: Satisfaction With Life Scale (SWLS), Sexual Satisfaction Questionnaire (SSQ), Female Sexual Function Index (FSFI). RESULTS: Life satisfaction increased with age (p<0.0001), higher life satisfaction was reported by women with higher education (p<0.001), married, (p<0.01), talked with their partner about their sexual expectations (p=0.03) and did not want to change anything in their sexual life (p<0.001). Analysis revealed a positive correlation between life satisfaction and sexual satisfaction (p < 0.0001). CONCLUSIONS: Higher level of sexual satisfaction and sexual health is related to better satisfaction with life. Factors affecting sexual satisfaction include residence, having children, discussing one's sexual expectations with their partner, feeling no need to change one's sex life, and frequency of sexual activity.


Asunto(s)
Satisfacción Personal , Conducta Sexual/estadística & datos numéricos , Sexualidad/estadística & datos numéricos , Adulto , Coito , Estudios Transversales , Emociones , Femenino , Humanos , Relaciones Interpersonales , Polonia , Adulto Joven
6.
PLoS One ; 15(12): e0243733, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33378386

RESUMEN

Within the span of almost ten years, phone dating apps have transformed the dating scene by normalizing and, according to some voices, gamifying the digital quest for a partner. Despite amplified discussion on how swipe-based apps damage the fabric of intimate ties, scientific accounts on whether they have led to different relationship patterns are missing. Using 2018 survey data from Switzerland, this study provides a rich overview of couples who met through dating apps by addressing three main themes: 1) family formation intentions, 2) relationship satisfaction and individual well-being, and 3) assortative mating. The data indicate that in Switzerland, dating apps have recently taken over as main online dating context. Results further show that couples formed through mobile dating have stronger cohabiting intentions than those formed in non-digital settings. Women who found their partner through a dating app also have stronger fertility desires and intentions than those who found their partner offline. Generally, there are no differences between couples initiated through dating apps and those initiated elsewhere regarding relationship and life satisfaction. Though more data are needed to capture the full range of users' romantic and sexual experiences, current results mitigate some of the concerns regarding the short-term orientation or the poor quality of relationships formed through mobile dating. Findings finally suggest that dating apps play an important role in altering couple composition by allowing for more educationally diverse and geographically distant couples.


Asunto(s)
Relaciones Interpersonales , Aplicaciones Móviles/estadística & datos numéricos , Satisfacción Personal , Conducta Sexual/estadística & datos numéricos , Parejas Sexuales/psicología , Adolescente , Adulto , Femenino , Humanos , Masculino , Matrimonio/psicología , Matrimonio/estadística & datos numéricos , Conducta Sexual/psicología , Encuestas y Cuestionarios/estadística & datos numéricos , Suiza , Adulto Joven
7.
Artículo en Inglés | MEDLINE | ID: mdl-33348870

RESUMEN

Adolescent sexting is a serious public health concern and is associated with adverse psychosocial outcomes, including depression, anxiety, low self-esteem, declining academic performance, and health problems. Effective prevention of sexting requires a comprehensive and deep understanding of the multiple contexts whereby sexting is likely to occur. The present study explores individual and contextual risk and protective factors that are associated with sexting behavior among a large sample of adolescents. Participants were high school students in midwestern U.S. (N = 2501; LGB n = 309, 76.4% female; non-LGB n = 2192, 47.4% female) who completed self-report measures of sexting and risk (e.g., pornography exposure, impulsivity) and protective (e.g., social support) factors. Path analysis models were conducted with the sexting outcome for groups of LGB and non-LGB students. Among LGB students, results indicated a significant association between sexting and parental monitoring (b = -0.08, p < 0.01); pornography exposure (b = 0.13, p < 0.05); dating partners (b = 0.01, p < 0.01); bullying perpetration (b = 0.17, p < 0.001); and delinquency (b = 0.13; p < 0.001). Among non-LGB students, significant associations were found between sexting and alcohol/substance use (b = 0.05, p < 0.001); bullying (b = 0.08, p < 0.001); and delinquency (b = 0.06, p < 0.001). Moderation analyses suggest that parental monitoring may have a buffering effect between sexting and several risk factors. Recommendations for practitioners include considering the protective factors of sexting perpetration and encouraging appropriate levels of parental monitoring and the continued importance of bullying and alcohol and drug prevention programming to decrease risk factors of sexting perpetration.


Asunto(s)
Conducta del Adolescente , Envío de Mensajes de Texto , Adolescente , Conducta del Adolescente/psicología , Acoso Escolar , Femenino , Humanos , Masculino , Medio Oeste de Estados Unidos , Relaciones Padres-Hijo , Factores de Riesgo , Conducta Sexual/psicología , Conducta Sexual/estadística & datos numéricos , Estudiantes , Envío de Mensajes de Texto/estadística & datos numéricos , Consumo de Alcohol en Menores
8.
Clín. salud ; 31(3): 147-153, nov. 2020. tab
Artículo en Español | IBECS | ID: ibc-197170

RESUMEN

Todos los estudiantes sufren el riesgo de ser víctima de conductas agresivas de bullying durante el transcurso de su vida. Sin embargo, existen colectivos con mayor riesgo de sufrir estas conductas, en especial, el colectivo LGTB. Este estudio tiene tres objetivos: (1) analizar la prevalencia de víctimas y agresores de bullying entre adolescentes de secundaria, (2) explorar diferencias en función del sexo y (3) conocer las diferencias en función de la orientación sexual. Una muestra compuesta por 1,748 adolescentes del País Vasco cumplimentó dos cuestionarios. Los resultados evidencian (1) un elevado porcentaje de víctimas (41.6% globales, 11% severas) y de agresores (28.5% globales, 2,7% severos), (2) que las chicas muestran mayor victimización y los chicos agresión y (3) que hay un mayor porcentaje de víctimas no-heterosexuales, en especial de gais y bisexuales. En conclusión, las personas LGTB muestran una mayor vulnerabilidad a sufrir acoso escolar, por lo que es necesario desarrollar e implementar programas antidiscriminatorios en la comunidad educativa


Every student is at risk of aggressive bullying behavior during their lifetime. However, there are groups with a higher risk of suffering these aggressive behaviors, especially the LGTB group. This study has three objectives: (1) to analyze the prevalence of victims and aggressors of bullying among high school adolescents; (2) to explore differences based on sex; and (3) to identify differences based on sexual orientation. A sample consisting of 1,748 adolescents from the Basque Country completed two questionnaires. The results show (1) a high percentage of victims (41.6% global, 11% severe), as well as aggressors (28.5% global, 2.7% severe); (2) that girls show greater victimization and boys show aggression; and (3) a higher percentage of non-heterosexual victims, especially gay and bisexual. In conclusion, LGTB people show greater vulnerability to suffer bullying and, therefore, the need to develop and implement anti-discrimination programs in the educational community


Asunto(s)
Humanos , Masculino , Femenino , Adolescente , Acoso Escolar/estadística & datos numéricos , Conducta Sexual/estadística & datos numéricos , Minorías Sexuales y de Género/estadística & datos numéricos , Conducta del Adolescente/psicología , Estudios Transversales , Conducta Sexual/psicología , Minorías Sexuales y de Género/psicología , Factores Sexuales , Encuestas y Cuestionarios , Sexismo/psicología , Sexismo/estadística & datos numéricos , Estudiantes/psicología , Estudiantes/estadística & datos numéricos , España
9.
Obstet Gynecol ; 136(5): 922-931, 2020 11.
Artículo en Inglés | MEDLINE | ID: mdl-33030874

RESUMEN

OBJECTIVE: We aimed to systematically review the literature to describe sexual activity and function before and after prolapse surgery. DATA SOURCES: We searched MEDLINE, EMBASE, and ClinicalTrials.gov databases from inception to April 2018. METHODS OF STUDY SELECTION: Prospective, comparative studies of reconstructive pelvic organ prolapse (POP) surgeries that reported sexual function outcomes were included. Studies were extracted for population characteristics, sexual function outcomes, and methodologic quality. Data collected included baseline and postoperative sexual activity, dyspareunia, and validated sexual function questionnaire scores. Change in validated scores were used to categorize overall sexual function as improved, unchanged, or worsened after surgery. TABULATION, INTEGRATION, AND RESULTS: The search revealed 3,124 abstracts and identified 74 articles representing 67 original studies. The overall quality of evidence was moderate to high. Studies reporting postoperative results found higher rates of sexual activity than studies reporting preoperative sexual activity in all POP surgeries except sacrospinous suspension, transvaginal mesh, and sacrocolpopexy. The prevalence of dyspareunia decreased after all prolapse surgery types. The risk of de novo dyspareunia ranged from 0% to 9% for all POP surgeries except posterior repair, which lacked sufficient data. Overall sexual function based on PISQ-12 (Pelvic Organ Prolapse/Incontinence Sexual Questionnaire-12) scores improved for mixed native tissue repairs, anterior repairs, uterosacral suspensions, sacrospinous suspensions, and sacrocolpopexy; scores were similar for posterior repairs, transvaginal mesh, and biologic grafts. Sexual function did not worsen after any POP surgeries. CONCLUSION: Sexual function improves or remains unchanged after all types of reconstructive POP surgeries and does not worsen for any surgery type. Prevalence of total dyspareunia was lower after all POP surgery types, and de novo dyspareunia was low ranging 0-9%. This information can help surgeons counsel patients preoperatively. SYSTEMATIC REVIEW REGISTRATION: PROSPERO, CRD42019124308.


Asunto(s)
Procedimientos Quirúrgicos Ginecológicos/efectos adversos , Prolapso de Órgano Pélvico/cirugía , Complicaciones Posoperatorias/epidemiología , Conducta Sexual/estadística & datos numéricos , Disfunciones Sexuales Fisiológicas/epidemiología , Femenino , Humanos , Persona de Mediana Edad , Complicaciones Posoperatorias/etiología , Periodo Posoperatorio , Estudios Prospectivos , Disfunciones Sexuales Fisiológicas/etiología , Mallas Quirúrgicas/efectos adversos
10.
BMC Infect Dis ; 20(1): 732, 2020 Oct 07.
Artículo en Inglés | MEDLINE | ID: mdl-33028241

RESUMEN

BACKGROUND: Adolescent sexual debut and non-consensual sex have been linked to higher sexual risk and STI infection in adulthood among men who have sex with men (MSM) in high-income countries. This study aimed to examine adolescent and non-consensual anal sexual debut among Chinese MSM and to evaluate factors associated with adolescent sexual debut and non-consensual anal sex. METHODS: A cross-sectional study was conducted recently among Chinese men assigned male sex at birth, ≥18 years old, and who had ever engaged in anal sex with a man. Participants answered questions regarding socio-demographics, condomless sex, age at anal sexual debut with a man, and whether the first anal sex was consensual. Factors associated with an adolescent sexual debut (< 18 years old) and non-consensual sex at sexual debut were evaluated. We defined adolescent sexual debut as having anal sex with another man at 17 years old or younger, and the participants were asked whether their first male-to-male anal sex was non-consensual. RESULTS: Overall, 2031 eligible men completed the survey. The mean age of sexual debut was 20.7 (SD = 4.3) years old. 17.6% (358/2031) of men reported adolescent sexual debut, and 5.0% (101/2031) reported a non-consensual sexual debut. The adolescent sexual debut was associated with having more male sexual partners (adjusted OR 1.10, 95% CI 1.06-1.15) and condomless anal sex in the last three months (AOR = 1.71, 95% CI 1.34-2.18). MSM whose sexual debut was non-consensual were more likely to have condomless anal sex (AOR = 1.76, 95% CI 1.17-2.66), and to have reported an adolescent sexual debut (AOR = 2.72, 95% CI 1.75-4.21). CONCLUSIONS: Many Chinese MSM reported adolescent sexual debut and non-consensual sex, both of which are associated with sexual risk behaviors and drive STI transmission. These findings highlight the need for designing tailored interventions for MSM who experienced adolescent sexual debut and non-consensual sex at debut.


Asunto(s)
Homosexualidad Masculina/estadística & datos numéricos , Conducta Sexual/estadística & datos numéricos , Adolescente , Adulto , Grupo de Ascendencia Continental Asiática , China , Condones , Estudios Transversales , Infecciones por VIH/patología , Humanos , Masculino , Oportunidad Relativa , Asunción de Riesgos , Encuestas y Cuestionarios , Adulto Joven
11.
PLoS One ; 15(10): e0239323, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33021998

RESUMEN

BACKGROUND: Multiple sexual partnerships increase the risk of transmission of HIV and can be exacerbated by substance abuse. However, the association between psychoactive substance use and multiple sexual partnerships among young people in informal settlements of low-income countries is not well known. This study established the prevalence of multiple sexual partnerships and associated factors among young psychoactive-substance-users in informal settlements in Kampala, Uganda. METHODS: This was a cross-sectional study involving 744 young (aged 18-24 years), sexually active, psychoactive substance-users selected from 12 of the 57 informal settlements of Kampala City. The prevalence of multiple sexual partnerships and their differential distribution by socio-demographic strata was established. Modified Poisson regression models were run in Stata 14 software to generate prevalence rate ratios for the factors associated with multiple sexual partnerships. RESULTS: About 40.6% (37.9% of males and 50.0% of females) had engaged in multiple sexual partnerships in the last 30 days. Engaging in multiple sexual partnerships in the last 30 days was positively associated with being female (PR 1.29, 95% CI: 1.03-1.63); staying in the informal settlement for 6-10 years (PR 1.34, 95% CI: 1.02-1.75) and chewing khat in the last 30 days (PR 1.93, 95% CI: 1.10-3.40). CONCLUSION: Multiple sexual partnerships are highly prevalent among young psychoactive-substance-users, irrespective of the socio-demographic strata. Being female, having lived in the informal settlement for 6-10 years, and chewing khat were significantly associated with having multiple sexual partners in the last 30 days. In tackling this high-risk sexual behaviour, it is recommended that risk-reduction interventions are considered for the different socio-demographic strata identified in this study, i.e. females, those who have lived in the informal settlement for about 6-10 years, and those who chew khat.


Asunto(s)
Conducta Sexual/estadística & datos numéricos , Trastornos Relacionados con Sustancias/psicología , Adolescente , Niño , Estudios Transversales , Femenino , Humanos , Masculino , Conducta Sexual/psicología , Parejas Sexuales/psicología , Trastornos Relacionados con Sustancias/patología , Factores de Tiempo , Uganda , Adulto Joven
12.
PLoS One ; 15(10): e0239750, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33002013

RESUMEN

BACKGROUND: Swingers, heterosexuals who, as couples, practice mate swapping or group sex with other couples or heterosexual singles, are at risk for sexually transmitted infections (STIs). Therefore, the aim of this study was to assess changes in sexual behaviour and STI testing behaviour, as well as predictors of STI testing. METHODS: Two cross-sectional studies were performed, using the same internet survey in 2011 and 2018. For trend analysis, sexual behaviour and STI testing behaviour were used. Socio-demographics, swinger characteristics, sexual behaviour, and psycho-social variables were used to assess predictors of STI testing in the past year, using multivariable regression analysis. RESULTS: A total of 1173 participants completed the survey in 2011, and 1005 in 2018. Condom use decreased for vaginal (73% vs. 60%), oral (5% vs. 2%), and anal sex (85% vs. 75%). STI positivity was reported in 23% and 30% of the participants, respectively, although testing for STI was comparable between both years (~65%). The following predictors of STI testing were significant: being female (OR = 1.9, 95%CI: 1.2-2.9), having a high swinging frequency (>12 times a year, OR = 3.7, 95%CI: 1.9-7.3), swinging at home (OR = 1.6, 95%CI: 1.0-2.7), receiving a partner notification (OR = 1.7, 95%CI: 1.2-2.6), considering STI testing important (OR = 4.3, 95%CI: 2.2-8.5), experiencing no pressure from a partner to test (OR = 0.6, 95%CI: 0.3-0.9), partners test for STI regularly (OR = 10.0, 95%CI: 6.2-15.9), perceiving STI testing as an obligation (OR = 2.1, 95%CI: 1.3-3.5), experiencing no barriers such as being afraid of testing (OR = 1.9, 95%CI: 1.2-3.1), limited opening hours (OR = 1.6, 95%CI: 1.0-2.4), and forgetting to plan appointments (OR = 3.0, 95%CI: 2.0-4.6). CONCLUSIONS: Swingers exhibit self-selection for STI testing based on their sexual behaviour. However, STI prevention efforts are still important considering the increasing numbers of reported STIs, the decreased use of condom use, and the one-third of swingers who were not tested in the previous year.


Asunto(s)
Conducta Sexual/estadística & datos numéricos , Enfermedades de Transmisión Sexual/diagnóstico , Adolescente , Adulto , Trazado de Contacto/estadística & datos numéricos , Estudios Transversales , Escolaridad , Relaciones Extramatrimoniales/psicología , Femenino , Heterosexualidad/psicología , Heterosexualidad/estadística & datos numéricos , Humanos , Internet , Masculino , Persona de Mediana Edad , Países Bajos/epidemiología , Conducta Sexual/psicología , Minorías Sexuales y de Género/psicología , Minorías Sexuales y de Género/estadística & datos numéricos , Enfermedades de Transmisión Sexual/etiología , Enfermedades de Transmisión Sexual/prevención & control , Encuestas y Cuestionarios , Adulto Joven
13.
An. psicol ; 36(3): 512-520, oct. 2020. tab
Artículo en Español | IBECS | ID: ibc-195668

RESUMEN

En las últimas décadas se han llevado a cabo varios estudios que evidencian la relevancia de la actividad sexual para la salud, el bienestar y la calidad de vida de las personas mayores. En este contexto se ubica esta investigación, que tiene por objeto conocer los factores que potencialmente pueden explicar la inactividad sexual en las poblaciones mayores. Además de los factores sociodemográficos, que tradicionalmente se han asociado a la actividad sexual, exploramos el potencial explicativo y la sensibilidad en la estimación de la inactividad sexual en el último año de las percepciones de salud y las actitudes hacia la sexualidad en una muestra de 200 sujetos de entre 62 y 91 años (M=71.30; SD=5.48). Los resultados obtenidos sugieren importantes porcentajes de varianza explica de la inactivad sexual por el modelo de regresión donde se incorporan variables sociodemográficas (R2 = .295). Nuestros resultados apuntan también, a que tanto la percepción y preocupación por la salud sexual como las consideraciones en torno a las relaciones sexuales antes del matrimonio o al sexo sin amor, explicarían la inactividad sexual de las personas mayores. Estos resultados permiten sugerir el potencial de la intervención centrada en los estereotipos y actitudes hacia la sexualidad


Extensive studies carried out in recent decades have noted the relevance of sexual activity to the health, well-being and quality of life of older people. In this context, we propose this research work that aims to know the factors that can potentially explain sexual inactivity in older populations. In addition to the sociodemographic factors that have traditionally been associated with sexual activity, we explored the explanatory potential and the sensitivity in the estimation of sexual inactivity in the last year of health perceptions and attitudes towards sexuality in a sample of 200 subjects between 62 and 91 years old (M = 71.30, SD = 5.48). The results obtained suggest important percentages of variance explained by the regression model where variables such as the existence of a partner, age and place of origin are incorporated (R2 = .295). Our results also point to the fact that, both the perception and concern for sexual health and the considerations regarding sexual relations before marriage or sex without love, would explain the sexual inactivity of the elderly. These results allow us to suggest the potential of the intervention centered on stereotypes and attitudes towards sexuality


Asunto(s)
Humanos , Masculino , Femenino , Persona de Mediana Edad , Anciano , Anciano de 80 o más Años , Conducta Sexual/estadística & datos numéricos , Salud Sexual/estadística & datos numéricos , Factores Socioeconómicos , Factores Sexuales , Estudios Transversales , Encuestas y Cuestionarios , Asexualidad , Calidad de Vida
14.
PLoS One ; 15(9): e0238822, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32898155

RESUMEN

OBJECTIVES: Oral sex and its associated factors among low-tier female sex workers (FSWs) have not been documented in the Chinese literature. Here, we report this perspective in this group. METHODS: The data were derived from a large cross-sectional study conducted among low-tier FSWs using a structured questionnaire in 21 counties in Zhejiang province, China. The prevalence of oral sex and its associated factors among 2645 low-tier FSWs were analyzed using bivariate and multivariate analysis. RESULTS: Of all participants, 579 (21.9%) had performed oral sex with clients over the previous month. Multivariate analysis revealed that oral sex is related to being unmarried, low income, early initiation of commercial sex, having conducted commercial sex in more counties, longer duration of commercial sex, larger number of clients, ever having engaged in anal sex, less use of condoms and oral contraceptives during the previous month, low rate of adoption for contraception at the present time, and STI-related symptoms during the previous half year. CONCLUSION: Oral sex practitioners among low-tier FSWs in China are at a higher risk of STI, HIV, and unwanted pregnancy compared to those who did not engage in oral sex. Behavioral interventions carried out among low-tier FSWs should specifically target low-tier FSWs who practice oral sex, should carefully take into account the characteristics of these FSWs, provide risk awareness education and training for condom use negotiation, and promote the availability of condom and reproductive health care, timely diagnosis, and treatment of STIs.


Asunto(s)
Trabajadores Sexuales/estadística & datos numéricos , Conducta Sexual/estadística & datos numéricos , Adulto , China , Estudios Transversales , Femenino , Humanos , Análisis Multivariante , Prevalencia , Autoinforme , Adulto Joven
15.
J Sex Marital Ther ; 46(8): 747-762, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32878584

RESUMEN

In early 2020, the novel coronavirus 2019 (COVID-19) spread across the United States and mitigation measures drastically affected the daily lives of Americans. In this study, we assessed the association between COVID-related relationship conflict and changes in intimate and sexual behaviors and experiences. Using data from an online nationally representative probability survey of 1,010 American adults in April 2020, we estimated the impact of coronavirus-related relationship conflict on changes in intimate and sexual behaviors among those in any type of romantic or sexual relationship (Nweighted=742). Further, we assessed the association between conflict and experience of orgasm and feeling emotionally close to partner. Among individuals in relationships, 34% reported some degree of conflict with their romantic partners due to the spread of COVID-19 and its related restrictions. Those experiencing frequent coronavirus-related conflict with their partner were significantly more likely to report decreased frequency of several solo and partnered intimate and sexual behaviors compared to those not experiencing any such conflict, exhibiting a dose-response trend among partnered sexual behaviors. Since the spread of coronavirus and associated social distancing measures in the United States, Americans have experienced escalations in conflict in their romantic partnerships, which was associated with changes to their intimate and sexual lives.


Asunto(s)
Infecciones por Coronavirus/psicología , Satisfacción Personal , Neumonía Viral/psicología , Conducta Sexual/psicología , Parejas Sexuales/psicología , Adulto , Femenino , Humanos , Relaciones Interpersonales , Masculino , Apego a Objetos , Pandemias , Conducta Sexual/estadística & datos numéricos , Encuestas y Cuestionarios , Estados Unidos
16.
Drug Alcohol Depend ; 216: 108260, 2020 11 01.
Artículo en Inglés | MEDLINE | ID: mdl-32890975

RESUMEN

BACKGROUND: Sexual minority men who use drugs have high sexual HIV transmission risk. Sexual interactions may also increase COVID-19 risk.This study compared marijuana use, other illegal drugs use (i.e. cocaine/crack, methamphetamine, MDMA/ecstasy, GHB, and ketamine) and sexual behavior with casual partners among sexual minority cismen active on social networking and dating applications before and during the COVID-19 epidemic. METHODS: This cohort-control study compared 455 adult respondents (surveyed May 6th to 17th, 2020) and a matched sample selected from 65,707 respondents surveyed pre-COVID. Participants were recruited on social networking and dating applications and completed surveys online. RESULTS: The proportion reporting marijuana use declined significantly in the COVID cohort (34.5 % versus 45.7 % pre-COVID,p < .001) as did their illegal drug use (11.0 % versus 22.9 % pre-COVID, p < .001). While the number of casual partners per month was stable, the proportion reporting condomless anal sex with casual partners declined significantly during COVID (26.4 % versus 71.6 % pre-COVID, p < .001). The effect of illegal drug use (excluding marijuana) on number of casual partners per month (aRR = 1.45 pre-COVID versus 2.84, p < .01) and odds of condomless anal sex (aOR = 2.00 pre-COVID versus 5.22, p = .04) were significantly greater in the COVID cohort. CONCLUSIONS: While the proportion of participants reporting drug use and condomless anal sex with casual partners declined in the COVID cohort, the association between drug use and sexual behavior was magnified. Sexual minority men who use drugs are significantly more likely to engage in sexual behaviors that place them at risk for HIV and COVID-19 transmission.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Drogas Ilícitas , Neumonía Viral/epidemiología , Asunción de Riesgos , Minorías Sexuales y de Género/estadística & datos numéricos , Trastornos Relacionados con Sustancias/epidemiología , Adulto , Betacoronavirus , Estudios de Cohortes , Homosexualidad Masculina/estadística & datos numéricos , Humanos , Masculino , Uso de la Marihuana , Metanfetamina , Pandemias , Conducta Sexual/estadística & datos numéricos , Parejas Sexuales , Red Social , Encuestas y Cuestionarios
17.
Afr J AIDS Res ; 19(3): 214-221, 2020 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-32892703

RESUMEN

In spite of the high HIV burden and high prevalence and incidence of HIV infection among adolescent girls and young women (AGYW) in South Africa, uptake of HIV testing in this population falls short of the UNIADS 90-90-90 targets, leading to late diagnosis, late entry into HIV care and treatment, and poor uptake of prevention services. There is a critical need to update and deepen our understanding of attitudes towards testing in this population, in order to appropriately respond to their specific needs. This article reports on findings from an exploration of perceptions of HIV testing and testing behaviour amongst AGYW in South Africa using a combination of quantitative and qualitative data. Analysis included data on testing behaviour and reasons for never testing from a survey conducted with 4 399 AGYW aged 15-24 years in six provinces. Combined with survey data is qualitative analysis from 63 in-depth interviews and 24 focus group discussions with 237 AGYW from five provinces. Findings revealed complex, dualistic and often contradictory views towards HIV testing in this population, with fear of HIV and the consequences of testing positive existing alongside a lack of concern towards HIV infection because of the availability and accessibility of antiretrovirals. These findings can help to address barriers to HIV testing in this population and ensure appropriateness of future interventions and HIV messaging.


Asunto(s)
Actitud Frente a la Salud , Infecciones por VIH/diagnóstico , Tamizaje Masivo/psicología , Adolescente , Femenino , Grupos Focales , Infecciones por VIH/epidemiología , Infecciones por VIH/prevención & control , Infecciones por VIH/psicología , Humanos , Entrevistas como Asunto , Conducta Sexual/estadística & datos numéricos , Sudáfrica/epidemiología , Encuestas y Cuestionarios , Adulto Joven
19.
PLoS Negl Trop Dis ; 14(9): e0008556, 2020 09.
Artículo en Inglés | MEDLINE | ID: mdl-32925964

RESUMEN

Sexual transmission of Ebola virus (EBOV) is well established and has been implicated in multiple resurgences during the West African Ebola epidemic. Given the persistence of viral RNA in semen, guidelines from the World Health Organization (WHO) recommend abstinence or condom use for at least 1 year or until two semen PCR tests are negative. To better understand the impact of semen testing on sexual behavior, male EVD survivors were surveyed regarding their sexual behavior before and after semen testing. Of the 171 men who enrolled, 148 reported being sexually active following discharge from an ETU with 59% reporting episodes of condomless sex. At least one semen sample for testing was provided by 149 men and 13 of these men had EBOV RNA detected in their semen. When comparing sexual behaviors before and after semen testing, a positive semen test result had limited impact on behavior. Of those with seminal EBOV RNA detected, 61% reported no change in behavior pre- and post-semen testing with 46% engaging in condomless sex before and after testing and only 1 adopted safer sex behaviors following receipt of a positive result. Similarly, among men with undetectable EBOV in their semen, 66% reported no change in sexual behaviors with semen testing, with 55% forgoing condoms during sex. In only 11% was a negative semen result followed by abandoning condoms. There were no known sexual transmission events of Ebola virus in this cohort despite viral presence in semen during periods of condomless sex. This highlights the need to better understand the infectious potential of viral RNA persistence and determine what constitutes effective counseling for survivors and their partners.


Asunto(s)
Consejo , ARN Viral/análisis , Semen/virología , Conducta Sexual/psicología , Adolescente , Adulto , Portador Sano , Niño , Condones/estadística & datos numéricos , Ebolavirus , Fiebre Hemorrágica Ebola/prevención & control , Fiebre Hemorrágica Ebola/transmisión , Humanos , Liberia/epidemiología , Masculino , Persona de Mediana Edad , Conducta Sexual/estadística & datos numéricos , Encuestas y Cuestionarios , Sobrevivientes
20.
PLoS One ; 15(9): e0238745, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32886722

RESUMEN

BACKGROUND: Men who have sex with men (MSM) and transgender women (TGW) are at risk for sexually transmitted infections (STIs), including those of the oropharynx. We estimated the prevalence and factors associated with oral sex practices and characterized oropharyngeal STIs among a cohort of MSM and TGW in Nigeria. METHODS: From 2013 to 2018, TRUST/RV368 recruited MSM and TGW into HIV/STI diagnosis and treatment at community-based clinics in Nigeria. Participants who completed HIV testing and oral sex questions at enrollment were selected. Cross-sectional analyses with bivariate and multivariable logistic regression models estimated odds ratios (ORs) and 95% confidence intervals (CIs). Oropharyngeal swab testing for Neisseria gonorrhoeae (NG) and Chlamydia trachomatis (CT) began in 2014 and for those with diagnostic results at enrollment, the unadjusted association of oral sex practices with oropharyngeal STIs was conducted. RESULTS: A total of 1342 participants had a median age of 25 years (interquartile range: 22-29), 58% were living with HIV, and 69% reported oral sex practices. Factors associated with increased odds of engaging in oral sex included living with HIV (adjusted [a]OR: 1.4, 95% CI: 1.1-1.8), self-identifying as a woman (aOR:1.8, 95% CI: 1.1-2.8), mobile phone ownership (aOR:2.3, 95% CI: 1.3-3.9), receptive anal sex (aOR:1.7, 95% CI:1.3-2.3) and multiple male sexual partners (2 to 4 vs. ≤1, aOR:1.5, 95% CI: 1.0-2.2; 5+ vs ≤1, aOR:2.9, 95% CI:1.9-4.3). Oropharyngeal STI prevalence was 7% (52/752) and higher among those who engaged in oral sex compared to those who did not (unadjusted OR: 2.5, 95% CI:1.2-5.3). CONCLUSIONS: Oral sex was common and associated with an increased odds of oropharyngeal STIs among MSM and TGW from Nigeria. In the absence of screening and treatment guidelines, condoms continue to be the mainstay for oral STI prevention. A pre-exposure prophylaxis for bacterial STIs would complement current prevention strategies to curb transmission.


Asunto(s)
Infecciones por VIH/epidemiología , Homosexualidad Masculina/estadística & datos numéricos , Conducta Sexual/estadística & datos numéricos , Personas Transgénero/estadística & datos numéricos , Adolescente , Adulto , Chlamydia trachomatis/fisiología , Estudios de Cohortes , Estudios Transversales , Femenino , Infecciones por VIH/complicaciones , Infecciones por VIH/microbiología , Humanos , Masculino , Persona de Mediana Edad , Neisseria gonorrhoeae/fisiología , Nigeria , Riesgo , Adulto Joven
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