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1.
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
2.
PLoS One ; 15(10): e0239951, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33002081

RESUMEN

Sri Lanka has a low-level HIV epidemic. This study aims to provide evidence on HIV, syphilis and hepatitis B (HBV) prevalence, sexual risk behaviours and utilisation of HIV prevention interventions among female sex workers (FSW) in the cities Colombo, Galle, and Kandy. Using respondent-driven sampling (RDS), we recruited a total of 458 FSW in Colombo, 360 in Galle and 362 in Kandy from November 2017 to March 2018. Participants provided biological specimens for testing for infections and completed a behavioural questionnaire. We found no HIV nor HBV infections in Galle and Kandy, and low HIV (0.4%) and HBV surface antigen (0.6%) prevalence in Colombo. FSW in Colombo had higher positivity on Treponema pallidum-particle agglutination test (8.4%) compared to Galle (2.0%) and Kandy (2.5%). About two thirds of FSW heard of HIV in each of the cities. Around 90% of FSW used condom at last sex with a client in both Colombo and Galle, but considerably less in Kandy (57.1%). However, lower proportion of FSW used condoms every time during sex with clients in the past 30 day: 22.9% of FSW in Colombo, 26.6% in Kandy and 68.4% in Galle. Across cities, 17.5%-39.5% of FSW reported being tested for HIV in the past 12 months or knowing HIV positive status. The commonest reasons for never testing for HIV was not knowing where to test (54.2% in Colombo, 41.8% in Galle, 48.1% in Kandy) followed by inconvenient testing location (23.7% in Colombo and 31.1% in Kandy). HIV has not yet been firmly established among FSW in three cities in Sri Lanka, but the vulnerability towards HIV and STIs is substantial. HIV interventions should be intensified by expanding community-based HIV testing approaches, increasingawareness of HIV risks and addressing socio-structural vulnerabilities of FSW to HIV.


Asunto(s)
Seropositividad para VIH/epidemiología , Hepatitis B/epidemiología , Trabajadores Sexuales/estadística & datos numéricos , Sífilis/epidemiología , Serodiagnóstico del SIDA/estadística & datos numéricos , Adolescente , Adulto , Femenino , Humanos , Persona de Mediana Edad , Sri Lanka , Serodiagnóstico de la Sífilis/estadística & datos numéricos , Sexo Inseguro/estadística & datos numéricos
3.
Sex Transm Infect ; 96(6): 422-427, 2020 09.
Artículo en Inglés | MEDLINE | ID: mdl-32605930

RESUMEN

OBJECTIVES: Transgender men who have sex with men (TMSM) represent an understudied population in relation to screening for HIV and sexually transmitted infections (STIs). We examined HIV and STI testing prevalence among TMSM along with the factors associated with testing in a diverse US nationwide sample of TMSM. METHODS: Data from a cross-sectional online convenience sample of 192 TMSM were analysed using multivariable binary logistic regression models to examine the association between sociodemographic and behavioural factors and lifetime testing for HIV, bacterial STIs and viral STIs, as well as past year testing for HIV. RESULTS: More than two-thirds of TMSM reported lifetime testing for HIV (71.4%), bacterial STIs (66.7%), and viral STIs (70.8%), and 60.9% had received HIV testing in the past year. Engaging in condomless anal sex with a casual partner whose HIV status is different or unknown and having fewer than two casual partners in the past 6 months were related to lower odds of lifetime HIV, bacterial STI, viral STI and past year HIV testing. Being younger in age was related to lower probability of testing for HIV, bacterial STIs and viral STIs. Furthermore, TMSM residing in the South were less likely to be tested for HIV and viral STIs in their lifetime, and for HIV in the past year. Finally, lower odds of lifetime testing for viral STIs was found among TMSM who reported no drug use in the past 6 months. CONCLUSIONS: These findings indicate that a notable percentage of TMSM had never tested for HIV and bacterial and viral STIs, though at rates only somewhat lower than among cisgender MSM despite similar patterns of risk behaviour. Efforts to increase HIV/STI testing among TMSM, especially among those who engage in condomless anal sex, are needed.


Asunto(s)
Infecciones por VIH/diagnóstico , Tamizaje Masivo/estadística & datos numéricos , Conducta Sexual/estadística & datos numéricos , Enfermedades Bacterianas de Transmisión Sexual/diagnóstico , Enfermedades Virales de Transmisión Sexual/diagnóstico , Personas Transgénero , Adolescente , Adulto , Bisexualidad , Condones/estadística & datos numéricos , Estudios Transversales , Femenino , Homosexualidad Masculina , Humanos , Masculino , Persona de Mediana Edad , Minorías Sexuales y de Género , Enfermedades de Transmisión Sexual/diagnóstico , Estados Unidos , Sexo Inseguro/estadística & datos numéricos , Adulto Joven
4.
J Int AIDS Soc ; 23(7): e25583, 2020 07.
Artículo en Inglés | MEDLINE | ID: mdl-32697423

RESUMEN

INTRODUCTION: In light of the COVID-19 pandemic, considerable effort is going into identifying and protecting those at risk. Criminalization, stigmatization and the psychological, physical, behavioural and economic consequences of substance use make people who inject drugs (PWID) extremely vulnerable to many infectious diseases. While relationships between drug use and blood-borne and sexually transmitted infections are well studied, less attention has been paid to other infectious disease outbreaks among PWID. DISCUSSION: COVID-19 is likely to disproportionally affect PWID due to a high prevalence of comorbidities that make the disease more severe, unsanitary and overcrowded living conditions, stigmatization, common incarceration, homelessness and difficulties in adhering to quarantine, social distancing or self-isolation mandates. The COVID-19 pandemic also jeopardizes essential for PWID services, such as needle exchange or substitution therapy programmes, which can be affected both in a short- and a long-term perspective. Importantly, there is substantial evidence of other infectious disease outbreaks in PWID that were associated with factors that enable COVID-19 transmission, such as poor hygiene, overcrowded living conditions and communal ways of using drugs. CONCLUSIONS: The COVID-19 crisis might increase risks of homelessnes, overdoses and unsafe injecting and sexual practices for PWID. In order to address existing inequalities, consultations with PWID advocacy groups are vital when designing inclusive health response to the COVID-19 pandemic.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/complicaciones , Neumonía Viral/complicaciones , Abuso de Sustancias por Vía Intravenosa/complicaciones , Adulto , Brotes de Enfermedades , Sobredosis de Droga/epidemiología , Infecciones por VIH/complicaciones , Infecciones por VIH/epidemiología , Personas sin Hogar/estadística & datos numéricos , Humanos , Inyecciones/efectos adversos , Masculino , Pandemias , Factores de Riesgo , Sexo Inseguro/estadística & datos numéricos
5.
PLoS One ; 15(7): e0235237, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32667919

RESUMEN

The epidemic of hepatitis C virus (HCV) infection among HIV-infected men who have sex with men (MSM) is in its second decade, but the routes of transmission remain poorly understood. We hypothesized that by pairing single genome sequencing (SGS), to enumerate infecting HCV genomes (viruses), with detailed sexual and drug histories, we could gain insight into the routes of transmission among MSM. We used SGS to analyze blood specimens from eight HIV-infected MSM who had 10 episodes of acute (seronegative) or early HCV infections. Seven of eight men reported condomless receptive anal intercourse (CRAI), six with rectal exposure to semen, and all eight denied rectal trauma or bleeding. Of the 10 HCV infections, eight resulted from transmission of a single virus; one infection resulted from transmission of either one or a few (three or four) closely-related viruses; and one infection resulted from transmission of >10 distinct viruses. The participant infected by >10 viruses reported sharing injection equipment for methamphetamine during sex. Two other participants also injected methamphetamine during sex but they did not share injection equipment and were infected by a single virus. Conclusions: Most HCV infections of HIV-infected MSM without a history of either rectal trauma or bleeding or shared injection equipment were caused by a single virus. Intra-rectal exposure to semen during CRAI is therefore likely sufficient for HCV transmission among MSM. Conversely, rectal trauma or bleeding or shared injection equipment are not necessary for HCV transmission among MSM. These results help clarify routes of HCV transmission among MSM and can therefore help guide the design of much-needed behavioral and other interventions to prevent HCV transmission among MSM.


Asunto(s)
Coinfección/epidemiología , Infecciones por VIH/epidemiología , Hepacivirus/genética , Hepatitis C/transmisión , Adulto , Coinfección/virología , Genoma Viral/genética , Infecciones por VIH/virología , Hepacivirus/aislamiento & purificación , Hepatitis C/epidemiología , Hepatitis C/virología , Humanos , Masculino , Metanfetamina/administración & dosificación , Persona de Mediana Edad , Compartición de Agujas/efectos adversos , Compartición de Agujas/estadística & datos numéricos , Ciudad de Nueva York/epidemiología , Filogenia , ARN Viral/genética , ARN Viral/aislamiento & purificación , Factores de Riesgo , Análisis de Secuencia de ARN , Minorías Sexuales y de Género/estadística & datos numéricos , Abuso de Sustancias por Vía Intravenosa/epidemiología , Sexo Inseguro/estadística & datos numéricos
6.
Int J STD AIDS ; 31(7): 671-679, 2020 06.
Artículo en Inglés | MEDLINE | ID: mdl-32538329

RESUMEN

Early sex work initiation among female sex workers (FSWs) increases their vulnerabilities to high-risk sexual practices and sexually transmitted infections (STIs). We examined the association of early sex work with condomless sex indicators, HIV, and other STIs, including human papillomavirus, chlamydia, trichomoniasis, syphilis, and gonorrhea, among FSWs in Iran. We recruited 1347 FSWs from 13 cities in 2015, with 1296 participants (94.2%) reporting information about their age of sex work initiation. Early sex work was defined as the initiation of selling sex before 18 years of age. Adjusted odds ratios (aORs) and 95% confidence intervals (CIs) were reported using multivariable logistic regression. Overall, 10.1% of FSWs reported early sex work initiation. FSWs who initiated sex work earlier were more likely to report last-month inconsistent condom use (aOR = 3.31, 95% CI: 1.82, 6.02) and condomless sex with last client (aOR = 1.72, 95% CI: 1.15, 2.56). There was no statistically significant association between early sex work and HIV (aOR = 1.40, 95% CI: 0.43, 4.53) and any other STIs (aOR = 1.01, 95% CI: 0.69, 1.48), except for chlamydia (aOR = 2.09, 95% CI: 1.08, 4.04). These findings suggest that FSWs with early sexual debut would benefit from differentiated interventions including screening for STIs and enhanced counseling for condom use.


Asunto(s)
Condones/estadística & datos numéricos , Asunción de Riesgos , Trabajo Sexual/estadística & datos numéricos , Trabajadores Sexuales/psicología , Enfermedades de Transmisión Sexual/diagnóstico , Sexo Inseguro/estadística & datos numéricos , Adolescente , Adulto , Femenino , Humanos , Irán/epidemiología , Conducta Sexual , Parejas Sexuales , Enfermedades de Transmisión Sexual/epidemiología , Adulto Joven
7.
AIDS Behav ; 24(11): 3205-3214, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-32418164

RESUMEN

Personalized cognitive counseling (PCC) is an evidence-based intervention designed to modify HIV-related risk behavior. We assessed the impact of PCC on sexual behavior, drinking expectancy, and incidence of sexually transmitted infections (STIs) in a 6-month randomized controlled trial among 153 HIV-uninfected men who have sex with men (MSM) and transgender women (TW) in Peru. Study retention was ≥ 90%, with three HIV infections (3 Control) and 19 cases of GC/CT (10 Control, 9 PCC) at 6 months. There was a decline in condomless receptive anal intercourse in the Control (0.74, 95% CI 0.60-0.91; p < 0.01) and PCC arms (0.72, 0.55-0.94; p = 0.02) at 6-month follow-up. There was a decrease in drinking expectancy at 6 months among participants endorsing alcohol use in the PCC arm (0.89, 0.83-0.96; p < 0.01), versus no change in the Control arm (0.98, 0.92-1.04; p = 0.54). PCC was efficacious in reducing drinking expectancy and HIV risk among MSM and TW in Peru.


Asunto(s)
Consumo de Bebidas Alcohólicas/prevención & control , Terapia Cognitivo-Conductual/métodos , Consejo Dirigido/métodos , Infecciones por VIH/psicología , Homosexualidad Masculina/psicología , Conducta Sexual/estadística & datos numéricos , Personas Transgénero/psicología , Sexo Inseguro/estadística & datos numéricos , Consumo de Bebidas Alcohólicas/epidemiología , Condones , Femenino , Infecciones por VIH/diagnóstico , Infecciones por VIH/diagnóstico por imagen , Infecciones por VIH/epidemiología , Humanos , Masculino , Evaluación de Resultado en la Atención de Salud , Perú/epidemiología , Proyectos Piloto , Asunción de Riesgos , Sexo Inseguro/prevención & control
8.
AIDS Patient Care STDS ; 34(5): 193-204, 2020 05.
Artículo en Inglés | MEDLINE | ID: mdl-32396477

RESUMEN

HIV nonoccupational postexposure prophylaxis (nPEP) has been prescribed to men who have sex with men (MSM) for decades, but the global situation of nPEP implementation among this population remains unclear. To understand nPEP awareness, uptake, and factors associated with uptake among MSM, we searched PubMed, Scopus, Embase, the Cochrane Library, and Web of Science for studies reporting nPEP implementation among MSM published before May 19, 2019. We estimated pooled rates and their 95% confidence intervals (CIs) of awareness, uptake using a random-effects model. We identified 74 studies: 3 studies (4.1%) from upper-middle-income regions and 71 (95.9%) from high-income regions. The pooled rate of nPEP awareness and uptake was 51.6% (95% CI 40.6-62.5%) and 6.0% (5.0-7.1%), respectively. Pooled uptake rate was higher in upper-middle-income regions [8.9% (7.8-10.0%)] than in high-income regions [5.8% (4.8-6.9%)]. Unprotected anal sex was the most common exposure (range: 55.0-98.6%, median: 62.9%). Pooled completion of nPEP was 86.9% (79.5-92.8%). Of 19,546 MSM prescribed nPEP, 500 HIV seroconversions (2.6%) were observed. Having risky sexual behaviors and history of sexually transmitted infections were associated with higher nPEP uptake, whereas insufficient knowledge, underestimated risk of exposure to HIV, lack of accessibility, and social stigma might hinder nPEP uptake. Awareness and uptake of nPEP among MSM worldwide are low. Further efforts are needed to combat barriers to access nPEP, including improving accessibility and reducing stigma. Seroconversions post-nPEP uptake suggest that joint prevention precautions aside from nPEP are needed for high-risk MSM. More evidence from low-income and middle-income regions is needed.


Asunto(s)
Infecciones por VIH/prevención & control , Homosexualidad Masculina/estadística & datos numéricos , Profilaxis Posexposición/métodos , Sexo Inseguro/estadística & datos numéricos , Adulto , Humanos , Masculino , Persona de Mediana Edad , Asunción de Riesgos , Conducta Sexual , Enfermedades de Transmisión Sexual/prevención & control , Adulto Joven
9.
AIDS Behav ; 24(11): 3244-3251, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-32350771

RESUMEN

We assessed the coverage of sex acts by event-driven pre-exposure prophylaxis (ED-PrEP) over a 2-month period in 54 participants in the open label phase of the ANRS Ipergay trial. Participants received an electronic monitoring system device to record bottle openings. Self-questionnaires collected daily information on PrEP intake and sexual behavior. Intake was also estimated through returned pill counts. Full coverage of sex acts was defined as at least one pill taken both within 24 h before and within 48 h following sex. There was a strong correlation (r = - 0.92) between the number of bottle openings and returned pill counts. During the study, 42 participants (78%) practiced ED-PrEP and 12 (22%) daily PrEP with bottle openings at least 5 days/week whatever their sexual activity. Out of the 154 reported receptive anal sex acts, 81% were condomless: among them, PrEP coverage was hight: 97% among those practicing daily PrEP and 82% among those using ED-PrEP.


Asunto(s)
Fármacos Anti-VIH/administración & dosificación , Infecciones por VIH/prevención & control , Homosexualidad Masculina/psicología , Cumplimiento de la Medicación/estadística & datos numéricos , Profilaxis Pre-Exposición/métodos , Conducta Sexual , Sexo Inseguro/estadística & datos numéricos , Adulto , Fármacos Anti-VIH/uso terapéutico , Método Doble Ciego , Infecciones por VIH/tratamiento farmacológico , Humanos , Masculino , Evaluación de Resultado en la Atención de Salud
10.
AIDS Behav ; 24(11): 3192-3204, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-32350774

RESUMEN

The effectiveness of pre-exposure prophylaxis (PrEP) against HIV acquisition depends on treatment adherence; however, within-person associations between levels of PrEP adherence and engagement in condomless sex have not been well studied. In the context of a demonstration project, 372 men who have sex with men received once-daily PrEP and completed six study visits over 48 weeks. Two-part growth mixture modeling was used to examine the longitudinal trajectory of condomless anal intercourse (CAI) and self-reports of PrEP adherence, controlling for relevant covariates. Over time, greater PrEP adherence was contemporaneously associated with both a higher likelihood of engaging in any CAI and with a greater number of CAI acts. Substance use was also associated with a higher likelihood of engaging in CAI. Contemporaneous associations between self-reported PrEP adherence and CAI suggest that adherence behaviors may be motivated by the desire to mitigate risk of HIV infection; however, exact directionality is unknown.


Asunto(s)
Fármacos Anti-VIH/administración & dosificación , Infecciones por VIH/tratamiento farmacológico , Homosexualidad Masculina/estadística & datos numéricos , Cumplimiento de la Medicación/estadística & datos numéricos , Profilaxis Pre-Exposición/métodos , Conducta Sexual/estadística & datos numéricos , Sexo Inseguro/estadística & datos numéricos , Adulto , Fármacos Anti-VIH/uso terapéutico , Condones , Infecciones por VIH/prevención & control , Homosexualidad Masculina/psicología , Humanos , Masculino , Autoinforme , Minorías Sexuales y de Género , Adulto Joven
11.
PLoS One ; 15(4): e0231766, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32298383

RESUMEN

INTRODUCTION: Risk reduction towards safer behaviour is promoted after enrolment in HIV prevention trials. We evaluated sexual behaviour, changes in sexual behaviour and factors associated with risky behaviour after one-year of follow-up among women enrolled in HIV prevention trials in Northern Tanzania. METHODS: Self-reported information from 1378 HIV-negative women aged 18-44 enrolled in microbicide and vaccine feasibility studies between 2008-2010,was used to assess changes in behaviour during a 12-month follow-up period. Logistic regression with random intercepts was used to estimate odds ratios for trends in each behaviour over time. A behavioural risk score was derived from coefficients of three behavioural variables in a Poisson regression model for HIV incidence and thereafter, dichotomized to risky vs less-risky behaviour. Logistic regression was then used to identify factors associated with risky behaviour at 12 months. RESULTS: At baseline, 22% reported multiple partners, 28% were involved in transactional sex and only 22% consistently used condoms with non-regular partners. The proportion of women reporting multiple partners, transactional sex and high-risk sex practices reduced at each 3-monthly visit (33%, 43% and 47% reduction in odds per visit respectively, p for linear trend <0.001 for all), however, there was no evidence of a change in the proportion of women consistently using condoms with non-regular partners (p = 0.22). Having riskier behaviours at baseline, being younger than 16 years at sexual debut, having multiple partners, selling sex and excessive alcohol intake at baseline were strongly associated with increased odds of risky sexual behaviour after 12 months (p<0.005 for all). CONCLUSION: An overall reduction in risky behaviours over time was observed in HIV prevention cohorts. Risk reduction counselling was associated with decreased risk behaviour but was insufficient to change behaviours of all those at highest risk. Biological HIV prevention interventions such as PrEP for individuals at highest risk, should complement risk reduction counselling so as to minimize HIV acquisition risk.


Asunto(s)
Infecciones por VIH/epidemiología , Conducta Sexual/estadística & datos numéricos , Sexo Inseguro/prevención & control , Adolescente , Adulto , Alcoholismo , Estudios de Cohortes , Condones , Consejo , Demografía , Estudios de Factibilidad , Femenino , Estudios de Seguimiento , Infecciones por VIH/prevención & control , Humanos , Modelos Logísticos , Oportunidad Relativa , Factores de Riesgo , Conducta de Reducción del Riesgo , Asunción de Riesgos , Parejas Sexuales , Factores Sociológicos , Tanzanía/epidemiología , Sexo Inseguro/estadística & datos numéricos , Adulto Joven
13.
AIDS Behav ; 24(10): 2918-2926, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-32297067

RESUMEN

Despite the high HIV incidence among men who have sex with men (MSM) in China, over half of MSM have never been tested for HIV before (MSMNT). Through a serial cross-sectional study from 2012 to 2016 in Shenyang, China, we studied 1036 MSMNT, and diagnosed 16.2% (168/1036) with HIV. The percentage of MSMNT who had condomless anal intercourse (CAI) in the past year increased from 42.1% (130/309) in 2012 to 63.4% (102/161) in 2016 (P < 0.001). 61.9% (104/168) of HIV-positive MSMNT had CAI and this percentage remained constant for the study period (P = 0.593). 53.3% (463/868) of HIV-negative MSMNT had CAI and this percentage significantly increased over the study period (P < 0.001). Encouraging HIV testing in this key subset through online HIV risk self-evaluation tools and HIV self-testing kits may help mitigate the overall MSM HIV incidence.


Asunto(s)
Condones/estadística & datos numéricos , Homosexualidad Masculina/estadística & datos numéricos , Conducta Sexual/estadística & datos numéricos , Sexo Inseguro/estadística & datos numéricos , Adulto , China/epidemiología , Estudios Transversales , Infecciones por VIH/epidemiología , Infecciones por VIH/psicología , Infecciones por VIH/transmisión , Homosexualidad Masculina/etnología , Humanos , Masculino , Persona de Mediana Edad , Prevalencia , Medición de Riesgo , Asunción de Riesgos , Parejas Sexuales , Minorías Sexuales y de Género , Factores Socioeconómicos , Sífilis/epidemiología , Sífilis/transmisión
14.
Enferm. glob ; 19(58): 109-119, abr. 2020. tab
Artículo en Español | IBECS | ID: ibc-195552

RESUMEN

OBJETIVO: Analizar las prácticas sexuales y el comportamiento de jóvenes universitarios frente a las Infecciones Sexualmente Transmisibles. METODOLOGÍA: Se trata de un estudio descriptivo, transversal, en abordaje cuantitativo realizado en una universidad privada en Río de Janeiro. Participaron 768 estudiantes, con edades entre 18 y 29 años, regularmente matriculados. RESULTADOS: Los universitarios son solteros (58,72%), heterosexuales (85,80%) y sexualmente activos (85,16%); iniciaron actividades sexuales en el grupo de edad de 12-17 años (76,9%); el 77,83% relató tener una alianza fija y de esos 54,62% no utilizan preservativo; 50,31% informaron una multiplicidad de asociaciones sexuales, y el 62,84% no usa el preservativo en todas las relaciones sexuales. Los estudiantes informaron consumir alcohol (66,41%), siendo uso esporádico (50,39%), sin embargo, añaden que no tomaron antes de la última relación sexual (69,42%). En cuanto a los cuidados con la salud, el 57,81% buscó atención en los últimos 12 meses, siendo informada por 4,82% jóvenes la ocurrencia de infecciones sexualmente transmisibles. CONCLUSIÓN: La asunción del comportamiento de riesgo por los jóvenes los hace vulnerables a las IST. Las acciones de educación en salud y estímulo para el autocuidado del grupo son relevantes para reducir perjuicios a la salud sexual de ese contingente poblacional


OBJECTIVE: To analyze the sexual practices and the behavior of university students regarding Sexually Transmitted Infections. METHODOLOGY: This is a descriptive, cross-sectional, quantitative study conducted at a private university in Rio de Janeiro. A total of 768 students, aged 18 to 29 years, and regularly enrolled in the institution participated in the study. RESULTS: University students were mostly single (58.72%), heterosexual (85.80%), sexually active (85.16%), had initiated sexual life in the age group of 12-17 years (76.9%), reported having a steady partnership (77.83%), did not use condoms (54.62%), reported multiplicity of sexual partners (50.31%), and did not use condoms in all sexual intercourses (62.84%). The students reported using alcohol (66.41%), although sporadically (50.39%), but they had not used before the last sexual intercourse (69.42%). Regarding health care, 57.81% sought care in the last 12 months, and the occurrence of sexually transmitted infections was reported by 4.82% of them. CONCLUSION: The adoption of risky behaviors by young people makes them vulnerable to STIs. Health education actions and encouragement of self-care are relevant to reduce the sexual health problems of this population contingent


OBJETIVO: Analisar as práticas sexuais e o comportamento de universitários de uma instituição privada frente às Infecções Sexualmente Transmissíveis. METODOLOGIA: trata-se de um estudo descritivo, transversal, em abordagem quantitativa realizado em uma universidade privada no Rio de Janeiro. Participaram 768 estudantes, com idades entre 18 - 29 anos, regularmente matriculados. RESULTADOS: Os universitários são solteiros (58,72%), heterossexuais (85,80%) e sexualmente ativos (85,16%); iniciaram atividades sexuais na faixa etária de 12-17 anos (76,9%); 77,83% relatou ter parceria fixa e desses 54,62% não utilizam preservativo; 50,31% informaram multiplicidade de parcerias sexuais, e 62,84% não usa o preservativo em todas as relações sexuais. Os estudantes informaram fazer uso de álcool (66,41%), sendo uso esporádico (50,39%), contudo, acrescentam que não utilizaram antes da última relação sexual (69,42%). Quanto aos cuidados com a saúde, 57,81% buscou atendimento nos últimos 12 meses, sendo informada por 4,82% jovens a ocorrência de infecções sexualmente transmissíveis. CONCLUSÃO: A assunção do comportamento de risco pelos jovens torna-os vulneráveis às IST. Ações de educação em saúde e estímulo para o autocuidado do grupo são relevantes para reduzir agravos à saúde sexual desse contingente populacional


Asunto(s)
Humanos , Masculino , Femenino , Adolescente , Adulto Joven , Adulto , Conducta Sexual/estadística & datos numéricos , Conducta Peligrosa , Enfermedades de Transmisión Sexual/epidemiología , Sexo Inseguro/estadística & datos numéricos , Enfermedades de Transmisión Sexual/prevención & control , Estudios Transversales , Brasil/epidemiología
15.
Clin Ter ; 171(2): e130-e136, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32141484

RESUMEN

AIMS: Evaluation of the knowledge and behavioral risks related to sexually transmitted infections (STIs) among the student population of the degree course in nursing at the University of Palermo. MATERIAL AND METHODS: An anonymous online a survey was provided to students that investigate to socio-demographic information, sexual habits and the level of knowledge of the STIs. Multivariable logistic regression was performed, considering it as a dependent variable "Do you permanently have unprotected sex (without a condom)? Yes", in order to evaluate the role of the variables of the questionnaire. Results are expressed as adjusted Odds Ratio (aOR). RESULTS: The sample size consists of 405. The average age of the sample is 21.65 years (standard deviation±3.24). The analysis shows that the risk of having permanently unprotected sex (without condom) is significantly associated with the following variables: "Are you engaged or single? Engaged" (aOR 3.24, 95% CI 1.66 - 6.33); "Sexual orientation. Homosexual or Bisexual (aOR 4.45, 95% CI 1.30 - 15.29); "Have you occasionally had unprotected sex (without a condom)? Yes" (aOR 5.09, 95% CI 2.69 - 9.62); "How would you define your knowledge of sexually transmitted diseases? Good" (aOR 2.07, 95% CI 1.05 - 4.08); "How would you define your knowledge about contraceptive methods? Good" (aOR 2.51, 95% CI 1.23 - 5.15); "Have you or have you ever had a sexually transmitted disease? Yes (aOR 4.43, 95% CI 1.71 - 11.53); "Do you know that men can also undergo HPV vaccination? Yes" (aOR 2.57, 95% CI 1.03 - 6.40); "Age. As the unit increase" (aOR 1.14, 95% CI 1.02 - 1.26). CONCLUSIONS: These results highlight the importance of involving university students in programs aimed at improving the knowledge in terms of STIs and increase of Sexual and reproductive health. Further, because STIs prevention is based mainly on human behavior, tailored intervention is needed especially because behavior change remains a complex challenge.


Asunto(s)
Condones , Estudiantes de Enfermería/psicología , Sexo Inseguro/estadística & datos numéricos , Condones/estadística & datos numéricos , Estudios Transversales , Femenino , Humanos , Masculino , Conducta Sexual , Enfermedades de Transmisión Sexual/prevención & control , Encuestas y Cuestionarios , Sexo Inseguro/psicología , Adulto Joven
17.
Rev Med Suisse ; 16(686): 543-545, 2020 Mar 18.
Artículo en Francés | MEDLINE | ID: mdl-32186800

RESUMEN

Although there is a substantial literature concerning the sexuality of people suffering from a psychiatric disorder, such as depression, anxiety disorder, schizophrenia, eating disorders or personality disorders, few studies have investigated the sexuality of attention deficit/hyperactivity disorder (ADHD) patients. The purpose of this article is therefore to show current knowledge about sexuality in people suffering from ADHD. The latter seem to have less sexual satisfaction, more sexual desire, more sexual dysfunction and more risky sexual behavior than the general population.


Asunto(s)
Trastorno por Déficit de Atención con Hiperactividad/psicología , Conducta Sexual , Sexualidad , Trastorno por Déficit de Atención con Hiperactividad/epidemiología , Humanos , Sexo Inseguro/estadística & datos numéricos
18.
Artículo en Inglés | MEDLINE | ID: mdl-32183402

RESUMEN

Youths and adolescents are vulnerable to HIV/STIs from unprotected sex. Promotion of young population's awareness about risky sexual behaviors is essential to develop contextualized interventions. A cross-sectional study was conducted in five Vietnamese provinces to document current attitudes and practices regarding sexual behaviors among youths. The information on sociodemographic characteristics, substance use, and sexual behaviors was collected via self-reported questionnaires. The factors associated with risky sexual behaviors were identified by the multivariate logistic regression. Among the 1200 participants, 73.5% reported having sex in their lifetime, and 48.1% used condoms at their latest sexual intercourse. Participants in urban areas were more likely not to intend to use condoms and had a higher unintended pregnancy rate than in rural areas. Older age was positively associated with not wanting to use and not using condoms. Substance-using participants were more likely to not use condoms. The participants taking alcohol or other stimulants before sex had a higher likelihood of unintended pregnancy. Respondents' attitudes and practices regarding sexual behaviors were associated with gender and employment. This study indicated that young population's awareness in Vietnam is high, however, risky sexual behaviors also remain common. Sex-related educational programs about the consequences of substance use, multiple sex partners, and unprotected sex should be developed.


Asunto(s)
Condones/estadística & datos numéricos , Conocimientos, Actitudes y Práctica en Salud , Asunción de Riesgos , Conducta Sexual , Sexo Inseguro/estadística & datos numéricos , Adolescente , Adulto , Estudios Transversales , Femenino , Infecciones por VIH/prevención & control , Humanos , Masculino , Embarazo , Embarazo no Planeado/etnología , Población Rural , Parejas Sexuales , Enfermedades de Transmisión Sexual/prevención & control , Trastornos Relacionados con Sustancias/complicaciones , Trastornos Relacionados con Sustancias/epidemiología , Población Urbana , Vietnam/epidemiología , Adulto Joven
19.
AIDS Care ; 32(sup2): 57-64, 2020 05.
Artículo en Inglés | MEDLINE | ID: mdl-32160759

RESUMEN

Little is known about how interacting psychosocial problems may influence sexual behaviour among men having sex with men taking Pre-exposure prophylaxis (PrEP). This study assessed (1) the prevalence of depression, recreational drug-use and sexual risk behaviour; (2) changes in these psychosocial conditions over time; and (3) the interaction of drug use and depression with sexual risk behaviour. We analysed data of the Belgian Be-PrEP-ared cohort study (N = 200). We assessed depression using the PHQ-9, recreational drug use and receptive condomless anal intercourse (rCAI) with anonymous partners. Frequencies of psychosocial problems were compared at baseline, 9 and 18 months follow-up (FU). Bivariate associations between depression and drug-use behaviour, and their interaction with rCAI with anonymous sexual partners using was examined using linear regression. Receptive CAI increased from 41% at baseline to 53% at M18 (p = 0.038). At baseline, we found an interaction effect of poly-drug use and depression, potentiating rCAI with anonymous partners. Participants reporting poly-drug use associated with depression were significant more likely to report this type of sexual risk behaviour than those who did not report this association (p = 0.030). The high level of intertwined psychosocial problems call for multi-level interventions for those PrEP users experiencing a syndemic burden.


Asunto(s)
Depresión/epidemiología , Profilaxis Pre-Exposición , Asunción de Riesgos , Conducta Sexual/psicología , Parejas Sexuales , Trastornos Relacionados con Sustancias/epidemiología , Sexo Inseguro/estadística & datos numéricos , Adulto , Bélgica/epidemiología , Estudios de Cohortes , Depresión/psicología , Infecciones por VIH/epidemiología , Homosexualidad Masculina/psicología , Humanos , Masculino , Persona de Mediana Edad , Prevalencia , Parejas Sexuales/psicología , Trastornos Relacionados con Sustancias/psicología , Sindémico , Adulto Joven
20.
PLoS One ; 15(2): e0228584, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32023309

RESUMEN

BACKGROUND: Migrants from high endemic countries accounted for 18% of newly diagnosed HIV infections in Europe in 2017. Knowledge on the link between HIV risk and post-migration travels and their impact on HIV acquisition is scarce, but critical to inform prevention. This study aims to explore risky sexual behaviour and HIV-acquisition among sub-Saharan African migrants, and to assess post-migration mobility as a determinant of sexual risk behaviour. METHODS: Data from two cross-sectional bio-behavioural surveys to assess HIV-prevalence conducted in Lisbon and Antwerp were analysed to explore migration-related characteristics, travel patterns, and sexual risk taking in the host country and abroad. Bi- and multivariate associations were estimated through adjusted odds ratios and 95% confidence intervals; multivariable logistic regression determined factors associated with condomless sexual intercourse. RESULTS: Among N = 1508 participants above 18 years (58% males), 68% travelled post-migration (49.2% reported intercourse abroad). The overall proportion of condomless sex at last sexual intercourse was high (68.1%). The odds of condomless sex in the host country was five times higher when the last sexual intercourse abroad was also condomless [OR:5.32; 95%CI:2.98-9.25]. About half of the travellers reported concurrency, i.e. a regular partner in the host country while having other sexual partners abroad. Almost three percent of the participants reported being HIV+, but 5% had a reactive HIV test-result, with similar proportions among travellers and non-travellers. Also, among the n = 75 participants with reactive HIV test-results, condomless sex occurred (n = 40) and was associated with mobility. CONCLUSIONS: Sub-Saharan African migrants are mobile and engage in sexual risk behaviours in the countries of residence and while travelling, increasing risk of post-migration HIV-acquisition. A transnational perspective on HIV prevention and sexual health promotion is needed for effectively reducing migrants' HIV risk related to their mobility.


Asunto(s)
Infecciones por VIH/epidemiología , Migrantes/estadística & datos numéricos , Sexo Inseguro/etnología , Adolescente , Adulto , África del Sur del Sahara , Ciudades/epidemiología , Europa (Continente) , Femenino , Migración Humana/estadística & datos numéricos , Humanos , Masculino , Persona de Mediana Edad , Migrantes/psicología , Sexo Inseguro/estadística & datos numéricos
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