The effect of drug and sexual risk behaviours with social network and non-network members on homeless youths' sexually transmissible infections and HIV testing

Sexual Health ◽  
2010 ◽  
Vol 7 (4) ◽  
pp. 434 ◽  
Author(s):  
Kimberly Tyler ◽  
Lisa Melander
Keyword(s):  
Social Network ◽  
Hiv Testing ◽  
Sexual Risk ◽  
Risk Behaviours ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Sexually Transmissible Infections ◽  
Unit Increase ◽  
Key Factor ◽  
Sexual Risk Behaviours

Background: The study examined whether engaging in drug and sexual risk behaviours with social network and non-network members (strangers) differentially affected the decision to test for sexually transmissible infections (STIs) and HIV. Methods: A cross-sectional survey was conducted among 249 homeless youths aged 14–21 years. Results: Multivariate analyses revealed that females were over three times more likely than males to test for STIs (adjusted odds ratio (AOR) = 3.34; 95% confidence interval (CI) = 1.54–7.25). For every one unit increase in age, there was a 37% increase in the likelihood of having tested for STIs (AOR = 1.37; 95% CI = 1.12–1.68). Youths who had sex after using alcohol and drugs with strangers were approximately 3.5 times more likely to have tested for STIs (AOR = 3.45; 95% CI = 1.38–8.61). For every one unit increase in age, there was a 26% increase in the likelihood of having tested for HIV (AOR = 1.26; 95% CI = 1.05–1.51). Youths who had sex with a stranger after using alcohol or drugs were over three times more likely to test for HIV (AOR = 3.22; 95% CI = 1.42–7.31). No social network variables reached significance for STI or HIV testing. Conclusions: Being older and engaging in drug and sexual risk behaviours with strangers are important correlates of STI and HIV testing. Females are more likely than males to be tested for STIs. Engaging in risky behaviours with social network members was not a key factor in deciding whether to be tested.

HIV and syphilis and sexual risk behaviours among men who have sex with men attending university in China: a systematic review and meta-analysis

Sexual Health ◽  
2019 ◽  
Vol 16 (6) ◽  
pp. 554 ◽  
Author(s):  
Song Fan ◽  
Zuyao Yang ◽  
Fengsu Hou ◽  
Maohe Yu ◽  
Zhenzhou Luo ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Sexual Risk ◽  
Meta Analysis ◽  
Male Partner ◽  
Anal Intercourse ◽  
Hiv Prevalence ◽  
Risk Behaviours ◽  
Sex With Men ◽  
Group Sex ◽  
Sexual Risk Behaviours

Background This study was conducted to summarise the HIV epidemic, sexual behaviours and HIV testing among men who have sex with men (MSM) attending university in China. Methods: Five databases were searched for student MSM information in English and Chinese language publications. Meta-analyses were performed to calculate the pooled prevalence of HIV and syphilis, pooled mean age at first anal intercourse (AFAI) and the rate of other HIV-related behaviours among MSM attending university in China. Univariate meta-regression and subgroup analysis were conducted to explore potential sources of heterogeneity. Publication bias was measured using Egger’s test. Results: Thirty-three articles representing 31 studies were included in the analysis. The pooled HIV prevalence was 4.1% (95% CI 3.1–5.0%). The estimated AFAI was 18.7 years, but 37.5% of students had their first anal intercourse before 18 years of age. Most (88.2%) had their first sexual intercourse with a male partner. Of the MSM attending university, 4.2% of MSM engaged in commercial sex (either selling or buying sex), 10.3% had ever engaged in group sex, 13.1% had had sex with a female partner in the past month and 10.1% had ever used drugs. Most (77.7%) sought sex partners via geosocial networking gay apps or the Internet, and 42.9% had ever tested for HIV. There was a tendency for an increase in lifetime HIV testing rate from 32% in 2005–07 to 53% in 2014–16. Conclusions: This review found high HIV prevalence, early AFAI and a high prevalence of sexual risk behaviours among MSM attending university in China. Interventions aimed at increasing HIV testing and reducing sexual risk behaviours are urgently needed among this young population.

scholarly journals Gender differences in sexual risk behaviours and sexually transmissible infections among adolescents in mental health treatment

Sexual Health ◽  
2012 ◽  
Vol 9 (3) ◽  
pp. 240 ◽  
Author(s):  
Puja Seth ◽  
Delia L. Lang ◽  
Ralph J. DiClemente ◽  
Nikia D. Braxton ◽  
Richard A. Crosby ◽  
...  
Keyword(s):  
Mental Health ◽  
Gender Differences ◽  
Sexual Risk ◽  
Mental Health Treatment ◽  
Female Adolescents ◽  
Risk Behaviours ◽  
Health Treatment ◽  
Hiv Test ◽  
Sexually Transmissible Infections ◽  
Sexual Risk Behaviours

Background Adolescents with a history of psychiatric disorder(s) are particularly vulnerable to contracting sexually transmissible infections (STIs) as a result of psychological and emotional states associated with higher rates of risky sexual behaviour. The present study examined gender differences in sexual risk behaviours and STI among adolescents in mental health treatment. Methods: Three hundred and seventy nine sexually active adolescents, aged 13–18 years, from a larger multisite study, who received mental health treatment during the past year, completed an audio computer-assisted self interview assessing sociodemographics, psychiatric symptomatology and HIV/STI risk behaviours, and provided urine specimens tested for STI. Results: After controlling for covariates, multivariate logistic regression models indicated that female adolescents were more likely to have had an HIV test (adjusted odds ratio (AOR) = 3.2, P = 0.0001), obtain their HIV test results (AOR = 2.9, P = 0.03), refuse sex out of fear for STI acquisition (AOR = 1.7, P = 0.04), or avoid a situation that might lead to sex (AOR = 2.4, P = 0.001), and were less likely to have a casual sex partner (AOR = 0.40, P = 0.002). Additionally, females were more likely to report inconsistent condom use (AOR = 2.60, P = 0.001) and have a STI (AOR = 9.1, P = 0.0001) than their male counterparts. Conclusions: Female adolescents receiving mental health treatment were more than nine times as likely to have an STI and more likely to use condoms inconsistently. The standard of care for mental health practice for adolescents should include referrals for STI screening and treatment as well as assessment and discussion of risky sexual behaviours as part of the treatment plan when indicated. Effective programs should address gender-specific communication and behavioural skills.

scholarly journals HIV testing is associated with increased knowledge and reductions in sexual risk behaviours among men in Cape Town, South Africa

2013 ◽  
Vol 12 (4) ◽  
pp. 195-201 ◽  
Author(s):  
Lori AJ Scott-Sheldon ◽  
Michael P Carey ◽  
Kate B Carey ◽  
Demetria Cain ◽  
Leickness C Simbayi ◽  
...  
Keyword(s):  
South Africa ◽  
Hiv Testing ◽  
Sexual Risk ◽  
Cape Town ◽  
Risk Behaviours ◽  
Sexual Risk Behaviours

scholarly journals Poly-substance use and sexual risk behaviours: a cross-sectional comparison of adolescents in mainstream and alternative education settings

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Marion Henderson ◽  
Catherine Nixon ◽  
Martin J. McKee ◽  
Denise Smith ◽  
Daniel Wight ◽  
...  
Keyword(s):  
Substance Use ◽  
Alternative Education ◽  
Sexual Risk ◽  
Risk Behaviours ◽  
Cross Sectional ◽  
Sexual Risk Behaviours

scholarly journals Poor mental health and sexual risk behaviours in Uganda: A cross-sectional population-based study

2011 ◽  
Vol 11 (1) ◽  
Author(s):  
Patric Lundberg ◽  
Godfrey Rukundo ◽  
Schola Ashaba ◽  
Anna Thorson ◽  
Peter Allebeck ◽  
...  
Keyword(s):  
Mental Health ◽  
Sexual Risk ◽  
Population Based ◽  
Poor Mental Health ◽  
Risk Behaviours ◽  
Cross Sectional ◽  
Population Based Study ◽  
Sexual Risk Behaviours

scholarly journals Sexual health of homeless youth: prevalence and correlates of sexually transmissible infections

Sexual Health ◽  
2007 ◽  
Vol 4 (1) ◽  
pp. 57 ◽  
Author(s):  
Kimberly A. Tyler ◽  
Les B. Whitbeck ◽  
Xiaojin Chen ◽  
Kurt Johnson
Keyword(s):  
High Risk ◽  
Homeless Youth ◽  
Sexual Practices ◽  
High Risk Population ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Midwestern Usa ◽  
Sexually Transmissible Infections ◽  
Unit Increase ◽  
Sexual Histories

Background: The study examined risk factors for having ever contracted sexually transmissible infections (STI) among a high-risk sample in midwestern USA. Methods: A cross sectional survey was conducted among 428 homeless youth aged 16–19 years. Assessed correlates included child maltreatment, street exposure, sexual histories, street experiences and substance use. Results: Multivariate analyses revealed that males were 86% less likely to have had STI compared with females (adjusted odds ratio [AOR] = 0.14; 95% confidence interval [CI] = 0.06–0.31). Blacks were almost four times more likely (AOR = 3.71; 95% CI = 1.80–7.63) and other races were over two times more likely (AOR = 2.25; 95% CI = 1.08–4.67) to have had STI compared with whites. For every one unit increase in the number of times youth ran away, there was a 3% increase in the likelihood of ever having had an STI (AOR = 1.03; 95% CI = 1.01–1.06). For every one unit increase in frequency of condom use there was a 61% decrease in the likelihood of an STI (AOR = 1.39; 95% CI = 1.10–1.76). Finally, youth who traded sex were approximately 2.5 times more likely to have had STI compared with youth who did not trade sex (AOR = 2.36; 95% CI = 1.04–5.34). None of the remaining correlates approached multivariate significance. Conclusions: The amount of time youth spend on the street, their sexual practices, and their subsistence strategies are important correlates of STI and females and non-whites are particularly vulnerable among this high-risk population.

Sexual risk behaviour and its correlates among adolescents in Indonesia, Laos, Thailand and Timor-Leste: results from national school surveys in 2015

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Karl Peltzer ◽  
Supa Pengpid
Keyword(s):  
Sexual Risk ◽  
Sexuality Education ◽  
Scale Up ◽  
Risk Behaviour ◽  
Sexual Risk Behaviour ◽  
Risk Behaviours ◽  
Cross Sectional ◽  
Multiple Sexual Partners ◽  
Timor Leste ◽  
Sexual Risk Behaviours

AbstractObjectivesThe study aimed to assess the prevalence and correlates of sexual risk behaviours among adolescents in four Southeast Asian countries.MethodsIn the cross-sectional “Global School-Based Student Health Survey (GSHS)”, 24,423 adolescents (mean age 14.1 years, SD=1.7) from Indonesia, Laos, Thailand and Timor-Leste responded to a questionnaire in 2015.ResultsOverall, 8.5% of the students (11.0% males and 6.3% females) ever had sex, ranging from 5.3% in Indonesia to 26.4% in Timor-Leste. Among the sexually active, 49.3% (55.9% males and 36.8% females) had their first sexual intercourse before the age 14 years, ranging from 16.1% in Laos to 73.9% in Indonesia, 59.7% (62.6% males and 53.5% females) had multiple sexual partners, ranging from 55.5% in Timor-Leste to 63.4% in Indonesia, 46.9% (46.8% males and 46.5% females) did not use a condom at last sex, ranging from 37.0% in Thailand to 65.3% in Indonesia, 49.8% (53.7% males and 43.7% females) had not used or did not know of the use of birth control at last sex, ranging from 40.6% in Thailand to 61.5% in Timor-Leste, and 54.2% (54.9% males and 47.0% females) engaged in multiple sexual risk behaviour, ranging from 45.9% in Laos to 78.0% in Indonesia. In adjusted logistic regression analysis, male sex, older age, food insecurity, tobacco use, alcohol use, ever cannabis and/or amphetamine use, psychological distress, and school truancy were associated with two or more and/or multiple sexual risk behaviours.ConclusionsA high proportion of students engaged in various sexual risk behaviours calling for a scale up comprehensive sexuality education and integration of substance use and mental health into such intervention programmes in this adolescent school population.

scholarly journals Safe-sex belief and sexual risk behaviours among adolescents from three developing countries: a cross-sectional study

BMJ Open ◽  
2015 ◽  
Vol 5 (4) ◽  
pp. e007826-e007826 ◽  
Author(s):  
A. Osorio ◽  
C. Lopez-del Burgo ◽  
M. Ruiz-Canela ◽  
S. Carlos ◽  
J. de Irala
Keyword(s):  
Developing Countries ◽  
Sexual Risk ◽  
Safe Sex ◽  
Cross Sectional Study ◽  
Risk Behaviours ◽  
Sectional Study ◽  
Cross Sectional ◽  
Sexual Risk Behaviours

scholarly journals Sexual health, vulnerabilities and risk behaviours among homeless adults

Sexual Health ◽  
2014 ◽  
Vol 11 (1) ◽  
pp. 91 ◽  
Author(s):  
Verena Strehlau ◽  
Iris Torchalla ◽  
Isabelle Linden ◽  
Kathy Li ◽  
Michael Krausz
Keyword(s):  
Sexual Health ◽  
Significant Proportion ◽  
Health Policies ◽  
Risk Behaviours ◽  
Vulnerability Factors ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Homeless Adults ◽  
Sexually Transmissible Infections ◽  
Sexual Vulnerability

It is well known that homeless individuals are at risk for a variety of health problems, including sexually transmissible infections. Optimisation of health services for the homeless requires knowledge of their sexual health. The sexual health and sexual vulnerability factors of 500 homeless adults (196 women) were assessed in a cross-sectional survey in three Canadian cities. Our data indicate that a significant proportion of individuals and more women than men reported multiple experiences that compromise their sexual health exponentially. These findings may inform health policies related to sexuality to foster positive sexual health outcomes for all people, including marginalised populations.

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