A comparison of self-reported sexual risk behaviours between US civilian and active duty military women

Women in the US military report a high prevalence of sexual risk behaviours, such as binge drinking and new or multiple sexual partnerships. However, demographical differences pose challenges to making comparisons with civilians. Two public-use datasets were used to compare prevalence of sexual risk behaviours between sexually active military and civilian women, after adjusting for demographic factors. It was found that women in the military reported a higher prevalence of binge drinking and new/multiple sexual partners as compared with civilians, which suggests that military women are a high-risk group and the military environment may at least partially facilitate these risk behaviours.

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Unsafe injecting practices, sexual risk behaviours and determinants of HIV among men who inject drugs: Results from Integrated Biological and Behavioural Surveillance in India

International Journal of STD & AIDS ◽

10.1177/0956462418769808 ◽

2018 ◽

Vol 29 (11) ◽

pp. 1066-1075

Author(s):

Pradeep Kumar ◽

Bhavna Sangal ◽

Shreena Ramanathan ◽

Savina Ammassari ◽

Srinivasa Raghavan Venkatesh

Keyword(s):

Drug Use ◽

Hiv Infection ◽

Sexual Risk ◽

Multivariable Analysis ◽

High Risk Group ◽

Sexual Practices ◽

Risk Behaviours ◽

Indian States ◽

Behavioural Surveillance ◽

Sexual Risk Behaviours

In India, while an overall reduction in HIV is achieved among most key populations, the continued higher prevalence among people who inject drugs (PWIDs) is an area of concern. This paper analyses unsafe injecting and sexual risk behaviours in male PWIDs according to HIV status and also examines the determinants of HIV infection in this high-risk group. Data from India’s Integrated Biological and Behavioural Surveillance, conducted across 29 Indian states and Union Territories among 19,902 male PWIDs, were used. Informed consent was obtained and men aged 15 years or more, who used psychotropic substances or drugs in the past three months for non-medical reasons were recruited for the survey. Results from the multivariable analysis suggest that drug use debut at age 25 years or above (adjusted odds ratio [AOR]: 1.41, confidence interval [CI]: 1.05–1.88), engagement in drug use for a longer duration (AOR: 1.81, CI: 1.32–2.48), injecting three times or more per day (AOR: 1.53, CI: 1.1–2.12), sharing of needle/syringes (AOR: 1.34, CI: 1.02–1.76), self-reported sexually transmitted infections (AOR: 1.55, CI: 1.12–2.14) and higher self-risk perception for exposure to HIV (AOR: 2.08, CI: 1.58–2.75) increase the likelihood of HIV infection. Sustained higher prevalence, unsafe injecting and risky sexual practices are major challenges which may prevent India from reaching the ‘end of AIDS’ by 2030. This underscores the need for adoption of a tailored, evidence-driven HIV prevention approach that adequately addresses local needs to limit the spread of HIV within this population, and thereby prevents the onward transmission of HIV to the general population.

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Depression and sexual risk behaviours among people who inject drugs: a gender-based analysis

Sexual Health ◽

10.1071/sh14200 ◽

2015 ◽

Vol 12 (3) ◽

pp. 224 ◽

Cited By ~ 10

Author(s):

Tyler Pettes ◽

Thomas Kerr ◽

Pauline Voon ◽

Paul Nguyen ◽

Evan Wood ◽

...

Keyword(s):

Depressive Symptoms ◽

Sexual Risk ◽

Hiv Risk ◽

People Who Inject Drugs ◽

Sexual Partners ◽

Unprotected Sex ◽

Risk Behaviours ◽

Multiple Sexual Partners ◽

Sexual Risk Behaviours ◽

Generalised Estimating Equations

Background Although many people who inject drugs (PID) contend with comorbidities, including high rates of mental illness, limited attention has been given to the differences in comorbidities among men and women or the potential links between psychiatric disorders and HIV risk behaviours. We sought to longitudinally examine associations between depression and HIV-related sexual risk behaviours among PID, stratified by gender. Methods: Data were derived from a prospective cohort of PID in Vancouver, Canada between December 2005 and November 2009. Using generalised estimating equations, we examined the relationship between depressive symptoms and two types of sexual HIV risk behaviours: engaging in unprotected sex; and having multiple sexual partners. All analyses were stratified by self-reported gender. Results: Overall, 1017 PID participated in this study, including 331 (32.5%) women. At baseline, women reported significantly higher depressive symptoms than men (P < 0.001). In multivariate generalised estimating equations analyses, after adjustment for potential social, demographic and behavioural confounders, more severe depressive symptomology remained independently associated with engaging in unprotected sex [adjusted odds ratio (AOR) = 1.62, 95% confidence interval (CI): 1.18–2.23] and having multiple sexual partners (AOR = 1.54, 95% CI: 1.09–2.19) among women, but was only marginally associated with having multiple sexual partners among men (AOR = 1.18, 95% CI: 0.98–1.41). Conclusions: These findings call for improved integration of psychiatric screening and treatment services within existing public health initiatives designed for PID, particularly for women. Efforts are also needed to address sexual risk-taking among female PID contending with clinically significant depression.

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

International Journal of Adolescent Medicine and Health ◽

10.1515/ijamh-2019-0230 ◽

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.

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Partner faithfulness and sexual reproductive health practices in Botswana: does perception of partner infidelity influence sexual risk behaviours of people aged 10–34 years?

Journal of Biosocial Science ◽

10.1017/s0021932019000622 ◽

2019 ◽

Vol 52 (4) ◽

pp. 547-559

Author(s):

Motsholathebe Bowelo ◽

Serai Daniel Rakgoasi ◽

Mpho Keetile

Keyword(s):

Sexual Risk ◽

Sexual Partners ◽

Risk Behaviours ◽

Partner Communication ◽

Multiple Sexual Partners ◽

Factors Associated ◽

Concurrent Sexual Partnerships ◽

Hiv Prevention Strategies ◽

Increased Risk ◽

Sexual Risk Behaviours

AbstractThe main aim of this study was to test whether perception of partner infidelity prompts people to adopt behaviour that is meant to compensate for the increased risk of infection posed by their partner’s infidelity; or whether it prompts people to engage in behaviour that magnifies the risk associated with partner infidelity. Data used were derived from the fourth and latest Botswana AIDS Impact Survey (BAIS IV) conducted in 2013. The sample consisted of 6985 people aged 10–34 years. Logistic regression analysis was used to identify factors associated with perception of partner infidelity and sexual risk behaviours. Perception of partner infidelity with the current and most recent partner was 39.6% while perception of partner infidelity with other previous sexual partners was 79.9%. The main socio-demographic factors associated with perception of partner infidelity were being a man, being single and having secondary education, while sexual risk behaviours associated with perception of partner infidelity were having multiple sexual partners and being involved in multiple concurrent sexual partnerships. These relationships were statistically significant at the 5% level. Botswana’s HIV prevention strategies should seek to improve partner communication within relationships in order to enhance people’s confidence and skills so as to minimize perceptions of infidelity.

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