Alcohol misuse, sexual risk behaviour and adverse sexual health outcomes: evidence from Britain's national probability sexual behaviour surveys

ObjectiveInternet-based HIV testing offers the potential to address privacy-related barriers to testing and increase frequency of testing but may result in missed opportunities related to sexual health education and prevention that typically occur in face-to-face encounters. In this study, we assessed the HIV test knowledge and sexual risk behaviour of clients testing for HIV through GetCheckedOnline, an internet-based sexually transmitted and bloodborne infection testing platform inclusive of HIV testing, in comparison to clients testing through a large sexual health clinic.MethodsWe concurrently recruited GetCheckedOnline clients and clinic clients from Vancouver, Canada, over the course of a 10-month period during 2015–2016. Participants completed baseline and 3-month questionnaires, anonymous and online. A six-item score was used to estimate knowledge of HIV test concepts typically conveyed during an HIV pretest encounter in a clinic. We used multiple regression to estimate associations between testing modality (online vs clinic based) and two outcomes—HIV test knowledge and change in condom use pre/post-test—with adjustment for relevant background factors.ResultsAmong 352 participants, online testers demonstrated higher HIV post-test knowledge than clinic-based testers (mean score 4.65/6 vs 4.09/6; p<0.05); this difference was reduced in adjusted analysis (p>0.05). Men who have sex with men, clients with a university degree, those who have lived in Canada >10 years and English speakers had higher HIV post-test knowledge (p<0.05). Eighteen per cent of online testers and 10% of clinic-based testers increased condom use during the 3 months post-test (p>0.05).ConclusionsIn this comparative study between online and clinic-based testers, we found no evidence of decreased HIV test knowledge or decreased condom use following HIV testing through GetCheckedOnline. Our findings suggest that with careful design and attention to educational content, online testing services may not lead to missed opportunities for HIV education and counselling.

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Correlations between drug use, HIV disclosure and interpersonal communication on sexual risk behaviour of HIV-positive men who have sex with men

BMC Proceedings ◽

10.1186/s12919-020-00200-5 ◽

2020 ◽

Vol 14 (S13) ◽

Author(s):

Lussy Afriyanti ◽

Agung Waluyo ◽

Sri Yona

Keyword(s):

High Risk ◽

Drug Use ◽

Sexual Risk ◽

Interpersonal Communication ◽

Sexual Behaviour ◽

Risk Behaviour ◽

Educational Status ◽

Hiv Disclosure ◽

Hiv Positive ◽

Sexual Risk Behaviour

Abstract Background The Human Immunodeficiency Virus (HIV) epidemic is a global health problem whose number of cases are always higher among men who have sex with men (MSM). Most existing MSM have moderate and very high risk behaviour in HIV transmission. This study was designed to identify correlations between drug use, HIV disclosure and interpersonal communication patterns on sexual risk behaviour among HIV-positive MSM. Methods This study used a cross sectional design with a purposive sampling technique for participants who visited the voluntary counselling and testing (VCT) clinic in a referral hospital and snowball sampling technique for participants in the work area of a community health centre in Batam involving 126 HIV-positive MSM. Data were collected by 5 part questionnaire, namely demographic questionnaire, drug screening questionnaire, brief scale for HIV self disclosure, communication pattern questionnaire-short form, and safe sex behaviour questionnaire. Bivariate analysis was applied to determine whether there is a relationship between drug use, HIV disclosure, interpersonal communication and demographic characteristics (ethnicity, educational status) with sexual risk behaviour of MSM. Logistic regression analysis was used to explore the variables that most associated variable to sexual risk behaviour. The results The results showed that there was significant correlation between HIV disclosure and sexual risk behaviour (p = 0.019, α = 0.05, OR = 2.530) and significant correlation between interpersonal communication patterns and sexual risk behaviour (p = 0.016, α = 0.05, OR = 2.589). There is no significant correlation between demographic characteristics, namely: ethnicity and educational status with sexual behaviour at risk of MSM. In multiple logistic regression analysis, educational status was the factor that most associated with sexual risk behaviour among HIV-positive MSM (p = 0.027, α = 0.05, OR = 2.807, 95% CI = 1.125–7.006). Conclusions HIV disclosure and interpersonal communication patterns have a significant negative correlation with sexual risk behaviour among HIV-positive MSM. MSM with low HIV disclosure have high risk sexual behaviour opportunities. MSM with the closed interpersonal communication pattern also has a high risk of sexual behaviour. Education status was the most associated variable to sexual risk behaviour of HIV-positive MSM. Nurses as professional health workers need to improve comprehensive assessment, personal counselling and plan specific learning model by involving HIV-positive MSM in reducing HIV transmission from risky behaviour.

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Latent classes of sexual risk and corresponding STI and HIV positivity among MSM attending centres for sexual health in the Netherlands

Sexually Transmitted Infections ◽

10.1136/sextrans-2019-053977 ◽

2019 ◽

Vol 96 (1) ◽

pp. 33-39 ◽

Cited By ~ 1

Author(s):

Isabel A L Slurink ◽

Birgit H B van Benthem ◽

Martijn S van Rooijen ◽

Roel C A Achterbergh ◽

Fleur van Aar

Keyword(s):

Sexual Health ◽

Sexual Risk ◽

Risk Behaviour ◽

Low Risk ◽

Hiv Positive ◽

Sexual Risk Behaviour ◽

Latent Classes ◽

Related Factors ◽

Risky Behaviours ◽

Group Sex

ObjectivesContinuing high STI positivity among men who have sex with men (MSM) attending centres for sexual health (CSH) indicates that high-risk behaviour is ongoing. The objective of this study was to gain a better insight into risk behaviours among MSM attending CSH and to explore STI and HIV positivity by subgroups.MethodsWe used national data routinely collected during CSH consultations for this study. From September to December 2017, questions on group sex, substance use and sex with HIV-positive partners were asked at each CSH consultation. We analysed latent classes of client-related factors and sexual risk behaviour among MSM attending CSH in this period. We examined STI positivity and prevalence ratios by latent classes.ResultsA total of six classes were identified in order of increasing risk: ‘overall low-risk behaviour’ (n=2974; 22.0%), ‘Western origin and multiple sex partners’ (MSP) (n=4182; 30.9%), ‘Non-Western origin and MSP’ (n=2496; 18.5%), ‘living with HIV’ (n=827; 6.1%), ‘group sex and HIV-positive partners’ (n=1798; 13.3%) and ‘group sex and chemsex’ (n=1239; 9.2%). The any STI positivity ranged from 14.0% in the overall low-risk behaviour class to 35.5% in the group sex and chemsex class. HIV positivity did not differ significantly between classes. The Western origin and MSP class was largest and accounted for the majority of STI and HIV infections.ConclusionsAlthough STI positivity increased with increased risky behaviours, considerable STI positivity was found in all six latent classes. Comparable HIV positivity between classes indicates risk reduction strategies among subgroups engaged in risky behaviours. The differences in risk behaviour and STI positivity require preventive strategies tailored to each subgroup.

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Do family factors protect against sexual risk behaviour and teenage pregnancy among multiply disadvantaged young people? Findings from an English longitudinal study

Sexual Health ◽

10.1071/sh14005 ◽

2014 ◽

Vol 11 (3) ◽

pp. 265 ◽

Cited By ~ 2

Author(s):

Chris Bonell ◽

Meg Wiggins ◽

Adam Fletcher ◽

Elizabeth Allen

Keyword(s):

Young People ◽

Sexual Health ◽

Sexual Risk ◽

Young Women ◽

Teenage Pregnancy ◽

Risk Behaviour ◽

Family Factors ◽

Sexual Risk Behaviour ◽

Deprived Neighbourhoods ◽

Contraception Use

Background Structure and parenting within family of origin have been found to be determinants of sexual risk and teenage pregnancy in the general youth population. Few studies have examined determinants of sexual risk among disadvantaged young people; those that do have not examined teenage pregnancy outcomes. Methods: Longitudinal data from a cohort of multiply disadvantaged at-risk young people aged 13–15 years living in deprived neighbourhoods in England (n = 1285) were analysed to examine how family structure, communication with parents and parental interest in education were associated with heterosexual debut, contraception use, expectation of teenage pregnancy and teenage pregnancy. Results: At follow-up, young women living with both biological parents were less likely than other young women to become pregnant (odds ratio (OR) = 0.21, 95% confidence interval (CI): 0.04–0.97). Young women who could talk to their mothers about private things were less likely to expect to become a teenage parent (OR = 0.61, 95% CI: 0.37–0.99). Those whose parents cared very much how they did at school were less likely to report contraception nonuse (OR = 0.44, 95% CI: 0.21–0.93). After adjustment, no associations between any family factors and sexual health outcomes were found for young men. Conclusions: We found limited evidence for family-related effects on sexual health risk or teenage pregnancy among disadvantaged young women in England and no evidence of risk factors within the home environment for young men’s outcomes. This suggests that targeted family-based interventions may not be appropriate for addressing these outcomes.

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Poly drug use, chemsex drug use, and associations with sexual risk behaviour in HIV-negative men who have sex with men attending sexual health clinics

International Journal of Drug Policy ◽

10.1016/j.drugpo.2017.01.001 ◽

2017 ◽

Vol 43 ◽

pp. 33-43 ◽

Cited By ~ 84

Author(s):

Janey Sewell ◽

Ada Miltz ◽

Fiona C. Lampe ◽

Valentina Cambiano ◽

Andrew Speakman ◽

...

Keyword(s):

Drug Use ◽

Sexual Health ◽

Sexual Risk ◽

Risk Behaviour ◽

Sexual Risk Behaviour ◽

Health Clinics ◽

Sex With Men ◽

Sexual Health Clinics ◽

Hiv Negative

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Overview of HIV Prevention among In-school Adolescents in the Rural Areas of Abia State of Nigeria

Journal of Clinical Research in HIV AIDS and Prevention ◽

10.14302/issn.2324-7339.jcrhap-20-3633 ◽

2021 ◽

Vol 4 (1) ◽

pp. 14-25

Author(s):

Enwereji, E.E ◽

Onyemechi, P.E.N

Keyword(s):

Hiv Prevention ◽

Sexual Risk ◽

Sexual Behaviour ◽

Rural Areas ◽

Risk Behaviour ◽

Sexual Relationships ◽

Hiv And Aids ◽

Sexual Risk Behaviour ◽

Cross Sectional Survey ◽

Cross Sectional

Introduction HIV prevention services to in-school adolescents need good planning and management. HIV risk reduction interventions are geared toward measuring sexual risk behaviour outcomes of adolescents that predispose them to HIV infection. The sexual behaviour of adolescents, especially in-school adolescents should be assessed in the process. Adolescents have been identified as the most vulnerable group for acquiring human immunodeficiency virus (HIV) and other sexually transmitted diseases (STDs) and as such, measures should be taken to prevent them from infection. One important reason for higher HIV prevalence among adolescents, especially girls, is the frequent practice of age-discrepant partnering, where older men, who are more likely to be infected with HIV, form sexual partners with younger girls. The objective of this study is to assess the knowledge and sexual behaviour of in-school adolescents in the prevention of HIV and AIDs in rural areas of Abia State. Materials and Methods This is a descriptive cross-sectional survey that was conducted between January and March 2020. Information was collected from 66 students of a community secondary school in the state. Participants were selected by a multi-stage sampling method and data were obtained using a semi-structured pre-tested questionnaire. Results Respondents consisted of 40(60.6%) females and 26(39.4%) males with ages ranging from 13 to 19. Some of the respondents 28 (42.4%), are living with parents while 24(36.4%) live with close relatives. A good number of the respondents 39(59.1%), accepted that their friends are HIV positive. Majority of them 49(74.2%) have not been approached for sexual relationships. About 17(25.8%) of the respondents accepted that they have boyfriends and girlfriends. Out of this number, 12(18.2%) of them said they have been approached for sex and only 2(3%) of them accepted having sexual relationships with the opposite sex. Finding showed that only 1(1.5%) of the respondents claimed to have ever used condoms during sex. Of the sexually active respondents, 49(74.2%) of them are aware that HIV is a virus infection caused by having multiple sex partners while 14(21.2%) were not sure whether HIV is a virus or bacterial infection. Conclusion The study revealed a gap in the knowledge of HIV prevention as well as inappropriate sexual behaviour among the respondents. Therefore, meaningful strategies that will be culturally sensitive to modify adolescent sexual risk behaviours should be adopted.

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