HIV pre‐exposure prophylaxis and the ‘problems’ of reduced condom use and sexually transmitted infections in Australia: a critical analysis from an evidence‐making intervention perspective

2019 ◽  
Vol 41 (8) ◽  
pp. 1535-1548 ◽  
Author(s):  
Martin Holt ◽  
Christy E. Newman ◽  
Kari Lancaster ◽  
Anthony K. Smith ◽  
Shana Hughes ◽  
...  
Keyword(s):  
Condom Use ◽  
Sexually Transmitted Infections ◽  
Critical Analysis ◽  
Sexually Transmitted ◽  
Exposure Prophylaxis

scholarly journals Increasing Awareness and Knowledge among Adult Latinos regarding Sexually Transmitted Infections

2020 ◽  
Vol 15 (2) ◽  
Author(s):  
Ijeoma S. Eze ◽  
Margaret Brady ◽  
Beth Keely
Keyword(s):  
Condom Use ◽  
Sexually Transmitted Infections ◽  
Low Income ◽  
Outpatient Clinic ◽  
The United States ◽  
Consistent Condom ◽  
Contributing Factors ◽  
Consistent Condom Use ◽  
Sexually Transmitted ◽  
Post Test

AbstractLatinos in the United States are disproportionately affected by Human Immunodeficiency Virus and sexually transmitted infections (STIs). They account for about 24 % of newly diagnosed AIDS cases each year and are two to three times more likely to develop STIs when compared with non-Latino whites. Limited knowledge of STIs has remained one of the contributing factors to the disparity. The purpose of this study was to implement an educational bundle and evaluate its effectiveness in increasing STI knowledge and consistent condom use among adult Latinos seen in an outpatient clinic that serves low income patients. A pre- and post-test design was used to evaluate changes in STI knowledge and consistency of condom use. The educational bundle consisted of YouTube STI-related videos, a pre-designed one to one educational session, provision of condoms and STI-related educational materials. Self-administered questionnaires were used to collect data at baseline and one week post implementation of the educational bundle. Forty-six Latinos (18 females and 28 males) ranging in ages 19 to 60 years participated in the project. The total mean STI knowledge and condom use frequency improved from pre-test (M = 1.67, M = 3.09) to post-test (M = 3.80, M = 5.33). Results of paired samples t-tests demonstrated statistically significant differences between total mean STI knowledge (t(45) = –15.48, p < 0.001) and condom use frequency (t(45) = –7.09, p < 0.001) at pre-test and post-testing. The educational bundle was effective in increasing STI knowledge and consistent condom use among adult Latinos in an outpatient clinic. Further study needs to be done to determine the long-term effect of this mode of education for this population.

scholarly journals Risk Factors Associated with Sexually Transmitted Infections among Pre-Exposure Prophylaxis Users in an Urban Multi-Clinic Healthcare System

2017 ◽  
Vol 4 (suppl_1) ◽  
pp. S668-S669 ◽  
Author(s):  
Alexandra Abrams-Downey ◽  
Ana Ventuneac ◽  
Bianca Duah ◽  
Joaquin Aracena ◽  
Hansel Arroyo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Sexually Transmitted Infections ◽  
Healthcare System ◽  
Sexually Transmitted ◽  
Factors Associated ◽  
Exposure Prophylaxis

Patterns of Caribbean Masculinities and Condom Compliance Among Males in Grenada

2013 ◽  
Vol 8 (4) ◽  
pp. 335-338 ◽  
Author(s):  
Cecilia Hegamin-Younger ◽  
Rohan Jeremiah ◽  
Nicole Bilbro
Keyword(s):  
Condom Use ◽  
Sexually Transmitted Infections ◽  
Teenage Pregnancy ◽  
Safe Sex ◽  
Sexually Transmitted ◽  
Island States ◽  
Hiv Aids

The construction of Caribbean male identities based on ideas of masculinity has raised widespread concerns across the island states, and in a region with such high rates of teenage pregnancy (18%), stigmatizing safe sex, contraception, and HIV/AIDS prevalence can only exacerbate the problem. The purpose of this study was to examine the extent to which males use condoms and to explore the association of condom use with their concern with acquiring and transmission of sexually transmitted infections.

scholarly journals Social cohesion, condom use, and sexually transmitted infections among female sex workers living with HIV in the Dominican Republic

2018 ◽  
Vol 30 (1) ◽  
pp. 64-71 ◽  
Author(s):  
MA Carrasco ◽  
C Barrington ◽  
M Perez ◽  
Y Donastorg ◽  
D Kerrigan
Keyword(s):  
Dominican Republic ◽  
Condom Use ◽  
Sexually Transmitted Infections ◽  
Social Cohesion ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Pregnancy Intentions ◽  
Sexually Transmitted ◽  
Living With Hiv

This cross-sectional study examines the relationship between social cohesion with consistent condom use (CCU) and sexually transmitted infections (STIs) among the Abriendo Puertas (Opening Doors) cohort of female sex workers (FSWs) living with human immunodeficiency virus (HIV) in the Dominican Republic (n = 228). Using data from the follow-up survey of the cohort, we conducted multivariate logistic regression to explore these dynamics. Social cohesion was significantly associated with CCU between FSWs living with HIV and their clients in the last month (adjusted odds ratio [AOR] = 1.65, 95% confidence interval [CI]: 1.11–2.45) and STI prevalence among FSWs (AOR: 3.76, CI: 1.159–12.162). Social cohesion was not associated with CCU between FSWs living with HIV and their steady partners. However, both illicit drug use in the past six months (AOR = 0.11, CI: 0.023–0.57) and pregnancy intentions (AOR = 0.11; CI: 0.02–0.42) were significantly associated with CCU with steady partners. Findings highlight the differential role of social cohesion on condom use outcomes between FSWs living with HIV and their paying clients versus steady partners. Research on the pathways via which cohesion influences condom use among sex workers and their clients is merited, as is research regarding the role of drug use and pregnancy intentions on condom use with steady partners.

Human Immunodeficiency Virus Pre-exposure Prophylaxis and Increased Incidence of Sexually Transmitted Infections in the United States

2019 ◽  
Vol 70 (9) ◽  
pp. 1884-1890 ◽  
Author(s):  
Jose A Serpa ◽  
Gabriel N Huynh ◽  
Julie B Nickell ◽  
Hongyu Miao
Keyword(s):  
United States ◽  
Human Immunodeficiency Virus ◽  
Sexually Transmitted Infections ◽  
State Level ◽  
The United States ◽  
Incidence Rates ◽  
Interrupted Time Series Analysis ◽  
Sexually Transmitted ◽  
Immunodeficiency Virus ◽  
Exposure Prophylaxis

Abstract Background Human immunodeficiency virus (HIV) pre-exposure prophylaxis (PrEP) decreases HIV transmission. Some studies have raised concerns about a potential association between the implementation of HIV PrEP and the growing incidence rates of sexually transmitted infections (STIs) in the United States. Methods We conducted a quasi-experimental (interrupted time series) analysis of STI (syphilis, gonorrhea, and chlamydia) rates before (2000–2012) and after (2013–2017) the implementation of HIV PrEP. We also performed correlations between HIV PrEP utilization and STI cases at the national (2012–2017) and state (2017) levels. We defined HIV PrEP utilization as the number of people taking tenofovir disoproxil fumarate/emtricitabine for HIV prevention. Results HIV PrEP implementation was associated with 25% (relative risk [RR] 1.254, 95% confidence interval [CI] 1.245–1.263; P &lt; .001) and 26% (RR 1.260, 95% CI 1.257–1.264; P &lt; .001) increases in syphilis and gonorrhea rates, respectively, and a 12% reduction in chlamydia rates (RR: 0.884, 95% CI 0.883–0.885; P &lt; .001). HIV PrEP utilization was correlated with the numbers of syphilis, gonorrhea, and chlamydia cases (spearman coefficients 1.00, 0.94, and 0.94, respectively; P &lt; .001, P &lt; .01, and P &lt; .01, respectively). At the state level, HIV PrEP was also correlated with the number of cases of syphilis, gonorrhea, and chlamydia (spearman coefficients 0.85, 0.81, and 0.85, respectively; Ps &lt; .001 for all correlations). Conclusions The implementation and utilization of HIV PrEP in the United States were associated with increased rates of STIs. Further studies to confirm these associations and to elucidate potential causes are needed.

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