scholarly journals SP3-68 A systematic review of interventions to prevent or reduce substance use and sexual risk behaviour in young people

2011 ◽  
Vol 65 (Suppl 1) ◽  
pp. A427-A427 ◽  
Author(s):  
C. Jackson ◽  
R. Geddes ◽  
S. Haw ◽  
J. Frank
Keyword(s):  
Systematic Review ◽  
Substance Use ◽  
Young People ◽  
Sexual Risk ◽  
Risk Behaviour ◽  
Sexual Risk Behaviour

scholarly journals Sexual risk behaviour amongst young people in the Vhembe district of the Limpopo province, South Africa

2010 ◽  
Vol 15 (1) ◽  
Author(s):  
Thelmah X. Maluleke
Keyword(s):  
Young People ◽  
Sexual Risk ◽  
Sexual Intercourse ◽  
Risk Behaviour ◽  
Hiv And Aids ◽  
Limpopo Province ◽  
Early Marriage ◽  
Sexual Risk Behaviour ◽  
Famous Person ◽  
Vhembe District

This study entailed a quantitative, cross-sectional survey amongst young people in four villages of the Vhembe district of the Limpopo province. The purpose of the research was to determine the sexual health risk behaviour indicators prevalent amongst young people that could contribute to the spread of HIV and AIDS in this district. The objectives of this study were (1) to identify sexual risk behaviour, (2) to establish the prevalence of substance use before sexual intercourse, (3) to determine the prevalence of coerced sexual intercourse and (4) to determine the prevalence of forced sexual intercourse amongst young people in the Vhembe district.Purposive sampling was used to select the four villages that participated in the study and simple,random sampling was used to select the respondents. A total of 400 respondents participated in the study, 227 of which were female and 173 were male. The following sexual risk behaviour indicators were identified (1) early sexual debut, (2) teenage pregnancy and (3) early marriage. It was found that young people expose themselves to sexual intercourse without condoms, and that they are likely to have sexual intercourse without a condom in return for reward, and to have sexual intercourse with a famous person. Approximately 20% of the sexually active respondents had used substances before sexual intercourse. Alcohol and marijuana (‘dagga’) were most commonly used amongst those respondents taking substances before sexual intercourse, and these were used predominantly in coerced and forced sexual intercourse.OpsommingDie studie was ’n kwantitatiewe, deursnee-opname wat onder jongmense in vier dorpies in die Vhembe-distrik van die Limpopo-provinsie uitgevoer is. Die doel van die navorsing was om vas te stel watter aanwysers van risikogedrag ten opsigte van seksuele gesondheid onder die jongmense voorkom wat moontlik tot die verspreiding van MIV en vigs in hierdie distrik bydra. Die doelstellings van hierdie studie was om (1) seksuele risikogedrag te identifiseer, (2) die voorkoms van middelgebruik voor seksuele omgang te bepaal, (3) die voorkoms van gedwonge seksuele omgang en (4) die voorkoms van geforseerde seksuele omgang onder jongmense in die Vhembedistrik te bepaal.Doelgerigte steekproefneming is gebruik om die vier dorpies wat aan die studie deelgeneem het, te selekteer en eenvoudige ewekansige steekproefneming is gebruik om die respondente te selekteer.’n Totaal van 400 respondente het aan die studie deelgeneem, waarvan 227 vroulik en 173 manlik was. Die volgende aanwysers van seksuele risikogedrag is geïdentifiseer (1) vroeë seksuele debuut,(2) tienerswangerskap en (3) vroeë huwelik. Daar is gevind dat jongmense hulself aan seksuele omgang sonder kondome blootstel, en dat hulle waarskynlik seksuele omgang sonder ’n kondoom sal hê in ruil vir vergoeding en seksuele omgang met ’n bekende persoon sal hê. Ongeveer 20% van die seksueel aktiewe respondente het middels voor seksuele omgang gebruik. Alkohol en marijuana(‘dagga’) was die algemeenste middels onder diegene wat middels voor seksuele omgang gebruikhet, en dit is meestal in gedwonge en geforseerde seksuele omgang gebruik.

scholarly journals Influence of Internalised Homonegativity on Sexual Risk Behaviour of Men Who Have Sex with Men in Spain

2021 ◽  
Author(s):  
İbrahim Sönmez ◽  
Cinta Folch ◽  
Nicolas Lorente ◽  
Rigmor C. Berg ◽  
Natalie Thurlby ◽  
...  
Keyword(s):  
Substance Use ◽  
Sexual Risk ◽  
Structural Equation ◽  
Risk Behaviour ◽  
Sexual Risk Behaviour ◽  
Mediating Effects ◽  
Equation Modelling ◽  
Direct Association ◽  
Sex With Men ◽  
The Relationship

AbstractIn a sample of men who have sex with men (MSM) (N = 3436) in Spain who bear intrinsic HIV risk, we investigated how internalised homonegativity (IH) is associated with the number of non-steady male partners with condomless intercourse (as a proxy of sexual risk behaviour). Using structural equation modelling (SEM), we examined the relationship between IH and sexual risk behaviour, and mediating effects of HIV/PrEP knowledge and substance use during sex on this relationship. We found no direct association between IH and sexual risk behaviour, nor did IH influence substance use during sex. In line with our hypothesis, association between IH and sexual risk behaviour was significant when mediated by HIV/PrEP knowledge. We found that as IH increased, sexual risk behaviour decreased, because higher IH was associated with lower HIV/PrEP knowledge while higher HIV/PrEP knowledge was associated with increased non-condom use with non-steady partners. Substance use during sex was significantly associated with sexual risk behaviour. Our results emphasize the continuing importance of prevention strategies focused on behavioural changes and community level interventions, especially targeting substance use.

scholarly journals Self-collection of samples as an additional approach to deliver testing services for sexually transmitted infections: a systematic review and meta-analysis

2019 ◽  
Vol 4 (2) ◽  
pp. e001349 ◽  
Author(s):  
Yasmin Ogale ◽  
Ping Teresa Yeh ◽  
Caitlin E Kennedy ◽  
Igor Toskin ◽  
Manjulaa Narasimhan
Keyword(s):  
Systematic Review ◽  
Adverse Events ◽  
Sexual Risk ◽  
Meta Analysis ◽  
Risk Behaviour ◽  
Case Finding ◽  
Sexual Risk Behaviour ◽  
Sexually Transmitted ◽  
Sti Testing ◽  
Additional Approach

BackgroundSelf-collection of samples for diagnostic testing offers the advantages of patient autonomy, confidentiality and convenience. Despite data showing their feasibility and accuracy, there is a need to better understand how to implement such interventions for sexually transmitted infections (STIs). To support WHO guidelines on self-care interventions, we conducted a systematic review to investigate whether self-collection of samples should be made available as an additional approach to deliver STI testing services.MethodsPeer-reviewed studies were included if they compared individuals who self-collected samples for chlamydia, gonorrhoea, syphilis and/or trichomonas testing to individuals who had samples collected by clinicians on the following outcomes: uptake/frequency of STI testing, social harms/adverse events, positive yield (case finding), linkage to clinical assessment/treatment and reported sexual risk behaviour. We searched PubMed, CINAHL, LILACS and EMBASE for articles published through July 2018. Risk of bias was assessed using the Cochrane tool for randomised controlled trials (RCTs) and the Evidence Project tool for non-RCTs. Meta-analysis was conducted using random effects models to generate pooled estimates of relative risk (RR).ResultsEleven studies, including five RCTs and six observational studies with a total of 202 745 participants, met inclusion criteria. Studies were conducted in Australia, Denmark and the USA. Meta-analysis found that programmes offering self-collection of samples increased overall uptake of STI testing services (RR: 2.941, 95% CI 1.188 to 7.281) and case finding (RR: 2.166, 95% CI 1.043 to 4.498). No studies reported measuring STI testing frequency, social harms/adverse events, linkage to care or sexual risk behaviour.DiscussionWhile greater diversity in study designs, outcomes and settings would strengthen the evidence base, findings from this review suggest that self-collection of STI samples could be an effective additional strategy to increase STI testing uptake.Prospero registration numberPROSPERO CRD42018114866.

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