P2-S1.09 Associations between early sexual debut and two types of sexual risk behaviour in Nova Scotia adolescents

Background: Approximately 3 million adolescents and young adults (AYA), between the ages of 15 years and 24 years, are living with HIV in sub-Saharan Africa. The use of pre-exposure prophylaxis (PrEP) may be a promising HIV prevention tool to bridge the high-risk years of AYA between sexual debut and adulthood.Objectives: Concerns have been raised that the use of PrEP could lead to an increase in sexual risk behaviour and sexually transmitted infections in general and less condom use in particular among adolescents.Methods: This study assesses condom use among South African adolescents enrolled on a demonstration PrEP study, called Pluspills, being conducted in Cape Town and Soweto. A questionnaire on sexual risk behaviour was administered at baseline and after 4, 8 and 12 weeks. Three different questions on condom use were asked at each visit. Unless all answers indicated condom use at all times, a participant was scored ‘at risk’. McNemar’s tests and a Cochran’s Q test were used to investigate changes in condom use over time.Results: We interviewed 148 adolescents (66% female) at baseline. Eighty-nine participants completed all visits. In this group, an increase in condom use was observed over the period of 12 weeks. Most participants who reported behavioural changes mentioned an increase in condom use.Conclusion: There was no sign of sexual risk compensation in the 12 weeks of the study. Observed increase in condom use can be explained by an increased awareness of personal HIV risk or by social desirability or recall biases. In future research, additional data including other biomarkers of unprotected sex and longer follow-up time would be useful to help understand the relationship between PrEP use, sexual risk perception and consequent behaviours, especially in adolescents.

Download Full-text

Influence of sexual risk behaviour and STI co-infection dynamics on the evolution of HIV set point viral load in MSM

Epidemics ◽

10.1016/j.epidem.2021.100474 ◽

2021 ◽

pp. 100474

Author(s):

Diana M. Hendrickx ◽

Wim Delva ◽

Niel Hens

Keyword(s):

Viral Load ◽

Sexual Risk ◽

Risk Behaviour ◽

Sexual Risk Behaviour ◽

Set Point ◽

Infection Dynamics

Download Full-text

Young women's misperceptions about sexually transmissible infection testing: a 'clean and clear' misunderstanding

Sexual Health ◽

10.1071/sh07060 ◽

2007 ◽

Vol 4 (4) ◽

pp. 273 ◽

Cited By ~ 10

Author(s):

Sara K. Head ◽

Richard A. Crosby ◽

Lydia A. Shrier ◽

Gregory R. Moore

Keyword(s):

Young Women ◽

Sexual Debut ◽

Risk Behaviour ◽

Healthcare Setting ◽

Cross Sectional Study ◽

Sexual Risk Behaviour ◽

Cross Sectional ◽

Sti Testing ◽

Sexually Transmissible Infection ◽

Transmissible Infection

Background: This exploratory study investigated young women’s perceptions of sexually transmissible infection (STI) testing received during gynaecological care. Correlates of the incorrect perception that STI testing occurred were assessed. Methods: Cross-sectional study of sexually active young women, age 18–24 years, attending a university healthcare setting for gynaecological care (n = 109). Two hundred and four women were approached and 87 were ineligible; of the remaining 117, 93.2% chose to enrol. Results: Of the women enrolled, 25.7% falsely perceived that they were STI tested (labelled ‘clean and clear’). Only approximately one in seven (14.7%) accurately understood the STI for which they were tested. In multivariate analyses, controlling for race, STI symptoms, depression, number of lifetime visits to the gynaecologist, and suspicion of current STI, three variables were significant: minority race (adjusted odds ratio (AOR) = 4.84, confidence interval (CI) = 1.38–16.96, P = 0.01), earlier age at sexual debut (AOR = 4.67, CI = 1.73–12.57, P = 0.002), and previous STI diagnosis (AOR = 3.38, CI = 1.07–10.66, P = 0.04). Comment: The findings suggest that many young women may have an inaccurate understanding of the STI testing they undergo during gynaecological care and may operate under the misperception they are ‘clean and clear’ of STI. Women with said misperception were more likely to be of minority race and report relatively earlier age of sexual debut and previous STI diagnosis. Further investigation is warranted to determine whether the ‘clean and clear’ misperception influences young women’s sexual risk behaviour.

Download Full-text

How do HIV-negative individuals in sub-Saharan Africa change their sexual risk behaviour upon learning their serostatus? A systematic review

Sexually Transmitted Infections ◽

10.1136/sextrans-2015-052354 ◽

2016 ◽

Vol 92 (8) ◽

pp. 571-578 ◽

Cited By ~ 9

Author(s):

Sanjeev Ramachandran ◽

Sharmistha Mishra ◽

Natalie Condie ◽

Michael Pickles

Keyword(s):

Systematic Review ◽

Sexual Risk ◽

Risk Behaviour ◽

Sub Saharan Africa ◽

Sexual Risk Behaviour ◽

Sub Saharan ◽

Hiv Negative

Download Full-text

O02.5 Narrating risk: new and traditional methods to understand sexual risk behaviour among hiv-uninfected men who have sex with men in lima, peru

10.1136/sextrans-2017-053264.10 ◽

2017 ◽

Author(s):

Jesse L Clark ◽

Ximena Salazar ◽

Williams Gonzales ◽

Amaya Perez-Brumer ◽

Francisco Nanclares ◽

...

Keyword(s):

Sexual Risk ◽

Risk Behaviour ◽

Sexual Risk Behaviour ◽

Traditional Methods ◽

Sex With Men

Download Full-text

The Context of Sexual Risk Behaviour Among Men Who Have Sex with Men Seeking PrEP, and the Impact of PrEP on Sexual Behaviour

AIDS and Behavior ◽

10.1007/s10461-018-2300-5 ◽

2018 ◽

Vol 23 (7) ◽

pp. 1708-1720 ◽

Cited By ~ 8

Author(s):

Mitzy Gafos ◽

Rob Horne ◽

Will Nutland ◽

Gill Bell ◽

Caroline Rae ◽

...

Keyword(s):

Sexual Risk ◽

Sexual Behaviour ◽

Risk Behaviour ◽

Sexual Risk Behaviour ◽

Sex With Men ◽

The Impact

Download Full-text

Adolescent methamphetamine use and sexual risk behaviour in secondary school students in Cape Town, South Africa

Drug and Alcohol Review ◽

10.1080/09595230802245253 ◽

2008 ◽

Vol 27 (6) ◽

pp. 687-692 ◽

Cited By ~ 33

Author(s):

ANDREAS PLÜDDEMANN ◽

ALAN J. FLISHER ◽

CATHERINE MATHEWS ◽

TARA CARNEY ◽

CARL LOMBARD

Keyword(s):

South Africa ◽

Secondary School ◽

Sexual Risk ◽

Secondary School Students ◽

Cape Town ◽

Risk Behaviour ◽

Sexual Risk Behaviour ◽

School Students ◽

Methamphetamine Use

Download Full-text

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

Health SA Gesondheid ◽

10.4102/hsag.v15i1.505 ◽

2010 ◽

Vol 15 (1) ◽

Cited By ~ 3

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.

Download Full-text