scholarly journals Condom use behaviour among people living with HIV: a seven-country community-based participatory research in the Asia-Pacific region

2017 ◽  
Vol 94 (3) ◽  
pp. 200-205 ◽  
Author(s):  
Keshab Deuba ◽  
Verena Kohlbrenner ◽  
Sushil Koirala ◽  
Anna Mia Ekström
Keyword(s):  
Condom Use ◽  
Antiretroviral Treatment ◽  
Asia Pacific ◽  
People Living With Hiv ◽  
Pacific Region ◽  
Regular Partner ◽  
Asia Pacific Region ◽  
Inconsistent Condom ◽  
Living With Hiv ◽  
Inconsistent Condom Use

ObjectivesWe examined the prevalence of inconsistent condom use and its correlates among people living with HIV (PLHIV) in the Asia-Pacific region.MethodsBetween 1 October 2012 and 31 May 2013, a total of 7843 PLHIV aged 18–50 years were recruited using targeted and venue-based sampling in Bangladesh, Indonesia, Lao People’s Democratic Republic (PDR), Nepal, Pakistan, Philippines and Vietnam. Logistic regression was used to explore the association between condom use behaviour and demographics, social support, stigma and discrimination and various health-related variables.ResultsOverall, 43% of 3827 PLHIV practised inconsistent condom use at sexual intercourse with their regular partner. An even higher proportion, 46% of 2044 PLHIV admitted that they practised unprotected sex with a casual partner. Participants from Lao PDR reported the lowest prevalence of inconsistent condom use for both regular and casual partners, while participants from the Philippines had the highest risk behaviour. Inconsistent condom use was significantly associated with belonging to a key population (drug user, sex worker or refugee subpopulation), not knowing that condoms are still needed if both partners are HIV positive, having a regular partner whose HIV status was either positive or unknown, having experienced physical assault and not receiving antiretroviral treatment.ConclusionsThis large seven-country study highlights a high prevalence of inconsistent condom use among PLHIV in the Asia-Pacific region. In addition to knowledge-imparting interventions, the adoption and expansion of the ‘Test and Treat’ strategy could help to maximise the prevention benefits of antiretroviral treatment.

scholarly journals Effects of HIV-Related Discrimination on Psychosocial Syndemics and Sexual Risk Behavior among People Living with HIV

2020 ◽  
Vol 17 (6) ◽  
pp. 1924
Author(s):  
Randolph C. H. Chan ◽  
Don Operario ◽  
Winnie W. S. Mak
Keyword(s):  
Hong Kong ◽  
Condom Use ◽  
Structural Equation ◽  
Poor Mental Health ◽  
Self Report ◽  
Equation Modeling ◽  
People Living With Hiv ◽  
Inconsistent Condom ◽  
Living With Hiv ◽  
Inconsistent Condom Use

In the context of HIV-related stigma and discrimination, people living with HIV (PLHIV) might be vulnerable to a ‘syndemic’ of co-occurring psychosocial challenges that can affect sexual behavior. The present study examined how HIV-related discrimination contributes to co-occurring psychosocial syndemic problems and results in inconsistent condom use among PLHIV in Hong Kong. Two-hundred and ninety-one PLHIV were recruited to complete a self-report questionnaire. More than one-quarter of the sample experienced two or more psychosocial syndemic problems, and 74.1% of the participants who had sex with steady partners reported inconsistent condom use over the past three months. The results indicated that HIV-related discrimination was positively predictive of the number of psychosocial syndemic problems. HIV-related discrimination and psychosocial syndemics were associated with increased odds of inconsistent condom use with steady partners (AOR = 5.40 and AOR = 3.09 respectively). Findings from structural equation modeling showed that psychosocial syndemics mediated the effect of HIV-related discrimination on condom use consistency with steady partners. PLHIV in Hong Kong suffered from the syndemic effects of stigma, social isolation, and poor mental health, which rendered them vulnerable to condomless sex. In order to curb the rapidly increasing incidence of HIV, multi-level strategies should be adopted to concurrently address the structural inequities and psychosocial syndemics faced by PLHIV.

scholarly journals Diabetes mellitus burden among people living with HIV from the Asia‐Pacific region

2019 ◽  
Vol 22 (1) ◽  
pp. e25236 ◽  
Author(s):  
Win M Han ◽  
Awachana Jiamsakul ◽  
Sasisopin Kiertiburanakul ◽  
Oon T Ng ◽  
Benedict LH Sim ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Asia Pacific ◽  
People Living With Hiv ◽  
Pacific Region ◽  
Asia Pacific Region ◽  
Living With Hiv

scholarly journals Ending AIDS in the Asia–Pacific region by 2030: are we on track? Policy, epidemiological and intervention insights

Sexual Health ◽  
2021 ◽  
Vol 18 (1) ◽  
pp. 1
Author(s):  
Kimberly Green ◽  
Heather-Marie A. Schmidt ◽  
Andrew J. Vallely ◽  
Lei Zhang ◽  
Angela Kelly-Hanku ◽  
...  
Keyword(s):  
Sex Workers ◽  
Asia Pacific ◽  
People Living With Hiv ◽  
Pacific Region ◽  
Asia Pacific Region ◽  
The Past ◽  
Aids Epidemic ◽  
Sex With Men ◽  
Living With Hiv ◽  
Made In

The Asia–Pacific region is home to nearly 6 million people living with HIV. Across the region, key populations – men who have sex with men, transgender women, people who inject drugs, sex workers, prisoners – and their sexual partners make up the majority of those living with HIV. While significant progress has been made in the past 5 years towards UNAIDS’s 90–90–90 goals (90% of people with HIV diagnosed, 90% on antiretroviral therapy, 90% virologically suppressed), significant gaps remain. The papers in this Special Issue address important questions: are we on track to end the AIDS epidemic in the Asia–Pacific region? And can countries in this region reach the new UNAIDS targets for 2030?

The idiographic study of inconsistent condom use behavior of persons living with HIV

AIDS Care ◽  
2007 ◽  
Vol 19 (8) ◽  
pp. 1058-1064 ◽  
Author(s):  
W. D. Barta ◽  
S. M. Kiene ◽  
H. Tennen ◽  
K. S. Abu-Hasaballah ◽  
R. Ferrer
Keyword(s):  
Condom Use ◽  
Inconsistent Condom ◽  
Persons Living With Hiv ◽  
Use Behavior ◽  
Living With Hiv ◽  
Inconsistent Condom Use

scholarly journals AIDS-related and non-AIDS-related mortality in the Asia-Pacific region in the era of combination antiretroviral treatment

AIDS ◽  
2009 ◽  
Vol 23 (17) ◽  
pp. 2323-2336 ◽  
Author(s):  
Kathleen Falster ◽  
Jun Yong Choi ◽  
Basil Donovan ◽  
Chris Duncombe ◽  
Brian Mulhall ◽  
...  
Keyword(s):  
Antiretroviral Treatment ◽  
Asia Pacific ◽  
Pacific Region ◽  
Asia Pacific Region ◽  
Related Mortality
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