scholarly journals Ethnicity and sexual risk in heterosexual people attending sexual health clinics in England: a cross-sectional, self-administered questionnaire study

2018 ◽  
Vol 94 (5) ◽  
pp. 384-391 ◽  
Author(s):  
Rachel Margaret Coyle ◽  
Ada Rose Miltz ◽  
Fiona C Lampe ◽  
Janey Sewell ◽  
Andrew N Phillips ◽  
...  
Keyword(s):  
Sexual Health ◽  
Ethnic Groups ◽  
Sexual Risk ◽  
Heterosexual Men ◽  
Risk Behaviours ◽  
Cross Sectional ◽  
Caribbean Women ◽  
White Ethnic ◽  
Self Administered Questionnaire ◽  
Sexual Risk Behaviours

ObjectivesIn the UK, people of black ethnicity experience a disproportionate burden of HIV and STI. We aimed to assess the association of ethnicity with sexual behaviour and sexual health among women and heterosexual men attending genitourinary medicine (GUM) clinics in England.MethodsThe Attitudes to and Understanding of Risk of Acquisition of HIV is a cross-sectional, self-administered questionnaire study of HIV negative people recruited from 20 GUM clinics in England, 2013–2014. Modified Poisson regression with robust SEs was used to calculate adjusted prevalence ratios (aPR) for the association between ethnicity and various sexual risk behaviours, adjusted for age, study region, education and relationship status.ResultsQuestionnaires were completed by 1146 individuals, 676 women and 470 heterosexual men. Ethnicity was recorded for 1131 (98.8%) participants: 550 (48.6%) black/mixed African, 168 (14.9%) black/mixed Caribbean, 308 (27.2%) white ethnic groups, 105 (9.3%) other ethnicity. Compared with women from white ethnic groups, black/mixed African women were less likely to report condomless sex with a non-regular partner (aPR (95% CI) 0.67 (0.51 to 0.88)), black/mixed African and black/mixed Caribbean women were less likely to report two or more new partners (0.42 (0.32 to 0.55) and 0.44 (0.29 to 0.65), respectively), and black/mixed Caribbean women were more likely to report an STI diagnosis (1.56 (1.00 to 2.42)). Compared with men from white ethnic groups, black/mixed Caribbean men were more likely to report an STI diagnosis (1.91 (1.20 to 3.04)), but did not report risk behaviours more frequently. Men and women of black/mixed Caribbean ethnicity remained more likely to report STI history after adjustment for sexual risk behaviours.DiscussionRisk behaviours were reported less frequently by women of black ethnicity; however, history of STI was more prevalent among black/mixed Caribbean women. In black/mixed Caribbean men, higher STI history was not explained by ethnic variation in reported risk behaviours. The association between STI and black/mixed Caribbean ethnicity remained after adjustment for risk behaviours.

scholarly journals Associations of depression and anxiety symptoms with sexual behaviour in women and heterosexual men attending sexual health clinics: a cross-sectional study

2019 ◽  
Vol 95 (4) ◽  
pp. 254-261 ◽  
Author(s):  
Rachel Margaret Coyle ◽  
Fiona C Lampe ◽  
Ada Rose Miltz ◽  
Janey Sewell ◽  
Jane Anderson ◽  
...  
Keyword(s):  
Sexual Health ◽  
Sexual Risk ◽  
Anxiety Symptoms ◽  
Heterosexual Men ◽  
Depression Symptoms ◽  
Sexual Risk Behaviour ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Study Region ◽  
Condomless Sex

ObjectiveTo assess the association of symptoms of depression and anxiety with sexual risk behaviour and history, among women and heterosexual men attending genitourinary medicine (GUM) clinics.MethodsAttitudes to and Understanding of Risk of Acquisition of HIV (AURAH) was a cross-sectional, self-administered questionnaire study recruited from 20 GUM clinics in England, 2013–2014. This analysis included women and heterosexual men. The prevalence of depression and anxiety symptoms was assessed. Modified Poisson regression was used to produce adjusted prevalence ratios (aPR) for the association of t demographic, socioeconomic and lifestyle factors with depression and anxiety, adjusted for gender, age, ethnicity, education level and study region. Among individuals reporting sex in the past 3 months, associations of depression and anxiety with sexual risk behaviour and history were assessed separately by gender, adjusted for age, ethnicity, study region, education and relationship status.ResultsQuestionnaires were completed by 676 women and 470 heterosexual men. Depression symptoms were reported by 100 (14.8%) women and 33 men (7.0%). Anxiety symptoms were reported by 79 women (11.7%) and 21 men (4.5%). Among women reporting recent sex, those with depression symptoms were more likely to report condomless sex with a non-regular partner, aPR 1.38 (1.07–1.77) and recent condomless sex with two or more partners, 1.80 (1.25–2.59). Women with anxiety symptoms more likely to report recent condomless sex with two or more partners, 1.68 (1.13–2.50), low self-efficacy for condom use, 1.54 (1.02–2.31) and STI diagnosis in the last year 1.51 (1.04–2.20). Among heterosexual men reporting recent sex, depression and anxiety symptoms were associated with low self-efficacy with condom use, 2.32 (1.29–4.19) for depression and 2.23 (1.26–3.94) for anxiety, but not with measures of condomless sex.DiscussionThe associations between psychological symptoms and sexual risk behaviours highlight the importance of holistic assessment of need by both general and sexual health clinicians. We highlight the challenge in delivering holistic care associated with fragmentation of sexual health services.

The effect of drug and sexual risk behaviours with social network and non-network members on homeless youths' sexually transmissible infections and HIV testing

Sexual Health ◽  
2010 ◽  
Vol 7 (4) ◽  
pp. 434 ◽  
Author(s):  
Kimberly Tyler ◽  
Lisa Melander
Keyword(s):  
Social Network ◽  
Hiv Testing ◽  
Sexual Risk ◽  
Risk Behaviours ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Sexually Transmissible Infections ◽  
Unit Increase ◽  
Key Factor ◽  
Sexual Risk Behaviours

Background: The study examined whether engaging in drug and sexual risk behaviours with social network and non-network members (strangers) differentially affected the decision to test for sexually transmissible infections (STIs) and HIV. Methods: A cross-sectional survey was conducted among 249 homeless youths aged 14–21 years. Results: Multivariate analyses revealed that females were over three times more likely than males to test for STIs (adjusted odds ratio (AOR) = 3.34; 95% confidence interval (CI) = 1.54–7.25). For every one unit increase in age, there was a 37% increase in the likelihood of having tested for STIs (AOR = 1.37; 95% CI = 1.12–1.68). Youths who had sex after using alcohol and drugs with strangers were approximately 3.5 times more likely to have tested for STIs (AOR = 3.45; 95% CI = 1.38–8.61). For every one unit increase in age, there was a 26% increase in the likelihood of having tested for HIV (AOR = 1.26; 95% CI = 1.05–1.51). Youths who had sex with a stranger after using alcohol or drugs were over three times more likely to test for HIV (AOR = 3.22; 95% CI = 1.42–7.31). No social network variables reached significance for STI or HIV testing. Conclusions: Being older and engaging in drug and sexual risk behaviours with strangers are important correlates of STI and HIV testing. Females are more likely than males to be tested for STIs. Engaging in risky behaviours with social network members was not a key factor in deciding whether to be tested.

scholarly journals Poly-substance use and sexual risk behaviours: a cross-sectional comparison of adolescents in mainstream and alternative education settings

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Marion Henderson ◽  
Catherine Nixon ◽  
Martin J. McKee ◽  
Denise Smith ◽  
Daniel Wight ◽  
...  
Keyword(s):  
Substance Use ◽  
Alternative Education ◽  
Sexual Risk ◽  
Risk Behaviours ◽  
Cross Sectional ◽  
Sexual Risk Behaviours

scholarly journals Sexual health interventions among early adolescents: an integrative review

2018 ◽  
Vol 32 (6) ◽  
pp. 467-477 ◽  
Author(s):  
Monrudee Chokprajakchad ◽  
Rutja Phuphaibul ◽  
Renee Evangeline Sieving
Keyword(s):  
Sexual Health ◽  
Health Outcomes ◽  
Sexual Risk ◽  
Youth Development ◽  
Sexuality Education ◽  
Early Adolescents ◽  
Risk Behaviours ◽  
Content Type ◽  
Positive Effects ◽  
Sexual Risk Behaviours

Purpose Adolescent pregnancy and sexually transmitted infections including HIV are important public health issues in many countries around the world. The trend is escalating among adolescents of younger ages. Many programmes aim to prevent adolescent sexual risk behaviours associated with these health outcomes. The purpose of this paper is to describe and analyse methodological and substantive features of research on interventions to delay the initiation of sexual intercourse and prevent other sexual risk behaviours among early adolescents. Design/methodology/approach The review includes studies published between 2006 and 2017 that appear in Thai and international databases. Findings A total of 33 studies met specified review criteria. Of the studies reviewed, 14 used randomized control designs, 16 used quasi-experimental designs and three used a pre-test, post-test design. Sample sizes ranged from 64 to 4,776 subjects; nearly two-thirds of the studies (n = 22) included multiple follow-up surveys. The programmes evaluated in these studies can be grouped into three categories: abstinence-based sexuality education programmes (n = 12), comprehensive sexuality education programmes (n = 13) and youth development programmes designed for early adolescents (n = 10). In total, 22 programmes reviewed were effective in changing targeted adolescent psychosocial and/or behavioural outcomes. Research limitations/implications One of the limitations encountered in this study involved the search in library databases published only in Thai and English. Due to the limitation of searching library databases included in the review that reported the effects and differences among the included studies. Moreover, the search included publications consisted of heterogeneous designs and purpose with reports of different types of outcomes made it impossible to compare effect sizes. Practical implications The knowledge gained can be used to design and implement effective sexual health promotion programmes for early adolescents. Moreover, the findings can be applied as a guideline for health provider working in a schools, communities and adolescent health services. Recommendations for future studies are needed to consider methodological and substantive characteristics as well as the people who are involved in youth sexual health outcomes. Social implications It is necessary for government to develop a policy for encouraging parents to be aware and participate in solving the problems. Originality/value The review indicated that the positive effects of parental involvement and technology media as a programme material on the psychosocial and behavioural outcomes.

scholarly journals Poor mental health and sexual risk behaviours in Uganda: A cross-sectional population-based study

2011 ◽  
Vol 11 (1) ◽  
Author(s):  
Patric Lundberg ◽  
Godfrey Rukundo ◽  
Schola Ashaba ◽  
Anna Thorson ◽  
Peter Allebeck ◽  
...  
Keyword(s):  
Mental Health ◽  
Sexual Risk ◽  
Population Based ◽  
Poor Mental Health ◽  
Risk Behaviours ◽  
Cross Sectional ◽  
Population Based Study ◽  
Sexual Risk Behaviours

Sexual risk behaviour and its correlates among adolescents in Indonesia, Laos, Thailand and Timor-Leste: results from national school surveys in 2015

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Karl Peltzer ◽  
Supa Pengpid
Keyword(s):  
Sexual Risk ◽  
Sexuality Education ◽  
Scale Up ◽  
Risk Behaviour ◽  
Sexual Risk Behaviour ◽  
Risk Behaviours ◽  
Cross Sectional ◽  
Multiple Sexual Partners ◽  
Timor Leste ◽  
Sexual Risk Behaviours

AbstractObjectivesThe study aimed to assess the prevalence and correlates of sexual risk behaviours among adolescents in four Southeast Asian countries.MethodsIn the cross-sectional “Global School-Based Student Health Survey (GSHS)”, 24,423 adolescents (mean age 14.1 years, SD=1.7) from Indonesia, Laos, Thailand and Timor-Leste responded to a questionnaire in 2015.ResultsOverall, 8.5% of the students (11.0% males and 6.3% females) ever had sex, ranging from 5.3% in Indonesia to 26.4% in Timor-Leste. Among the sexually active, 49.3% (55.9% males and 36.8% females) had their first sexual intercourse before the age 14 years, ranging from 16.1% in Laos to 73.9% in Indonesia, 59.7% (62.6% males and 53.5% females) had multiple sexual partners, ranging from 55.5% in Timor-Leste to 63.4% in Indonesia, 46.9% (46.8% males and 46.5% females) did not use a condom at last sex, ranging from 37.0% in Thailand to 65.3% in Indonesia, 49.8% (53.7% males and 43.7% females) had not used or did not know of the use of birth control at last sex, ranging from 40.6% in Thailand to 61.5% in Timor-Leste, and 54.2% (54.9% males and 47.0% females) engaged in multiple sexual risk behaviour, ranging from 45.9% in Laos to 78.0% in Indonesia. In adjusted logistic regression analysis, male sex, older age, food insecurity, tobacco use, alcohol use, ever cannabis and/or amphetamine use, psychological distress, and school truancy were associated with two or more and/or multiple sexual risk behaviours.ConclusionsA high proportion of students engaged in various sexual risk behaviours calling for a scale up comprehensive sexuality education and integration of substance use and mental health into such intervention programmes in this adolescent school population.

scholarly journals Safe-sex belief and sexual risk behaviours among adolescents from three developing countries: a cross-sectional study

BMJ Open ◽  
2015 ◽  
Vol 5 (4) ◽  
pp. e007826-e007826 ◽  
Author(s):  
A. Osorio ◽  
C. Lopez-del Burgo ◽  
M. Ruiz-Canela ◽  
S. Carlos ◽  
J. de Irala
Keyword(s):  
Developing Countries ◽  
Sexual Risk ◽  
Safe Sex ◽  
Cross Sectional Study ◽  
Risk Behaviours ◽  
Sectional Study ◽  
Cross Sectional ◽  
Sexual Risk Behaviours

Childhood sexual abuse among girls and determinants of sexual risk behaviours in adult life in sub-Saharan Africa

2015 ◽  
Vol 7 (2) ◽  
pp. 67-75
Author(s):  
Ismail Yahaya ◽  
Antonio Ponce De Leon ◽  
Olalekan A. Uthman ◽  
Joaquim J. F. Soares ◽  
Gloria Macassa
Keyword(s):  
Sexual Abuse ◽  
Sexual Risk ◽  
Cross Sectional Study ◽  
Sub Saharan Africa ◽  
Cigarette Use ◽  
Risk Behaviours ◽  
Cross Sectional ◽  
Content Type ◽  
Sub Saharan ◽  
Sexual Risk Behaviours

Purpose – The purpose of this paper is to investigate the relationship between child sexual abuse and sexual risk behaviours as well as its potential mediators. Design/methodology/approach – This cross-sectional study used data from a cross-sectional study from 12,800 women between 15 and 49 years of age included in the 2008 Nigerian Demographic and Health Survey. Structural equation modelling (SEM) was applied to assess the association between childhood sexual abuse (CSA) and sexual risk behaviours. Findings – The authors found that CSA was directly associated with sexual risk behaviours. In addition, the association between CSA and sexual risk behaviour was also partially mediated by alcohol and cigarette use. Research limitations/implications – The results show that being abused in childhood is important for the subsequent development of sexual risk behaviours in adulthood and the association is mediated by alcohol and cigarette use. Practical implications – The results may be helpful for policy makers and health care planners in designing cultural sensitive public health intervention that will reduce the burden of CSA, its long-term effects (sexual risk behaviours) and intervening mediators that increase the risks. Social implications – These findings suggest that to reduce sexual risks, interventions to address sexual abuse needs to include other social problems (smoking, alcohol) that victims result to when faced with trauma. Originality/value – The current study is the only one so far in sub-Saharan Africa to have explored the relation between CSA and sexual risk behaviours using SEM.

Sign in / Sign up

Export Citation Format

Share Document