Exploring the effectiveness of an online sexual health workshop on sexual and relationship beliefs and HIV/STI prevention knowledge among Singaporean youth

2021 ◽  
pp. sextrans-2021-055297
Author(s):  
Xu Ming Yong ◽  
Sumita Banerjee ◽  
Jing Lin ◽  
Thomas Nah ◽  
Melvin Tan ◽  
...  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Amrita Ayer ◽  
Eddy R. Segura ◽  
Amaya Perez-Brumer ◽  
Susan Chavez-Gomez ◽  
Rosario Fernandez ◽  
...  

Abstract Background Social networks, norms, and discussions about sexual health may inform sexual practices, influencing risk of human immunodeficiency virus (HIV) or sexually transmitted infection (STI) acquisition. To better understand social networks of Peruvian men who have sex with men (MSM) and transgender women (trans women), we examined key social network members (SNMs), participant perceptions of these network members’ opinions toward sexual health behaviors, and associations between network member characteristics and condomless anal intercourse (CAI). Methods In a 2017 cross-sectional study, a convenience sample of 565 MSM and trans women with HIV-negative or unknown serostatus was asked to identify three close SNMs; describe discussions about HIV and STI prevention with each; and report perceived opinions of condom use, HIV/STI testing, and partner notification of STIs. Generalized estimating equations evaluated relationships between SNM characteristics, opinions, and discussions and participant-reported CAI. Results Among participants who identified as MSM, 42.3% of key SNMs were perceived to identify as gay. MSM “never” discussed HIV and STI prevention concerns with 42.4% of heterosexual SNMs, but discussed them “at least once weekly” with 16.9 and 16.6% of gay- and bisexual- identifying SNMs, respectively. Among participants who identified as trans women, 28.2% of key SNMs were perceived as heterosexual; 25.9%, as bisexual; 24.7%, as transgender; and 21.2%, as gay. Trans women discussed HIV/STI prevention least with cis-gender heterosexual network members (40.2% “never”) and most with transgender network members (27.1% “at least once weekly”). Participants perceived most of their close social network to be completely in favor of condom use (71.2% MSM SNMs, 61.5% trans women SNMs) and HIV/STI testing (73.1% MSM SNMs, 75.6% trans women SNMs), but described less support for partner STI notification (33.4% MSM SNMs, 37.4% trans women SNMs). Most participants reported CAI with at least one of their past three sexual partners (77.5% MSM, 62.8% trans women). SNM characteristics were not significantly associated with participant-reported frequency of CAI. Conclusions Findings compare social support, perceived social norms, and discussion patterns of Peruvian MSM and trans women, offering insight into social contexts and sexual behaviors. Trial registration The parent study from which this analysis was derived was registered at ClinicalTrials.gov (Identifier: NCT03010020) on January 4, 2017.


Sexual Health ◽  
2018 ◽  
Vol 15 (5) ◽  
pp. 473 ◽  
Author(s):  
Kalysha Closson ◽  
Rachel Vickers Smith ◽  
Gbolahan Olarewaju ◽  
Richard Crosby

Background In the USA, young Black gay, bisexual or other men who have sex with men (YBMSM) bear the largest burden of HIV incidence. The aim of this study is to examine the independent associations between economic dependency on a sexual partner and several HIV risk behaviours and sexual health outcomes among YBMSM living in Jackson, Mississippi, USA. Methods: Baseline data from 589 YBMSM, with a median age of 22.0 years (IQR = 15–25) participating in a brief sex-positive HIV and STI prevention intervention, were used to measure the association between six sexual behaviours, sexually transmissible infections (STIs) status at baseline and economic dependence. Bivariate χ2 associations were tested and regression models adjusted for education level (≤ high school), employment and HIV-status. Results: In regressions, of the six sexual behaviours reported in the last 90 days and six STIs tested at baseline, economically dependent YBMSM were more likely to report condomless anal receptive sex (aOR = 2.19, 95%CI = 1.25–3.83), ≥3 partners as a top (aOR = 1.99, 95%CI = 1.17–340), ≥3 sex partners as a bottom (aOR = 2.07, 95%CI = 1.24–3.45), ≥3 sex acts as a bottom (aOR = 2.10, 95%CI = 1.16–3.82) and testing positive for oral gonorrhoea (aOR = 2.39, 95%CI = 1.18–4.83) after controlling for HIV status, employment and education. Conclusions: Interventions should consider how poverty, unemployment and economic dependence interact to influence relationship power imbalances, condom use and sexual positioning agency, and sexual health for key populations of MSM.


2018 ◽  
Vol 34 (1) ◽  
pp. 27-37 ◽  
Author(s):  
Josephine Pui-Hing Wong ◽  
Roula Kteily-Hawa ◽  
Lori A Chambers ◽  
Shriya Hari ◽  
Chikermane Vijaya ◽  
...  

2018 ◽  
Vol 29 (10) ◽  
pp. 980-986 ◽  
Author(s):  
Candice L Lys ◽  
Carmen H Logie ◽  
Moses Okumu

Fostering Open eXpression among Youth (FOXY) is an arts-based HIV prevention program developed by Northern Canadians to address sexual health, HIV, sexually transmitted infections (STIs), sexuality, and healthy relationships among Northern and Indigenous youth in Canada. We conducted a pilot study with Indigenous and Northern young women aged 13–17 years from 17 communities in the Northwest Territories to evaluate whether, in comparison to pre-intervention, FOXY participants demonstrated increased knowledge of STIs, increased safer sex self-efficacy, and increased resilience. Wilcoxon test results indicated significant increases in STI knowledge scores and safer sex self-efficacy scores. Findings suggest that FOXY holds promise as an effective method of delivering sexual health information through peer education, and increasing STI knowledge, safe sex self-efficacy, and resilience.


Author(s):  
Carlos Hermosa-Bosano ◽  
Clara Paz ◽  
Paula Hidalgo-Andrade ◽  
Rodrigo Aguayo-Romero

AbstractAround the world, geosocial networking apps have become widely popular among sexual minority men (SMM). This research analyzed the sexual behaviors and HIV and STI prevention strategies (HIV/STI testing, HIV/STI inquiry, and HIV/STI disclosure) of an online-recruited sample of 284 SMM living in Ecuador. Sexting and oral sex were the most common sexual behaviors among SMM in the sample. Most participants had low perceptions of HIV and STI risk; 85% reported being tested for HIV and 70% for STIs. Being older predicted higher odds of being tested for either HIV or STIs at least once. Being single also predicted HIV testing. Future interventions in the country should explore apps’ utility as intervention tools to spread information about sexual health and HIV prevention strategies, such as condom use and event-driven PrEP. Apps can also facilitate connections to sexual health services, including programs for PrEP initiation and linkage to HIV treatment. They should also focus on promoting sexual harm reduction conversations among potential app-met sexual partners.


2020 ◽  
Author(s):  
Alicia Williamson ◽  
Andrea Barbarin ◽  
Bettina Campbell ◽  
Terrance Campbell ◽  
Susan Franzen ◽  
...  

BACKGROUND African American young adults have low rates of uptake and engagement with health technologies, which may further widen sexual health inequalities. OBJECTIVE We examined factors influencing uptake and engagement for a consumer health informatics (CHI) intervention for HIV/STI prevention among African American young adults using the diffusion of innovation theory, the trust-centered design framework and O’Brien and Toms’ model of engagement. METHODS This community-based participatory research, mixed-methods study included surveys at four time points (N=315; 280 African-American) of young adults aged 18 to 24 involved in an HIV/STI prevention intervention described as “parties”. Qualitative interviews were conducted with a subset of participants (N=19) after initial surveys, website server logs, and social media accounts indicated low uptake and engagement. A generalized linear mixed-effects model identified predictors of eIntervention uptake, server logs were summarized to describe use over time, and interview transcripts were coded and thematically analyzed to identify factors affecting uptake and engagement. RESULTS Self-reported eIntervention uptake was low, but increased significantly over time, Demographic factors and HIV/STI-related behaviors were not significantly correlated with uptake. The most frequent activity was visiting the website, followed by visiting the Facebook page. Factors driving uptake were the desire to share HIV/STI prevention information with others, trust in the intervention, and gender homophily. Factors undermining uptake were personal and group distrust online. Factors driving initial engagement were audience-targeted website aesthetics and appealing visuals; long-term engagement was impeded by insufficiently frequent updates. CONCLUSIONS To encourage uptake, CHI interventions for African-American young adults can leverage users’ desire to share information about HIV/STI prevention with others. Ensuring implementation through trusted organizations is also important, though there is a need for vigorous promotion. Visual appeal and targeted content foster engagement at first, but ongoing engagement may require continual content changes. A thorough analysis of CHI intervention use can inform the development of future interventions in order to promote uptake and engagement. To guide future analyses, we present an expanded uptake and engagement model for CHI interventions targeting African American young adults based on the empirical results presented here.


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