THE CABE PROJECT: Developing a model to conceptualise the sexual attitudes, behaviours, and experiences of men who have sex with men and Waria in Bali, Indonesia: Protocol for a mixed-methods design within a community-engaged research study

2021 ◽  
pp. 263208432110612
Author(s):  
Ni Wayan Septarini ◽  
Sharyn Burns ◽  
Bruce Maycock
Keyword(s):  
Mixed Methods ◽  
Cultural Context ◽  
Well Being ◽  
Capital City ◽  
Health Concern ◽  
Exploratory Research ◽  
Sexually Transmitted ◽  
Community Engaged Research ◽  
Sex With Men ◽  
Depth Interviews

Introduction The prevalence of sexually transmitted infections (STIs) among MSM (men who have sex with men) and transgender women (waria) in Bali is of significant public health concern. According to the 2015 Integrated Biological and Behavioural Survey (IBBS), HIV prevalence among MSM in Denpasar (the capital city of Bali) was 36% – the highest prevalence in this population reported nationally. In addition, 26% of MSM and 25% of waria in Indonesia were living with HIV in 2015. There is limited research examining the attitudes, behaviours and experiences of MSM in Indonesia, and specifically in Bali. This study will develop a model to help understand the social-cultural context, attitudes, behaviours, and experiences to inform interventions to increase safe sex practices amongst Indonesian MSM and waria who live in Bali. Methods and analysis The community-engaged research (CEnR) study, employing a sequential mixed-methods approach, will engage MSM and waria community throughout all five phases. The first two phases will include partnership building and exploratory research (focus group discussions/FGDs). Phase three will include the administration of a survey ( n = 374 Indonesian MSM and waria). Phases four and five include explanatory (in-depth interviews) and dissemination phases, respectively. Multivariate analysis will be employed for the quantitative data (the survey) and thematic analysis will be used to analyse the qualitative data (FGDs and in-depth interviews). Discussion The findings of this CEnR will inform culturally congruent interventions for organisation working with MSM and transgender to promote safer sexual health practice and improve general well-being of this community.

scholarly journals Lymphogranuloma venereum emerging in men who have sex with men in Germany

2006 ◽  
Vol 11 (9) ◽  
pp. 5-6 ◽  
Author(s):  
V Bremer ◽  
T Meyer ◽  
U Marcus ◽  
O Hamouda
Keyword(s):  
Lymphogranuloma Venereum ◽  
European Countries ◽  
Health Concern ◽  
Probable Case ◽  
Sexually Transmitted ◽  
Lymph Node Swelling ◽  
Male Patients ◽  
Sex With Men ◽  
Omp1 Gene ◽  
Great Public Health

A resurgence of lymphogranuloma venereum (LGV) has been observed in several European countries. LGV is not a mandatorily notifiable disease in Germany. Reports of LGV cases have actively been collected by the Robert Koch-Institut since 2004 to describe the outbreak and estimate the extent of the LGV problem in Germany. Updates on the LGV outbreak were published in the German national epidemiological bulletin. Physicians were asked to send their samples to a laboratory for genotyping. A possible case was defined as a person with symptoms of proctitis and/or inguinal lymph node swelling and a positive chlamydia serology. A probable case had in addition a positive chlamydia rectal or urinary PCR test. A case was confirmed if the genotype L1-L3 was identified based on sequence analysis of omp1 gene sequences. Since 2003, LGV has been reported in 78 male patients in Germany. Of these, 61 patients were confirmed as genotype L2. Fifty eight out of 78 patients (74%) are known to be men who have sex with men (MSM). Fifty five patients (71%) had rectal symptoms and 49 (63%) knew they were HIV positive. Sixty two (79%) of the patients were residents of Berlin or Hamburg. LGV has emerged in MSM in Germany at the same time as in other European countries. It is thought that LGV may become endemic in the MSM community in German metropolitan areas, because the number of reported patients with LGV continues to increase. The increase in the number of LGV cases and the high HIV prevalence in LGV patients are of great public health concern. Clinicians and MSM may not be sufficiently aware of the disease, and existing efforts to promote awareness and prevention of sexually transmitted infections and HIV need to be strengthened.

scholarly journals Description of Knowledge About Reproductive Health in Youth at Muhammadiyah University Jakarta 2021

2021 ◽  
Vol 1 (1) ◽  
pp. 717-734
Author(s):  
Andi Bunga ◽  
Ranti Salsabila ◽  
Rehan Aula ◽  
Shania Maharani
Keyword(s):  
Sexual Behavior ◽  
Reproductive Health ◽  
Risky Sexual Behavior ◽  
Health Knowledge ◽  
Well Being ◽  
Reproductive Organs ◽  
Sexually Transmitted ◽  
Reproductive Health Knowledge ◽  
Deviant Sexual Behavior ◽  
Depth Interviews

Reproductive health is a state of complete physical, mental and social well-being. The main problem of Indonesian youth is ignorance of the actions that must be taken, especially reproductive health problems. This is indicated by the low knowledge of adolescents about reproductive health. This study aims to determine the description of reproductive health knowledge in adolescents, Muhammadiyah University, Jakarta. This type of research is descriptive using a qualitative approach. The subjects in the study were 4 adolescent informants. Data collection techniques with in-depth interviews and observation. Adolescent knowledge about reproductive health is obtained through the internet and courses. In maintaining the health of their reproductive organs, teenagers live a healthy life and avoid risky sexual behavior. As a result of risky sexual behavior that can be exposed to sexually transmitted diseases such as HIV / AIDS and others. In controlling their reproductive health, adolescents have never been examined by health services. The view of teenagers regarding deviant sexual behavior is that it is illegal which if done is a big sin and can interfere with brain health.

scholarly journals 3572 The Flint Community’s Action Plan to Rebuild Trust and Encourage Resiliency During the Post Water Crisis Phase

2019 ◽  
Vol 3 (s1) ◽  
pp. 96-96
Author(s):  
Karen D. Calhoun ◽  
Kent Key ◽  
E. Yvonne Lewis ◽  
Susan J Woolford ◽  
E. Hill DeLoney ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Focus Group ◽  
Qualitative Analysis ◽  
Participatory Research ◽  
Community Based Participatory Research ◽  
Well Being ◽  
Water Crisis ◽  
Community Based ◽  
Community Engaged Research ◽  
Study Population

OBJECTIVES/SPECIFIC AIMS: o To review the community’s recommendations on how to rebuild trust in the Flint community. o To review effective community engagement strategies utilized with the Flint Special Projects for project conceptualization, participant recruitment, data analysis, project oversight, and dissemination. METHODS/STUDY POPULATION: The study population includes nearly two hundred residents representing seniors, youth and diverse ethnicities recruited to participate in eleven focus group meetings. The population also represents the general public who attended informational meetings in Flint, Michigan to learn about the crisis and allow residents to voice their opinions and concerns during the onset of the crisis. The project is a mixed methods community based participatory research effort that utilized community decision making in all phases of the effort such as pre-conception, implementation, dissemination and advocacy to encourage the community’s recommendations are adopted at policy and institutional responsiveness levels. It includes three community engaged research efforts: (project 1) A qualitative analysis of community sentiment provided during 17 recorded legislative, media and community events, and (projects 2-3) two mixed methods efforts utilizing purposive sampling of stakeholders whose voice may not have been heard. RESULTS/ANTICIPATED RESULTS: The project presents a qualitative analysis of the community’s voice during the onset of the man-made disaster when the community first became aware of the emergency manager’s plans to switch the water source. It also reflects current perspectives of community voice since the projects are scheduled to end late February 2019. Findings from a trust measure administered to nearly two hundred residents will be presented, along with a qualitative analysis of focus group findings among segments of the population (seniors, youth, and diverse ethnicities) who may have been left out of narratives on the water crisis. Finally, the project will compare empowerment and resiliency approaches being utilized in Flint, Michigan to recover from the disaster with other approaches grounded in literature and theory. DISCUSSION/SIGNIFICANCE OF IMPACT: Communities of color often experience social determinants of health which negatively impact their health, well-being and human rights. Some Flint citizens are experiencing negative health consequences (i.e., rashes, brain and behavioral sequelle, fertility, etc.) as a result of the disaster, and are uncertain of health outcomes in the future. This is the first project to rigorously document and analyze levels of trust and mistrust in the city of Flint since the water disaster occurred. The qualitative research will guide future clinical research that will benefit this traumatized community experiencing high levels of mistrust (i.e., government, elected officials, etc.). The community engaged methodology involved residents and study participants in all phases of the project including project oversight, validating and analyzing data, and dissemination. This methodology will contribute to existing literature and theory on community based participatory research, community engaged research, team science and citizen science. The approaches empowered a call to action among residents, for example, seniors who attended two senior focus group sessions shared “they are hopeful and have a purpose,” resulting in the creation of a council (with officers) at their housing complex to advocate for the well-being of seniors during the recovery process. Recruitment methodologies were extremely successful due to resident level trust in community leaders and community partner organizations. Finally, the project’s examination of approaches encouraging empowerment and resiliency will provide lessons learned for other communities challenged with crisis.

scholarly journals Usability and Acceptability of Oral-Based HCV Self-Testing Among Key Populations: A Mixed-Methods Evaluation in Tbilisi, Georgia

2021 ◽  
Author(s):  
Emmanuel Fajardo ◽  
Victoria Watson ◽  
Moses Kumwenda ◽  
Dali Usharidze ◽  
Sophiko Gogochashvili ◽  
...  
Keyword(s):  
Mixed Methods ◽  
High Educational Level ◽  
Key Populations ◽  
Sample Collection ◽  
Cross Sectional ◽  
Common Error ◽  
Self Testing ◽  
Significant Difference ◽  
Sex With Men ◽  
Depth Interviews

Abstract Background: Hepatitis C virus self-testing (HCVST) is an additional approach that may expand access to HCV testing. We conducted a mixed-methods cross-sectional observational study to assess the usability and acceptability of HCVST among people who inject drugs (PWID), men who have sex with men (MSM) and transgender (TG) people in Tbilisi, Georgia. Methods: The study was conducted from December 2019 to June 2020 among PWID at one harm reduction site and among MSM/TG at one community-based organization. We used a convergent parallel mixed-methods design. Usability was assessed by observing errors made and difficulties faced by participants. Acceptability was assessed using an interviewer-administered semi-structured questionnaire. A subset of participants participated in cognitive and in-depth interviews.Results: A total of 90 PWID, 84 MSM and 6 TG were observed performing HCVST. PWID were older (median age 35 vs 24) and had a lower level of education compared to MSM/TG (27% vs 59%). The proportion of participants who completed all steps successfully without assistance was 60% among PWID and 80% among MSM/TG. The most common error was in sample collection and this was observed more often among PWID than MSM/TG (21.1% vs 5.5%; p=0.002). More PWID requested assistance during HCVST compared to MSM/TG (22.2% vs 7.8%; p=0.011). Acceptability was high in both groups (98% vs 96%; p=0.407). Inter-reader agreement was 96.7% among PWID and 98.9% among MSM/TG. Qualitative data from cognitive (n=20) and in-depth interviews (n=20) was consistent with the quantitative data confirming a high usability and acceptability. Conclusions: HCVST was highly acceptable among key populations in Georgia of relatively high educational level, and most participants performed HCVST correctly. A significant difference in usability was observed among PWID compared to MSM/TG, indicating that PWID may benefit from improved messaging and education as well as options to receive direct assistance when self-testing for HCV.

scholarly journals The Synergistic Impact of Sexual Stigma and Psychosocial Well-Being on HIV Testing: A Mixed-Methods Study Among Nigerian Men who have Sex with Men

2018 ◽  
Vol 22 (12) ◽  
pp. 3905-3915 ◽  
Author(s):  
Cristina Rodriguez-Hart ◽  
◽  
Cory Bradley ◽  
Danielle German ◽  
Rashelle Musci ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Hiv Testing ◽  
Well Being ◽  
Mixed Methods Study ◽  
Sexual Stigma ◽  
Nigerian Men ◽  
Sex With Men

scholarly journals “Enthusiastic Admiration Is the First Principle of Knowledge and Its Last”: A Qualitative Study of Admiration for the Famous

SAGE Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 215824402110067
Author(s):  
Yue Meng-Lewis ◽  
Huiping Xian ◽  
Gavin Lewis ◽  
Yupei Zhao
Keyword(s):  
Qualitative Study ◽  
Well Being ◽  
Moral Emotions ◽  
Social Recognition ◽  
Psychological Effects ◽  
Positive Thinking ◽  
First Principle ◽  
Exploratory Research ◽  
Positive Attitudes ◽  
Depth Interviews

The concept of fame has been associated with celebrities, wealth, attractiveness, and social recognition. Nevertheless, people have admiration for the famous who may not be celebrities. Admiration is regarded as one of the emotions of appreciation, or moral emotions, triggered by positive appraisals of excellence. It is present when seeing extraordinary displays of skills talent or achievement. However, theoretical and empirical research on admiration and its psychological effects on people are scarce. In this article, we discuss a qualitative study that explores a collection of experiences of admiration for the famous. Based on 26 in-depth interviews with residents in southern England, we explored why people admire famous individuals and how the experience may produce positive attitudes and behaviors. We found that through admiring famous individuals who are perceived to share similar interests and attributes, people may develop positive thinking about their own lives and may be more active in seeking new opportunities or engaging in self-growth. We also discuss the potential problems of admiration. This exploratory research contributes to the literature of positive psychology and has implications for furthering the understanding of people’s well-being.

scholarly journals Syphilis self-testing to expand test uptake among men who have sex with men: a theoretically informed mixed methods study in Zimbabwe

2021 ◽  
pp. sextrans-2020-054911
Author(s):  
Clarisse Sri-Pathmanathan ◽  
Definate Nhamo ◽  
Takudzwa Mamvuto ◽  
Gwendoline Chapwanya ◽  
Fern Terris-Prestholt ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Phase I ◽  
Phase Ii ◽  
Low Income ◽  
Mixed Methods Study ◽  
Key Informants ◽  
Self Testing ◽  
Self Test ◽  
Sex With Men ◽  
Depth Interviews

ObjectivesSelf-testing for STIs such as HIV and syphilis may empower sexual minorities and expand uptake of STI testing. While much is known about HIV self-testing (HIVST), less is known about syphilis self-testing, particularly in low-income settings. The objective of this study is to determine context-specific facilitators and barriers for self-testing and to assess the usability of syphilis self-testing in Zimbabwe among men who have sex with men (MSM).MethodsThis mixed methods study was conducted in Harare as part of a larger syphilis self-testing trial. The study included in-depth interviews (phase I) followed by usability testing and a second interview (phase II). In-depth interviews were conducted with MSM and key informants prior to syphilis self-testing. The same MSM then used the syphilis self-test, quantitatively assessed its usability and participated in a second in-depth interview. Phase I data were analysed using a thematic approach, guided by an adapted social ecological model conceptual framework. Phase II interviews were analysed using rapid assessment procedure methodology, and usability was assessed using a pre-established index, adapted from existing HIVST scales.ResultsTwenty MSM and 10 key informants were recruited for phase I in-depth interviews, and 16 of these MSM participated in phase II by completing a syphilis self-test kit. Facilitating factors for self-testing included the potential for increased privacy, convenience, autonomy, and avoidance of social and healthcare provider stigma. Barriers included the fear to test and uncertainty about linkage to care and treatment. Data from the Usability Index suggested high usability (89.6% on a 0–100 scale) among the men who received the self-test.ConclusionsMSM in Zimbabwe were willing to use syphilis self-test kits and many of the barriers and facilitators were similar to those observed for HIVST. Syphilis self-testing may increase syphilis test uptake among sexual minorities in Zimbabwe and other low-income and middle-income countries.

scholarly journals Are psychosocial interventions effective at increasing condom use among Black men? A systematic review

2021 ◽  
pp. 095646242110247
Author(s):  
Uzochi Nwaosu ◽  
Rianna Raymond-Williams ◽  
Jane Meyrick
Keyword(s):  
Condom Use ◽  
Black Men ◽  
Psychosocial Interventions ◽  
Well Being ◽  
Future Research ◽  
Sexually Transmitted ◽  
Positive Effects ◽  
The United Kingdom ◽  
Weak Evidence ◽  
Sex With Men

Black men experience a disproportionate burden of sexually transmitted infections (STIs) in the United Kingdom (UK). STIs can seriously affect the health and well-being of affected individuals. With condoms effective at preventing STI transmission, this review aims to explore the evidence of effectiveness of psychosocial interventions at increasing condom use among Black men to inform UK-based interventions for this at-risk but unheard population. Nine databases were searched for qualifying studies. Two reviewers independently assessed the quality of studies. A narrative synthesis read across the heterogeneous studies for evidence of effectiveness. A total of 17 studies met the inclusion criteria. This review identified scientifically weak evidence of effectiveness in multifaceted psychosocial interventions to increase condom use among Black men, particularly men who have sex with women and men who have sex with men mainly from United States settings. The multifaceted nature of interventions provides obscure evidence on successful elements of interventions with positive effects. Despite the disproportionate STI burden among this group, no UK-based studies were identified. Future research should aim to better understand condom use behavioural experiences and motivators of condom use among UK Black men to inform ethnically culturally relevant and tailored interventions.

scholarly journals Health Culture and Presenting a Paradigmatic Model Focusing on Human Papillomavirus Disease

2020 ◽  
Author(s):  
Narges Soltanizadeh ◽  
Mohsen Ameri Shahrabi ◽  
Mohammad Reza Masjedi ◽  
Elaheh Ainy ◽  
Esmaeel Kavousy ◽  
...  
Keyword(s):  
Human Papillomavirus ◽  
Sexually Transmitted Diseases ◽  
Transmitted Disease ◽  
Theoretical Models ◽  
Exploratory Research ◽  
Health Culture ◽  
Cultural Management ◽  
Sexually Transmitted ◽  
Demand For Health ◽  
Depth Interviews

Objective: In this study, we developed a paradigmatic model focusing on human papillomavirus (HPV) diseases, in order to formulate a theory by investigating pathology in health culture using Grounded Theory, as an inductive and exploratory research method. Materials and methods: It was a qualitative study, and data were collected using in-depth interviews with 20 people (10 men and 10 women) with cultural and religious specialties (clergy). In total, twenty interviews were conducted (mean duration = 45 min) using a semi-structured guide consisting of open-ended questions. All recordings were transcribed verbatim in Persian. All items were extracted based on the participants' responses and related literature. After data collection, the basic theory analysis was performed in terms of the three steps as follows: free coding, axial encryption, the implementation, refinement, and writing the theories in line with selective coding theoretical models. Finally, the paradigm model was determined from the presented models. Results: The paradigm model emerged from professors, clergy, and authorized people, showed that religious taboos about sexually transmitted diseases; lack of wise management, comprehensive supervision, compliance with health standards in the country, proper legislation regarding sexually transmitted diseases as causal factors, awareness, health education in the country, public demand for health, individual dignity, punishment for health detractors, familiarity with individual rights as intervening factors, concern for human lives, health, and belief in fatalism; ethnic differences; irresponsibility; risk perception; high cost of HPV vaccine; immorality in health speech; disregard for people's lives; gender differences as contextual factors; and the consequences is increasing burden of diseases  due to sexually transmitted disease such as (HPV). Conclusion: It seems the overall lack of a health-based approach could be a major concern due to the weakness of cultural management in society that requires the involvement and intervention of all policymakers, health planners, authorized people, professors, elites, and clerics to control this major cultural health problem.

scholarly journals We Have a Lot to Do: Lack of Sexual Protection and Information—Results of the German-Language Online Survey “Let's Talk About Chemsex”

2021 ◽  
Vol 12 ◽  
Author(s):  
Cornelia Rosenberger ◽  
Marcus Gertzen ◽  
Moritz Strasburger ◽  
Johanna Schwarz ◽  
Solveig Gernun ◽  
...  
Keyword(s):  
Substance Use ◽  
Online Survey ◽  
Well Being ◽  
Dropout Rate ◽  
High Risk Group ◽  
Negative Effects ◽  
Online Questionnaire ◽  
Sexually Transmitted ◽  
Sex With Men ◽  
Use Behavior

Background: The prevalence of chemsex and sexualized substance use is increasing in several European countries, particularly among men who have sex with men. In this subgroup, illegal substance use is associated with increased sexual risk behavior, which can result in severe physical and psychological impairments. The present study examined the incidence and prevalence of chemsex in German-speaking countries.Methods: To further describe the high-risk group of Chemsex users, participants (N = 429) were asked about their psychotropic substance use, sexual and health-related behavior, health status, and socio-demographic information by using an online questionnaire. Whether Chemsex has negative effects on well-being was measured with the WHO well-being index. Of additional interest was how informed Chemsex users are about the topic and what needs are placed on the practitioners. The online questionnaire consisted of 105 items, and data was collected from March to May 2019. Thousand forty seven datasets were saved with a dropout rate of 59%, 123 completed questionnaires fulfilled the criteria for chemsex users (n =123).Results: There were no significant differences in well-being between chemsex users and non-users. All participants protected themselves against sexually transmitted diseases irregularly or not at all. The majority of chemsex users reported intermittently using illegal substances (ketamine, methamphetamine, mephedrone, γ-butyrolactone/γ-hydroxy butyric acid). They viewed their sexual and substance use behavior as problematic, but few showed motivation for behavior change. Chemsex users clearly expressed a need for more information and advice centers.Conclusion: The results provide information on chemsex users that can be used for the future development of a therapy manual and thus contribute to improving health care for this group. The prevalence of chemsex is increasing and urgently needs more research to protect clients from health impairments and stigmatization.

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