scholarly journals Risky sexual behavior and associated factors among patients with bipolar disorders in Ethiopia

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Chalachew Shambel Obo ◽  
Lamesa Melese Sori ◽  
Tadesse Melaku Abegaz ◽  
Bizuneh Tesfaye Molla
Keyword(s):  
Mental Health ◽  
Bipolar Disorder ◽  
Sexual Behavior ◽  
Sexual Behaviors ◽  
Risky Sexual Behavior ◽  
Associated Factors ◽  
Addis Ababa ◽  
Bipolar Disorders ◽  
Unprotected Sexual Intercourse ◽  
Bipolar Patients

Abstract Background People with bipolar disorder are highly vulnerable to risky sexual behaviors (RSBs). The magnitude of RSBs among bipolar disorders was not studied in our population. The present study aimed to explore the prevalence of RSBs and associated factors among patients with bipolar disorder. Method An institution based cross-sectional study was conducted from 1 April to 30 May 2017 among people living with bipolar disorder at outpatient departments of Amanuel Mental Health Hospital, Addis Ababa. Systematic random sampling was used to select participants. Risky sexual behavior was defined as having sex with two or more sexual partners, having unprotected sexual intercourse, sex after alcohol consumption, exchanged money for sex in a previous 12 months. Data collection was conducted through face-to-face interview by a structured questionnaire adopted from behavioral surveillance survey. Binary logistic regression was conducted to identify factors associated with RSBs. Result A total of 424 participants were enrolled in the study, giving overall response rate of 96%. About 223(52.6%) were males. The prevalence of risky sexual behavior was 49.1% among bipolar patients. Male patients (Adjusted Odds Ratio (AOR) =2.23,95% CI = 1.27,3.92), patients in age group of 18–24(AOR = 2.08,95% CI = 1.47,3.81),current manic phase of the illness (AOR = 2.3195% CI,1.24,4.32) and current alcohol drinking (AOR = 3.70,95% CI = 2.01,6.78) had significant association with RSB. Conclusion Almost half of bipolar patients reported a risky sexual behavior. Current manic episode and the consumption of alcohol were independently associated with RSB. To reduce the burden of RSBs, mental health services which focuses on sexual behaviors of bipolar patients is required.

Assessing risky sexual behavior among patients with bipolar disorder in euthymic period

2016 ◽  
Vol 33 (S1) ◽  
pp. S340-S341
Author(s):  
N. Staali
Keyword(s):  
Bipolar Disorder ◽  
Sexual Behavior ◽  
Sexually Transmitted Infections ◽  
Sexual Behaviors ◽  
Risky Sexual Behavior ◽  
Depression Scale ◽  
Structured Interview ◽  
Hamilton Depression Scale ◽  
Sexually Transmitted ◽  
Bipolar Patients

IntroductionRisky sexual behaviors are typically seen in patients with bipolar disorder, especially during the manic phases.Disinhibition, impulsivity and risk taking expose these patients to unplanned pregnancies and sexually transmitted infections.However, there is a lack of studies regarding these behaviors in stabilized bipolar patients during euthymia.ObjectivesThe objective of this study was to look for a risky sexual behavior by evaluating sexual knowledge and sexual behavior of patients with bipolar disorder in the euthymic phase.MethodsWe conducted a descriptive cross-sectional study including 30 patients diagnosed with bipolar disorder I or II (DSM-IV).Data were obtained through a semi-structured interview evaluating the following: sexually transmitted infections, condom use, multiple sexual partners, sex under the influence of drugs or alcohol, and prostitution.The Young Mania Scale and the Hamilton Depression Scale were used for clinical assessment.ResultsThe preliminary results suggest a lack of knowledge leading to a tendency to risky sexual behavior in both male and female, married and unmarried patients.ConclusionsPatients with bipolar disorder are exposed to risky and unsafe sex because of the clinical features of their disease and associated comorbidities.Prevention and awareness of sexual risks are unavoidable in the management of these patients.Disclosure of interestThe author has not supplied his declaration of competing interest.

Mental Health and HIV-related Risky Sexual Behaviors Among Cisgender, Transgender, and Gender Non- Conforming MSM in China

2020 ◽  
Author(s):  
Zhizhou Duan ◽  
Liyin Wang ◽  
Menglan Guo ◽  
Changmian Ding ◽  
Danqin Huang ◽  
...  
Keyword(s):  
Mental Health ◽  
Sexual Behavior ◽  
Sexual Behaviors ◽  
Risky Sexual Behavior ◽  
Risky Sexual Behaviors ◽  
Targeted Interventions ◽  
Gender Minority ◽  
The Past ◽  
Gender Minorities ◽  
And Gender

Abstract Background The new recognition of sub-groups among gender minorities (i.e transgender and gender non-conforming) who also identify as men who have sex with men (MSM) play a considerable role in new HIV infections in China. However, while research focuses on the prevalence of MSM, it ignores the diversity of gender minorities within the MSM population. Furthermore, information on the mental health and HIV-related risky sexual behavior also requires consideration to understand the prevalence and new rates of infection both of MSM and within these gender minority sub-groups. Methods From September 2017 to December 2017, MSM were recruited in Wuhan, Nanchang, and Changsha cities in China. Participants were asked to fill out a structured self-designed questionnaire to assess depression, perceived social support, resilience, identify concealment, and HIV-related risky sexual behaviors. Results A total of 715 MSM completed the structured questionnaire, the number of gender minorities identifying as MSM were 63 and accounted for 8.8% of the population. Compared with the cisgender MSM population, transgender MSM had a significantly lower likelihood of identity concealment (P = 0.016, 95%CI = 0.16, 5.79), were more likely to have one-night stand/occasional partner in the past six months (AOR = 3.90, 95% CI = 1.17–13.03), have sex after drug use (AOR = 2.84, 95%CI = 1.18–6.79), and engage in commercial sexual behavior in the past six months (AOR = 6.09, 95%CI = 1.003–36.94). In terms of gender non-conforming MSM, the differences were not significant for mental health and HIV-related risky sexual behaviors in comparison to the cisgender MSM population. Conclusions It is critical to create targeted interventions tailored towards the different gender minority identities among the MSM population. Further research is necessary to understand the relationship between gender identity, mental health, and HIV-related risky sexual behaviors.

scholarly journals Risky sexual behaviors of schizophrenic patients: a single center study in Ethiopia, 2018

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Biruk Negash ◽  
Bethlehem Asmamewu ◽  
Wondale Getinet Alemu
Keyword(s):  
Sexual Behavior ◽  
Health Care Providers ◽  
Sexual Behaviors ◽  
Risky Sexual Behavior ◽  
Addis Ababa ◽  
Risky Sexual Behaviors ◽  
Positive Symptom ◽  
Care Providers ◽  
Schizophrenic Patients ◽  
Patient Service

Abstract Objective Identify factors related to risky sexual behavior can facilitate health care providers to approach programs that improve quality of services provided to the patient service. The aim of study to assess the prevalence of risky sexual behaviors and associated factors among schizophrenia patient at Amanuel Mental specialized hospital, Addis Ababa, Ethiopia, 2019. Result A total of four hundred twenty-nine participants were interviewed with a response rate of 97.05%. The prevalence of risky sexual behavior was 39.4% (95% CI 34.3, 43.6). In the multivariate logistic regression, being male sex (AOR = 3.78 (1.94, 7.38)), patients in age group between 18 and 24 (AOR = 4.85 (1.73, 13.6)), current use of alcohol (AOR = 1.86 (1.049, 3.32)), place of residence (AOR = 6.22 (2.98, 12.98)), positive symptom (AOR = 3.01 (1.55, 5.84)) were associated with risky sexual behavior.

scholarly journals Stigma Resistance and Its Associated Factors among People with Bipolar Disorder at Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Nigus Alemnew Engidaw ◽  
Eyosiyas Yeshialem Asefa ◽  
Zelalem Belayneh ◽  
Abate Dargie Wubetu
Keyword(s):  
Bipolar Disorder ◽  
Mental Illness ◽  
Associated Factors ◽  
Addis Ababa ◽  
Community Support ◽  
Self Esteem ◽  
Internalized Stigma ◽  
Specialized Hospital ◽  
Stigma Resistance ◽  
Bipolar Patients

Background. Stigma resistance is the capacity to cope and remain unaffected by mental illness stigmatization. In bipolar patients, having low stigma resistance may result in a higher internalized stigma, low self-esteem, and poor treatment outcome. In Ethiopia, the prevalence of stigma resistance among bipolar patients is not well known. Therefore, this study is aimed at assessing the prevalence of stigma resistance and its associated factors among bipolar patients at Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia. Method. An institutional-based cross-sectional study was conducted from May 8th to June 14th, 2016, at Amanuel Mental Specialized Hospital. The study participants were selected using a systematic random sampling technique. The stigma resistance subscale of the internalized stigma of mental illness was used to measure stigma resistance. Bivariable and multivariable logistic regression was computed to identify factors associated with stigma resistance. Accordingly, variables with P values of less than 0.05 were considered as statistically significant predictors of stigma resistance with a 95% confidence interval. Results. In this study, 418 participants completed the interview with a response rate of 98.8%. The prevalence of low stigma resistance was 56.9% (95%CI=51.9‐61.6%). Being unemployed (AOR=1.65; 95%CI=1.35‐1.87), high internalized stigma (AOR=3.04; 95%CI=1.83‐5.05) and low self-esteem (AOR=2.13; 95%CI=1.72‐6.76) were significantly associated with low stigma resistance. Conclusions and Recommendation. More than half of the bipolar patients attending the Amanuel Mental Specialized Hospital had low stigma resistance. Therefore, stigma reduction programs have focused on improving self-esteem and reducing internalized stigma to increase their stigma resistance. Mental health information dissemination regarding community support and reengagement of people with bipolar disorder is highly recommended.

scholarly journals Women’s autonomy in refusing risky sex and associated factors in Ethiopia: evidence from 2011 to 2016 EDHS data

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Melkamu Dires Asabu
Keyword(s):  
Sexual Behavior ◽  
Risky Sexual Behavior ◽  
Associated Factors ◽  
Formal Education ◽  
Addis Ababa ◽  
Risky Sex ◽  
Health Concern ◽  
Women’S Autonomy ◽  
Women's Autonomy ◽  
Proper Actions

Abstract Background Risky sexual behavior is a major public health concern of Ethiopians. Although studying the autonomy of women in refusing risky sex is significant to take proper actions, the issue is not yet studied. Accordingly, this population-based nationwide study was aimed at assessing women’s autonomy in refusing risky sex and its associated factors in Ethiopia. Method The sample was limited to married women of 2011 (n = 8369) and 2016 (n = 8403) Ethiopian Demographic and Health Survey data. Women's autonomy in refusing risky sex was measured based on wives' response to 'not having sex because husbands have other women. To examine associated factors, socio-demographic variables were computed using binary logistic regression. Result The finding revealed that the trend of women’s autonomy in refusing risky sex had declined from 78.9% in 2011 to 69.5% in 2016. Women aged from 25 to 34 were less likely autonomous in refusing sex compared to those who aged less than 24 years old (AOR = .7064; 95% CI 0.605, 0.965). The autonomy of women with higher educational status was three times more likely higher than those who have no formal education (AOR = 3.221; 95% CI 1.647, 6.300 respectively. The autonomy of women who are from rich households was more likely higher in comparison to women from poor households (AOR = 1.523; 95% CI 1.28, 1.813). The autonomy of women those who live in Tigray 2.9 times (AOR = 2.938; 95% CI 2.025, 4.263), Amhara 4.8 times (AOR = 4.870; 95% CI 3.388, 7.000), SNNP 1.9 times (AOR = 1.900; 95% CI 1.355, 2.664), and Addis Ababa 3.8 times (AOR = 3.809; 95% CI 2.227, 6.516) more likely higher than those who reside in Dire Dawa. Conclusion The autonomy of women in refusing risky sex has declined from 2011 to 2016. This infers that currently, women are more victimized than previously. Hence, possible interventions like empowering women shall be taken to protect women from certain health problems of risky sexual behavior.

scholarly journals Sexual Attitudes and Associated Factors of Risky Sexual Behaviors Among University Students

2021 ◽  
Author(s):  
Shayesteh Jahanfar ◽  
Zahra Pashaei
Keyword(s):  
Sexual Behavior ◽  
University Students ◽  
Sexual Behaviors ◽  
Risky Sexual Behavior ◽  
Associated Factors ◽  
Sexual Attitudes ◽  
Sexual Attitude ◽  
Risky Sexual Behaviors ◽  
Early Years ◽  
World Health

Abstract IntroductionRisky sexual behaviors, because of its adverse health consequences, are a serious problem in the health care system. Adequate awareness of reproductive health in young people is important because they are in the early years of fertility and engaging in risky sexual behaviors are more probable. This study aimed to evaluate the sexual attitude and associated factors of risky sexual behaviors among girls and boys and the difference of sexual norms by gender among university students.MethodsA university-based study with a cross-sectional survey conducted for nine months in 2019. A total of 800 university students were studied by a random sampling technique, using a self-administered structured questionnaire derived from World Health Organization illustrative questionnaire to assess sexual attitudes among adolescents and young adultsResultsMost of the respondents were female and single. Girls were more religious, more frequently visited the cinemas, and were more likely to discuss sex-matters with family members compared to boys. There was no significant difference in the total score of sexual attitude in girls and boys, and both genders had negative attitudes toward risky sexual behavior (42/72). Those who go to parties, bars, or movies were more probable to have risky sexual behavior. Being a religious person is an essential predictor of having less risky behavior (RR = 2.02, 95% CI = 0.96,3.41).ConclusionBeing religious was a protective factor for engaging in risky sexual behavior. More interventions in schools and universities need to educate students to enhance awareness about the consequences of RSB and reduce the rate of it.

scholarly journals The Trend of Women’s Autonomy in Refusing Risky Sex and Associated Factors in Ethiopia: Evidence From 2011 & 2016 EDHS Data

2021 ◽  
Author(s):  
Melkamu Dires Asabu
Keyword(s):  
Sexual Behavior ◽  
Risky Sexual Behavior ◽  
Associated Factors ◽  
Addis Ababa ◽  
Educational Status ◽  
Risky Sex ◽  
Health Concern ◽  
Women’S Autonomy ◽  
Women's Autonomy ◽  
Proper Actions

Abstract Background: Risky sexual behavior is a major public health concern of Ethiopians. Although studying the autonomy of women in refusing risky sex is significant to take proper actions, the issue is not yet studied. Accordingly, this population-based nationwide study was aimed at assessing the trends of women’s autonomy in refusing risky sex and its associated factors in Ethiopia.Method: The sample was limited to married women of 2011 (n=8369) and 2016 (n=8403) Ethiopian Demographic and Health Survey (EDHS) data. Women's autonomy in refusing risky sex was measured based on wives' response to 'not having sex because of husbands have other women. To examine associated factors, sociodemographic variables were computed using binary logistic regression. Result: The finding revealed that the trend of women’s autonomy in refusing risky sex had declined from 78.9% in 2011 to 69.5% in 2016. Women aged from 25-34 were less likely autonomous in refusing sex (AOR=.764;95%CI=.605,.965), in comparison with women aged less than 24 years old. The autonomy of women with primary, secondary, and higher educational status were AOR=1.607;95%CI:1.379,1.874, AOR=2.208;95%CI:1.639,2.975, and AOR=3.221;95%CI:1.647,6.300 respectively. The autonomy of women from rich households was more likely higher (AOR=1.523;95%CI:1.28,1.813) in comparison to women from poor households. The autonomy of women in Tigray, (AOR=2.938;95%CI:2.025,4.263), Afar (AOR=1.497;95%CI:1.111,2.017), Amhara (AOR=4.870;95%CI:3.388,7.000), Benishangul Gumuz (AOR=.568;95%CI:.406,.796), SNNP (AOR=1.900;95%CI:1.355,2.664), Harari (AOR=.516;95%CI:.372,.716), and Addis Ababa (AOR=3.809;95%CI:2.227,6.516) when compared with autonomy of women who resides Dire Dawa.Conclusion: The autonomy of women in refusing risky sex has declined from 2011 to 2016. This infers that currently, women are more victimized than previously. Hence, possible interventions like empowering women shall be taken to protect women from certain health problems of risky sexual behavior.

scholarly journals data sRisky Sexual Behaviors and Associated Factors among High school students in Ethiopia. A systematic review and Meta-Analysis, 2019 Kassahun Gebeyehu Yazew1*, Tadele Amare zeleke2, Nigusie Birhan Tebeje3preadsheet

2020 ◽  
Author(s):  
Kassahun Gebeyehu
Keyword(s):  
High School ◽  
Sexual Behavior ◽  
High School Students ◽  
Sexual Behaviors ◽  
Risky Sexual Behavior ◽  
Associated Factors ◽  
Sexual And Reproductive Health ◽  
Meta Analysis ◽  
School Students ◽  
Pooled Prevalence

AbstractsBackground: Risky sexual behavior conceptualized as any behavior associated with sexual contact. That predisposes youths to several sexual and reproductive health problems. Like sexually transmitted infections, Human Immunodeficiency Virus, unwanted pregnancy, and abortion. Worldwide this problem is becoming prevalent. However, Meta-analysis of the risky sexual behavior among high school students in Ethiopia was not previously done. Objective: The main aim of this meta-analysis was to estimate the pooled prevalence of risky sexual behavior and determine associated factors among high school students in Ethiopia.Method: Data was extracted based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies were accessed through electronic web-based searches. Such as PsycINFO, PubMed, Google, Google Scholar, and EMBASE from April 01, 2019 to June 29, 2019. All statistical analyses were done using Stata version 11 and a random-effects model. Result: A total of 36 studies with 22,524 participants were included in this meta-analysis. The overall pooled estimate prevalence of the risky sexual behavior among high school students in Ethiopia was 28.13 %. According to subgroup analysis, the estimated pooled prevalence of risky sexual behavior was in Diredewa 48.07% (CI 2.08, 93.35). Followed by the Oromia region 34.16% (95% CI 25.85, 42.46).Conclusion: This meta-analysis revealed that risky sexual behavior was relatively high. Being male gender, alcohol use, peer pressure, not living with family and observing pornographic videos were found to be significantly associated with risky sexual behavior. So, responsible stakeholders should pay attention to minimize those risky sexual behaviors. That is through a diversity of avenues and campaigns. To improve students their sexual and reproductive health-seeking behavior. Study protocol registration: It is a registered database: (CRD42019144673).Keywords:- Risky sexual behavior, high school students, sexual practice, Ethiopia

Do patients with bipolar disorders receive evidence-based psychosocial interventions? a survey in Italy

2011 ◽  
Vol 26 (S2) ◽  
pp. 256-256
Author(s):  
M. Vallarino ◽  
F. Rapisarda ◽  
A. Parabiaghi ◽  
A. Barbato ◽  
Keyword(s):  
Mental Health ◽  
Bipolar Disorder ◽  
Mental Health Services ◽  
Health Services ◽  
Social Skills Training ◽  
Bipolar Disorders ◽  
Psychosocial Interventions ◽  
Skills Training ◽  
Treatment Gap ◽  
Bipolar Patients

IntroductionResearch evidence on bipolar disorder supports the importance of patients’ active role to improve outcome and the efficacy of a number of psychosocial interventions. The lower cost and potential ease of dissemination of group psychoeducation suggest that this should be a first line approach, with more complex interventions, requiring highly specialized skills, reserved to selected patients. However, to what extent research models can be transferred to everyday practice remains to be seen.ObjectivesTo explore the delivery of psychosocial interventions to bipolar disorders patients in routine mental health care.AimsTo estimate the treated prevalence of bipolar disorders in Milan and to collect data about the variety of psychosocial interventions patients received by mental health services.MethodsA survey of psychosocial interventions received by bipolar patients in three mental health services of Milan (catchment area 867,000 inhabitants) was conducted in 2009. Data from the Regional Mental Health Information System were retrieved to calculate the number of patients involved in psychosocial interventions and the kind of intervention provided.ResultsThe treated prevalence rate was low, showing a probable treatment gap. Only 20% of 636 bipolar patients received at least one psychosocial intervention. The interventions provided were: family psychoeducation (3,8%), individual social skills training (11,5%), group social skills training (1,4%), and relatives group (3,0%).ConclusionsFew bipolar patients receive psychosocial interventions in the MHS of Milan. Moreover, the interventions received were not specifically designed for bipolar disorder. Treatment gap could be reduced providing psychoeducation especially designed for bipolar patients.

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