scholarly journals Risky sexual behavior and its associated factors among patients with severe mental disorder in University of Gondar Comprehensive Specialized Hospital, 2018

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Daniel Ayelegne Gebeyehu ◽  
Missaye Mulatie

Abstract Background People with severe mental disorders are more likely to engage in high-risk sexual behaviors. As a result of these high-risk behaviors, they might contract sexually transmitted infections and become pregnant unintentionally. Despite the high burden of this problem, very little is known about the association between mental disorders and high-risk sexual behaviors; for this reason, the current study aimed at determining the association between these two behaviors in patients with mental disorders attending an outpatient clinic at the University of Gondar Comprehensive Specialized Hospital, Psychiatric Clinic. Methods A total of 223 study participants were recruited via a stratified sampling followed by a systematic sampling technique. An institutional-based cross-sectional study was conducted from April to May 2018. Data were collected using a pretested interviewer-based questionnaire. A four-item questionnaire was adopted from a behavioral surveillance survey and different literature sources. A multivariable logistic regression model was fitted to assess the strength in addition to the direction of the association between risky sexual behavior and independent variables. An interpretation was made based on the adjusted odds ratio and p-value at a 95% confidence interval (CI). Result Nearly half of the study participants (49.8, 95% CI; 43.9–56.5%) presented risky sexual behavior. The study found that male gender (2.98; adjusted odds ration [AOR] = 2.98; 95% CI; 1.49–5.95), no ability to read and write (3.99; AOR = 3.99; 95% CI: 1.53–10.4), history of hospitalization (3.95; AOR = 3.95; 95% CI: 1.87–8.32), perceived internal stigma (2.45, AOR = 2.45; 95% CI: 1.18–5.11), and poor social support (3.07, AOR = 3.07; 95% CI: 1.29–7.30) were significant predictors of risky sexual behaviors among patients with severe mental disorder. Conclusion Risky sexual behavior among patients with a severe mental disorders was high (49.8%). Special attention should be given to male patients, incorporating people with severe mental disorders into the adult education programs, continuous health education regarding risky sexual behavior and utilization of condoms, building self-esteem, and engaging others to provide good social support systems are strongly recommended to alleviate this type of behavior in this population.

Author(s):  
Hyunjean Kim ◽  
Yingxin He ◽  
Ryan Pham ◽  
Gira J. Ravelo ◽  
Patria Rojas ◽  
...  

Latinas are often more affected by HIV due to their socio-economic and demographic profiles and are also less likely to receive proper mental health care. Latina immigrants are often even more vulnerable due to socio-economic and cultural factors that place them at higher risk. The current study seeks to examine the association between depression and risky sexual behaviors among adult Latina immigrants from a farm working community in South Miami-Dade County, (Florida, USA). Cross-sectional secondary data analysis was used for responses from a community-based participatory research (CBPR) study. Out of 234 Latina immigrants, 15% reported being depressed and 80% were reported as having engaged in risky sexual behavior. Although no association was found between depression and high-risk sexual behavior, significant secondary findings present associations between risky sexual behavior and low sexual relationship power, interpersonal violence, and relationship status. Implications for future research on depression and risky sexual behaviors among this population are discussed.


2021 ◽  
Vol 9 ◽  
pp. 205031212199435
Author(s):  
Ayele Gezahegn Gemechu ◽  
Lemessa Assefa Ayana ◽  
Zelalem Desalegn Waqtole ◽  
Edosa Kifle Tola ◽  
Markos Desalegn Beyene

Background: Ethiopia is one of the sub-Saharan African countries where the young population is densely found. Many studies reveal that the magnitude of risky sexual behavior is high in the youth. The consequences of risky sexual behavior developed during youth life may affect the sexual behavior in adult life, such as increasing the risk of acquiring and transmitting sexually transmitted infections, and predisposing to unwanted pregnancies. Our objective was to assess the risky sexual behaviors among daily laborers in Arjo-Didessa Sugar Factory, Jimma Arjo district, East Wollega zone, Southwest Ethiopia. Methods: An institution-based cross-sectional study was conducted among 422 randomly selected daily laborers in the Arjo-Didessa sugar factory. For the quantitative and qualitative study, a simple random and purposive sampling technique, respectively, was employed to select the study participants. After data collection, data were checked manually for completeness, and then cleaned and entered into EPI info version 7. Statistical analyses like descriptive, bivariate, and multivariate logistic regression were performed using SPSS version 24 to determine the association between predictors and outcome variables with the help of the calculated frequencies and odds ratio with 95% confidence interval, while a p-value of less than 0.05 was taken as statistically significant. Results: The mean age of study participants was 22.15 and standard deviation of ±2.9 years. Among the study participants who responded to having sex in the past 12 months, 171 (57%) with 95% confidence interval (0.51, 0.63) had ever experienced risky sexual practices. The findings of this study indicated that age from 20 to 24 years (adjusted odds ratio = 3.9, 95% confidence interval: 1.19–12.90), marital status (single) (adjusted odds ratio = 5.5, 95% confidence interval: 1.98–15.70), khat chewing (adjusted odds ratio = 7.12, 95% confidence interval: 2.2–23.4), influence of alcohol for sex (adjusted odds ratio = 3.7, 95% confidence interval: 1.1–12.23), watching pornographic films (adjusted odds ratio = 4.2, 95% confidence interval: 1.5–12.2), and having income less than US$17 (adjusted odds ratio = 0.03, 95% confidence interval: 0.01–0.77) and US$17–US$52 (adjusted odds ratio = 0.23, 95% confidence interval: 0.06–0.85) were significantly associated with risky sexual behavior. Conclusion: This study indicated that there are high-risk sexual practices among the study population. Age, marital status, income level, khat chewing, the influence of alcohol consumption to have sex, and pornographic viewing were found to be predisposing factors of the risky sexual behaviors among daily laborers at the Arjo-Didessa sugar factory. Enhancing sexual education and consulting the targeted groups for the behavioral change is highly advisable, which can reduce the consequences of risky sexual practices that prevailed in the study area.


2021 ◽  
Vol 21 (4) ◽  
pp. 1830-41
Author(s):  
Gedion Asnake Azeze ◽  
Natnael Atnafu Gebeyehu ◽  
Addisu Yeshambel Wassie ◽  
Taklu Marama Mokonnon

Background: Young people in Ethiopia aged between 18 and 24 who have had sex before age 18 has increased from 35% in 2005 to 40% in 2016 among women and from 9% to 12% among men.Objectives: This study aimed to assess the prevalence and factors associated with risky sexual behavior among secondary and preparatory students in Wolaita Sodo town, Wolaita zone, Southern Ethiopia; 2020.Methods: A school-based cross-sectional study was conducted from February 4 to 25, 2020. Multistage sampling was employed to select a random sample of 830 study participants from 2 randomly selected secondary and preparatory schools. Bivariate and multivariate logistic regression analysis was used to examine the relationship between the outcome variables and independent variables.Result: Among the 306 participants who reported ever having sex, 196 (24.7%) engaged in risky sexual behaviors. Factors significantly associated with risky sexual behavior were; ever used alcohol, ever smoked cigarettes, parent monitoring, and having sexually active close friend/s.Conclusion: Substantial proportion of study participants engaged in risky sexual behavior calling for more interventions on school student’s addictive behaviors. Parents should have frequent, open and informative discussions about substance use and the associated problems with their adolescents. Keywords: Students; risky sexual behavior; factors; Ethiopia.


2007 ◽  
Vol 135 (5-6) ◽  
pp. 321-325 ◽  
Author(s):  
Dejana Vukovic ◽  
Vesna Bjegovic-Mikanovic

Introduction: Numerous studies have emphasized the importance of contextual factors as determinants of sexual behavior of adolescents. It has been found that lower socioeconomic status is associated with risky sexual behavior. Sexual behavior is individual but develops under strong influence of cultural and other influences. Objective. The aim of this study was to investigate the association of family?s socioeconomic status and risky sexual behavior of adolescents in Belgrade. Method. Self-administered questionnaire was used in secondary schools in Belgrade, and 1,782 adolescents attending first grade filled the questionnaire. For the analyses of predictors of risky sexual behavior, multiple logistic regression was used. Results. Parents? occupations did not show significant association with any of analyzed behaviors. Adolescents who received weekly disposable money above average were 2.5 times more likely to ever have had sexual intercourse, and if sexually active were more likely to use contraception. Perceived family?s wealth was a significant predictor of ever having sex (OR=1.9; CI 1.2-2.8) and not using contraception (OR=4.3; CI 1.2-15.0). Conclusion. Socioeconomic status is associated with sexual behaviors of adolescents. Fifteen-year olds who perceive their families as wealthier are more likely to ever have had sex and not use any kind of contraception. Adolescents with higher weekly income are more likely to ever have had sex and use contraception than their counterpats with less weekly disposable money. .


2020 ◽  
Author(s):  
Zhizhou Duan ◽  
Liyin Wang ◽  
Menglan Guo ◽  
Changmian Ding ◽  
Danqin Huang ◽  
...  

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.


2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Alem Girmay ◽  
Teklewoini Mariye

Abstract Objective As adolescence is a stage in which human beings face once throughout a lifetime and it is the experimental period for this reason risky sexual behavior is common among young people, and it has several sexual and reproductive health consequences. But it doesn’t get enough attention the status of risky sexual behavior practice and factors’ contributing to it, so this study aimed to identify the prevalence of risky sexual behavior and factors associated with it. Results From the total respondents 115 (23.7%) had history of sexual intercourse and the mean age for sexual initiation is 15.48 ± 1.99 year. From whom 110 (98.2%) had sexual contact below the age of 18 and only 68 (60.8%) initiate first sex by their own willing. Overall 97 (19.6%) had practiced risky sexual behaviors. Students not facing peer pressure were 0.36 times less likely to develop risk sexual behavior (AOR = 0.357, 95% CI 0.172, 0.744).


2020 ◽  
Vol 19 (3) ◽  
pp. 422-449
Author(s):  
María Badillo-Viloria ◽  
Xilene Mendoza-Sánchez ◽  
Marisol Barreto Vásquez ◽  
Anderson Díaz-Pérez

Introducción: Adolescentes y adultos jóvenes participan frecuentemente en comportamientos sexuales riesgosos (relaciones sexuales sin protección, sexo con parejas casuales, promiscuidad, iniciación sexual temprana, etc.), trayendo consigo embarazos no planeados, Infecciones de Transmisión Sexual, suicidios, abortos, afectaciones académicas y laborales. El objetivo del estudio, fue identificar los comportamientos sexuales riesgosos y factores asociados en estudiantes de una universidad en Barranquilla, 2019. Materiales y métodos: Estudio de tipo descriptivo-correlacional de corte transversal, se utilizó la Encuesta de Riesgo Sexual, que evaluó comportamientos sexuales riesgosos en universitarios de Barranquilla, en los últimos seis meses, se generaron los coeficientes de correlación Chi cuadrado de Pearson (nivel de confianza 95%; p≤0.05) para medir la asociación entre los puntajes de riesgo sexual y factores sociodemográficos y académicos. Resultados: El 63% de los participantes inició actividad sexual antes de los 18 años. 87% han participado una o más veces en comportamientos sexuales de riesgo: sexo vaginal sin condón (73%), fellatio sin condón (60.3%), número de parejas con quién tienen comportamientos sexuales (66.2%) y experiencias sexuales inesperadas (54.4%). Los hombres y estudiantes de Derecho tenían puntajes de riesgo sexual más altos que las mujeres y los estudiantes de Enfermería. Conclusión: Los universitarios están en riesgo y participando en comportamientos sexuales riesgosos, que podrían afectar su salud y proyecto de vida. Los factores de mayor riesgo fueron; sexo temprano, género, edad >20 años, prácticas sexuales arriesgadas como el sexo vaginal, oral y anal sin protección y conductas sexuales impulsivas y no planificadas. Introduction: Adolescents and young adults are frequently involved in risky sexual behavior (unprotected sex, sex with casual partners, promiscuity, early sexual initiation, etc.) bringing with them, unplanned pregnancies, sexually transmitted infections, suicides, abortions, academic and labor affectations. The objective of the study was to identify risky sexual behaviors and associated factors in students at a university in Barranquilla, 2019.Materials and methods: Study descriptive-correlational cross-sectional, the sexual risk survey was used, which evaluated risky sexual behavior in university students of Barranquilla in the last six months, were generated correlation coefficients Chi-square Pearson (95% confidence level; p≤0.05) to measure the association between sexual risk scores and sociodemographic and academic factors.Results: 63% of participants initiated sexual activity before the age of 18. The 87% have participated one or more times in risky sexual behaviors: vaginal sex without a condom (73%), fellatio without a condom (60.3%), number of partners with whom they have sexual behaviors (66.2%) and unexpected sexual experiences (54.4%). Men and law students had higher sexual risk scores than women and nursing students.Conclusion: The university students are at risk and participating in risky sexual behavior, which could affect their health and life Project. The major risk factors were; early sex, gender, age >20 years, risky sexual practices such as vaginal, oral, and anal unprotected sex and impulsive and unplanned sexual behaviors.


Author(s):  
Tommaso Boldrini ◽  
Marco Solmi

Historically, the idea of preventing severe mental disorders by intervening in their prodromal stages was first introduced by the psychoanalyst Harry Stack Sullivan. Sullivan (1994) claimed that schizophrenia was the result of maladaptive relationships and experiences, rather than hereditary or biological factors and, as such, could be prevented. (...)


2018 ◽  
Vol 13 (1) ◽  
pp. 1
Author(s):  
Nina Maria Desi ◽  
Zahroh Shaluhiyah ◽  
Sutopo Patria Djati

ABSTRAKTingkat migrasi penduduk yang makin tinggi mengakibatkan populasi berisiko tertular infeksi menular seksual juga meningkat. Dari studi pendahuluan yang dilakukan terhadap pedagang bawang merah di wilayah Kec. Wanasari Kab. Brebes terungkap bahwa pengetahuan mengenai perilaku seksual beresiko kurang dan perilaku seksual beresiko tanpa kondom yang tinggi. Penelitian ini merupakan penelitian deskriptif analitik kuantitatif dengan rancangan cross sectional, metode pengumpulan data dengan penyebaran kuisioner untuk mencari gambaran perilaku seksual berisiko. Sampel penelitian yaitu pedagang bawang merah di Kec. Wanasari Kab. Brebes yaitu sebesar 120 orang. Sebanyak 86,7% responden berperilaku seksual berisiko IMS. 70,8% responden berumur ≥32 tahun dengan pendidikan rendah sebanyak 57,5% dan belum menikah sebanyak 52,5%. Sebagian besar responden berpengetahuan kurang baik dan 61,7% melakukan kegiatan berisiko untuk mengisi waktu luang. Variabel yang berhubungan terhadap perilaku seksual berisiko IMS adalah umur dan kegiatan pengisi waktu luang. Analisis multivaritat menunjukan factor yang paling berpengaruh adalah umur, kegiatan pengisi waktu luang dan religiusitas. Saran bagi Dinas Kesehatan Kabupaten Brebes lebih meningkatkan pengetahuan para pedagang bawang dalam hal perilaku seksual berisiko dan memfasilitasi para pedagang untuk mengisi waktu luang dengan hal yang bermanfaat dan terhindar dari perilaku seksual berisiko.Kata Kunci : Pedagang bawang, Infeksi Menular SeksualABSTRACTSEXUAL BEHAVIOR AT RISK OF ONION TRADERS IN WANASARI, BREBES; Along with the times, the population at high risk of sexually transmitted infections increase rapidly. From a preliminary study in the district Wanasari Brebes revealed that their knowledge about sexual behavior said to be low risk and lots of sexual risk behavior without condom. This research is descriptive quantitative analytical with cross-sectional design study, methods for collecting the data by distributing questionnaires to find a picture on the risky sexual behaviors of respondent. The sample in this research is 120 people. 86,7% respondent has risky sexual behavior. 70,8% of respondent is above 32 years old with low education as much as 57,5% and not marriage yet 52,5%. 61,7% of respondent has risky behavior in their leisure time. Variables that significantly relationship against sexual behavior are ages and leisure activity.based on multivariate analisys, variables that strongly connected to sexual behavior is ages, leisure activity, and religiousity. Advice given to Departemen Kesehatan Brebes for further enhance the knowledge of onion traders in terms of risky sexual behavior, include facilitating spare time with things that are more useful to avoid risky sexual behavior.Keyword : Behavior, sexual risk, Brebes


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