scholarly journals Treatment-seeking behaviour and barriers to service access for sexually transmitted diseases among men who have sex with men in China: a multicentre cross-sectional survey

2017 ◽  
Vol 6 (1) ◽  
Author(s):  
Jun-Jie Xu ◽  
Yan-Qiu Yu ◽  
Qing-Hai Hu ◽  
Hong-Jing Yan ◽  
Zhe Wang ◽  
...  
2018 ◽  
Vol 35 (4) ◽  
pp. 311-319
Author(s):  
Milan Bjekić ◽  
Sandra Šipetić-Grujičić ◽  
Hristina Vlajinac ◽  
Ivana Dunić

Abstract Penis size is a major body image concern for the majority of men in western nations, while in gay culture the penis has become a body part linked to sexual attractiveness and viability. The aim of this study was to reveal influence of the perceived penis size on sexual behaviour, condom use, sexually transmitted infections and men’s sexual positioning among men who have sex with men. In this cross-sectional study, the data were collected from consecutive men who have sex with men who attended Counselling for Sexually Transmitted Diseases at the City Institute for Skin and Venereal Diseases in Belgrade, Serbia. Out of 319 participants, 6.6% perceived their penis as "below average", 71.5% as "average", and 21.9% as "above average". In comparison with men with an average penis, men with below average penis were more frequently unsatisfied with their penis size (p < 0.05), more frequently lied to others about their penis size (p < 0.001) and took more frequently the passive sexual role (p < 0.05). Men with above average penis were more frequently satisfied with their penis size (p < 0.001), took more frequently the active sexual role (p < 0.01), they had more sexual partners (p < 0.05), more problems with a tight condom (p < 0.001) and more gonorrhoea/Chlamydia infections (p < 0.001) than men with an average penis. Perception of one’s penis size was associated with some aspects of sexual behaviour and the frequency of sexually transmitted diseases.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
I Bannour ◽  
B Bannour ◽  
R Frigui ◽  
R Bannour ◽  
H Kheiri

Abstract Introduction In Tunisia sexuality education is a subject that is little discussed in institutions and schools, hence its marginal place in the school curriculum and even if it is addressed, it mainly concerns reproduction and risk prevention. The purpose of this study was to evaluate the knowledge, attitudes, and behaviors of law university students regarding sexually transmitted diseases. Methods A cross-sectional survey was conducted among 300 law school students in Sousse, Tunisia. The instruments used for assessment was a pretested questionnaire contained questions evaluating knowledge and attitude towards STD and AIDS. Questions had multiple responses from which each respondent was asked to select the most appropriate one. Results Our sample consisted of 300 students, the majority were female (75.3%). The mean age was 22.30 years old. More than 75% of surveyed students did not discuss the subject of sexuality with their parents. The main sources of information for the students were the internet 48.3% followed by media 47% and friends 20%; health professional represents only 10.3%. Concerning the identification of risky sexual behavior 56.6% of the students identified multiple partner's sex and 45.7% the non-use of the condom. AIDS comes first among the STD cited by the majority of students surveyed (92%) followed by syphilis (6%). Despite that the majority of our participants knew the signs of STD; such as genital ulcer, urethral / vaginal discharge. False beliefs persist such as chest pain (13.3%) and headache (13.1%). 60.7% f our student reported genital cancers as complication to STD, 32.7% infertility. Some minorities (2.7%) thought that STD could be complicated by blindness. Conclusions Despite the high prevalence of STD among young adults, most students knew very little about those infections. Implementing sexual educational programs and measuring their effectiveness should be a priority. Key messages There is a huge lack of knowledge about sexually Transmitted diseases among Tunisian college students. Implementing sexual educational programs and measuring their effectiveness should be a priority.


2019 ◽  
Vol 31 (3) ◽  
pp. 237-245
Author(s):  
Aruna Chandran ◽  
Arik V. Marcell ◽  
Renata Arrington Sanders ◽  
Jamie Perin ◽  
Kathleen R. Page ◽  
...  

We aimed to identify provider encounter characteristics associated with awareness of and willingness to take PrEP among young urban minority males at higher risk for HIV acquisition. The 74 individuals included in this analysis from a cross-sectional survey of males aged 15–24 being seen at a Baltimore city clinic were those who identified as a man who had sex with men (MSM), reported injection drug use, were in a serodiscordant relationship, had a sexually transmitted infection (STI) in the past 6 months, or reported condomless sex with a partner with unknown HIV status. Topics of provider-initiated conversations associated with willingness to take PrEP included one's sexual behavior (OR 7.35, 95% CI [2.23, 24.26]), whether one had been hurt by a partner (OR 4.71, 95% CI [1.40, 15.87]), and risk reduction (OR 6.91, 95% CI [2.10, 22.81]). This study may yield new targets for provider-level interventions for increasing PrEP uptake.


2009 ◽  
Vol 14 (47) ◽  
Author(s):  
A Velter ◽  
A Bouyssou-Michel ◽  
A Arnaud ◽  
C Semaille

We examined whether men who have sex with men (MSM) in France have adopted serosorting with their casual partners, serosorting being one strategy to reduce the risk of HIV transmission. We expected to see the same predictors of this practice with casual partners in France as in other similar MSM communities (HIV-seropositive, Internet dating). Data from a cross-sectional survey was used, based on a self-administered questionnaire conducted among readers of the gay press and users of gay websites in 2004. The study population consisted of MSM who reported their HIV status, as well as the practice of unprotected anal intercourse (UAI) with a casual partner at least once during the previous 12 months. Among 881 respondents included in the analysis, 195 (22%) had practiced serosorting: 14% among HIV-seropositive men and 26% among HIV-seronegative men. Serosorting was independently associated with the use of cruising venues (AOR 0.28, p=0.001) and Internet dating (AOR 2.16, p=0.051) among HIV-seropositive men, whereas it was independently associated with the use of cruising venues (AOR 0.59, p=0.013) and the fact of having less partners (AOR 1.50, p=0.046) among HIV-seronegative men. Serosorting requires an up-to-date knowledge of HIV serostatus for MSM and their UAI casual partners, and does not prevent from acquiring other sexually transmitted infections. Prevention campaigns are needed to underline the risks associated with serosorting.


2015 ◽  
Vol 4 (1) ◽  
pp. 17-24
Author(s):  
Soumya Sarkar ◽  
Subhasis Bhandari ◽  
Pinaki Sensarma

The factors defining the vulnerability of men who have sex with men (MSM) population are multiple and follow a complex social pattern culminating to their risk for human immunodeficiency virus (HIV) transmission. Even though the vulnerability of this population has been previously reported, prevention efforts are poor, may be due to the lack of understanding of the nature of sexual behavior in its social context. The main aim of this research was to study the social factors that are correlated with sexual risk behavior among the urban MSM population living in Kolkata. A community-based cross-sectional survey was conducted in the Kolkata Metropolitan Area using a pre-structured interview guide. Data obtained from 126 beneficiaries of the NGO networks representing the MSMs of the area, were analyzed. Prevalence of sexually transmitted infections (STI) among the MSMs during a recall period of last six months was used as a marker of sexual risk. Multiple logistic regression analyses were done to estimate and test associations between STI and social variables. The prevalence of STI among the respondents was 60.3% (95% confidence interval (CI): 51.2-68.9). Inconsistent condom use (OR:11.98; 95%CI: 4.03-35.59), low self-esteem (Rosenberg scale) (OR:4.18; 95%CI: 1.48-11.82), substance abuse during sexual activity (OR:4.94; 95%CI: 1.30-18.82), and adverse reactions when coming out (OR:4.91; 95%CI: 1.63-14.77) were significantly associated with STI prevalence. For HIV risk reduction among the MSM population, intervention efforts should address the potential social stressors and adverse life events in addition to condom promotion.DOI: http://dx.doi.org/10.3329/seajph.v4i1.21834 South East Asia Journal of Public Health Vol.4(1) 2014: 17-24


1997 ◽  
Vol 8 (10) ◽  
pp. 636-638 ◽  
Author(s):  
M O Diallo ◽  
V Ettiegne-Traore ◽  
M Maran ◽  
J Kouadio ◽  
K Brattegaard ◽  
...  

A cross-sectional survey was conducted among women attending an antenatal clinic in Abidjan to determine the prevalence of sexually transmitted diseases (STDs) and HIV infection, and to identify factors associated with the presence of gonococcal and/or chlamydial cervical infection. Among 546 women, 3.7% had a gonococcal infection and 5.5% had a chlamydial infection. The seroprevalence of syphilis and HIV was 1.1% and 16.2% respectively. Gonococcal and/or chlamydial cervical infection was associated with young age, the presence of endocervical mucopus and with more than 10 polymorphonuclear leucocytes per high power field in a vaginal smear. None of these associated factors had a large enough predictive value to allow its use as a diagnostic criterion. Sexually transmitted diseases are common in pregnant women in Abidjan. The development of rapid, inexpensive diagnostic tests for STD is a priority to improve the care of women attending antenatal clinics in the developing world.


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