scholarly journals HIV testing among non-incarcerated substance-abusing juvenile offenders

2015 ◽  
Vol 27 (4) ◽  
pp. 467-469 ◽  
Author(s):  
Marina Tolou-Shams ◽  
Selby Conrad ◽  
Alaina Louis ◽  
Sarah Hart Shuford ◽  
Larry K. Brown
Keyword(s):  
Juvenile Offenders ◽  
Hiv Testing ◽  
High Rate ◽  
Multiple Partners ◽  
Sti Testing ◽  
Incarcerated Juveniles ◽  
The Us ◽  
Juvenile Population ◽  
Pilot Sample ◽  
Court Involved

Abstract Juvenile offenders are a subgroup of adolescents at particular risk for HIV/STI infection. Although HIV prevalence among these youth is low (<1%) in the US, rates of other STIs, unprotected sexual activity, multiple partners, and incidents of substance use during sex are high compared with other adolescent populations. Many of these youth will enter the adult criminal justice system, which is known to have an extremely high rate of HIV infection. US constitutional mandates provide HIV/STI testing for incarcerated juveniles, but close to 80% of juvenile arrestees are never detained. Moreover, although they engage in similar HIV risk behaviors as those detained, they have limited access to available HIV/STI testing services. Thus, our study examined rates of lifetime HIV testing among a pilot sample of 60 court-involved, substance-using juveniles monitored in the community to explore rates of testing and the reasons related to lifetime testing among a high-risk, yet understudied US juvenile population.

Proximity to HIV is associated with a high rate of HIV testing among men who have sex with men living in Douala, Cameroon

AIDS Care ◽  
2012 ◽  
Vol 24 (8) ◽  
pp. 1020-1027 ◽  
Author(s):  
Nicolas Lorente ◽  
Emilie Henry ◽  
Lionel Fugon ◽  
Yves Yomb ◽  
Maria Patrizia Carrieri ◽  
...  
Keyword(s):  
Hiv Testing ◽  
High Rate ◽  
Sex With Men

HIV infection, high-risk behaviors and substance use in homeless men sheltered in therapeutic communities in Central Brazil

2018 ◽  
Vol 29 (11) ◽  
pp. 1084-1088 ◽  
Author(s):  
Sandra M Brunini ◽  
Cleiciane V de Lima Barros ◽  
Rafael Alves Guimarães ◽  
Hélio Galdino Júnior ◽  
Giovanni Rezza ◽  
...  
Keyword(s):  
Substance Use ◽  
Hiv Infection ◽  
Hiv Testing ◽  
Risk Behaviors ◽  
Illicit Drug ◽  
High Rate ◽  
Therapeutic Communities ◽  
Factors Associated ◽  
Central Brazil ◽  
Homeless Men

Homeless men present high vulnerability to HIV infection, mainly due to sexual risk behaviors and substance use. The objective was to estimate the prevalence of HIV infection, risk behaviors and substance use in homeless men. A cross-sectional study was conducted in 481 homeless men recruited in four therapeutic communities in the Goiás State, Central Brazil. All were interviewed about sociodemographic characteristics, substance use, and risk behaviors. Furthermore, all were tested for HIV. Poisson regression was used to verify factors associated with HIV infection. HIV prevalence was 1.24% (95.0% CI: 0.57 to 2.69%). Previous HIV testing (adjusted prevalence ratio [APR]: 10.0; 95.0% CI: 1.86–55.8) and years of education (APR: 0.76; 95.0% CI: 0.60–0.97) were factors associated with HIV infection. Participants had high rates of hazardous alcohol use and illicit drug use. The prevalence of HIV infection among homeless men was higher than that found in the Brazilian male population and we identified a high rate of risk behaviors for HIV among the homeless men investigated. Thus, it is necessary to expand HIV prevention measures in Brazil, such as health education, condom availability, regular HIV testing and increased testing coverage in this population, and treatment for alcohol and/or illicit drug dependence/abuse.

Geographic variation in HIV testing among transgender and non-binary adults in the US

2022 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Diana M. Tordoff ◽  
Sahar Zangeneh ◽  
Christine M. Khosropour ◽  
Sara N. Glick ◽  
R. Scott McClelland ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Geographic Variation ◽  
The Us

Early diagnosis of HIV among men who have sex with men in Western Australia: impact of a peer-led sexually transmissible infection testing service

Sexual Health ◽  
2015 ◽  
Vol 12 (4) ◽  
pp. 360 ◽  
Author(s):  
Byron C. Minas ◽  
Carolien M. Giele ◽  
Sue C. Laing ◽  
Lisa Bastian ◽  
Andrew W. Burry ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Hiv Testing ◽  
Testing Service ◽  
Sti Testing ◽  
Time Periods ◽  
Sex With Men ◽  
The Impact ◽  
Western Australian ◽  
Sexually Transmissible Infection ◽  
Transmissible Infection

Background In July 2010, the Western Australian AIDS Council established the ‘M Clinic’, a peer-led STI testing service for MSM. This study describes trends in HIV notifications among MSM in WA from 2004 to 2013, particularly the impact of the M Clinic on newly acquired HIV diagnoses. Methods: The number and proportion of MSM HIV cases with newly acquired infection were compared for the 2004–2006, 2007–2009 and 2011–2013 time periods. Data from 2010 were excluded as the M Clinic opened in July 2010. Results: Between the 2004–2006 and 2007–2009 periods, the number of MSM with newly acquired HIV increased by 50% (23 to 33 cases) and the number of newly acquired cases as a proportion of all new HIV diagnoses among MSM increased from 27% to 35% (30% increase) (P = 0.25). In the 2011–2013 period, the number of newly acquired HIV cases among MSM more than doubled to 70 cases and comprised 53% of all new HIV diagnoses among MSM (P < 0.05). Of the 70 newly acquired HIV cases in the 2011–2013 period, 30% (n = 21) were diagnosed at the M Clinic. Conclusions: The proportion of MSM HIV notifications that were newly acquired increased between 2004 and 2013 in WA, with the greatest increase seen after the M Clinic commenced operation. A peer-led approach to HIV testing should be considered in order to achieve early diagnosis and treatment of HIV among MSM.

Intimate Partner Violence Perpetration, Victimization, and Overlap Among Serious Juvenile Offenders: Trajectories of Emerging Adulthood

2019 ◽  
pp. 088626051988100
Author(s):  
Tara N. Richards ◽  
Lane Kirkland Gillespie
Keyword(s):  
Intimate Partner Violence ◽  
Juvenile Offenders ◽  
Emerging Adulthood ◽  
Partner Violence ◽  
Group Membership ◽  
Intimate Partner ◽  
High Rate ◽  
Future Research ◽  
Witnessing Violence ◽  
Pathways To Desistance

This study uses group-based trajectory analysis and data from the Pathways to Desistance Study to examine the prevalence and patterns of intimate partner victimization, offending, and overlap among justice-involved adolescents (i.e., general offenders) who reported dating ( n = 909); regression analysis was further utilized to assess predictors of intimate partner violence (IPV) group membership. Findings revealed that 40% of adjudicated youth reported IPV as a victim, an offender, or as both a victim and an offender during emerging adulthood. Findings also indicated that there was significant overlap between victimization and offending, and 5% of the sample was assigned to both the high-rate perpetration and victimization trajectory groups. Maternal hostility, alcohol use, and witnessing violence predicted higher rate perpetration and victimization overlap group membership compared with very-low-rate perpetration/victimization group membership. Implications for informing policy and future research are discussed.

scholarly journals Potential interactions between the pathways to diagnosis of HIV and other STIs and HIV self-testing: insights from a qualitative study of gay, bisexual and other men who have sex with men in Singapore

2020 ◽  
pp. sextrans-2020-054623
Author(s):  
Rayner Kay Jin Tan ◽  
Yin Ying Chan ◽  
Muhamad Alif Bin Ibrahim ◽  
Lai Peng Ho ◽  
Oliver Zikai Lim ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Perceived Risk ◽  
Partner Notification ◽  
Barriers And Facilitators ◽  
Perceived Severity ◽  
Sti Testing ◽  
Self Testing ◽  
Sex With Men ◽  
Stis And Hiv ◽  
The Cost

ObjectivesThis study draws on qualitative insights on the barriers and facilitators to HIV testing, as well as perceptions of HIV self-testing (HIVST), to propose a framework to understand not only the benefits but also potential knock-on implications of introducing HIVST in the context of other STI testing.MethodsWe conducted semistructured, in-depth interviews with 30 gay, bisexual and other men who have sex with men aged 18 and 39 years old in Singapore. Interview topics included barriers and facilitators to HIV and other STI testing, as well as perceptions of HIVST. Interviews were audio-recorded, transcribed, coded and analysed using thematic analysis.ResultsFor HIV testing, participants cited the perceived risk of acquiring, susceptibility to and symptoms of HIV as internal motivators, while social influence and accessibility of HIV testing services were external motivators. For STI testing, perceived symptoms and partner notification of STI were reported as internal and external motivators, respectively. Availability of bundle tests, starting a new relationship and instances of mandatory testing motivated both simultaneous HIV and other STI testing. The fear of a positive diagnosis and lack of confidentiality were cited as internal and external barriers to HIV testing, respectively, while low perceived severity of other STI and the cost of STI tests were cited as internal and external barriers to other STI testing, respectively. We identified pathways to HIV and other STI testing and discussed how the introduction of HIVST may reduce opportunities for other STI testing.ConclusionsThe findings of this study suggest that introducing HIVST might weaken linkages to other STI testing if alternative strategies of promoting other STI testing are not simultaneously implemented. We recommend that future interventions address both the risks of HIV and other STI simultaneously, and that structural interventions promoting HIV and other STI preventions be balanced accordingly.

scholarly journals 1294. Long-Term Impact of an HIV Testing Program on High-Risk HIV Screening in the Emergency Department

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S466-S466
Author(s):  
Jillian T Baron ◽  
Alexis Schwartz ◽  
Ebony Davis ◽  
Julie E Uspal ◽  
Brendan Kelly
Keyword(s):  
Emergency Department ◽  
High Risk ◽  
Hiv Testing ◽  
Retrospective Chart Review ◽  
Hiv Screening ◽  
Transmitted Infection ◽  
Testing Program ◽  
Sti Testing ◽  
Hiv Test ◽  
To Receive

Abstract Background Emergency Departments (EDs) are important sites for HIV testing. However, there is little guidance on how best to implement HIV testing in the ED. The purpose of this study was to evaluate HIV screening practices of high-risk individuals presenting to an ED in the absence (ED1) and in the presence (ED2) of an established HIV testing program within the same academic hospital. Methods We performed a retrospective chart review of all individuals 18 years or older presenting to either ED between January 1, 2016 and December 31, 2018. High-risk of HIV infection was determined by receipt of bacterial sexually transmitted infection (STI) testing for Neisseria gonorrhoeae or Chlamydia trachomatis. The primary outcome was receipt of any HIV test in the ED. Overall proportions of patients tested for HIV at the same time of STI testing were compared between sites by chi-square test. Predictors of HIV testing were analyzed by logistic regression. Results During the study period, 7,956 individuals received STI testing at ED1 and 10,815 received STI testing at ED2. The majority of individuals receiving STI testing at both sites were female, 81.2% at ED1 and 66.4% at ED2 (P <0.001). Only 4.0% of individuals received HIV testing at ED1 compared with 47.4% at ED2 (P <0.001). Individuals were significantly more likely to receive HIV testing at the time of STI testing in the ED with an HIV testing program (aOR 19.66, 95% CI 17.28–22.37). In the ED without an HIV testing program, individuals were more likely to receive HIV testing if they were male (aOR 3.57, 95% CI 2.78–4.55) and less likely if they were black (aOR 0.57, 95% CI 0.50–0.97). In the ED with an HIV testing program, individuals were more likely to receive HIV testing if they were male (aOR 2.17, 95% CI 1.92–2.44) and more likely if they were black (aOR 1.74, 95% CI 1.37–2.20). Conclusion Overall, the presence of an HIV testing program in the ED significantly increased the probability that individuals would receive an HIV test at the time of bacterial STI testing and mitigated disparities in care. The results of this study will help guide ongoing interventions to improve HIV screening among high-risk individuals in the emergency department. Disclosures All authors: No reported disclosures.

High rate of missed HIV infections in individuals with indeterminate or negative HIV western blots based on current HIV testing algorithm in China

2016 ◽  
Vol 88 (8) ◽  
pp. 1462-1466 ◽  
Author(s):  
Man-Qing Liu ◽  
Ze-Rong Zhu ◽  
Wen-Hua Kong ◽  
Li Tang ◽  
Jin-Song Peng ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Hiv Infections ◽  
High Rate ◽  
Western Blots ◽  
Testing Algorithm

Changes in Mortality Rates and Humanitarian Conditions in Darfur, Sudan 2003–2007

2010 ◽  
Vol 25 (6) ◽  
pp. 496-502 ◽  
Author(s):  
Richard Garfield ◽  
Jonny Polonsky
Keyword(s):  
Large Scale ◽  
Well Being ◽  
Humanitarian Assistance ◽  
High Rate ◽  
Field Surveys ◽  
Internally Displaced ◽  
Governmental Organizations ◽  
Non Governmental Organizations ◽  
Dramatic Decline ◽  
The Us

AbstractThe Darfur region of Sudan has been an intense focus of humanitarian concern since rebellions began there early in 2003. In 2004, the US Secretary of State declared that conflict in Darfur represented genocide. Since 2003, many sample surveys and various mortality estimates for Darfur have been made. Nonetheless, confusion and controversy surrounding mortality levels and trends have continued. For this project, results were reviewed from the highest quality field surveys on mortality in Darfur conducted between 2003 and 2008. Trend analysis demonstrated a dramatic decline in mortality over time in Darfur. By 2005, mortality levels had fallen below emergency levels and have continued to decline. Deaths directly due violence have declined as a proportion of all of the deaths in Darfur. Declining mortality in Darfur was not associated with other proximate improvements in well-being, such as improved nutrition. Without large-scale, humanitarian intervention, continuing high rates of mortality due to violence likely would have occurred. If mortality had continued at the high rate documented in 2004, by January 2009, there would have been 330,000 additional deaths. With the humanitarian assistance provided through the United Nations and non-governmental organizations, these people are alive today. A focus on excess deaths among non-combatants may draw attention away from other needs, such as establishing better security, improving service delivery to the displaced, and advocating for internally displaced persons to be reached today and to re-establish their lives and livelihoods tomorrow.

Sign in / Sign up

Export Citation Format

Share Document