scholarly journals Assessment of the Effectiveness of the Comprehensive Integrated HIV Prevention Program in Reducing Risky Sexual Behavior and Increasing Safe Sex Practice among Minority Young Adults: A Latent Growth Curve Model Approach

2020 ◽  
Vol 6 (2) ◽  
Author(s):  
Lucas N ◽  
Mongkuo MYB ◽  
Mongkuo MY
Keyword(s):  
Young Adults ◽  
Sexual Behavior ◽  
Hiv Prevention ◽  
Hiv Infection ◽  
Sexual Risk ◽  
Risky Sexual Behavior ◽  
Prevention Program ◽  
Disease Transmission ◽  
The United States ◽  
Health Concern

Aim: Since the early 1980s, sexual risk behaviors have become a severe public health concern in preventing the prevalence of HIV infection, especially among minority young adults. In the United States, minority young adults have higher than expected HIV infection than other racial groups. The spread of HIV infection among this vulnerable population has created a need to identify risk and protective factors, disease, and evidence-based prevention strategies to reduce disease transmission. The Comprehensive, Integrated HIV Prevention Program (CIHPP), is based on a derivative of the ecological epistemology framework that views risk factors as a multilevel concentric, including the individual, family, community, and societal levels. The framework asserts that any meaningful prevention strategy should examine these different levels and the effects on the population of interest. This study aims to assess the effectiveness of CIHPP in increasing sexual risk practice and reducing risky sexual behavior among minority young adults.

Isolating the Nexus of Substance Use, Violence and Sexual Risk for HIV Infection Among Young Adults in the United States

2005 ◽  
Vol 9 (1) ◽  
pp. 73-87 ◽  
Author(s):  
Rebecca L. Collins ◽  
Phyllis L. Ellickson ◽  
Maria Orlando ◽  
David J. Klein
Keyword(s):  
United States ◽  
Substance Use ◽  
Young Adults ◽  
Hiv Infection ◽  
Sexual Risk ◽  
The United States

Shifting the Paradigm in HIV Prevention and Treatment Service Delivery Toward Differentiated Care for Youth

2019 ◽  
Author(s):  
Vincent Guilamo-Ramos ◽  
Marco Thimm-Kaiser ◽  
Adam Benzekri ◽  
Donna Futterman
Keyword(s):  
United States ◽  
Hiv Prevention ◽  
Service Delivery ◽  
The United States ◽  
Hiv Care ◽  
Health Concern ◽  
Service Needs ◽  
Minority Adolescents ◽  
Prevention And Treatment ◽  
Differentiated Care

Despite significant progress in the fight against HIV/AIDS in the United States, HIV prevention and treatment disparities among key populations remain a national public health concern. While new HIV diagnoses are increasing among people under age 30—in particular among racial, ethnic, and sexual minority adolescents and young adults (AYA)—dominant prevention and treatment paradigms too often inadequately consider the unique HIV service needs of AYA. To address this gap, we characterize persistent and largely overlooked AYA disparities across the HIV prevention and treatment continuum, identify AYA-specific limitations in extant resources for improving HIV service delivery in the United States, and propose a novel AYA-centered differentiated care framework adapted to the unique ecological and developmental factors shaping engagement, adherence, and retention in HIV services among AYA. Shifting the paradigm for AYA to differentiated HIV care is a promising approach that warrants implementation and evaluation as part of reinforced national efforts to end the HIV epidemic in the United States by 2030.

Risky Behavior

2020 ◽  
pp. 153-160
Author(s):  
Catherine A. Marco
Keyword(s):  
Infectious Disease ◽  
Sexual Behavior ◽  
Social Services ◽  
Risky Sexual Behavior ◽  
Disease Transmission ◽  
Shared Decision ◽  
Hiv Status ◽  
Infectious Disease Transmission ◽  
Hiv Exposure

Patients may present to the emergency department (ED) for various complaints and requests related to risky sexual behavior. Such concerns may include pregnancy or infectious disease transmission, including urethritis, cervicitis, HIV, hepatitis, or others. Emergency physicians should test for pregnancy and infectious diseases, treat empirically for appropriate patients, and refer patients for counseling to reduce risky sexual behavior. Following a significant potential HIV exposure, postexposure prophylaxis (PEP) should be considered. The decision to administer PEP should be based on shared decision-making with the patient and should include assessment of the risk of the exposure and HIV status of the source patient. If the HIV status of the source patient is unknown, the source should be tested following informed consent and counseling. Patients should be referred to outpatient follow-up, including primary care, infectious disease, and if indicated, social services.

scholarly journals Comportamientos sexuales riesgosos y factores asociados entre estudiantes universitarios en Barranquilla, Colombia, 2019

2020 ◽  
Vol 19 (3) ◽  
pp. 422-449
Author(s):  
María Badillo-Viloria ◽  
Xilene Mendoza-Sánchez ◽  
Marisol Barreto Vásquez ◽  
Anderson Díaz-Pérez
Keyword(s):  
Sexual Behavior ◽  
University Students ◽  
Sexual Risk ◽  
Sexual Behaviors ◽  
Risky Sexual Behavior ◽  
Unprotected Sex ◽  
Risky Sexual Behaviors ◽  
Sexual Practices ◽  
Risk Scores ◽  
Cross Sectional

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.

scholarly journals Perilaku Seksual Berisiko pada Pedagang Bawang Merah di Kecamatan Wanasari Kabupaten Brebes

2018 ◽  
Vol 13 (1) ◽  
pp. 1
Author(s):  
Nina Maria Desi ◽  
Zahroh Shaluhiyah ◽  
Sutopo Patria Djati
Keyword(s):  
Sexual Behavior ◽  
Sexual Risk ◽  
Sexual Behaviors ◽  
Risky Sexual Behavior ◽  
Leisure Activity ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
Strongly Connected ◽  
The Times ◽  
Time Variables

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

Parents as partners in adolescent HIV prevention in Eastern and Southern Africa: an evaluation of the current United Nations’ approach

2016 ◽  
Vol 30 (2) ◽  
Author(s):  
Jane Wathuta
Keyword(s):  
Sexual Behavior ◽  
Hiv Prevention ◽  
Southern Africa ◽  
Risky Sexual Behavior ◽  
Parental Influence ◽  
Three Dimensions ◽  
Heterosexual Transmission ◽  
Prevention Policy ◽  
Positive Role ◽  
Eastern And Southern Africa

Abstract The United Nations’s (UN) sustainable development goals (SDGs) include the target (3.3) of ending the HIV/AIDS epidemic by 2030. A major challenge in this regard is to curb the incidence of HIV among adolescents, the number two cause of their death in Africa. In Eastern and Southern Africa, they are mainly infected through heterosexual transmission. Research findings about parental influence on the sexual behavior of their adolescent children are reviewed and findings indicate that parental communication, monitoring and connectedness contribute to the avoidance of risky sexual behavior in adolescents. This article evaluates the extent to which these three dimensions of parenting have been factored in to current HIV prevention recommendations relating to adolescent boys and girls. Four pertinent UN reports are analyzed and the results used to demonstrate that the positive role of parents or primary caregivers vis-à-vis risky sexual behavior has tendentially been back-grounded or even potentially undermined. A more explicit inclusion of parents in adolescent HIV prevention policy and practice is essential – obstacles notwithstanding – enabling their indispensable partnership towards ending an epidemic mostly driven by sexual risk behavior. Evidence from successful or promising projects is included to illustrate the practical feasibility and fruitfulness of this approach.

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