scholarly journals Reducing substance use and sexual risk behaviour among men who have sex with men in South Africa

2016 ◽  
Vol Volume 112 (Number 9/10) ◽  
Author(s):  
Petal Petersen Williams ◽  
Tara Carney ◽  
Charles D.H. Parry ◽  
◽  
◽  
...  
Keyword(s):  
South Africa ◽  
Substance Use ◽  
Risk Behaviour ◽  
Sexual Practices ◽  
Sexual Risk Behaviour ◽  
Alcohol And Drugs ◽  
Frequent Use ◽  
Other Substances ◽  
Sex With Men ◽  
Alcohol And Other Drugs

Abstract Men who have sex with men have been identified as a population at risk of acquiring and transmitting HIV. Studies in South Africa have reported a high prevalence of HIV, as well as high levels of alcohol and other drug use, among men who have sex with men, and the use of substances (alcohol and drugs) to facilitate their sexual encounters. Since 2007, interventions focused on prevention have been rolled out to vulnerable men who have sex with men and who also use alcohol or other drugs. The interventions include community-based outreach; provision of information on HIV/AIDS, substance abuse, and safer sex practices; and the development of risk-reduction plans. Among 195 men who participated in our study, there were significant reductions in the proportion who used cannabis and ecstasy, including the use of these drugs during sex. No reduction was observed in the use of any other substances. In general, after the intervention our participants reported less frequent use of alcohol and drugs and greater engagement in safer sexual practices. Despite these encouraging findings, the combination of substance use while engaging in sex had actually increased. The study findings suggest that interventions that target men who have sex with men, and who use alcohol and other drugs, could reduce risk behaviours in this population.

scholarly journals The fallacy of intimacy: Sexual risk behaviour and beliefs about trust and condom use among men who have sex with men in South Africa

2010 ◽  
Vol 15 (6) ◽  
pp. 660-671 ◽  
Author(s):  
Justin Knox ◽  
Huso Yi ◽  
Vasu Reddy ◽  
Senkhu Maimane ◽  
Theo Sandfort
Keyword(s):  
South Africa ◽  
Condom Use ◽  
Sexual Risk ◽  
Risk Behaviour ◽  
Sexual Risk Behaviour ◽  
Sex With Men

scholarly journals Influence of Internalised Homonegativity on Sexual Risk Behaviour of Men Who Have Sex with Men in Spain

2021 ◽  
Author(s):  
İbrahim Sönmez ◽  
Cinta Folch ◽  
Nicolas Lorente ◽  
Rigmor C. Berg ◽  
Natalie Thurlby ◽  
...  
Keyword(s):  
Substance Use ◽  
Sexual Risk ◽  
Structural Equation ◽  
Risk Behaviour ◽  
Sexual Risk Behaviour ◽  
Mediating Effects ◽  
Equation Modelling ◽  
Direct Association ◽  
Sex With Men ◽  
The Relationship

AbstractIn a sample of men who have sex with men (MSM) (N = 3436) in Spain who bear intrinsic HIV risk, we investigated how internalised homonegativity (IH) is associated with the number of non-steady male partners with condomless intercourse (as a proxy of sexual risk behaviour). Using structural equation modelling (SEM), we examined the relationship between IH and sexual risk behaviour, and mediating effects of HIV/PrEP knowledge and substance use during sex on this relationship. We found no direct association between IH and sexual risk behaviour, nor did IH influence substance use during sex. In line with our hypothesis, association between IH and sexual risk behaviour was significant when mediated by HIV/PrEP knowledge. We found that as IH increased, sexual risk behaviour decreased, because higher IH was associated with lower HIV/PrEP knowledge while higher HIV/PrEP knowledge was associated with increased non-condom use with non-steady partners. Substance use during sex was significantly associated with sexual risk behaviour. Our results emphasize the continuing importance of prevention strategies focused on behavioural changes and community level interventions, especially targeting substance use.

Sexual risk behaviours and HIV-1 prevalence among urban men who have sex with men in Cape Town, South Africa

Sexual Health ◽  
2010 ◽  
Vol 7 (2) ◽  
pp. 149 ◽  
Author(s):  
Earl Burrell ◽  
Daniella Mark ◽  
Robert Grant ◽  
Robin Wood ◽  
Linda-Gail Bekker
Keyword(s):  
South Africa ◽  
Sexual Risk ◽  
Cape Town ◽  
Risk Behaviour ◽  
Hiv Prevalence ◽  
Sexual Risk Behaviour ◽  
Risk Behaviours ◽  
Cross Sectional ◽  
Sex With Men ◽  
Hiv 1

Background: Distinct homosexual and heterosexual HIV epidemics have previously been recognised in South Africa. However, linked HIV prevalence and self-reported sexual risk behaviour data have not been reported for men who have sex with men (MSM) in Cape Town since 1986. Methods: We conducted a cross-sectional, anonymous, venue-based HIV risk behaviour and prevalence study of 542 self-identified MSM in greater Cape Town using a self-administered risk questionnaire and the OraSure® testing device to asses HIV-1 prevalence. Results: This sample had an overall HIV prevalence of 10.4% (56/539). We found that self-identifying as gay, homosexual or queer (adjusted odds ratio (AOR) 4.5, 95% confidence interval (CI) 1.0–20.0) and reporting ever having had a sexually transmissible infection diagnosis (AOR 4.3, 95% CI: 2.3–8.3) were significantly predictive of testing HIV-1 positive, while reporting unprotected anal intercourse with a known HIV-negative partner (AOR 0.4, 95% CI: 0.2–0.9) was significantly protective. Conclusion: These data suggest a mature epidemic with consistent high-risk taking among MSM in Cape Town, and significant associations of select self-reported risk behaviours and HIV-1 serostatus. There is a need for continued and robust HIV surveillance along with detailed risk behaviour trends over time to inform the development of targeted risk-reduction interventions for this population.

Gay men who engage in substance use and sexual risk behaviour: a dual-risk group with unique characteristics

2008 ◽  
Vol 19 (10) ◽  
pp. 698-703 ◽  
Author(s):  
Z Mor ◽  
U Davidovich ◽  
M Mcfarlane ◽  
G Feldshtein ◽  
D Chemtob
Keyword(s):  
Substance Use ◽  
Hiv Transmission ◽  
Risk Group ◽  
Risk Behaviour ◽  
Anal Intercourse ◽  
Unprotected Anal Intercourse ◽  
Sexual Risk Behaviour ◽  
Lower Education ◽  
Sex With Men ◽  
First Time

‘Recreational’ substances used among men having sex with men, and their association with risky unprotected anal intercourse (RUAI) were examined – for the first time in Israel – in an internet-based questionnaire assessing knowledge, practices and motivation. Between March and May 2005, 2873 participants completed the entire questionnaire. Of the total, 669 (23%) reported RUAI during the last six months, and 1319 (46%) used substances during sex. Use of substance was significantly higher among those performing RUAI than those who did not (31.5% versus 26.4%, P = 0.03). Involvement in both substance use and RUAI was reported by 366 participants (13%). HIV rates were higher in this dual-risk group ( P < 0.01), and individuals reported more partners in the last six months than those not part of this dual risk (11.6 versus 8.2, P = 0.02). In multivariate analyses, Tel-Aviv residency, lower education, performing receptive RUAI, misperception of HIV transmission and limited negotiation skills were positively associated with this dual-risk behaviour.

scholarly journals Sexual risk behaviour, sexual victimisation, substance use and other factors related to depression in men who have sex with men in Wenzhou, China: a cross-sectional study

BMJ Open ◽  
2018 ◽  
Vol 8 (4) ◽  
pp. bmjopen-2016-013512 ◽  
Author(s):  
Xiaohong Pan ◽  
Runhua Li ◽  
Qiaoqin Ma ◽  
Hui Wang ◽  
Tingting Jiang ◽  
...  
Keyword(s):  
Substance Use ◽  
Sexual Risk ◽  
Risk Behaviour ◽  
Cross Sectional Study ◽  
Sexual Risk Behaviour ◽  
Sectional Study ◽  
Cross Sectional ◽  
Sex With Men

scholarly journals Substance use and sexual risk behaviour among HIV-positive men who have sex with men in specialized out-patient clinics

HIV Medicine ◽  
2012 ◽  
pp. n/a-n/a ◽  
Author(s):  
H Dirks ◽  
S Esser ◽  
R Borgmann ◽  
M Wolter ◽  
E Fischer ◽  
...  
Keyword(s):  
Substance Use ◽  
Sexual Risk ◽  
Risk Behaviour ◽  
Hiv Positive ◽  
Sexual Risk Behaviour ◽  
Sex With Men ◽  
Hiv Positive Men

Consumo de Álcool e Outras Drogas em uma Faculdade de Medicina do Sul de Minas Gerais / Consumption of Alcohol and Other Drugs in a Medical School in Southern Minas Gerais

1970 ◽  
Vol 6 (2) ◽  
pp. 16-24 ◽  
Author(s):  
Jorge Gelvane Tostes ◽  
Fernanda Paiva de Campos ◽  
Luís Gustavo Rodrigues Pereira
Keyword(s):  
Medical Students ◽  
General Population ◽  
Medical School ◽  
Crack Cocaine ◽  
Minas Gerais ◽  
Alcohol And Drugs ◽  
Anonymous Questionnaire ◽  
Other Substances ◽  
Alcohol And Other Drugs ◽  
De Medicina

Objetivo: Traçar o perfil e estabelecer a prevalência do consumo álcool e/ou outras drogas entre os estudantes de uma faculdade de medicina do Sul de Minas Gerais. Materiais e Métodos: Os dados foram coletados com 419 alunos matriculados na faculdade no ano de 2013, a partir de questionário anônimo, o qual apresentou variáveis de idade, sexo, série do curso, uso de bebida alcoólica e drogas, frequência no ultimo mês (Julho/2013). Resultados: Constatou-se que 99% dos estudantes entrevistados já fizeram uso de bebida alcoólica ao menos uma vez na vida, sendo que 73% relataram que o ingresso na faculdade aumentou o consumo. Observou-se que o consumo é maior entre o sexo masculino. Quanto ao uso de outras drogas, 43,6% dos entrevistados relataram que fizeram uso ao menos uma vez na vida. No último mês (Julho/2013), 87,6% consumiram álcool, 23,4% tabaco, 13,4% maconha, 6,9% estimulantes, 6,2% tranquilizantes, 5,5% inalantes, 4,8% alucinógenos, 1,7% cocaína /crack, 0,2%   opiácios.  Conclusão: Os dados mostram que estudantes de medicina desta faculdade tendem a consumir drogas até duas vezes mais do que população em geral, A droga mais usada continua sendo o álcool, mas há consumo expressivo de outras substâncias como a maconha e cocaína.Palavras-chave: Álcool, Drogas, Estudantes de Medicina.ABSTRACTObjective: To describe a profile and establish the prevalence of alcohol consumption and / or other drugs among students of a medical school in southern Minas Gerais. Materials and Methods: Data were collected with 419 students enrolled in college in 2013 , from anonymous questionnaire , which presented variables of age, sex, year in the course, use of alcohol and drugs, frequency in the last month (July / 2013). Results:  99% of surveyed students were found to have already made use of alcohol at least once in their lifetime, and 73% reported entrance in college increased consumption. Higher consumption was observed among males. Regarding use of other drugs, 43.6% of the respondents have used them at least once in their life. In the previous month (July / 2013), 87.6% used alcohol, 23.4% tobacco, 13.4% marijuana, 6.9% stimulants, 6.2% tranquilizers, 5.5% inhalants 4.8% hallucinogens, 1.7% crack / cocaine, 0.2% opiates. Conclusion: The data show that college students tend to consume drugs up twice more often than the general population. The most widely used drug remains being alcohol, but there is significant use of other substances such as marijuana and cocaine.Keywords: Alcohol, Drugs, Medical Students.

scholarly journals O02.5 Narrating risk: new and traditional methods to understand sexual risk behaviour among hiv-uninfected men who have sex with men in lima, peru

2017 ◽  
Author(s):  
Jesse L Clark ◽  
Ximena Salazar ◽  
Williams Gonzales ◽  
Amaya Perez-Brumer ◽  
Francisco Nanclares ◽  
...  
Keyword(s):  
Sexual Risk ◽  
Risk Behaviour ◽  
Sexual Risk Behaviour ◽  
Traditional Methods ◽  
Sex With Men

scholarly journals The Context of Sexual Risk Behaviour Among Men Who Have Sex with Men Seeking PrEP, and the Impact of PrEP on Sexual Behaviour

2018 ◽  
Vol 23 (7) ◽  
pp. 1708-1720 ◽  
Author(s):  
Mitzy Gafos ◽  
Rob Horne ◽  
Will Nutland ◽  
Gill Bell ◽  
Caroline Rae ◽  
...  
Keyword(s):  
Sexual Risk ◽  
Sexual Behaviour ◽  
Risk Behaviour ◽  
Sexual Risk Behaviour ◽  
Sex With Men ◽  
The Impact
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