scholarly journals HIV Serodiscordance among Couples in Cameroon: Effects on Sexual and Reproductive Health

2020 ◽  
Vol 9 (3) ◽  
pp. 330-336
Author(s):  
Constantin Tchakounté ◽  
Céline N. Nkenfou ◽  
Thibau F. Tchouangueu ◽  
Nicole M. Ngoufack, ◽  
Salomon B. Tchuandom ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Global Health ◽  
Risky Sexual Behavior ◽  
Sexual Relationships ◽  
Sexual Life ◽  
Hiv Positive ◽  
Minimal Risk ◽  
Serodiscordant Couples ◽  
Hiv Serodiscordant Couples ◽  
Seroconcordant Couples

Background and Objectives: One of the main reasons for risky sexual behavior observed in HIV serodiscordant couples despite the knowledge of the partner’s status and counselling is childbearing. In Cameroon, there are few reports on HIV serodiscordant couples. This paper describes the influence of HIV on sexual relationships and decision to procreate. Methods: This cross-sectional study was conducted in five health centers. Self-administered questionnaire was used to collect social and demographic information, while semi-structured in-depth individual and couple interviews were used to explore sexual relationships and decisions about fatherhood/motherhood. Blood samples were collected from the couples and tested for HIV to confirm serodiscordance. The data were analyzed using the GraphPad Prism Version 6 software. Results: A total of 53/192 (27.6%) HIV serodiscordant couples participated in the study, and 18/74 (24.32%) HIV positive seroconcordant couples and 32/80 HIV negative seroconcordant couples were used as controls. The majority of HIV-positive partners in serodiscordant couples were women (30/53), of whom 25/30 were on antiretroviral therapy. Nearly half of the respondents (23 /53) reported tensions related to serodiscordance, shown by reduced sex frequency. The use of condoms was not systematically observed among seroconcordant and serodiscordant couples with respective proportions of 55.55% and 20.75% (p = 0.0086). Thirty seven out of 53 HIV serodiscordant couples wanted children, among them, seven couples did not have any and expressed their aspiration for parenthood despite fear of infecting one’s partner. Conclusion and Global Health Implications: Sexuality of serodiscordant couples as well as of HIV positive seroconcordant couples was affected by the presence of HIV/AIDS. The desire to procreate may lead couples to adopt risky sexual behaviors. It is important to define specific guidelines for serodiscordant couples in order to improve their sexual life and consequently enable them to procreate with minimal risk of infecting their partner and or to transmit the virus to their baby. Key words: • HIV • Serodiscordance • Sexual health • Childbearing • Cameroon • Reproductive health   Copyright © 2020 Tchakounté et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in this journal, is properly cited.

Protective effect of the combination of wild-type genotypes (G/G and G/G) of CCR2-64V and SDF1-3A' genes in serodiscordant couples in Yaounde-Cameroon

2021 ◽  
Vol 19 ◽  
Author(s):  
Céline N. Nkenfou ◽  
Constantin Tchakounté ◽  
Carine Nguefeu Nkenfou-Tchinda ◽  
Marie Nicole Ngoufack ◽  
Laeticia Grace Yatchou ◽  
...  
Keyword(s):  
Fragment Length Polymorphism ◽  
Test Group ◽  
Hiv Positive ◽  
Wild Type ◽  
Chain Reaction ◽  
Serodiscordant Couples ◽  
Hiv Serodiscordant Couples ◽  
Polymerase Chain ◽  
Seroconcordant Couples ◽  
Hiv Negative

Background: There is growing evidence that polymorphisms in chemokine and chemokine receptor genes influence susceptibility to HIV infection and disease progression. However, not much is documented about the influence of these polymorphisms in HIV serodiscordant couples in Cameroon. Objective: The objective of this study therefore was to determine the prevalence and the effect of the polymorphisms of CCR5-Δ32, CCR5 promoter 59029 A/G, CCR2-64I and SDF1-3′A gene in HIV serodiscordant couples in comparison to HIV negative seroconcordant and HIV positive seroconcordant couples in Yaoundé-Cameroon. Method: A total of 96 couples were recruited from five hospitals, of which 60 couples were HIV serodiscordant (test group), 18 HIV negative seroconcordant and 18 HIV positive seroconcordant couples were used as controls. Their genotypes for CCR5-Δ32, CCR5 promoter, CCR2and SDF1-were analyzed using polymerase chain reaction (PCR) and restriction fragment length polymorphism. Results: The allelic frequencies of these genes in the studied population were: 0%, 26.30%, 15.30% and 1.62% respectively for CCR5-Δ32, CCR5 promoter, CCR2and SDF1. The frequency of the combination of CCR5 promoter and SDF1- (A/A+ G/G) wild-type genotype was higher in HIV-infected partners (82.92%) compared to uninfected partners (56.1%) in HIV serodiscordant couples (p= 0.0001). The combination of wild-type CCR2and SDF1genotypes (G/G + G/G) was higher among uninfected partners (80.48%) in HIV serodiscordant couples compared to the infected partners (60.97) (p= 0.005). Conclusion: HIV negative partner protection against HIV/AIDS infection may be attributed to the combination of wild-typegenotypes (G/G and G/G) of CCR2and SDF1genes in HIV serodiscordant couples.

scholarly journals Gambaran Perilaku Pencegahan HIV Pada Pasangan Serodiskordan dan Serokonkordan Di Yayasan Grapiks Bekasi Tahun 2020

2020 ◽  
Vol 2 (2) ◽  
pp. 14
Author(s):  
Ravinka Ayundra Putri ◽  
Rita Damayanti
Keyword(s):  
Hiv Prevention ◽  
Hiv Positive ◽  
Depth Information ◽  
Serodiscordant Couples ◽  
Prevention Behavior ◽  
Seroconcordant Couples ◽  
The Relationship ◽  
Depth Interviews ◽  
Hiv Aids

ABSTRAKLatar Belakang. Pencegahan HIV pada pasangan serodiskordan dan serokonkordan berkaitan dengan perilaku yang berfokus pada pandangan dan keyakinan individu. Penelitian tentang HIV menemukan bahwa sebanyak 25% ditularkan oleh pasangannya yang positif HIV.Tujuan. Tujuan penelitian ini adalah mengetahui gambaran perilaku pencegahan HIV pada pasangan serodiskordan dan serokonkordan di Yayasan Grapiks Bekasi.Metode. Penelitian ini menggunakan desain studi kasus dengan pendekatan kualitatif. Pengumpulan data dengan wawancara mendalam melalui WhatsApp call.Hasil. Sebagian besar pasangan serodiskordan dan semua pasangan serokonkordan konsisten menggunakan kondom dan keduanya patuh mengkonsumsi obat ARV. Semua ODHA mengungkapkan status kepada pasangannya tetapi hanya sebagian yang mengungkapkan kepada keluarganya. Pola relasi suami istri pada pasangan serodiskordan adalah head complement, sedangkan pasangan serokonkordan yaitu head complement dan senior junior partner. Pasangan serodiskordan menerima konsekuensi, sedangkan pasangan serokonkordan berharap tidak parah. Pasangan serodiskordan memiliki persepsi manfaat yang rendah dan persepsi hambatan yang tinggi daripada pasangan serokonkordan. Kedua pasangan mendapatkan informasi kurang mendalam tentang penyakit HIV/AIDS dari tenaga kesehatan.Kesimpulan. Terdapat perbedaan perilaku pencegahan HIV pada pasangan serodiskordan dan serokonkordan di Yayasan Grapiks Bekasi. ABSTRACTBackground. HIV prevention in serodiscordant and seroconcordant couples are concerned with behaviors that focus on individual views and beliefs. Studies found that 25% were transmitted by partners who were HIV positive. Objective. This research aims to determine the description of HIV prevention behavior in serodiscordant and seroconcordant couples at the Bekasi Grapiks Foundation.Methods. This study used a case study design with a qualitative approach. Data collection by in-depth interviews via WhatsApp call.Results. Most serodiscordant and all seroconcordant partners consistently used condoms and both partners adhered to taking ARV drugs. All PLWHA disclose their status to their partners but, some disclose to their families. The relationship pattern in serodiscordant couples is the head complement, while seroconcordant couples are head complement and senior junior partner. The serodiscordant partner accepted the consequences, whereas the seroconcordant partner hoped not to be severe. Serodiscordant couples have less benefit and high resistance than seroconcordant couples. Both partners received less in-depth information about HIV/AIDS from health workers.Conclusion. There are differences in HIV prevention behavior between serodiscordant and seroconcordant couples at the Bekasi Grapiks Foundation

scholarly journals “It Was a Mistake, but We Knew That Something Might Happen”: Narratives of Teenage Girls' Experiences With Unintended Teenage Pregnancy

2021 ◽  
Vol 3 ◽  
Author(s):  
Busisiwe Nkala-Dlamini
Keyword(s):  
Sexual Behavior ◽  
Reproductive Health ◽  
Sexual Activity ◽  
Narrative Analysis ◽  
Risky Sexual Behavior ◽  
Teenage Pregnancy ◽  
Pathological Condition ◽  
Hiv Infections ◽  
Sexual Relationships ◽  
Teenage Girls

It has been over a quarter of a century since the sexual reproductive health of young people came under the spotlight. The upsurge in human immunodeficiency virus (HIV) infections spurred on an era of intense development of services and strategies to ensure people's reproductive health rights were attainable, including the right to choose when to fall pregnant and have a baby. The statistics on teenage pregnancy are more than just numbers, but a represent stark reality for some girls in South African schools. Given that pregnancy in the teenage years is largely unintentional, prevention strategies need to extend beyond addressing risky sexual behavior; gaining deeper insights into teenagers' experiences and the events leading up to pregnancy would serve to better inform pregnancy prevention programs. This study explored the experiences of teenage mothers and pregnant teenagers, with the objective of acquiring a broader understanding of alternative approaches to preventing unintended pregnancy. A qualitative study was conducted in Ekurhuleni's township in the east of Johannesburg, South Africa. Fifteen narrative interviews with girls aged 13–19 years were conducted between July 2015 and July 2016, and were analyzed chronologically through narrative analysis. The findings revealed that participants who had engaged in socio-sexual and romantic relationships had no intention of falling pregnant and were familiar with existing strategies to prevent pregnancy. Social-sexual relationships were presented as an important aspect of their lives and demonstrated their ability to create spaces and opportunities to spend time with their social sexual partners and engage in sexual activity. Focusing on how teenage girls evaluate their sexual activity against the consequences of their actions is critical. However, sexual and reproductive health programs should refrain from representing young people's sexual behavior as a pathological condition, framing it instead as an integral component of creative sexual development. Programs should include relevant practical advice in relation to sexual engagement and be considered an extension of the State's existing Road to Health program.

scholarly journals Features of sexual behaviour of young people that determine the increase in the incidence of sexually transmitted infections (sti) in the Republic of Tajikistan

2021 ◽  
pp. 27-33
Author(s):  
N. T. Kurbanov
Keyword(s):  
Sexual Behavior ◽  
Young People ◽  
Sexually Transmitted Infections ◽  
Risky Sexual Behavior ◽  
Sexual Relationships ◽  
Sexual Life ◽  
Negative Consequences ◽  
Sexually Transmitted ◽  
Low Level ◽  
Typical Sample

Aim. To identify the features of the sexual behavior of young people that cause the spread of sexually transmitted infections.Material and methods. A questionnaire was developed and a survey was conducted among 500 men and women that belong to various social groups of the population. The age of participants was 18 - 30 years and they were coming from 4 districts of republican subordination. The survey was based on a typical sample of the mentioned age group. Collected data were statistically processed using MS OFFICE 2007 packages.Results and discussion. It was found that the awareness of respondents about sexually transmitted infections and measures for their prevention remains at a very low level. More than 21.0% of respondents have active sexual life, and at least one in five does not associate this with the possible realization of the risk of contracting STIs / HIV / AIDS. About 17.0% of young people believe that if they become infected with these diseases, they will seek medical help only from their friends, physicians that they are familiar with, and paramedics.Conclusion. It is known for a fact that virtually all models of sexual behavior and all types of sexual relationships are present among young people today. However, in Tajikistan, there are certain features of the sexual behavior of young people (polygamy and civil marriage). A low level of knowledge and the need to raise awareness among adolescents and young people about the negative consequences of risky sexual behavior have been established.

ADOLESCENT BEHAVIOR IN UNWANTED PREGNANCY PREVENTION

2019 ◽  
Vol 1 (1) ◽  
pp. 41-46
Author(s):  
Arip Ambulan Panjaitan
Keyword(s):  
Sexual Behavior ◽  
Reproductive Health ◽  
Risky Sexual Behavior ◽  
Parental Education ◽  
Unwanted Pregnancy ◽  
Sampling Technique ◽  
Adolescent Behavior ◽  
Cluster Sampling ◽  
Chi Square ◽  
Cross Sectional

Introduction: Adolescent are at high risk of unwanted pragnency, including abortion, STIs, HIV/AIDS. Risky sexual behavior is one of the entrance transmissions of unwanted pregnancy. Such behavior can be influenced by various factors, beyond and within the individual factors. Teens need the support and motivation in deciding not to do risky sexual behavior. The purpose of this study was to investigate the determinants of adolescent behavior in the prevention of unwanted pregnancy.Methods: This research used cross-sectional design. The populations were students of senior high school in District Sintang. The were 123 respondents chosen by cluster sampling technique for this study. All data were collected using questionnaires and then analysed using bivariate (chi square) and multivariate analysis (logistic regression).Results: The results showed that the majority of respondents did not have good knowledge about the prevention of unwanted pregnancy. Related variable is the level of parental education (p=0.001), the support of parents/guardians (p=0.009), support teachers (p=0.005), peer support (p=0.039), residency (p=0.009), a pastime activity (p=0.000), knowledge of adolescents about reproductive health (p=0.016), perception ability of adolescents (p=0.006) and attitude of adolescents (p=0.049). Adolescent self-perception abilities are variables that most influence on the behavior of adolescents in the prevention of unwanted pregnancy.Conclusions: Efforts to improve reproductive health programs should be early and adolescent have responsibilities as well as healthy behaviors.

Safer conception options for HIV-serodiscordant couples

2012 ◽  
Vol 206 (1) ◽  
pp. e21 ◽  
Author(s):  
Deborah Cohan ◽  
Shannon Weber ◽  
Ronald Goldschmidt
Keyword(s):  
Safer Conception ◽  
Serodiscordant Couples ◽  
Hiv Serodiscordant Couples
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