scholarly journals Patterns of Sexual Behaviour Associated with Repeated Chlamydia Testing and Infection in Men and Women: A Latent Class Analysis

Author(s):  
Inga Veličko ◽  
Alexander Ploner ◽  
Lena Marions ◽  
Pär Sparén ◽  
Björn Herrmann ◽  
...  

Abstract Background: Adolescents and young adults are at higher risk of acquiring Chlamydia trachomatis infection (chlamydia), so testing is promoted in these populations. Studies have shown that re-testing for chlamydia is common amongst them. We investigated how sexual risk behaviour profiles are associated with repeated testing for chlamydia.Methods: We used baseline data from a cohort of 2,814 individuals recruited at an urban STI -clinic. We applied latent class (LC) analysis using 9 manifest variables on sexual behaviour and substance use self-reported by the study participants. We fitted ordered logistic regression to investigate the association of LC membership with the outcomes repeated testing during the past 12 months and lifetime repeated testing for chlamydia. Models were fit separately for men and women.Results: We identified four LCs for men and three LCs for women with increasing gradient of risky sexual behaviour. The two classes with the highest -risk among men were associated with lifetime repeated testing for chlamydia: adjOR = 2.26 (95%CI: 1.50 - 3.40) and adjOR = 3.03 (95%CI: 1.93 -4.74) as compared with the class with lowest risk. In women, the class with the highest risk was associated with increased odds of repeated lifetime testing (adjOR =1.85 (95%CI: 1.24-2.76)) and repeated testing during past 12 months (adjOR = 1.72 (95%CI: 1.16-2.54)). An association with chlamydia positive test at the time of the study and during the participant´s lifetime was only found in the male high-risk classes.Conclusion: Prevention messages with regard to testing for chlamydia after unprotected sexual contact with new/casual partners seem to reach individuals in high-risk behaviour classes who are more likely to test repeatedly. Prevention efforts should involve enhanced targeting and promotion of safe sex.

2020 ◽  
Vol 14 (S13) ◽  
Author(s):  
Lussy Afriyanti ◽  
Agung Waluyo ◽  
Sri Yona

Abstract Background The Human Immunodeficiency Virus (HIV) epidemic is a global health problem whose number of cases are always higher among men who have sex with men (MSM). Most existing MSM have moderate and very high risk behaviour in HIV transmission. This study was designed to identify correlations between drug use, HIV disclosure and interpersonal communication patterns on sexual risk behaviour among HIV-positive MSM. Methods This study used a cross sectional design with a purposive sampling technique for participants who visited the voluntary counselling and testing (VCT) clinic in a referral hospital and snowball sampling technique for participants in the work area of a community health centre in Batam involving 126 HIV-positive MSM. Data were collected by 5 part questionnaire, namely demographic questionnaire, drug screening questionnaire, brief scale for HIV self disclosure, communication pattern questionnaire-short form, and safe sex behaviour questionnaire. Bivariate analysis was applied to determine whether there is a relationship between drug use, HIV disclosure, interpersonal communication and demographic characteristics (ethnicity, educational status) with sexual risk behaviour of MSM. Logistic regression analysis was used to explore the variables that most associated variable to sexual risk behaviour. The results The results showed that there was significant correlation between HIV disclosure and sexual risk behaviour (p = 0.019, α = 0.05, OR = 2.530) and significant correlation between interpersonal communication patterns and sexual risk behaviour (p = 0.016, α = 0.05, OR = 2.589). There is no significant correlation between demographic characteristics, namely: ethnicity and educational status with sexual behaviour at risk of MSM. In multiple logistic regression analysis, educational status was the factor that most associated with sexual risk behaviour among HIV-positive MSM (p = 0.027, α = 0.05, OR = 2.807, 95% CI = 1.125–7.006). Conclusions HIV disclosure and interpersonal communication patterns have a significant negative correlation with sexual risk behaviour among HIV-positive MSM. MSM with low HIV disclosure have high risk sexual behaviour opportunities. MSM with the closed interpersonal communication pattern also has a high risk of sexual behaviour. Education status was the most associated variable to sexual risk behaviour of HIV-positive MSM. Nurses as professional health workers need to improve comprehensive assessment, personal counselling and plan specific learning model by involving HIV-positive MSM in reducing HIV transmission from risky behaviour.


2018 ◽  
Vol 23 (7) ◽  
pp. 1708-1720 ◽  
Author(s):  
Mitzy Gafos ◽  
Rob Horne ◽  
Will Nutland ◽  
Gill Bell ◽  
Caroline Rae ◽  
...  

2013 ◽  
Vol 150 (1) ◽  
pp. 50-56 ◽  
Author(s):  
Kathryn Fletcher ◽  
Gordon Parker ◽  
Amelia Paterson ◽  
Howe Synnott

Author(s):  
Puspanjali Mohapatro ◽  
Rashmimala Pradhan

Objective: This study is designed to examine the risk taking behaviours that are harmful to students at a selected university. In this case, high-risk behaviours have been studied, such as harmful behaviours, coercion, smoke, alcohol contain substance abuse, and drug addiction. Materials and methods: Current study which is a type of descriptive survey research. The sample of this study included 200 students from a selected university in Bhubaneswar, who were selected through a convenient sampling technique. The Self -structured questionnaire tool has been used for a to collect socio demographic variables. A Structured checklist developed to measure risk taking behaviour. For this section rating scale was adopted with score was low risk, medium risk and high risk. In this study, score range 14-28 divided in to 3 scales- Low risk (14-18), Medium (19-24), High (25-28). A behavioural rating scale was used to analyse the behaviour. Results: The results showed that the increase in risky behaviour among students was 87% and higher for boys than girls and 40% for campus students had a higher risk of alcohol use. About 69.5% of the age group 19-27 were involved in alcohol consumption due to level of high living standard, high sources of income and happiness. Conclusion: The results of the study on identification of risky behaviours to precedence among students, by accessing a high-risk behaviour profile will help policymakers accurately identify student behaviours to make plan for promoting health improvements activity, with to linking the group's real needs and challenges.


Author(s):  
Evan Su Wei Shang ◽  
Eugene Siu Kai Lo ◽  
Zhe Huang ◽  
Kevin Kei Ching Hung ◽  
Emily Ying Yang Chan

Although much of the health emergency and disaster risk management (Health-EDRM) literature evaluates methods to protect health assets and mitigate health risks from disasters, there is a lack of research into those who have taken high-risk behaviour during extreme events. The study’s main objective is to examine the association between engaging in high-risk behaviour and factors including sociodemographic characteristics, disaster risk perception and household preparedness during a super typhoon. A computerized randomized digit dialling cross-sectional household survey was conducted in Hong Kong, an urban metropolis, two weeks after the landing of Typhoon Mangkhut. Telephone interviews were conducted in Cantonese with adult residents. The response rate was 23.8% and the sample was representative of the Hong Kong population. Multivariable logistic regressions of 521 respondents adjusted with age and gender found education, income, risk perception and disaster preparedness were insignificantly associated with risk-taking behaviour during typhoons. This suggests that other factors may be involved in driving this behaviour, such as a general tendency to underestimate risk or sensation seeking. Further Health-EDRM research into risk-taking and sensation seeking behaviour during extreme events is needed to identify policy measures.


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