Sexually Transmitted Infections, Behavior Change and the HIV/AIDS Epidemic

2004 ◽  
Author(s):  
Emily F. Oster
2020 ◽  
pp. sextrans-2019-054254
Author(s):  
Mihaja Raberahona ◽  
François Monge ◽  
Rijasoa Harivelo Andrianiaina ◽  
Mamy Jean de Dieu Randria ◽  
Andosoa Ratefiharimanana ◽  
...  

ObjectivesTo describe the epidemiological situation of the HIV/AIDS epidemic and to identify the main drivers for vulnerability in Madagascar.DesignLiterature review, qualitative research and situational analysis.Data sourcesSearch of electronic bibliographic databases, national repositories of documentation from 1998 to 2018. Search keywords included Madagascar, HIV, sexually transmitted infections, men who have sex with men (MSM), sex workers (SWs), transactional sex (TS), injecting drug users (IDUs), vulnerability and sexual behaviour. Qualitative sources were interviews and focus group discussions.Review methodsStudies focused on HIV and/or vulnerability of HIV in Madagascar in general, and key populations (KPs) and HIV/AIDS response were taken into account. National reports from key HIV response actors were included.ResultsMadagascar is characterised by a low HIV/AIDS epidemic profile in the general population (GP) (0.3%) combined with a high prevalence of HIV among KPs (SWs, MSM and IDUs).An increase in HIV prevalence among KP has been observed during recent years. Hospital-based data suggest an increase in HIV prevalence among the GP. The vulnerability traits are inconsistent use of condoms, multipartner relationships and other contextual factors like widespread TS and gender inequality. A high prevalence/incidence of sexually transmitted infections could indicate a high vulnerability to HIV/AIDS. However, there are no reports of HIV prevalence of >1% in antenatal consultation.ConclusionThere is not enough evidence to make a conclusion about the HIV epidemiological situation in Madagascar due to the scarcity of the epidemiological data. However, Madagascar may be closer to a turning point towards a high-prevalence epidemic with severe consequences, particularly when taking into account its socioeconomical fragility and underlying vulnerabilities. More precise epidemiological data and improved HIV/AIDS diagnosis and case management should be a public health priority.


2007 ◽  
Vol 83 (7) ◽  
pp. 592-593
Author(s):  
L Guerrero-Lillo ◽  
J Medrano-Diaz ◽  
F Perez ◽  
C Perez ◽  
A Bizjak-Gomez ◽  
...  

2013 ◽  
Vol 8 (4) ◽  
pp. 335-338 ◽  
Author(s):  
Cecilia Hegamin-Younger ◽  
Rohan Jeremiah ◽  
Nicole Bilbro

The construction of Caribbean male identities based on ideas of masculinity has raised widespread concerns across the island states, and in a region with such high rates of teenage pregnancy (18%), stigmatizing safe sex, contraception, and HIV/AIDS prevalence can only exacerbate the problem. The purpose of this study was to examine the extent to which males use condoms and to explore the association of condom use with their concern with acquiring and transmission of sexually transmitted infections.


Author(s):  
T. Radhakrishnan ◽  
A. Saravana ◽  
P. K. Babu

Background: Many of the reproductive tract infections and sexually transmitted infections (RTI/STIs) are preventable and curable. Kerala is one of the highest literate states in India, but women in Kerala had very low knowledge in sexually transmitted infections and HIV/AIDS. The objective of the present study was to assess the level of awareness on RTI/STI and HIV/AIDS among women in Kerala with inter district variations on awareness among women in RTI/STI and HIV/AIDS. Another objective of the study was to find out the association between socio economic characteristics and awareness on RTI/STI and HIV/AIDS.Methods: Data for the present analysis comes from the district level household and facility survey-3 2007-08 (DLHS-3) and district level household and facility survey-4 (DLHS-4), 2015–16. DLHS is a nationally representative household survey, primarily conducted to monitor and evaluate the implementation of reproductive and child health program across the districts of India. To assess the level of awareness on RTI/STI and HIV/AIDS among women in Kerala with inter district variations on awareness among women in RTI/STI and HIV/AIDS data of DLHS-3 and DLHS-4 were used for analysis and to find out the association between socio economic characteristics and awareness on RTI/STI and HIV/AIDS, data of DLHS were used.Results: Only 48% of women in Kerala had heard of RTI/STI in Kerala, but 75.8% of the women had heard about HIV/AIDS. Knowledge on RTI/STI and HIV/AIDS among women in all the districts in Kerala had fallen from the DLHS-3 to DLHS-4.Conclusions: Decentralized field level interaction of health workers with IEC programs in both rural and urban areas regarding STIs/RTIs and HIV/AIDS should be strengthened along with effective mass media activities.


2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Alba Cortés Alfaro

Introduction adolescents represent a vulnerable group exposed to sexually transmitted infections including HIV/AIDS. It is a stage in which they are subjected to constant changes in physical, mental and social development and risk factors such as ignorance, early sex, drug addiction, social inequality, gender and myths contribute to this exposure. Objective: To delve into the characteristics of adolescents that put them at risk of acquiring an STI-HIV/AIDS. Methods: A bibliographic review was carried out where the databases included in the LILACS, EBSCO and HINARI services were consulted, and very good coverage was achieved, both in Cuba, Latin America and the Caribbean, and in the rest of the world. Conclusions: This review article on the risks to which adolescents are subjected to acquiring an STI-HIV/AIDS is put in the hands of all personnel involved in working with adolescents. For the family doctor in particular for being a staff closely linked to the community, allowing them to be in better conditions to detect these behaviors thus contributing to exercise and undertake prevention actions that will allow us to achieve the objectives of our Ministry of Public Health in relation to with this indicator.


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