scholarly journals HIV Vulnerability and Sexual Risk Behaviour of the Drayang Girls in Bhutan

2019 ◽  
Vol 17 (1) ◽  
pp. 24-33
Author(s):  
Lekey Khandu ◽  
P. Zwanikken ◽  
S. Wangdi
Keyword(s):  
Hepatitis B ◽  
Condom Use ◽  
Sexual Risk ◽  
Living Arrangements ◽  
Risk Behaviour ◽  
Transactional Sex ◽  
Sexual Risk Behaviour ◽  
Transmitted Infection ◽  
Targeted Interventions ◽  
Increased Risk

Introduction: The rapid socio-economic development in Bhutan has brought changes in individual lifestyles resulting in increased risk behavior of the urban population, particularly the Drayang girls. This study investigated the underlying factors influencing the sexual risk behaviour of Drayang girls and their vulnerability to HIV and Sexually Transmitted Infection (STI). The Drayangs are dance bars in Bhutan where the women perform Bhutanese songs/dances on the stage to entertain the bar patrons and making them pay for their performance. Methods: This is a cross-sectional descriptive study conducted from May-July 2015 in three urban districts (Thimphu, Paro, and Phuentsholing) of Bhutan. The convenient non-random sampling method was used to recruit the respondents. We have collected the data using structured questionnaires including the taking of blood samples for HIV, Hepatitis B, and Syphilis testing. Results: Of the 245 Drayang girls recruited for this study, 28.2% have engaged in transactional sex and 71.8% in non-transactional sex within last month. Condom use during transactional sex was 36.2% and non-transactional sex was 21.6%. The prevalence of HIV was 0.82%, hepatitis B 6.9%, and syphilis 2.8%. The factors such as marital status (divorced and unmarried), living arrangements, current living cities, and alcohol consumption were significantly (p<0.05) associated with transactional sex among Drayang girls. Conclusion: Although the prevalence of HIV and STIs is low among the Drayang girls, the presence of high riskbehavior with low condom use still makes them vulnerable to HIV and STIs. The study recommends putting more effort in prevention of HIV and STI by increasing awareness of HIV and STI, targeted interventions like Behaviour Change Communications (BCC), condom promotion, condom negotiation skills and access for testing and treatment of HIV and STI.

Hepatitis B vaccination and changes in sexual risk behaviour among men who have sex with men in Amsterdam

2008 ◽  
Vol 137 (4) ◽  
pp. 504-512 ◽  
Author(s):  
M. XIRIDOU ◽  
J. WALLINGA ◽  
N. DUKERS-MUIJERS ◽  
R. COUTINHO
Keyword(s):  
High Risk ◽  
Hepatitis B ◽  
Sexual Risk ◽  
Vaccination Campaign ◽  
Risk Behaviour ◽  
Hepatitis B Vaccination ◽  
Sexual Risk Behaviour ◽  
Increased Risk ◽  
Sex With Men ◽  
The Impact

SUMMARYThe impact of hepatitis B vaccination in men having sex with men in Amsterdam has been marginal until now, possibly because of increases in sexual risk behaviour counterbalancing the effect of vaccination. A mathematical model is used to describe the hepatitis B epidemic. The model shows that, with the current vaccination coverage, the decrease in incidence is small in the beginning. However, the number of infections prevented per vaccine administered rises over time. Nevertheless, increased risk behaviour reduces the benefit of vaccination. Targeting high-risk men is more successful in reducing and containing the epidemic than targeting low-risk men. In conclusion, the vaccination campaign is effective and should be intensified. High-risk men should be targeted for vaccination and for risk reduction.

HIV infection, sexual risk behaviour and condom use in the Belize defense force

2011 ◽  
Vol 22 (2) ◽  
pp. 73-79 ◽  
Author(s):  
M Anastario ◽  
R Manzanero ◽  
R Blanco ◽  
E Reyes ◽  
R Jaramillo ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Condom Use ◽  
Sexual Risk ◽  
Risk Behaviour ◽  
Sexual Risk Behaviour

scholarly journals Post-test comparison of HIV test knowledge and changes in sexual risk behaviour between clients accessing HIV testing online versus in-clinic

2019 ◽  
Vol 95 (2) ◽  
pp. 102-107 ◽  
Author(s):  
Travis Salway ◽  
Kimberly Thomson ◽  
Darlene Taylor ◽  
Devon Haag ◽  
Elizabeth Elliot ◽  
...  
Keyword(s):  
Sexual Health ◽  
Condom Use ◽  
Hiv Testing ◽  
Sexual Risk ◽  
Risk Behaviour ◽  
Health Clinic ◽  
Sexual Risk Behaviour ◽  
Missed Opportunities ◽  
Hiv Test ◽  
Post Test

ObjectiveInternet-based HIV testing offers the potential to address privacy-related barriers to testing and increase frequency of testing but may result in missed opportunities related to sexual health education and prevention that typically occur in face-to-face encounters. In this study, we assessed the HIV test knowledge and sexual risk behaviour of clients testing for HIV through GetCheckedOnline, an internet-based sexually transmitted and bloodborne infection testing platform inclusive of HIV testing, in comparison to clients testing through a large sexual health clinic.MethodsWe concurrently recruited GetCheckedOnline clients and clinic clients from Vancouver, Canada, over the course of a 10-month period during 2015–2016. Participants completed baseline and 3-month questionnaires, anonymous and online. A six-item score was used to estimate knowledge of HIV test concepts typically conveyed during an HIV pretest encounter in a clinic. We used multiple regression to estimate associations between testing modality (online vs clinic based) and two outcomes—HIV test knowledge and change in condom use pre/post-test—with adjustment for relevant background factors.ResultsAmong 352 participants, online testers demonstrated higher HIV post-test knowledge than clinic-based testers (mean score 4.65/6 vs 4.09/6; p<0.05); this difference was reduced in adjusted analysis (p>0.05). Men who have sex with men, clients with a university degree, those who have lived in Canada >10 years and English speakers had higher HIV post-test knowledge (p<0.05). Eighteen per cent of online testers and 10% of clinic-based testers increased condom use during the 3 months post-test (p>0.05).ConclusionsIn this comparative study between online and clinic-based testers, we found no evidence of decreased HIV test knowledge or decreased condom use following HIV testing through GetCheckedOnline. Our findings suggest that with careful design and attention to educational content, online testing services may not lead to missed opportunities for HIV education and counselling.

scholarly journals Is sexual risk behaviour associated with an increased risk of transfusion‐transmissible infections in blood donors from Western and Pacific countries? A systematic review and meta‐analysis

Vox Sanguinis ◽  
2019 ◽  
Vol 115 (2) ◽  
pp. 107-123
Author(s):  
Hans Van Remoortel ◽  
Wout Matthysen ◽  
Bert Avau ◽  
Veerle Compernolle ◽  
Philippe Vandekerckhove ◽  
...  
Keyword(s):  
Systematic Review ◽  
Sexual Risk ◽  
Blood Donors ◽  
Meta Analysis ◽  
Risk Behaviour ◽  
Sexual Risk Behaviour ◽  
Increased Risk

scholarly journals Influence of sexual risk behaviour and STI co-infection dynamics on the evolution of HIV set point viral load in MSM

2019 ◽  
Author(s):  
Diana M Hendrickx ◽  
Wim Delva ◽  
Niel Hens
Keyword(s):  
Viral Load ◽  
Sexual Risk ◽  
Viral Evolution ◽  
Risk Behaviour ◽  
Sexual Risk Behaviour ◽  
Transmitted Infection ◽  
Set Point ◽  
Sexually Transmitted ◽  
Infection Dynamics ◽  
Before And After

AbstractHIV set-point viral load (SPVL) is an important predictor of HIV progression and transmission. Although it has been reported that anti-retroviral therapy (ART) reduces viral load (VL), increased SPVL levels have been observed in MSM in the decade following the introduction of ART in the Netherlands. Several studies have been devoted to explain these counter-intuitive trends in SPVL. However, to our knowledge, none of these studies has investigated an explanation in which it arises as the result of a sexually transmitted infection (STI) co-factor in detail.In this study, we adapted an event-based, individual-based model to investigate how STI co-infection and sexual risk behaviour affect the evolution of HIV SPVL in MSM before and after the introduction of ART.The results suggest that both STI co-factors and sexual risk behaviour have an effect on SPVL. However, the observed trends in SPVL cannot be explained by sexual risk behaviour and STI co-factors only.We recommend to develop mathematical models including also factors related to viral evolution as reported earlier in the literature. However, this requires more complex models, and the collection of more data for parameter estimation than what is currently available.

scholarly journals Condom migration after introduction of pre-exposure prophylaxis among HIV-uninfected adolescents in South Africa: A cohort analysis

2017 ◽  
Vol 18 (1) ◽  
Author(s):  
Lennart P. Maljaars ◽  
Katherine Gill ◽  
Philip J. Smith ◽  
Glenda E. Gray ◽  
Janan J. Dietrich ◽  
...  
Keyword(s):  
Condom Use ◽  
Sexual Risk ◽  
Sexual Debut ◽  
Cohort Analysis ◽  
Risk Behaviour ◽  
Unprotected Sex ◽  
Sub Saharan Africa ◽  
Future Research ◽  
Sexual Risk Behaviour ◽  
Exposure Prophylaxis

Background: Approximately 3 million adolescents and young adults (AYA), between the ages of 15 years and 24 years, are living with HIV in sub-Saharan Africa. The use of pre-exposure prophylaxis (PrEP) may be a promising HIV prevention tool to bridge the high-risk years of AYA between sexual debut and adulthood.Objectives: Concerns have been raised that the use of PrEP could lead to an increase in sexual risk behaviour and sexually transmitted infections in general and less condom use in particular among adolescents.Methods: This study assesses condom use among South African adolescents enrolled on a demonstration PrEP study, called Pluspills, being conducted in Cape Town and Soweto. A questionnaire on sexual risk behaviour was administered at baseline and after 4, 8 and 12 weeks. Three different questions on condom use were asked at each visit. Unless all answers indicated condom use at all times, a participant was scored ‘at risk’. McNemar’s tests and a Cochran’s Q test were used to investigate changes in condom use over time.Results: We interviewed 148 adolescents (66% female) at baseline. Eighty-nine participants completed all visits. In this group, an increase in condom use was observed over the period of 12 weeks. Most participants who reported behavioural changes mentioned an increase in condom use.Conclusion: There was no sign of sexual risk compensation in the 12 weeks of the study. Observed increase in condom use can be explained by an increased awareness of personal HIV risk or by social desirability or recall biases. In future research, additional data including other biomarkers of unprotected sex and longer follow-up time would be useful to help understand the relationship between PrEP use, sexual risk perception and consequent behaviours, especially in adolescents.

Sign in / Sign up

Export Citation Format

Share Document