scholarly journals Effects of HIV-Related Discrimination on Psychosocial Syndemics and Sexual Risk Behavior among People Living with HIV

2020 ◽  
Vol 17 (6) ◽  
pp. 1924
Author(s):  
Randolph C. H. Chan ◽  
Don Operario ◽  
Winnie W. S. Mak
Keyword(s):  
Hong Kong ◽  
Condom Use ◽  
Structural Equation ◽  
Poor Mental Health ◽  
Self Report ◽  
Equation Modeling ◽  
People Living With Hiv ◽  
Inconsistent Condom ◽  
Living With Hiv ◽  
Inconsistent Condom Use

In the context of HIV-related stigma and discrimination, people living with HIV (PLHIV) might be vulnerable to a ‘syndemic’ of co-occurring psychosocial challenges that can affect sexual behavior. The present study examined how HIV-related discrimination contributes to co-occurring psychosocial syndemic problems and results in inconsistent condom use among PLHIV in Hong Kong. Two-hundred and ninety-one PLHIV were recruited to complete a self-report questionnaire. More than one-quarter of the sample experienced two or more psychosocial syndemic problems, and 74.1% of the participants who had sex with steady partners reported inconsistent condom use over the past three months. The results indicated that HIV-related discrimination was positively predictive of the number of psychosocial syndemic problems. HIV-related discrimination and psychosocial syndemics were associated with increased odds of inconsistent condom use with steady partners (AOR = 5.40 and AOR = 3.09 respectively). Findings from structural equation modeling showed that psychosocial syndemics mediated the effect of HIV-related discrimination on condom use consistency with steady partners. PLHIV in Hong Kong suffered from the syndemic effects of stigma, social isolation, and poor mental health, which rendered them vulnerable to condomless sex. In order to curb the rapidly increasing incidence of HIV, multi-level strategies should be adopted to concurrently address the structural inequities and psychosocial syndemics faced by PLHIV.

scholarly journals Condom use behaviour among people living with HIV: a seven-country community-based participatory research in the Asia-Pacific region

2017 ◽  
Vol 94 (3) ◽  
pp. 200-205 ◽  
Author(s):  
Keshab Deuba ◽  
Verena Kohlbrenner ◽  
Sushil Koirala ◽  
Anna Mia Ekström
Keyword(s):  
Condom Use ◽  
Antiretroviral Treatment ◽  
Asia Pacific ◽  
People Living With Hiv ◽  
Pacific Region ◽  
Regular Partner ◽  
Asia Pacific Region ◽  
Inconsistent Condom ◽  
Living With Hiv ◽  
Inconsistent Condom Use

ObjectivesWe examined the prevalence of inconsistent condom use and its correlates among people living with HIV (PLHIV) in the Asia-Pacific region.MethodsBetween 1 October 2012 and 31 May 2013, a total of 7843 PLHIV aged 18–50 years were recruited using targeted and venue-based sampling in Bangladesh, Indonesia, Lao People’s Democratic Republic (PDR), Nepal, Pakistan, Philippines and Vietnam. Logistic regression was used to explore the association between condom use behaviour and demographics, social support, stigma and discrimination and various health-related variables.ResultsOverall, 43% of 3827 PLHIV practised inconsistent condom use at sexual intercourse with their regular partner. An even higher proportion, 46% of 2044 PLHIV admitted that they practised unprotected sex with a casual partner. Participants from Lao PDR reported the lowest prevalence of inconsistent condom use for both regular and casual partners, while participants from the Philippines had the highest risk behaviour. Inconsistent condom use was significantly associated with belonging to a key population (drug user, sex worker or refugee subpopulation), not knowing that condoms are still needed if both partners are HIV positive, having a regular partner whose HIV status was either positive or unknown, having experienced physical assault and not receiving antiretroviral treatment.ConclusionsThis large seven-country study highlights a high prevalence of inconsistent condom use among PLHIV in the Asia-Pacific region. In addition to knowledge-imparting interventions, the adoption and expansion of the ‘Test and Treat’ strategy could help to maximise the prevention benefits of antiretroviral treatment.

The idiographic study of inconsistent condom use behavior of persons living with HIV

AIDS Care ◽  
2007 ◽  
Vol 19 (8) ◽  
pp. 1058-1064 ◽  
Author(s):  
W. D. Barta ◽  
S. M. Kiene ◽  
H. Tennen ◽  
K. S. Abu-Hasaballah ◽  
R. Ferrer
Keyword(s):  
Condom Use ◽  
Inconsistent Condom ◽  
Persons Living With Hiv ◽  
Use Behavior ◽  
Living With Hiv ◽  
Inconsistent Condom Use

scholarly journals COVID-19 Vaccination Behavior of People Living with HIV: The Mediating Role of Perceived Risk and Vaccination Intention

Vaccines ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1288
Author(s):  
Li Qi ◽  
Li Yang ◽  
Jie Ge ◽  
Lan Yu ◽  
Xiaomei Li
Keyword(s):  
Perceived Risk ◽  
Structural Equation ◽  
Perceived Usefulness ◽  
Equation Modeling ◽  
People Living With Hiv ◽  
Cross Sectional ◽  
Vaccination Behavior ◽  
Negative Effect ◽  
Living With Hiv ◽  
Positive Effect

The COVID-19 vaccination behavior of people living with HIV (PLWH) was examined via a cross-sectional web-based survey of PLWH aged 18 years and older. The survey was conducted from l May to 20 June 2021. The survey included social demographic information; vaccination behavior (B); and questions related to perceived usefulness (PU), perceived risk (PR), subjective norms (SNs), perceived behavior control (PBC), and behavior intention (BI). The associations between the questionnaire variables and COVID-19 vaccination behavior were assessed by calculating the descriptive data, correlation analysis, and structural equation modeling. In total, 43.71% of the 350 eligible respondents had received a COVID-19 vaccine. The differences in COVID-19 vaccination behavior according to age, gender, religious belief, marital status, income, education level, and occupation were not obvious (p > 0.05). PU had a significantly negative effect on PR (p < 0.05). PR had a significantly negative effect on BI (p < 0.05). SNs had a significantly positive effect on BI (p < 0.05). BI had a significantly positive effect on B (p < 0.05). PR fully mediated the effects of PU on BI, BI fully mediated the effects of PR on B, and BI fully mediated the effects of SNs on B (p < 0.05). Health policymakers and medical workers should provide more information about the risks of vaccine application to improve the vaccination behavior of PLWH.

scholarly journals The Association between Perceived Social Hardship and Future Orientation among Hong Kong Young People: The Mediation Role of Belief in a Just World

2020 ◽  
Vol 17 (14) ◽  
pp. 4957 ◽  
Author(s):  
Jian-Bin Li
Keyword(s):  
Hong Kong ◽  
Young People ◽  
Structural Equation ◽  
Future Orientation ◽  
Underlying Mechanism ◽  
Self Report ◽  
Equation Modeling ◽  
Just World ◽  
Local Society ◽  
Social Adversity

A positive future orientation (FO) is associated with a range of positive outcomes. It is a crucial resilience factor that assists individuals to navigate developmental difficulties during the transition to young adulthood and during periods of social adversity. Exposure to negative social context threatens young people’s FO. The social demonstrations and the outbreak of coronavirus disease in Hong Kong over the past year have caused considerable hardship to the local society. Under such circumstance, young people in Hong Kong may develop a negative FO. Scant research has directly examined the relationship between perceived social hardship and FO as well as the underlying mechanism among Hong Kong young people. In this study, we tested the idea that young people’s perceived social hardship would be negatively related to FO via belief in a just world, a well-known foundation for individuals to think, feel, and plan their future. Participants were 554 students recruited from eight universities in Hong Kong. They filled in self-report questionnaires online. Results of structural equation modeling supported our hypothesis. These findings shed light on how to nurture Hong Kong young people to develop a positive mindset during periods of social hardship.

Psychosocial pathways to inconsistent condom use among male sex workers: personality, drug misuse and criminality

Sexual Health ◽  
2011 ◽  
Vol 8 (3) ◽  
pp. 390 ◽  
Author(s):  
Fernanda C. Prado Cortez ◽  
Douglas P. Boer ◽  
Danilo A. Baltieri
Keyword(s):  
Condom Use ◽  
Sex Workers ◽  
Self Report ◽  
Drug Misuse ◽  
Consistent Condom ◽  
Male Sex Workers ◽  
Related Factors ◽  
Inconsistent Condom ◽  
Male Sex ◽  
Inconsistent Condom Use

Background This research compared street male sex workers in Santo André, Brazil, that reported consistent condom use with those that revealed inconsistent condom use with their clients, concerning personality aspects, impulsiveness, alcohol and drug consumption, depressive symptoms, sociodemographic data and criminal involvement. Methods: Eighty-six male sex workers were evaluated in face-to-face interviews at their place of work. A ‘snowball’ sampling procedure was used to access this hard-to-reach population. Findings: Male sex workers with inconsistent condom use showed greater involvement with criminal activities, higher reward dependence level and more frequent self-report of being HIV-positive. Conclusions: Conceptualisation of male sex workers’ psychological characteristics may be required where HIV risk is not only attributed to sex work per se, but to other aspects such as personality-related factors and negative identity.

scholarly journals Influential Host Factors to the Incidence of HIV/AIDS in Key Populations in Pati District

2018 ◽  
Vol 13 (1) ◽  
Author(s):  
Dwi Murtono ◽  
Puguh Riyanto ◽  
Zahroh Shaluhiyah
Keyword(s):  
Condom Use ◽  
Sexual Activity ◽  
Influential Factors ◽  
Host Factors ◽  
Key Populations ◽  
Inconsistent Condom ◽  
Use Behavior ◽  
Living With Hiv ◽  
Inconsistent Condom Use ◽  
Hiv Aids

Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) are serious diseases in the world in which one of transmission methods is through sexual intercourse. This study aimed to explain the influential host factors to the incidence of HIV/AIDS in key populations. The study was conducted on March-September 2016. The study was observational analytic with case-control design in key populations in Pati District. Cases were 53 patients living with HIV/AIDS, while controls were 53 patients not living with HIV/AIDS. The sampling technique employed was consecutive sampling. Data were obtained from medical records and interview questionaire. This study applied chi-square test to analyze bivariate data, and multiple logistic regression to analyze multivariate data. Results indicated that the influential factors to the incidence of HIV/AIDS in key populations were inconsistent condom use behavior, records of suffering from sexually-transmitted infections (STIs), and forms of sexual activity. While, factors which did not influence the incidence of HIV/AIDS were multiple sex partners behavior, sex accessories use behavior, tattoo needle use behavior, injecting drug use behavior. In conclusion, several influential factors to the incidence of HIV/AIDS in key populations are the inconsistent condom use behavior, records of suffering from STIs, and forms of sexual activity.

Syphilis seroprevalence and seroconversion among people newly diagnosed with HIV during the pre-antiretroviral therapy period in rural China

2020 ◽  
Vol 31 (9) ◽  
pp. 876-885
Author(s):  
Shifu Li ◽  
Wenbing Dong ◽  
Liang Chen ◽  
Shunxiang Li ◽  
Shu Su
Keyword(s):  
Antiretroviral Therapy ◽  
Hiv Infection ◽  
Condom Use ◽  
Consistent Condom ◽  
People Living With Hiv ◽  
Newly Diagnosed ◽  
Inconsistent Condom ◽  
Recent Hiv Infection ◽  
Inconsistent Condom Use

Syphilis has a high incidence among people living with HIV (PLHIV), which may be attributable to their similar sexual transmission route. A retrospective cohort study was conducted during the period 2009–2015 to investigate the syphilis seroprevalence and incidence of syphilis seroconversion among newly-diagnosed PLHIV in rural Yunnan, China. Recent HIV infection among PLHIV was identified by BED capture enzyme immunoassay. PLHIV were followed until they initiated antiretroviral therapy. Syphilis serology was conducted at baseline and each follow-up over the study period. Among 2162 participants, the syphilis seroprevalence at baseline was 2.7%, 95% confidence interval (CI) (2.4–3.1). Single and divorced (versus married) (aOR = 2.9, [1.1–7.4]; 5.9, [2.4–14.7], respectively), employed in the service industry (versus unemployed) (2.8, [1.4–5.6]), being diagnosed with HIV in hospitals (versus voluntary counselling and testing) (5.1, [2.0–12.9]), recent HIV infection (17.9, [8.5–37.9]) and inconsistent condom use in the previous three months (versus consistent condom use) (6.2, [2.8–13.4]) were associated with higher risk of syphilis infection at baseline. Participants contributed 1955.4 person-years (PYs) of follow-up, with a median follow-up period of 0.9 years (IQR: 0.5–1.9) and the incidence of syphilis seroconversion was 2.2 (95% CI 1.5–2.9) per 100 PYs. The syphilis seroprevalence at baseline (aHR 3.7, [1.8–7.9]), had a HIV-negative partner at baseline (3.9, [1.5–9.8]) and inconsistent condom use in the last three months at baseline (6.0, [1.4–25.4]) were associated with higher risk of syphilis seroconversion. Our findings indicate that the public health response should be escalated to minimise the spread of syphilis co-infection among PLHIV and reducing condomless sexual behaviours after HIV diagnosis.

Sign in / Sign up

Export Citation Format

Share Document