scholarly journals PrEP Use Awareness and Interest Cascade among MSM and Transgender Women Living in Bali, Indonesia

2020 ◽  
Vol 5 (4) ◽  
pp. 158
Author(s):  
Rissa Cempaka ◽  
Brigitta Wardhani ◽  
Anak Agung Sagung Sawitri ◽  
Pande Putu Januraga ◽  
Benjamin Bavinton
Keyword(s):  
High Risk ◽  
Social Engagement ◽  
Scale Up ◽  
Multivariate Logistic Regression Analysis ◽  
Transgender Women ◽  
Sex Partners ◽  
Limited Information ◽  
Cross Sectional Survey ◽  
Inconsistent Condom ◽  
Multiple Sex Partners

Indonesia has not implemented HIV pre-exposure prophylaxis (PrEP) despite global calls for its scale-up, and there is limited information about attitudes towards PrEP among its potential users. We aim to present a PrEP cascade among men who have sex with men (MSM) and transgender women (known locally as “waria”) in Denpasar, Bali, from a cross-sectional survey with 220 HIV-negative MSM/waria recruited from one clinic in Denpasar. Only 16.4% of participants had heard of PrEP before. From first-to-last steps included in the cascade, we found 77.3% (170/220) of participants were classified with HIV high risk, 75.9% (129/170) perceived themselves as being at high risk, 81.4% (105/129) expressed interest in using PrEP, 78.1% (82/105) were willing to do PrEP procedures, 48.8% (40/82) were willing to pay 500,000–600,000 IDR, and only two participants had ever been on PrEP before (5.0% of those willing to pay and 0.9% of the total sample). Multivariate logistic regression analysis showed that self-perception of high HIV risk was lower among older age groups (p < 0.001 among 30–39; p = 0.002 among > 40) and higher among participants with multiple sex partners (p = 0.016). Interest in using PrEP was lower among participants with high social engagement as MSM/waria (p = 0.002) and was higher among participants with multiple sex partners (p = 0.020) and inconsistent condom use (p = 0.011). This study has shown a significantly low level of PrEP awareness among its participants and decreases in interest in PrEP use due to procedure and cost. It suggested that an appropriate PrEP campaign is needed if PrEP is going to be introduced in Indonesia.

Examining Predictors of Partner Risk, Multiple Sex Partners, and Sex for Money in a Sample of High-Risk White and Black Women

2008 ◽  
Author(s):  
Trudy-Ann K. Gayle ◽  
Patricia J. Morokoff ◽  
Lisa L. Harlow ◽  
Colleen A. Redding ◽  
Joseph S. Rossi
Keyword(s):  
Black Women ◽  
High Risk ◽  
Sex Partners ◽  
Multiple Sex Partners ◽  
Partner Risk

Correlates of Chlamydia trachomatis infection in a primary care sentinel surveillance network

Sexual Health ◽  
2012 ◽  
Vol 9 (3) ◽  
pp. 247 ◽  
Author(s):  
Megan S. C. Lim ◽  
Jane L. Goller ◽  
Rebecca Guy ◽  
Judy Gold ◽  
Mark Stoove ◽  
...  
Keyword(s):  
Control Strategies ◽  
Routine Data ◽  
Sex Partners ◽  
Surveillance Network ◽  
Inconsistent Condom ◽  
Chlamydia Trachomatis Infection ◽  
Multiple Sex Partners ◽  
The Past ◽  
Younger Age ◽  
The Impact

Background Chlamydia is the most commonly notified infection in Australia. Prevention strategies should be informed by routine data on at-risk populations. Methods: We calculated chlamydia positivity and correlates of infection using multivariable logistic regression for data collected between April 2006 and June 2009. Results: Chlamydia positivity was 5.6% in 12 233 females, 7.7% in 10 316 heterosexual males and 6.2% in 7872 men who have sex with men (MSM). Correlates of chlamydia positivity among females included younger age (odds ratio (OR) 2.27, 95% confidence interval (CI) 1.92–2.69), being born overseas (OR 1.50, 95% CI 1.25–1.82), multiple sex partners in the past year (OR 1.72, 95% CI 1.40–2.11) and inconsistent condom use with regular sex partners (OR 3.44 ,95% CI 1.65–7.20). Sex work was protective for females (OR 0.68, 95% CI 0.53–0.86). Among heterosexual males, correlates of positivity were younger age (OR 1.87, 95% CI 1.62–2.17), being born overseas (OR 1.35, 95% CI 1.16–1.58), symptoms at the time of testing (OR 1.64, 95% CI 1.40–1.92) and multiple sex partners in the past year (OR 1.83, 95% CI 1.46–2.30). Correlates of positivity among MSM were being born overseas (OR 1.23, 95% CI 1.00–1.51), being HIV-positive (OR 1.80, 95%CI 1.32–2.47), and reporting six or more anal sex partners in the past 6 months (OR 4.45, 95% CI 1.37–14.5). Conclusions: Our analysis identified subgroups at the highest risk of chlamydia in Victoria. These estimates will provide important baseline information to measure the impact of chlamydia control strategies.

scholarly journals The Risk of Sexually Transmitted Infection and Its Influence on Condom Use among Pregnant Women in the Kintampo North Municipality of Ghana

2017 ◽  
Vol 2017 ◽  
pp. 1-12 ◽  
Author(s):  
Martha Ali Abdulai ◽  
Frank Baiden ◽  
Samuel Afari-Asiedu ◽  
Lawrence Gyabaa-Febir ◽  
Kwame Kesse Adjei ◽  
...  
Keyword(s):  
High Risk ◽  
Condom Use ◽  
Pregnant Women ◽  
Sexually Transmitted Infection ◽  
Secondary Analysis ◽  
Multivariate Logistic Regression Analysis ◽  
Cross Sectional Survey ◽  
Transmitted Infection ◽  
Cross Sectional ◽  
Sexually Transmitted

Sexually transmitted infection (STI) affects the reproductive health of both men and women worldwide. Condoms are important part of the available preventive strategies for STI control. The lack of proper risk-perception continues to impede women’s ability to negotiate condom use with their partners. This paper is the outcome of secondary analysis of data collected in a cross-sectional survey that explored the perception of risk of STI and its influence on condom use among 504 pregnant women attending antenatal clinic at two health facilities in the Kintampo North Municipality. Consecutively, three Focus Group Discussions were conducted among 22 pregnant women which was analyzed using thematic analysis technique. Multivariate logistic regression analysis was used to identify possible predictors of condom use and risk of STI. Respondents mean age was 26.0±5.9 years. 47% of respondents self-identified themselves as high risk for contracting STI, 50% of whom were married. High risk status (OR = 2.1, 95% CI: 1.1–4.4), ability to ask for condoms during sex (OR = 0.3, 95% CI: 0.1–0.73), and partner’s approval of condom use (OR = 0.2, 95% CI: 0.01–0.05) were independent predictors of condom use. Condom use (OR 2.9 (1.5–5.7); p=0.001) and marital status (engaged, OR 2.6 (1.5–4.5); p=0.001) were independent predictors of risk of STI. Women who self-identified themselves as high risk for STI successfully negotiated condom use with their partners. This is however influenced by partner’s approval and ability to convince partner to use condoms. Self-assessment of STI risk by women and the cooperation of male partners remain critical.

scholarly journals Gender norms and sexual behaviours among men in western Jamaica

Sexual Health ◽  
2014 ◽  
Vol 11 (1) ◽  
pp. 42 ◽  
Author(s):  
Melonie M. Walcott ◽  
Ellen Funkhouser ◽  
Maung Aung ◽  
Mirjam C. Kempf ◽  
John Ehiri ◽  
...  
Keyword(s):  
Linear Models ◽  
Gender Norms ◽  
Sociodemographic Factors ◽  
Unprotected Sex ◽  
Sex Partners ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Multiple Sex Partners ◽  
Sexual Behaviours ◽  
Risky Sexual Behaviours

Objectives Gender norms, especially among men, can reduce the effectiveness of HIV prevention programs. We sought to assess the association between attitudes towards gender norms and risky sexual behaviours, and identify sociodemographic factors that predict gender-inequitable and masculinity norms among men in western Jamaica. Methods: A cross-sectional, survey of 549 men aged 19–54 years was conducted. Attitudes towards gender norms were measured using the Gender Equitable Men and Macho scales. Logistic regression and general linear models were used to assess associations between gender norms and multiple sexual partners, and to identify the associated sociodemographic factors. Adjusted odds ratios (AORs) and 95% confidence intervals (CIs) are presented. Results: Fifty-four percent of the participants (mean age = 32.4 years) reported multiple sex partners and 22% reported unprotected sex with non-regular partner in the past 12 months. Men with moderate (AOR = 2.2; 95% CI = 1.4–3.3) and high (AOR = 4.2; 95% CI = 2.0–8.5) support for inequitable gender norms, and moderate (AOR = 1.7; 95% CI = 1.1–2.7) and high (AOR = 2.5; 95% CI = 1.5–4.3) support for masculinity norms were more likely to report multiple sex partners. Similarly, men with moderate (AOR = 2.4; 95% CI = 1.3–4.3) and high (AOR = 2.5; 95% CI = 1.2–5.2) support for inequitable gender norms were more likely to report unprotected sex with a nonregular partner. Conclusion: A high proportion of Jamaican men engage in risky sexual behaviours. These results highlight the need for behaviour change interventions addressing gender norms targeting Jamaican men.

Getting pre-exposure prophylaxis to high-risk transgender women: lessons from Detroit, USA

Sexual Health ◽  
2018 ◽  
Vol 15 (6) ◽  
pp. 562 ◽  
Author(s):  
Julia E. Hood ◽  
Tony Eljallad ◽  
Julisa Abad ◽  
Maureen Connolly ◽  
Christine Heumann ◽  
...  
Keyword(s):  
High Risk ◽  
Hormone Replacement ◽  
Risk Behaviour ◽  
Transgender Women ◽  
High Risk Population ◽  
Hiv Status ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Survey Responses ◽  
Exposure Prophylaxis

Background Pre-exposure prophylaxis (PrEP) is a highly effective HIV prevention strategy, but it is unclear how best to deliver PrEP to key populations. Drawing upon a cross-sectional survey of transgender women (TW) in Detroit, USA, and experience of a PrEP clinic that serves this population, this manuscript describes the following: (1) the risk profile of Detroit TW; (2) the proportion of TW with at least one PrEP indication; and (3) perceptions of and experiences with PrEP among TW in Detroit. Methods: Between August 2017 and March 2018, 126 TW completed an online PrEP survey. Survey responses were summarised using descriptive statistics and multivariable relative risk regression. Results: Among participants who reported a negative or unknown HIV status (76% of all participants), 56% reported risk behaviour(s) consistent with PrEP indication guidelines, 17% reported currently taking PrEP and another 4% reported discontinued PrEP use. Among participants who met an indication for PrEP but were not currently taking PrEP, 64% indicated that they were not interested in taking PrEP. Approximately 60% of participants who were not currently taking PrEP reported that they would be more likely to take PrEP if it were provided at a clinic that also provided hormone replacement therapy. Conclusions: Although a substantial proportion of TW in our survey were on PrEP, interest in PrEP among high-risk TW who were not taking it was low. Specialised clinical infrastructure that is responsive to the specific needs of TW may be needed to expand PrEP to this oftentimes marginalised and high-risk population.

scholarly journals Knowledge, sexual behaviours and risk perception of sexually transmitted infections among students of the polytechnic, Ibadan, Oyo state

2020 ◽  
Vol 20 (1) ◽  
pp. 39-44
Author(s):  
Irikefe M Oharume
Keyword(s):  
Risk Perception ◽  
Sexually Transmitted Infections ◽  
Perceived Risk ◽  
Current Evidence ◽  
Sexually Active ◽  
Sex Partners ◽  
Cross Sectional Survey ◽  
Sexually Transmitted ◽  
Multiple Sex Partners ◽  
Sexual Behaviours

Background: Current evidence shows that the surge of sexually transmitted infections (STIs) is of public health importance. In Nigeria, about 3 million cases of STIs are reported annually with the highest rates observed among young people. Objective: This study was designed to investigate the knowledge, sexual behaviours and risk perception of STIs among students of the polytechnic, Ibadan. Method: The study was a descriptive cross-sectional survey which involved the use of a four-stage sampling technique to select 401 students across the five faculties of the institution. Results: Among the students interviewed, few (18.7%) had good knowledge of STIs with overall mean knowledge score of 5.9±3.6. Majority (65.3%) were sexually active in the last 12 months; while 26.7% had multiple sex partners in the last six months. Only 23.1% of single sexually active students used condom regularly. Few (14.2%) of the students considered themselves to be at risk of contracting STIs. However, there were significant associations between knowledge and risk perception of contracting STIs; and between having multiple sex partners and the risk perception of contracting STIs. Conclusion: These results emphasise the need to provide students with more information about STIs with the aim of positively influencing their self-perceived risk and sexual behaviour. Keywords: Knowledge; sexual behaviours; risk perception; STIs; polytechnic; Ibadan; Oyo state.

scholarly journals Assessment of knowledge, attitude and practices and analysis on risk factor regarding schistosomiasis among fishermen and boatmen in Dongting Lake Basin, P.R. China

2019 ◽  
Author(s):  
Zhou Guan ◽  
Si-Min Dai ◽  
Jie Zhou ◽  
Xiao-Bing Ren ◽  
Zhi-Qiang Qin ◽  
...  
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Clinical Manifestations ◽  
Multivariate Logistic Regression Analysis ◽  
Dongting Lake ◽  
Hunan Province ◽  
Transmission Risk ◽  
High Risk Population ◽  
Lake Basin ◽  
Cross Sectional Survey

Abstract Background: Fishermen and boatmen are high risk population to get infection by schistosomes due to their high frequency water contact in endemic areas of schistosomiasis in the People’s Republic of China (P. R. China). To develop specific interventions towards this population, understanding their knowledge, attitude and practices (KAPs) towards schistosomiasis and exploring risk factors for schistosomiasis are necessary. Therefore, our present study was designed to assess the KAPs of fishermen and boatmen and to identify the risk factors associated with schistosome infection based on a cross-sectional survey in selected area. Methods: A cross section survey was conducted in Dongting Lake Basin of Yueyang County, Hunan Province, P. R. China. A total of 601 fishermen and boatmen were interviewed from October to November in 2017. Information regarding socio-demographic details and knowledge, attitude, and practices toward schistosomiasis were collected through a standardized questionnaire. Meanwhile, fecal samples of participants were collected and detected by Polymerase Chain Reaction (PCR) technique to understand the infection status of schistosomes among fishermen and boatmen. Results: Of the 601 interviewed participants, more than 90% respondents knew the way of getting infection, intermediate host of schistosomes and preventive methods, while majority of the respondents knew this disease and its cause, clinical manifestations and transmission mode properly. The majority of the respondents had positive attitude towards schistosomiasis prevention. However, only 6.66% respondents had installed latrine on their boats, while 32.61% respondents defecated in the public toilets on shore. In addition, only 4.99% respondents protected themselves while contacting freshwater. The overall positive rate of schistosome nucleic acid among fishermen and boatmen in Yueyang County was 13.81% (83/601). Multivariate logistic regression analysis showed that age, years of doing current job, times receiving treatment and whether treated in last two years were the main influencing factors of S. japonicum infection among this population. Conclusions: Fishermen and boatmen are still at high risk of infection in China, and gaps existed between knowledge, attitude and practices toward schistosomiasis in this population group. Chemotherapy, health education encouraging behavior change in combination with other integrated approaches to decrease the transmission risk in environments should be strengthened.

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