scholarly journals Vaginal practices among women at risk for HIV acquisition in Soweto, South Africa

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Erica Lazarus ◽  
Kennedy Otwombe ◽  
Janan Dietrich ◽  
Michele P. Andrasik ◽  
Cecilia A. Morgan ◽  
...  
Keyword(s):  
South Africa ◽  
At Risk ◽  
Estimating Equation ◽  
Consistent Condom ◽  
Hiv Acquisition ◽  
Vaginal Practices ◽  
Multiple Sexual Partnerships ◽  
Risk Of Hiv Acquisition ◽  
A Prospective Study ◽  
Over Time

Background: Vaginal practices (VP) may adversely affect normal vaginal flora and mucosal integrity, and increase acquisition risk of HIV and other genital tract infections.Objective: The aim of this study was to describe self-reported VP, changes in the reported number of VP over time and factors associated with VP in a cohort of young Sowetan women enrolled in the HVTN 915 observational study.Method: We longitudinally assessed self-reported VP in 50 young women at risk of HIV acquisition aged 18–25 years in a prospective study over 3 months in Soweto, South Africa. Interviewer-administered HIV behavioural risk questionnaires were completed. No intervention to reduce VP was specified per protocol, but clinicians provided education at their discretion. The generalised estimating equation with inverse probability weights assessed VP over time.Results: The mean age at screening was 22 years; women reported multiple sexual partnerships with a mean of one main and 2 casual partners in the last 30 days. Consistent condom use was 2% (n = 1), 25% (n = 12) and 43% (n = 3) with main, casual and new partners, respectively. Commonly reported VP included washing the vagina with water (44%) and using fingers (48%). VP decreased significantly over time (p < 0.001). Women who used condoms inconsistently or whose last sex was with a casual partner were 3 times more likely to report VP (p = 0.001).Conclusion: Despite the high incidence of HIV in our setting, VP are still common and are associated with other behavioural risks for HIV. Further study is needed to assess whether clinician education may reduce VP and therefore should be included in HIV risk reduction counselling.

Refining self-reported condom use among young men at risk of HIV acquisition

Sexual Health ◽  
2007 ◽  
Vol 4 (3) ◽  
pp. 211 ◽  
Author(s):  
Richard Crosby ◽  
Ralph J. DiClemente ◽  
William L. Yarber ◽  
Gregory Snow ◽  
Adewale Troutman
Keyword(s):  
At Risk ◽  
African American ◽  
Condom Use ◽  
African American Men ◽  
Descriptive Study ◽  
Consistent Condom ◽  
Consistent Condom Use ◽  
Late Application ◽  
Hiv Acquisition ◽  
Risk Of Hiv Acquisition

This descriptive study evaluated the validity of self-reported condom use among young African American men. Thirty percent (n = 79) of the men reported consistent condom use. After accounting for late application and/or early removal of condoms, slippage, and breakage, 26 men remained classified as consistent users. Among the 79 men initially classified as consistent condom users, 695 sexual episodes were reported as ‘condom-protected;’ however, after correcting for user error, 29.6% of the sexual episodes were actually not protected. Studies assessing self-reported condom use among young African American men should assess user errors as well as frequency of condom use.

scholarly journals ‘Break the Chains 2015’ community-based HIV prevention campaign for men who have sex with men in Switzerland: non-randomised evaluation and cost analysis

BMJ Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. e032459
Author(s):  
Kathrin Frey ◽  
Stéphanie Lociciro ◽  
Patricia Blank ◽  
Matthias Schwenkglenks ◽  
Françoise Dubois-Arber ◽  
...  
Keyword(s):  
At Risk ◽  
Hiv Prevention ◽  
Cost Analysis ◽  
Hiv Testing ◽  
Community Based ◽  
Prevention Campaign ◽  
Sex With Men ◽  
Hiv Acquisition ◽  
Risk Of Hiv Acquisition ◽  
Campaign Message

ObjectivesTo study the implementation, effects and costs of Break the Chains, a community-based HIV prevention campaign for men who have sex with men (MSM) in Switzerland, from March to May 2015, which aimed to reduce early HIV transmission by promoting the campaign message to adopt short-term risk reduction followed by HIV testing.DesignNon-randomised evaluation and cost analysis.SettingGay venues in 11 of 26 cantons in Switzerland and national online media campaign.ParticipantsMSM in online surveys (precampaign n=834, postcampaign n=688) or attending HIV testing centres (n=885); campaign managers (n=9); and campaign staff (n=38) or further intermediaries (n=80) in an online survey.Primary and secondary outcome measuresThe primary outcome measure was the proportion of MSM at risk of HIV acquisition or transmission who adhered to the campaign message. Secondary outcomes were postcampaign test uptake, knowledge about HIV primary infection and sense of belonging to the gay community.ResultsCampaign staff estimated that they contacted 17 145 MSM in 11 cantons. Among 688 respondents to the postcampaign survey, 311 (45.2%) were categorised as MSM at risk. Of 402/688 (58.5%) MSM who had heard about Break the Chains 2015, MSM categorised as being at risk were less likely to report adherence to the campaign message than MSM not at risk (adjusted OR 0.24; 95% CI 0.14 to 0.42). Twenty per cent of MSM with a defined risk of HIV acquisition or transmission who adopted risk reduction declared having done so because of the campaign. Costs for one MSM at risk to adhere to the campaign message were estimated at USD purchasing power parity 36–55. The number of HIV tests in the month after the campaign was twice the monthly average.ConclusionBreak the Chains increased HIV testing, implying that community-based campaigns are useful HIV prevention strategies for MSM. Additional interventions are needed to reach MSM at the highest risk of infection more effectively.

Hormonal contraception and the risk of HIV acquisition among women in South Africa

AIDS ◽  
2012 ◽  
Vol 26 (4) ◽  
pp. 497-504 ◽  
Author(s):  
Charles S. Morrison ◽  
Stephanie Skoler-Karpoff ◽  
Cynthia Kwok ◽  
Pai-Lien Chen ◽  
Janneke van de Wijgert ◽  
...  
Keyword(s):  
South Africa ◽  
Hormonal Contraception ◽  
Hiv Acquisition ◽  
Risk Of Hiv Acquisition

scholarly journals Sexual partnership age pairings and risk of HIV acquisition in rural South Africa

AIDS ◽  
2017 ◽  
Vol 31 (12) ◽  
pp. 1755-1764 ◽  
Author(s):  
Adam Akullian ◽  
Anna Bershteyn ◽  
Daniel Klein ◽  
Alain Vandormael ◽  
Till Bärnighausen ◽  
...  
Keyword(s):  
South Africa ◽  
Sexual Partnership ◽  
Rural South ◽  
Hiv Acquisition ◽  
Risk Of Hiv Acquisition ◽  
Rural South Africa

scholarly journals P397 Intra-vaginal practices among adolescent girls and young women in south africa: risk for HIV acquisition

2019 ◽  
Author(s):  
Lorato Maje ◽  
Angela Kaida ◽  
Scott Venners ◽  
Mags Bekinska ◽  
Stefanie Hornschuh ◽  
...  
Keyword(s):  
South Africa ◽  
Adolescent Girls ◽  
Young Women ◽  
Hiv Acquisition ◽  
Vaginal Practices

Acceptability of blood-based HIV self-testing among adolescents aged 15–19 years at risk of HIV acquisition in Bangkok

2021 ◽  
pp. 095646242110037
Author(s):  
Pongpak Phongphiew ◽  
Wipaporn N Songtaweesin ◽  
Nantika Paiboon ◽  
Panyaphon Phiphatkhunarnon ◽  
Patchareeyawan Srimuan ◽  
...  
Keyword(s):  
At Risk ◽  
Point Of Care ◽  
Cross Sectional Study ◽  
Hiv Treatment ◽  
Cross Sectional ◽  
Sex With Men ◽  
Finger Stick ◽  
Hiv Acquisition ◽  
Risk Of Hiv Acquisition ◽  
Antibody Tests

Introduction: Young men who have sex with men (YMSM) and young transgender women (YTGW) in Thailand are at high HIV risk. HIV self-tests (HIVSTs) are rapidly administrable and prompt linkage to HIV treatment or prevention services. This study assesses the acceptability and feasibility of blood-based HIVST use in adolescents. Methods: A cross-sectional study was conducted among YMSM and YTGW aged 15–19 years with HIV acquisition risk. Participants completed questionnaires on the HIVST and then administered INSTI® independently, an HIVST immunoassay detecting gp41 and gp36 antibodies from finger-stick blood. Confirmatory HIV antibody tests were performed. Results: Between July and September 2020, 90 adolescents were enrolled. Mean (SD) age was 17.6 (1.1) years. Half ( N = 45) were YMSM. Forty-six (51%) were first-time HIV testers, and 32 (36%) had “ever used” HIV pre-exposure prophylaxis (PrEP). Two (2.2%, 95% CI: 0.0–5.3) tested positive, 21 (23.4%) invalid, and 67 (74.4%) negative. Invalidity causes included 17 (81%) insufficient blood, 3 (14%) buffer spillage, and 1 (5%) procedural missteps; all had negative HIV antibody tests. HIV self-test acceptability was 87.8% (95% CI: 81.0–94.5). Most (79%) preferred HIVST performance in hospital rather than at home. Conclusions: HIVSTs are acceptable in HIV at-risk adolescents. Blood-based HIVSTs should be positioned as rapid point-of-care tests with real-time linkage to HIV services.

Sign in / Sign up

Export Citation Format

Share Document