Dark rooms in Brazilian nightclubs: a matter of concern for STD/HIV policymakers

Sexual Health ◽  
2015 ◽  
Vol 12 (1) ◽  
pp. 74 ◽  
Author(s):  
Zila M. Sanchez ◽  
Claudia M. A. Carlini ◽  
Solange Andreoni
Keyword(s):  
Mixed Methods ◽  
Drug Use ◽  
Sexual Intercourse ◽  
Sexual Behaviour ◽  
Representative Sample ◽  
Mixed Methods Study ◽  
Sexual Behaviours ◽  
Sex With Men

A mixed methods study in Brazil identified patterns of drug use, violence and sexual behaviours in a representative sample of nightclubs and patrons. Ethnographic observations were performed inside the nightclubs and showed the existence of “dark rooms” – areas reserved for sexual intercourse – in nightclubs targeting men who have sex with men. The letter describes characteristics of the sexual behaviour in these areas.

scholarly journals Sexual Violence against Men Who Have Sex with Men and Transgender Women in Mongolia: A Mixed-Methods Study of Scope and Consequences

PLoS ONE ◽  
2015 ◽  
Vol 10 (10) ◽  
pp. e0139320 ◽  
Author(s):  
Sarah M. Peitzmeier ◽  
Faiza Yasin ◽  
Rob Stephenson ◽  
Andrea L. Wirtz ◽  
Altanchimeg Delegchoimbol ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Sexual Violence ◽  
Transgender Women ◽  
Mixed Methods Study ◽  
Sex With Men

scholarly journals 1215. A Mixed Methods Study on Severe Bacterial Infections in People Who Inject Drugs

2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S697-S697
Author(s):  
Alexander Hrycko ◽  
Benjamin Eckhardt ◽  
Pedro Mateu-Gelabert ◽  
Courtney Ciervo
Keyword(s):  
Mixed Methods ◽  
Drug Use ◽  
Injection Drug Use ◽  
Bacterial Infections ◽  
Mixed Methods Study ◽  
Injection Drug ◽  
Daily Injection ◽  
Drug Injection ◽  
Structured Interviews ◽  
Causative Microorganism

Abstract Background Severe bacterial infections (SBI) associated with intravenous drug use have been increasing in frequency in the U.S. over the last decade. This mixed methods study aims to identify the risk factors associated with SBI in hospitalized individuals with recent injection drug use. Methods We conducted 34 quantitative and 15 qualitative interviews between August 2020 and June 2021 at Bellevue Hospital in New York City. Eligible participants were (1) >/= 18 year of age, (2) admitted with a SBI, and (3) reported injection drug use within the 90 days prior to admission. Quantitative and qualitative data was obtained using a quantitative survey and in-depth, semi structured interviews of participants respectively. Analysis was performed to examine trends and explore common themes potentially contributing factors to SBI. Results Of the 34 participants included, the median age was 37.5, 85% were male, 53% white, and 65% reported being homeless within the past 3 months. Endocarditis was the most common primary diagnosis (65%). Median length of hospital stay was 24 days and 35% required ICU level care during admission. A causative microorganism was identified in 85% of participants and 50% had Staphylococcus aureus as the sole organism. Discharges against medical advice occurred in 35%. Daily injection drug use in prior 30 days was 95% with a median of 10 injections per day. In the 30 days prior to admission, 50% reported an increase in injection frequency, 80% reported reusing needles and/or syringes, 75% reused cookers, 65% reused cottons. Analysis of qualitative interview data revealed high risk injection behaviors. Participants were not practicing and unaware of strategies to reduce their risk of drug injection-related SBI. Prior hospitalizations for SBI did not impact on this knowledge deficit on what constitutes bacterial infection risk and how to prevent it. Conclusion Study findings highlight the complexity of the injection drug use process and the potential social and physiological pathways leading to SBI. Multiple domains at the structural, network, and individual level that impact drug injection practices and provide context by which these factors predispose and lead to physiological tissue damage and the development of SBI among PWID. Disclosures Benjamin Eckhardt, MD, MS, Gilead Sciences (Grant/Research Support)

scholarly journals HIV Prevalence and Sexual Behaviour Risk Among Male Regular Partners of Female Sex Workers. A Mixed- Methods Study at a Peri-urban Clinic in Kampala, Uganda

2020 ◽  
Author(s):  
Gertrude Namale ◽  
Onesmus Kamacooko ◽  
Rachel Kawuma ◽  
Daniel Bagiire ◽  
Yunia Mayanja ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Sexual Intercourse ◽  
Sexual Behaviour ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Hiv Prevalence ◽  
Sexual Relationships ◽  
Hiv Care ◽  
Female Sex ◽  
Urban Clinic

Abstract Background: In Uganda, female sex workers (FSWs) and their male partners are estimated to contribute 16% to new HIV infections. We assessed HIV prevalence and associated sexual behaviour risk among male regular partners of FSWs attending a peri-urban clinic in Kampala, Uganda.Methods: Between June 2012 - June 2017, we conducted a mixed methods cross-sectional study among male regular partners (aged ≥18 years old) of FSWs. The men were enrolled through FSWs attending a routine three monthly visit at a research clinic. Eligible and interested men were consented and counselled for parallel rapid HIV testing (Determine, Statpak, Unigold) on a serum sample. HIV-positive men were assessed and enrolled into HIV care and 3 monthly follow up. Data on socio-demographic, sexual behaviour (sexual relationships, condom and alcohol use), and clinical characteristics were collected. Multivariable logistic regression was used to identify factors associated with HIV sero-positivity. In-depth interviews were conducted to elicit information on participants’ knowledge of HIV and its prevention as well as sexual risk practices. Qualitative data was analysed using NVIVO 12.0 following thematic approach.Results: One hundred and sixty-two men were included in the analysis; mean age was 35 years old (SD± 8.43). The overall HIV sero-positivity was 65/162 (40%), of these 57/65 (88%) men were initiated on ART from the clinic. Ninety percent had no signs of sexually transmitted infections (STI), 119/162 (73%) reported not using a condom during last sexual intercourse. At adjusted analysis, HIV sero-positivity was less likely among men with no STI (aOR= 0.21; 95% CI: 0.06-0.70) and using a condom during last sexual intercourse (aOR = 0.39 (95% CI: 0.18-0.85). HIV sero-positivity was more likely among uncircumcised men (aOR=3.10; 95%CI: 1.49-6.45), those with multiple sexual relationships (two or more sexual partners] (aOR= 3.45; 95% CI: 1.59-7.51). Qualitative findings highlight that most participants were not consistently using condoms with FSWs; the main reason given was that they “trusted” their steady FSWs.Conclusions: HIV prevalence among male regular partners was associated with high risk sexual behaviour. Interventions targeting FSWs should be extended to their male regular partners, to enable their access to HIV care and support.

scholarly journals A Mixed-Methods Study on the Acceptability of Using eHealth for HIV Prevention and Sexual Health Care Among Men Who Have Sex With Men in China

2015 ◽  
Vol 17 (4) ◽  
pp. e100 ◽  
Author(s):  
Kathryn E Muessig ◽  
Cedric H Bien ◽  
Chongyi Wei ◽  
Elaine J Lo ◽  
Min Yang ◽  
...  
Keyword(s):  
Health Care ◽  
Mixed Methods ◽  
Hiv Prevention ◽  
Sexual Health ◽  
Mixed Methods Study ◽  
Sexual Health Care ◽  
Sex With Men

scholarly journals Sexualized drug use (‘chemsex’) and high-risk sexual behaviours in HIV-positive men who have sex with men

HIV Medicine ◽  
2018 ◽  
Vol 19 (4) ◽  
pp. 261-270 ◽  
Author(s):  
EL Pufall ◽  
M Kall ◽  
M Shahmanesh ◽  
A Nardone ◽  
R Gilson ◽  
...  
Keyword(s):  
High Risk ◽  
Drug Use ◽  
Hiv Positive ◽  
Sexual Behaviours ◽  
Sex With Men ◽  
Hiv Positive Men

scholarly journals The Synergistic Impact of Sexual Stigma and Psychosocial Well-Being on HIV Testing: A Mixed-Methods Study Among Nigerian Men who have Sex with Men

2018 ◽  
Vol 22 (12) ◽  
pp. 3905-3915 ◽  
Author(s):  
Cristina Rodriguez-Hart ◽  
◽  
Cory Bradley ◽  
Danielle German ◽  
Rashelle Musci ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Hiv Testing ◽  
Well Being ◽  
Mixed Methods Study ◽  
Sexual Stigma ◽  
Nigerian Men ◽  
Sex With Men

scholarly journals A Systematic Review on Adolescents’ Premarital Sexual Behaviour In Malaysia

2021 ◽  
Author(s):  
Halimatus Sakdiah Minhat ◽  
Raja Nurul Najwa Raja Ismail ◽  
Faridah Jafri ◽  
Nor Afiah Mohd Zulkefli ◽  
Norliza Ahmad
Keyword(s):  
Systematic Review ◽  
Mixed Methods ◽  
High Risk ◽  
Sexual Behaviour ◽  
Reciprocal Relationship ◽  
Negative Consequences ◽  
Risk Behaviours ◽  
Contributing Factors ◽  
Sexual Behaviours ◽  
Premarital Sexual

Abstract Background: Premarital sexual behaviours among adolescents and the associated negative consequences of teenage pregnancy is an increasing public health concerns in Malaysia. Despite the extensive research related to sexual and reproductive health of adolescents, the problems remain reflecting the possible poor understanding of the underlying causes contribute to the problem. This systematic review is aimed at critically evaluating the available evidence on the contributing factors related to premarital sexual behaviours among adolescents in Malaysia. Methods: Five databases; Scopus, MEDLINE/ PubMed, CINAHL, Science Direct and Google Scholar were utilized to systematically searched related articles up to July 2018. Searching involved local quantitative, qualitative and mixed methods studies with premarital sexual behaviours among adolescents in Malaysia being the primary outcome. Two reviewers independently extracted data and assessed study risks of bias.Results: We identified 1762 articles, of which only nine articles were included, which was dominated by six cross sectional studies. A total of 41 939 adolescents aged between 12 to 19 years old were included in this review. The prevalence of premarital sexual behaviours among adolescents was ranging between 2.9% to 8.3%, reported by history of ever had sex. Religiosity, attitude towards sexual urge (pornography and masturbation), high-risk behaviours (bullying, smoking and substance intake – alcohol and drugs) and parents-peers influence were main contributing factors identified to associate with premarital sexual behaviours.Conclusion: Negative attitude towards sexual urge and involvement in high risk behaviours put adolescents at higher risk of premarital sexual behaviour, while religious beliefs and reciprocal relationship between parents and peers influence may act as protective factors. However, more qualitative, and mixed methods studies needed to get in-depth understanding on the relationship between these factors and premarital sexual behaviours.

Premarital Sexual Behaviours among Secondary School Adolescents: A Cross-sectional Study in Kathmandu

2020 ◽  
Vol 8 ◽  
pp. 39-52
Author(s):  
Yadu Ram Upreti ◽  
Devaraj Acharya
Keyword(s):  
Sexual Intercourse ◽  
Sexual Behaviour ◽  
Sexuality Education ◽  
Sexual Debut ◽  
Cross Sectional Study ◽  
Premarital Sex ◽  
Cross Sectional ◽  
Sexual Activities ◽  
Sexual Behaviours ◽  
Premarital Sexual

Young people’s sexuality is often stigmatized in South Asian societies, including Nepal, where premarital sex is not accepted socially and culturally. However, the prevalence of early sexual activities among adolescents has increased over time. Given this background, this paper aimed to explore the prevalence of premarital sexual behaviour among the urban high school adolescents. This study utilized a cross-sectional design and collected a total of 609 students of grade 9-12 [ages 10-19] from both community and institutional schools in the Kathmandu metropolis. A validated structured questionnaire was employed and data were analyzed using SPSS with version 24. Univariate, bivariate, and multivariate analyses were performed to interpret the results. The study showed that the mean age of the respondents was 16 years. More than half of adolescents (52.4%) ever watched pornography, amongst whom eight percent did it on a regular basis. Similarly, 14 percent of in-school adolescents ever experienced premarital vaginal sexual intercourse, where the median age for the sexual debut was 16 years. Male respondents tended to be 13 times more likely to have premarital sex compared to the girls. Respondents who were exposed to pornography materials were likely to be exposed by 5.7 times higher than that who were not. Further, 48 percent respondents who ever had sex did not use condoms during their first sexual intercourse, followed by 45 percent who had multiple sex partners.The study concluded that a notable proportion of adolescents was involved in premarital sexual behaviours followed with vaginal sexual intercourse, especially among the boy students. Hence, the results of this study suggest school-based comprehensive sexuality education to minimize the risky sexual behaviour and promote the safer sexual activities among the secondary level school adolescents.  

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