scholarly journals Disclosure of newly diagnosed HIV infection and condom use at first sex after diagnosis: a study of young Black men who have sex with men

Sexual Health ◽  
2017 ◽  
Vol 14 (4) ◽  
pp. 325 ◽  
Author(s):  
Richard A. Crosby ◽  
Leandro Mena ◽  
Trisha Arnold
Keyword(s):  
Hiv Infection ◽  
Condom Use ◽  
Black Men ◽  
Male Partner ◽  
Incidence Rates ◽  
Newly Diagnosed ◽  
Cross Sectional ◽  
Southern Us ◽  
Sex With Men ◽  
Α Level

Background The first purpose of the present study was to determine whether young Black men who have sex with men (YBMSM) disclose their newly diagnosed HIV infection to a male or female partner, and to determine whether this disclosure is related to condom use; the second was to identify correlates of disclosing newly diagnosed HIV infection to male sex partners, including a measure of partner-related barriers to condom use. Methods: A sample of 125 HIV-infected YBMSM (age 15–29 years) provided cross-sectional data used for both study purposes. Recruitment occurred in a mid-size city in the southern US experiencing inordinately high prevalence and incidence rates of HIV among YBMSM. Significance was defined by an α level of <0.05. Results: Eighty-eight YBMSM (70.4%) indicated disclosing their newly diagnosed HIV status to the first male partner they had sex with after being diagnosed. Of these, nine (9.1%) reported that condoms were not used during ensuing sex with that partner. However, of the men not disclosing, 27.0% reported not using condoms for ensuing sex (P = 0.009). Similar findings were observed relative to sex with females (P = 0.057). Regarding the second study purpose, in addition to a protective effect of advancing age, men scoring at or above the median on a measure of partner-related barriers to condom use were 2.4-fold more likely to not disclose compared with men scoring below the median (P = 0.04). Conclusion: For YBMSM, a beneficial counselling objective relative to disclosing newly diagnosed HIV may be to help men resolve perceptions of partner-related barriers to condom use.

Relationship power and HIV risk among young Black men who have sex with men in the Southern United States

Sexual Health ◽  
2018 ◽  
Vol 15 (4) ◽  
pp. 292
Author(s):  
JaNelle M. Ricks ◽  
Richard A. Crosby ◽  
Leandro Mena
Keyword(s):  
Black Men ◽  
Hiv Risk ◽  
Male Partner ◽  
Risk Behaviour ◽  
Anal Intercourse ◽  
Receptive Anal Intercourse ◽  
Relationship Power ◽  
Southern Us ◽  
Sex With Men ◽  
The Impact

Background The purpose of this study was to examine the impact of relationship power on HIV risk behaviour among young Black men who have sex with men (MSM) in the Southern US. Methods: Data from 425 Black/African American males aged 18–29 years who reported recent anal intercourse with a male partner were analysed. Five selected measures of relationship power were tested for correlation and association with protected receptive anal intercourse using contingency tables and logistic regression analysis. Results: Acts of 100% protected receptive anal intercourse were common (n = 277, 65.2%). Men who reported low barriers to condom negotiation were significantly more likely to report protected acts (P < 0.001). Men who reported 100% protected acts were less likely to report financial dependence on male sexual partners and serosorting behaviour (12.0% vs 20.7%, P = 0.02; 31.5% vs 49.8%, P < 0.001 respectively). Conclusion: Future efforts should further examine the role of relationship power in HIV risk among young Black MSM, including the intersection of individual, dyadic and social-structure risks.

Stability of condomless anal sex behaviours of young Black men who have sex with men: implications for HIV prevention, including pre-exposure prophylaxis

Sexual Health ◽  
2019 ◽  
Vol 16 (6) ◽  
pp. 587
Author(s):  
Richard A. Crosby ◽  
Leandro Mena
Keyword(s):  
Condom Use ◽  
Black Men ◽  
Function Analysis ◽  
Secondary Analysis ◽  
Randomised Control Trial ◽  
Baseline Measure ◽  
Southern Us ◽  
Sex With Men ◽  
Exposure Prophylaxis ◽  
Observation Period

Background Among a sample of young Black men who have sex with men (YBMSM), this study evaluated the stability of annually assessing condomless anal receptive sex (CARS) as an indication for pre-exposure prophylaxis (PrEP) use. Further, the study determined the proportion of YBMSM engaging in CARS rarely (defined as twice or less per year) who may thus may be more efficiently protected by condom use rather than PrEP. Methods: This is a secondary analysis of data collected as part of a randomised control trial that recruited 600 YBMSM from a sexually transmissible infection (STI) clinic located in the southern US. Of these, 144 met the inclusion criteria for the present study. Only HIV-uninfected men assigned to the control condition, who completed the 12-month period of observation, were included. Results: Correlation coefficients between the baseline level of CARS were 0.16 at the first quarter and 0.09, 0.10, and 0.03 at each successive quarter. Discriminant function analysis indicated similarly weak predictive ability of the baseline measure (r = 0.215; P = 0.16). Of 106 reporting no CARS at baseline, 73 (68.9%) had summed scores of zero (no CARS) over the four follow-up assessments. Of 38 reporting any CARS at baseline, 14 (36.8%) had a summed score of zero for the observation period. Of these same 38, 27 (71.0%) had summed scores of two or fewer events of CARS for the observation period. Conclusion: Among YBMSM, CARS in not a stable behaviour over 12 months. Many YBMSM indicated for PrEP may benefit from be a program concurrently promoting condom use.

scholarly journals Use of Social Network Strategy Among Young Black Men Who Have Sex With Men for HIV Testing, Linkage to Care, and Reengagement in Care, Tennessee, 2013-2016

2018 ◽  
Vol 133 (2_suppl) ◽  
pp. 43S-51S ◽  
Author(s):  
Shanell L. McGoy ◽  
April C. Pettit ◽  
Melissa Morrison ◽  
Leah R. Alexander ◽  
Phadre Johnson ◽  
...  
Keyword(s):  
Social Networks ◽  
Social Network ◽  
Hiv Infection ◽  
Hiv Testing ◽  
Black Men ◽  
Linkage To Care ◽  
The United States ◽  
High Risk Population ◽  
Newly Diagnosed ◽  
Sex With Men

Objectives: Tennessee was 1 of 8 states that received funding from the Care and Prevention in the United States Demonstration Project, which aimed to reduce HIV-related morbidity and mortality among racial/ethnic and sexual minority populations. The objective of this study was to describe implementation of a social network strategy (SNS) program, which leverages personal connections in social networks, to reach people with undiagnosed HIV infection for HIV testing. We targeted young black men who have sex with men (MSM) at 3 agencies in Memphis and Nashville, Tennessee, during 2013-2016. Methods: Specialists at the 3 agencies identified MSM with and without diagnosed HIV infection (ie, recruiters) who could recruit members from their social networks for HIV testing (ie, network associates). Both recruiters and network associates received OraQuick rapid and confirmatory HIV tests. We used χ2 and Fisher exact tests to assess differences in demographic characteristics, HIV testing, and care engagement status by agency. Results: Of 1752 people who were tested for HIV in the SNS program, 158 (9.0%) tested positive; of these, 80 (50.6%) were newly diagnosed with HIV. Forty-seven of the 78 (60.3%) people who were previously diagnosed with HIV were not in care in the previous 12 months; of these, 27 (57.4%) were reengaged in medical care. Of 80 people newly diagnosed with HIV, 44 (55.0%) were linked to care. Conclusions: The SNS program ascertained HIV status among a high-risk population in a heavily burdened region. Further program evaluation is needed to understand how to improve linkage to care among people with newly diagnosed HIV.

Thực trạng nhiễm HIV/AIDS và một số yếu tố liên quan ở nhóm nam quan hệ tình dục đồng giới tại cộng đồng tỉnh Tiền Giang năm 2020

2021 ◽  
Vol 05 (01) ◽  
pp. 65-74
Author(s):  
Thi To Trinh Huynh ◽  
◽  
Ngoc Quang La ◽  
Thanh chung Nguyen
Keyword(s):  
Secondary School ◽  
Hiv Infection ◽  
Self Awareness ◽  
Upper Secondary School ◽  
Cross Sectional ◽  
Gender Research ◽  
Upper Secondary ◽  
Sex With Men ◽  
Lower Secondary Education ◽  
Hiv Aids

Research cross-sectional description of 170 men who have sex with men (MSM) in Tien Giang to describe the situation of HIV / AIDS infection and some factors related to HIV prevalence among men who have sex with men. gender. Research results from December 2019 to June 2020 show that the rate of HIV infection in MSM is 20.6%. Some factors related to HIV / AIDS prevalence are that an education level of upper secondary school or higher is 3.6 times more likely to be infected than those with lower secondary education ( OR = 3.64; CI = 1.42-9.35) and the baseline perception of non-HIV infection among subjects who are likely to be infected with HIV 6.49 times higher than the subjects of self-awareness potentially HIV infection (OR = 6.49; CI = 2.90-14.53). Communication among MSM should be strengthened. Key words: HIV/AIDS infection, Tien Giang, Associated factors

scholarly journals Incidence of depression in people with newly diagnosed tuberculosis in Ethiopia: a cohort study

2020 ◽  
Vol 7 ◽  
Author(s):  
Fentie Ambaw ◽  
Rosie Mayston ◽  
Charlotte Hanlon ◽  
Atalay Alem
Keyword(s):  
Protective Factor ◽  
Treatment Guidelines ◽  
Incidence Rates ◽  
Newly Diagnosed ◽  
Cross Sectional ◽  
Primary Care Settings ◽  
Tb Treatment ◽  
Patient Health ◽  
Probable Depression

Abstract Background Cross-sectional studies show that the prevalence of comorbid depression in people with tuberculosis (TB) is high. The hypothesis that TB may lead to depression has not been well studied. Our objectives were to determine the incidence and predictors of probable depression in a prospective cohort of people with TB in primary care settings in Ethiopia. Methods We assessed 648 people with newly diagnosed TB for probable depression using Patient Health Questionnaire, nine-item (PHQ-9) at the time of starting their anti-TB medication. We defined PHQ-9 scores 10 and above as probable depression. Participants without baseline probable depression were assessed at 2 and 6 months to measure incidence of depression. Incidence rates per 1000-person months were calculated. Predictors of incident depression were identified using Poisson regression. Results Two hundred and ninety-nine (46.1%) of the participants did not have probable depression at baseline. Twenty-two (7.4%) and 26 (8.7%) developed depression at 2 and 6 months of follow up. The incidence rate of depression between baseline and 2 months was 73.6 (95% CI 42.8–104.3) and between baseline and 6 months was 24.2 (95% CI 14.9–33.5) per 1000 person-months respectively. Female sex (adjusted β = 0.22; 95% CI 0.16–0.27) was a risk factor and perceived social support (adjusted β = −0.14; 95% CI −0.24 to −0.03) was a protective factor for depression onset. Conclusion There was high incidence of probable depression in people undergoing treatment for newly diagnosed TB. The persistence and incidence of depression beyond 6 months need to be studied. TB treatment guidelines should have mental health component.

scholarly journals The association of household food insecurity and HIV infection with common mental disorders among newly diagnosed tuberculosis patients in Botswana

2020 ◽  
pp. 1-9
Author(s):  
Qiao Wang ◽  
Mbatshi Dima ◽  
Ari Ho-Foster ◽  
Keneilwe Molebatsi ◽  
Chawangwa Modongo ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Hiv Infection ◽  
Food Insecurity ◽  
Common Mental Disorders ◽  
Household Food Insecurity ◽  
Depression And Anxiety ◽  
Newly Diagnosed ◽  
Cross Sectional ◽  
Household Food ◽  
Prevalence Of Depression

Abstract Objective: To determine the association between food insecurity and HIV infection with depression and anxiety among new tuberculosis (TB) patients. Design: Our cross-sectional study assessed depression, anxiety and food insecurity with Patient Health Questionnaire (PHQ-9), Zung Anxiety Self-Assessment Scale (ZUNG) and Household Food Insecurity Access Scale, respectively. Poisson regression models with robust variance were used to examine correlates of depression (PHQ-9 ≥ 10) and anxiety (ZUNG ≥ 36). Setting: Gaborone, Botswana. Participants: Patients who were newly diagnosed with TB. Results: Between January and December 2019, we enrolled 180 TB patients from primary health clinics in Botswana. Overall, 99 (55·0 %) were HIV positive, 47 (26·1 %), 85 (47·2 %) and 69 (38·5 %) indicated depression, anxiety and moderate to severe food insecurity, respectively. After adjusting for potential confounders, food insecurity was associated with a higher prevalence of depression (adjusted prevalence ratio (aPR) = 2·30; 95 % CI 1·40, 3·78) and anxiety (aPR = 1·41; 95 % CI 1·05, 1·91). Prevalence of depression and anxiety was similar between HIV-infected and HIV-uninfected participants. Estimates remained comparable when restricted to HIV-infected participants. Conclusions: Mental disorders may be affected by food insecurity among new TB patients, regardless of HIV status.

scholarly journals Sociodemographic and Behavioral Factors Associated with HIV Vulnerability according to Sexual Orientation

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Maria Aparecida A. O. Serra ◽  
Antoninho B. Milhomem ◽  
Samae B. Oliveira ◽  
Francisca Aline A. S. Santos ◽  
Roberta Araújo e Silva ◽  
...  
Keyword(s):  
Sexual Orientation ◽  
Hiv Infection ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
Behavioral Factors ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Factors Associated ◽  
Sex With Men

Objective. To analyze sociodemographic and behavioral factors associated with vulnerability to HIV according to sexual orientation. Method. This is a cross-sectional study conducted using data on 3,818 people in the city of Imperatriz, Brazil, during 2015 and 2016. The survey’s questionnaires addressed sociodemographic and behavioral variables. For the data analysis, association (chi-square test) and strength of association (odds ratio) were observed. A significance level of p<0.05 and adjustment for age and gender were taken into consideration. Results. A substantial portion of the sample stated they were heterosexual (88.8%). These individuals demonstrated a lower chance of HIV infection (p<0.001), sexually transmitted infections (p<0.001), alcohol use (p<0.001) and condom use (p<0.001), compared to men who have sex with men and/or bisexuals. In this group, after adjusting for confounding variables, the factors associated with HIV infection were being male (p<0.001), unmarried (p<0.001), having completed higher education (p<0.001) and boasting multiple sexual partners (p<0.001). Conclusion. Behavioral and sociodemographic factors of vulnerability to HIV are predominant among men who have sex with men and/or are bisexual.

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