For Disadvantaged Urban Blacks, Condom Use May Vary with Relationship Type and Partner's Drug Use

2016 ◽  
Vol 48 (4) ◽  
pp. 238-239
Keyword(s):  
Drug Use ◽  
Condom Use ◽  
Relationship Type ◽  
Urban Blacks

Drug use, injecting behaviors, and survival sex among street children and youths in Kathmandu valley, Nepal

2017 ◽  
Vol 29 (6) ◽  
pp. 588-597 ◽  
Author(s):  
Sampurna Kakchapati ◽  
Bishnu Shrestha ◽  
Dan Y Li ◽  
Rajesh Rajbhandari ◽  
Tarun Poudel
Keyword(s):  
Drug Use ◽  
Condom Use ◽  
Risk Behaviors ◽  
Street Children ◽  
Coping Mechanisms ◽  
Kathmandu Valley ◽  
Cross Sectional ◽  
Survival Sex ◽  
History Of ◽  
Disproportionate Number

A disproportionate number of street children use and inject drugs and engage in survival sex as coping mechanisms. This study aimed to determine the prevalence of drug use, injecting drugs, survival sex, and condom use and determinants associated with these behaviors among street children. Cross-sectional surveys were conducted in 2016 with an aim to sample 350 street children and youths in Kathmandu Valley, Nepal. Information about sociodemographic characteristics, injecting drugs, sexual risk behaviors, and biological specimens for HIV testing were obtained. The logistic regression model was used to identify the determinants associated with drug use, injecting drugs, survival sex, and condom use during last sex. Variables that were significantly associated with being a current drug user (versus never) in the presence of other variables included being a rag picker (adjusted odds ratio [AOR] = 3.2; 95% confidence interval [95% CI] = 1.73–5.9), history of imprisonment (AOR = 2.21; 95% CI = 1.21–4.04), alcohol consumption (AOR = 2.66; 95% CI = 1.46–4.84), and solvent sniffing (AOR = 5.12; 95% CI = 2.74–9.59). Variables that were significantly predictive of injecting drugs (versus never) in the presence of other variables include being 17 years old (AOR = 3.42; 95% CI = 1.11–10.55) and being a rag picker (AOR = 3.5; 95% CI = 1.25–9.75). Variables that were significantly associated with having survival sex (versus never) in the presence of other variables include being 17 years old (AOR = 3.58; 95% CI = 1.31–9.81) and having forced sex (AOR = 9.62; 95% CI = 3.21–28.8). Drug use and survival sex are major coping mechanisms among street children in Kathmandu Valley and are associated with many risk behaviors. Targeted programs should be implemented to meet their special needs.

scholarly journals Sexual practices and condom use among a sample of Northern and Indigenous adolescents in Northern Canada: cross-sectional survey results

2018 ◽  
Vol 45 (2) ◽  
pp. 147-154 ◽  
Author(s):  
Carmen H Logie ◽  
Candice L Lys ◽  
Jamie Fujioka ◽  
Nancy MacNeill ◽  
Kayley Mackay ◽  
...  
Keyword(s):  
Drug Use ◽  
Condom Use ◽  
Sexual Activity ◽  
Consistent Condom ◽  
Cross Sectional Survey ◽  
Consistent Condom Use ◽  
Cross Sectional ◽  
Study Objective ◽  
Sti Prevention ◽  
Indigenous Adolescents

BackgroundSexually transmitted infections (STI) prevention in the Northwest Territories (NWT), Canada is an urgent concern as STI prevalence is seven-fold the national average. The study objective was to explore factors associated with sexual activity and condom use among adolescents in the NWT.MethodsWe conducted a cross-sectional survey with youth aged 13–18-years-old in 17 NWT communities. We use Poisson regression models with a robust sandwich error variance to estimate adjusted relative risks estimates of the likelihood of experiencing the primary outcomes of sexual activity (vaginal/anal/oral sex) and consistent condom use (oral/anal sex) in the past 3 months by gender.ResultsParticipants (n=607; mean age: 14.2 years; SD: 1.5) included adolescent cisgender girls (n=302; 49.5%), cisgender boys (n=298; 48.9%) and transgender persons (n=7; 1.2%). Most identified as Indigenous (n=444; 73.1%) and 14.0% (n=85) as lesbian, gay, bisexual or queer sexuality (LGBQ+). Among sexually active individuals (n=115), less than half (n=54; 47.0%) reported past 3 month consistent condom use. In adjusted analyses among girls, sexual activity was associated with age, STI knowledge, and alcohol/drug use; LGBQ+ identity and alcohol/drug use were associated with reduced likelihood of condom use. Among boys, sexual activity was associated with age and alcohol/drug use; LGBQ+ identity was associated with increased likelihood of condom use.ConclusionsFindings demonstrate sexual activity among adolescents in the NWT varies by gender, age, and alcohol/drug use. Consistent condom utilisation was low, particularly for those using alcohol/drugs. Gender-tailored STI prevention strategies with Northern adolescents should address alcohol/drug use and build protective factors.

scholarly journals Changing trends of HIV, syphilis, HCV infections and behavioural factors among female sex workers in Chongqing, China: findings from six serial surveillance surveys

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e036654
Author(s):  
Ling Hu ◽  
Guohui Wu ◽  
Rongrong Lu ◽  
Hua Zhu ◽  
Hongfang Qiu ◽  
...  
Keyword(s):  
Drug Use ◽  
Hiv Infection ◽  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Injecting Drug Use ◽  
Hcv Infection ◽  
Syphilis Infection ◽  
Changing Trends ◽  
Middle Tier

ObjectivesTo explore the prevalence and changing trends of HIV, syphilis, hepatitis C virus (HCV) infections and risk behaviours among female sex workers (FSWs) and to provide reference and theoretical basis for formulating targeted interventions.DesignSix consecutive cross-sectional surveys.SettingChongqing, China.ParticipantsFSWs were included if they (1) were aged ≥16 years, (2) provided commercial sex for money or goods during the previous month and (3) were willing to participate in the survey and could provide verbal informed consent. This study included 16 791 of 16 810 participants recruited between 2013 and 2018.Primary and secondary outcome measuresThe prevalence of HIV/syphilis/HCV infection.ResultsThe HIV and HCV prevalence among FSWs in Chongqing was stable during the study period, but the prevalence of syphilis had an increasing trend, particularly among low-tier and middle-tier FSWs. Improvements in HIV-related knowledge, condom use, injecting drug use and participation in HIV-related services were observed. However, no change was found in the prevalence of drug use. HIV infection was correlated with no condom use in the last commercial sex (adjusted OR (aOR) 3.48, 95% CI 1.90 to 6.37) and syphilis infection (aOR 4.88, 95% CI 1.95 to 12.18). Syphilis infection was correlated with inconsistent condom use (aOR 1.30, 95% CI 1.02 to 1.65), HIV infection (aOR 5.88, 95% CI 2.40 to 14.41), HCV infection (aOR 7.68, 95% CI 4.37 to 13.49) and sexually transmitted infection (STI) diagnosis in the past year (aOR 3.81, 95% CI 2.40 to 6.03). HCV infection was associated with injecting drug use (aOR 8.91, 95% CI 4.45 to 17.86) and syphilis infection (aOR 7.88, 95% CI 4.49 to 13.83).ConclusionsComprehensive interventions targeting FSWs, particularly low-tier and middle-tier FSWs, should be increasingly implemented to prevent and control HIV, syphilis and other STIs.

scholarly journals Epidemiological Findings of Alcohol Misuse and Dependence Symptoms among Adolescent Girls and Young Women Involved in High-Risk Sexual Behavior in Kampala, Uganda

2020 ◽  
Vol 17 (17) ◽  
pp. 6129
Author(s):  
Yunia Mayanja ◽  
Onesmus Kamacooko ◽  
Daniel Bagiire ◽  
Gertrude Namale ◽  
Janet Seeley
Keyword(s):  
Alcohol Use ◽  
Drug Use ◽  
Condom Use ◽  
Adolescent Girls ◽  
Young Women ◽  
Alcohol Misuse ◽  
Illicit Drug ◽  
Sexual Partners ◽  
Inconsistent Condom ◽  
Inconsistent Condom Use

Alcohol-related harms may be increased among adolescent girls and young women (AGYW) involved in sex work, yet data on alcohol misuse among AGYW in sub-Saharan Africa are still scarce. We conducted a cross-sectional study among 15–24-year-old AGYW from January 2013 to December 2018 in Kampala, Uganda and used the Alcohol Use Disorder Identification Test (AUDIT) to study alcohol use patterns and dependence symptoms (dependence score ≥4). Of 1440 participants (median age 21 years), 83.1% had less than secondary education, 79.8% reported ≥10 paying sexual partners in the past month, 46.0% had ever experienced intimate partner violence (IPV), and 20.6% were living with HIV. Overall, 59.9% scored ≥8 and 29.4% scored ≥16 on the AUDIT. Of 277 (15.8%) with dependence symptoms, 69.1% were screened alcohol dependent. An AUDIT score ≥8 was associated with older age, illicit drug use, experiencing IPV, inconsistent condom use with paying partners, and HIV sero-negativity. All factors remained associated with a higher score ≥16 except HIV status. Similarly, illicit drug use, experiencing IPV and inconsistent condom use were associated with dependence symptoms and, in addition, a higher number of paying sexual partners. Alcohol misuse is high in this population, they urgently need harmful substance use reduction interventions.

scholarly journals Longitudinal survey of condom use across a US Navy and Marine Corps shipboard deployment

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e028151 ◽  
Author(s):  
Judith Harbertson ◽  
Kimberly De Vera ◽  
Paul T Scott ◽  
Yuanzhang Li ◽  
Richard A Shaffer ◽  
...  
Keyword(s):  
Drug Use ◽  
Condom Use ◽  
Marine Corps ◽  
Longitudinal Survey ◽  
Transactional Sex ◽  
Hazardous Alcohol Use ◽  
Sexually Transmitted ◽  
Targeted Interventions ◽  
Us Navy ◽  
Overseas Deployment

ObjectivesCondoms are highly effective in preventing sexually transmitted infections (STIs) but implementation is often inconsistent with use rarely examined across travel transition periods. We examined the prevalence of condom use among ship-assigned US military personnel across an overseas deployment cycle and identified factors associated with condom non-use.MethodsLongitudinal survey data were collected from ship-assigned US Navy/Marine Corps personnel on 11 ships before (T1), during (T2) and after (T3) an overseas deployment. The anonymous, self-completed survey included demographics, condom use at last sex, STI diagnosis, alcohol misuse and drug use with sex. Descriptive and generalised regression model analyses were conducted.ResultsAnalysis included 1900 (T1), 549 (T2) and 1168 (T3) personnel who reported age, sex and condom use/non-use at last sex. The proportion reporting condom use was significantly higher during T2 (53%, p<0.0001) than T1 (27%) or T3 (28%), with STI prevalences of 1% (T1), 7% (T2) or 2% (T3), with fewer (29%) sexually active individuals at T2. In adjusted models, condom non-use was associated with hazardous alcohol use (OR 1.44, 95% CI 1.21 to 1.71), or drug use to enhance sex (OR 1.37, 95% CI 1.06 to 1.77), but transactional sex was negatively associated (OR 0.69, 95% CI 0.50 to 0.84).ConclusionsCondom use was highest during deployment, as was STI prevalence (among non-users), possibly reflecting concentration of high-risk sexual activities/individuals and/or sexual partners more likely to be infected. Higher condom use with transactional sex likely reflects awareness of higher STI risk. These data can be used to facilitate targeted interventions to reduce STI transmission and may extend to similarly aged cohorts travelling outside the US (eg, college students on spring break).

scholarly journals Prevalence of STIs, sexual practices and substance use among 2083 sexually active unmarried women in Lebanon

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Sara Abu Zaki ◽  
Jihane Naous ◽  
Antoine Ghanem ◽  
Diana Abou Abbas ◽  
Roland Tomb ◽  
...  
Keyword(s):  
Drug Use ◽  
Sexual Health ◽  
Condom Use ◽  
Sexual Practices ◽  
Recreational Drug ◽  
Inconsistent Condom ◽  
Recreational Drug Use ◽  
Unwanted Pregnancies ◽  
Neisseria Gonorrhea ◽  
Inconsistent Condom Use

AbstractAccess to sexual and reproductive health in conservative communities and in the MENA region are particularly limited and, as such, increase women’s vulnerability to unwanted pregnancies, unsafe abortions, and sexually transmitted infections (STIs). The aim was to assess the prevalence of STIs, sexual practices, recreational drug-use and their possible associations among cisgender unmarried women residing in Lebanon. Data on demographics, sexual practices and substance-use were collected from 2083 unmarried cisgender women who voluntarily attended a sexual health clinic in Lebanon between 2015 and 2019. They tested for HIV, Hepatitis B, Hepatitis C and Syphilis through rapid testing. Other infections (genital warts, Neisseria gonorrhea/Chlamydia trachomatis) were screened for. Regression models were computed between variables. There were two cases of HIV, one of Hepatitis B and syphilis, and no cases of Hepatitis C. Genital warts were present in 15% and symptoms indicative of Neisseria gonorrhea/Chlamydia trachomatis in 14%. Inconsistent condom-use (81%) was significantly associated with number of partners (adj. OR: 0.4). Inconsistent condom-use discussion with partners (33%) was significantly associated with unemployment (adj OR: 1.7), recreational drug-use (adj. OR: 1.4), and number of partners (adj. ORs 3.7–4.4). Unwanted pregnancies (11%) were significantly associated with age (adj. ORs 0.1–0.37), recreational drug-use (adj. OR: 2), using intrauterine device (adj. OR:2.9) and natural birth control methods (adj. OR: 2.4). Recreational drug-use (33%) was significantly associated with age (adj ORs 1.9–2.2), and smoking status (adj. OR: 0.6). The results indicate an urgent need for: (1) Accessible, non-stigmatizing, and inclusive sexual health services dedicated to women’s sexual health; (2) Comprehensive and non-stigmatizing sexual health education for all, but especially women, in order to promote safer sexual practices and effective decision making with regards to contraception and condom-use.

Co-occurrence of intoxication during sex and sexually transmissible infections among young African American women: does partner intoxication matter?

Sexual Health ◽  
2008 ◽  
Vol 5 (3) ◽  
pp. 285 ◽  
Author(s):  
Richard A. Crosby ◽  
Ralph J. DiClemente ◽  
Gina M. Wingood ◽  
Laura F. Salazar ◽  
Delia Lang ◽  
...  
Keyword(s):  
African American ◽  
Drug Use ◽  
Condom Use ◽  
African American Women ◽  
Transmitted Disease ◽  
Nucleic Acid Amplification ◽  
Sex Partners ◽  
American Women ◽  
Sexually Transmissible Infections ◽  
Male Sex

Background: The co-occurrence of a behaviour (being intoxicated on alcohol/drugs during sex) with a disease outcome [laboratory-confirmed sexually transmissible infection (STI) prevalence] among young African American women and their male sex partners was studied. Methods: A cross-sectional study was conducted. Recruitment and data collection occurred in three clinics located in a metropolitan city of the Southern USA. A total of 715 African American adolescent females (15–21 years old) were enrolled (82% participation rate). The primary outcome measure was the analysis of self-collected vaginal swabs using nucleic acid amplification assays for Trichomonas vaginalis, Chlamydia trachomatis, and Neisseria gonorrhoeae. Results: After controlling for age and self-efficacy to negotiate condom use, young women’s alcohol/drug use while having sex was not significantly associated with STI prevalence [adjusted odds ratios (AOR) = 1.29, 95% confidence interval (CI) = 0.90–1.83]. However, using the same covariates, the association between male partners’ alcohol/drug use and sexually transmitted disease prevalence was significant (AOR = 1.44, 95% CI = 1.03–2.02). Young women reporting that their sex partners had been drunk or high while having sex (at least once in the past 60 days) were ~1.4 times more likely to test positive for at least one of the three assessed STIs. Conclusion: Young African American women reporting a male sex partner had been intoxicated during sex were significantly more likely to have an STI. The nature of this phenomenon could be a consequence of women’s selection of risky partners and lack of condom use possibly stemming from their intoxication or their partners’ intoxication.

Relationship type, condom use and HIV/AIDS risks among men who have sex with men in six Chinese cities

AIDS Care ◽  
2011 ◽  
Vol 24 (4) ◽  
pp. 517-528 ◽  
Author(s):  
Travis S.K. Kong ◽  
Karen Joe Laidler ◽  
Herbert Pang
Keyword(s):  
Condom Use ◽  
Relationship Type ◽  
Chinese Cities ◽  
Sex With Men ◽  
Hiv Aids

scholarly journals Correlates of inconsistent condom use and drug use among men having sex with men in Poland: a cross-sectional study

2020 ◽  
Vol 31 (9) ◽  
pp. 894-902
Author(s):  
Krzysztof Piersiala ◽  
Joanna Krajewski ◽  
Daniela Dadej ◽  
Anna Loroch ◽  
Witold Czerniak ◽  
...  
Keyword(s):  
Drug Use ◽  
Condom Use ◽  
Online Survey ◽  
Cross Sectional Study ◽  
Sexual Partners ◽  
Inconsistent Condom ◽  
Cross Sectional ◽  
Sti Prevention ◽  
Sex With Men ◽  
Inconsistent Condom Use

The number of new human immunodeficiency virus (HIV) diagnoses is rising in many parts of Europe. We sought to evaluate the rising prevalence of new HIV diagnoses in Poland, where the majority of newly-diagnosed HIV cases are men having sex with men (MSM). This study aims to measure the prevalence of condom use and drug use and to identify risk factors for contracting sexually transmitted infections (STIs) among MSM in Poland by distributing an anonymous online survey aimed toward MSM. Among the 1438 participants who completed valid surveys, those with low education level and greater than 100 prior sexual partners showed the highest odds for inconsistent condom use (adjusted odds ratio [aOR] 3.027, 2.044, respectively). Participants who identified themselves as heterosexuals, with multiple sexual partners and living in big cities showed the highest odds for drug use (aOR 4.869, 3.305, 1.720, respectively). This study identifies groups at the highest risk of HIV/STIs and provides valuable information for public health experts to develop targeted STI prevention campaigns.

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