scholarly journals UNAIDS ‘multiple sexual partners’ core indicator: promoting sexual networks to reduce potential biases

2014 ◽  
Vol 7 (1) ◽  
pp. 23103 ◽  
Author(s):  
Zacharie Tsala Dimbuene ◽  
Jacques B.O. Emina ◽  
Osman Sankoh
Keyword(s):  
Sexual Partners ◽  
Sexual Networks ◽  
Multiple Sexual Partners ◽  
Core Indicator

scholarly journals High HIV prevalence and associated factors in a remote community in the Rwenzori region of Western Uganda

2010 ◽  
Vol 2 (2) ◽  
pp. 13 ◽  
Author(s):  
John Rubaihayo ◽  
Akib Surat ◽  
Mughusu Ezekiel ◽  
Abaasa Andrew
Keyword(s):  
Hiv Transmission ◽  
Risk Behaviour ◽  
Population Based ◽  
Cross Sectional Study ◽  
Sexual Partners ◽  
Hiv Prevalence ◽  
Community Perceptions ◽  
Cross Sectional ◽  
Multiple Sexual Partners ◽  
Western Uganda

In Uganda, previous studies have shown a tremendous decline in HIV prevalence over the past two decades due to changes in sexual behavior with a greater awareness of the risks involved. However, studies in Fort-Portal municipality, a rural town in Western Uganda, continued to show a persistent high HIV prevalence despite the various interventions in place. We conducted a study to establish the current magnitude of HIV prevalence and the factors associated with HIV prevalence in this community. This cross-sectional study was conducted between July and November 2008. Participants were residents of Fort-Portal municipality aged 15-49 years. A population-based HIV sero-survey and a clinical review of prevention of mother to child HIV transmission (PMTCT) and voluntary counseling and HIV Testing (VCT) records were used to collect quantitative data. An inteviewer administered structured questionnaire was used to collect qualitative data on social deographics, risk behaviour and community perceptions. Focus group discussions (FGDs) and in-depth interviews provided supplementary data on community perceptions. Logistic regression was used in the analysis. The overall HIV prevalence in the general population was 16.1% [95% CI; 12.5-20.6]. Prevalence was lower among women (14.5%; 95% CI; 10.0-19.7) but not significantly different from that among men (18.7%; 95% CI; 12.5-26.3) (c2=0.76, P=0.38). Having more than 2 sexual partners increased the odds of HIV by almost 2.5 times. None or low education and age over 35 years were independently associated with HIV prevalence (P<0.05). Most participants attributed the high HIV prevalence to promiscuity/multiple sexual partners (32.5%), followed by prostitution (13.6%), alcoholism (10.1%), carelessness (10.1%), poverty (9.7%), ignorance (9.5%)), rape (4.7%), drug abuse (3.6%) and others (malice/malevolence, laziness, etc.) (6.2%). Although there was a slight decline compared to previous reports, the results from this study confirm that HIV prevalence is still high in this community. In order to prevent new infections, the factors mentioned above need to be addressed, and we recommend that education aimed at changing individual behavior should be intensified in this community.

AIDS awareness and sexual behaviour in a high HIV prevalence area in rural northern Kwazulu-Natal, South Africa

2002 ◽  
Vol 13 (12) ◽  
pp. 829-832 ◽  
Author(s):  
T K Hartung ◽  
J Nash ◽  
N Ngubane ◽  
V G Fredlund
Keyword(s):  
Sexual Behaviour ◽  
Perceived Risk ◽  
Risk Behaviour ◽  
Structured Interview ◽  
Sexual Partners ◽  
Hiv Prevalence ◽  
Multiple Sexual Partners ◽  
Aids Awareness ◽  
High Level ◽  
Hiv Aids

The objective was to assess AIDS awareness and sexual behaviour in a rural South African community with a high HIV prevalence. One hundred clinic attenders underwent a structured interview using a standard questionnaire. Although the 64 female and 36 male patients, mean age 22 (range 13–45), had good knowledge of AIDS-related issues, only 50 perceived HIV/AIDS as a common problem. Of the 75 patients who were sexually active only 30 (40%) used condoms (men 16; 55% vs women 14; 30%, P = 0.033) despite being better informed about the protective effect of condoms (active 61; 81% vs abstinent 14; 56%, P = 0.011). More men than women admitted to multiple sexual partners (17; 47% vs 7; 11%, P < 0.0001). In conclusion, despite a high level of awareness of HIV/AIDS issues, self-perceived risk was low, condom use was infrequent and especially men continued to have multiple sexual partners. Awareness has yet to translate into reduction of risk behaviour.

scholarly journals Pathways from racial discrimination to multiple sexual partners among male African American adolescents.

2015 ◽  
Vol 16 (2) ◽  
pp. 218-228 ◽  
Author(s):  
Steven M. Kogan ◽  
Tianyi Yu ◽  
Kimberly A. Allen ◽  
Alexandra M. Pocock ◽  
Gene H. Brody
Keyword(s):  
African American ◽  
Racial Discrimination ◽  
African American Adolescents ◽  
Sexual Partners ◽  
Multiple Sexual Partners

scholarly journals Gender Differences in the Risk of HIV Infection among Persons Reporting Abstinence, Monogamy, and Multiple Sexual Partners in Northern Tanzania

PLoS ONE ◽  
2008 ◽  
Vol 3 (8) ◽  
pp. e3075 ◽  
Author(s):  
Keren Z. Landman ◽  
Jan Ostermann ◽  
John A. Crump ◽  
Anna Mgonja ◽  
Meghan K. Mayhood ◽  
...  
Keyword(s):  
Gender Differences ◽  
Hiv Infection ◽  
Sexual Partners ◽  
Multiple Sexual Partners ◽  
Northern Tanzania

Prevalence of Neurosyphilis at Government Rajaji Hospital, Madurai, India

1994 ◽  
Vol 5 (4) ◽  
pp. 290-292 ◽  
Author(s):  
R Ganesh ◽  
A Stanley ◽  
Nalini Ganesh ◽  
M K Venkatram ◽  
R Alagappan
Keyword(s):  
Metabolic Disorders ◽  
Past History ◽  
Sexual Partners ◽  
Socioeconomic Background ◽  
Multiple Sexual Partners ◽  
Low Socioeconomic ◽  
Cardiovascular Involvement ◽  
History Of ◽  
The Government ◽  
Meningovascular Syphilis

Forty patients (34 males and 6 females) with neurological complaints/manifestations and with a past history of multiple sexual partners attending the Government Rajaji Hospital, Madurai, India between April 1992 and October 1992 were investigated for neurosyphilis. Metabolic disorders, hypertension, ischaemic heart disease, arrhythmias and trauma were excluded. Seven males (17.5%) were found to have neurosyphilis. The youngest was 26 years old and the oldest was 47. All were married and of low socioeconomic background. Meningovascular syphilis was the predominant presentation (6:1). Associated cardiovascular involvement was noticed in one of the cases. There was no associated HIV infection in these cases. The incidence is higher than previous reports from this centre.

scholarly journals Sexually transmitted infections and sexual behaviors of men who have sex with men in an American Deep South PrEP clinic

2020 ◽  
Vol 31 (2) ◽  
pp. 127-135 ◽  
Author(s):  
Ronnie M Gravett ◽  
Andrew O Westfall ◽  
Edgar T Overton ◽  
Kachina Kudroff ◽  
Christina A Muzny ◽  
...  
Keyword(s):  
High Risk ◽  
Sexually Transmitted Infections ◽  
Incidence Rate ◽  
Sexual Behaviors ◽  
The United States ◽  
Sexual Partners ◽  
Deep South ◽  
Multiple Sexual Partners ◽  
Sexually Transmitted ◽  
Sex With Men

HIV pre-exposure prophylaxis (PrEP) effectively prevents HIV acquisition among men who have sex with men (MSM), but PrEP uptake has been associated with sexually transmitted infections (STIs). The effect of PrEP on STIs in MSM in the Deep South of the United States is unknown. We performed a retrospective analysis of adult MSM at an American Deep South PrEP clinic to calculate the prevalence and incidence rate of bacterial STIs (chlamydia, gonorrhea, and syphilis) and identify associated risk factors by linking incident STI to patient-reported outcomes; 139 MSM accessed the clinic between 2014 and 2018 with baseline bacterial STI prevalence of 11%. Twenty-six of 81 eligible MSM on PrEP had incident STIs with an incidence rate of 33.1 cases per 100 person-years. Significantly higher proportions of high PrEP adherence, multiple sexual partners, and inconsistent condom use were seen in those with incident STI, and we identified MSM with both high PrEP adherence and multiple sexual partners as being at especially high risk for bacterial STIs (hazard ratio: 7.57, 95% confidence interval: 1.75–32.74). Bacterial STIs are common after initiating PrEP in this clinic, and MSM reporting high PrEP adherence and multiple sexual partners have a significant risk for incident STI. High-risk sexual behaviors persisted after starting PrEP, highlighting the importance of ongoing, intensive sexual health screening and interventions.

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