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[PMID]:28346077
[Au] Autor:Herbst JH; Mansergh G; Pitts N; Denson D; Mimiaga MJ; Holman J
[Ad] Endereço:a Division of HIV/AIDS Prevention , National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, Centers for Disease Control and Prevention , Atlanta , Georgia , USA.
[Ti] Título:Effects of Brief Messages About Antiretroviral Therapy and Condom Use Benefits Among Black and Latino MSM in Three U.S. Cities.
[So] Source:J Homosex;65(2):154-166, 2018.
[Is] ISSN:1540-3602
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This pilot study examined effects of HIV prevention messages about self and partner benefits of antiretroviral therapy (ART) and condom effectiveness on increased intentions for behavior change. Data were from Messages4Men, a study examining prevention messages among 320 HIV-positive and 605 HIV-negative Black and Latino MSM. Men completed a computer-based assessment after message exposure, and multivariable models controlled for risky sex and demographics. A majority of HIV-positive men reported increased intentions for ART use; 22% reported partner benefit information was new. HIV-positive men with a detectable viral load had significantly greater adjusted odds of reporting intentions for ART use. Over half of HIV-negative MSM reported ART benefit information was new, and 88% reported increased intentions to discuss ART use with infected partners. Black MSM anticipated they would increase condom use in response to the self and partner benefit messages. Tailored messages on benefits of ART are needed for MSM.
[Mh] Termos MeSH primário: Publicidade como Assunto
Fármacos Anti-HIV/uso terapêutico
Preservativos
Infecções por HIV/prevenção & controle
Homossexualidade Masculina
Meios de Comunicação de Massa
[Mh] Termos MeSH secundário: Adulto
Afroamericanos
Cidades
Preservativos/utilização
Soropositividade para HIV
Promoção da Saúde
Hispano-Americanos
Seres Humanos
Masculino
Projetos Piloto
Sexo Seguro
Parceiros Sexuais
Adulto Jovem
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-HIV Agents)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170328
[St] Status:MEDLINE
[do] DOI:10.1080/00918369.2017.1311554


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[PMID]:29240757
[Au] Autor:Tobin K; Davey-Rothwell MA; Nonyane BAS; Knowlton A; Wissow L; Latkin CA
[Ad] Endereço:Department of Health, Behavior and Society, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States.
[Ti] Título:RCT of an integrated CBT-HIV intervention on depressive symptoms and HIV risk.
[So] Source:PLoS One;12(12):e0187180, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Depression and depressive symptoms mediate the association between drug use and HIV risk. Yet, there are few interventions that target depressive symptoms and HIV risk for people who use drugs (PWUD). This study was a randomized controlled trial of an integrated cognitive behavioral therapy and HIV prevention intervention to reduce depressive symptoms, injection risk behaviors and increase condom use in a sample of urban people who used heroin or cocaine in the prior 6 months. A total of 315 individuals aged 18-55, who self-reported at least one HIV drug and sex risk behavior and scored ≥16 and <40 on the Centers for Epidemiologic Studies-Depression (CES-D) scale were randomized using a two-block design, stratified by sex to ensure equivalent numbers, to a 10 session intervention arm (n = 162) or a single session control arm (n = 153). The outcomes of interest were decreases in CES-D score and injection risk behaviors and increases in condom use. The sample was majority African American (85%) and unemployed (94%). Nearly half (47%) reported injection in the prior 6 months and only 19% were taking medication for depression. Follow-up assessments were conducted at 6 and 12 months. Retention at 12 months was 94%. Intervention arm was associated with statistically significantly lower CES-D score at 12 month compared to control. No differences were observed between arms in injection risk. At 6 month, intervention was associated with greater odds of condom use with non-main partner. These findings suggest the potential role of the integrated intervention in reducing depressive symptoms, but weak impact on HIV risk. This trial is registered with ClinicalTrials.gov under the title "Neighborhoods, Networks, Depression, and HIV Risk" number NCT01380613.
[Mh] Termos MeSH primário: Terapia Cognitiva
Depressão/terapia
Infecções por HIV/psicologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Preservativos
Feminino
Infecções por HIV/prevenção & controle
Seres Humanos
Masculino
Meia-Idade
Fatores de Risco
Comportamento Sexual
Abuso de Substâncias por Via Intravenosa
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180210
[Lr] Data última revisão:
180210
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171215
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0187180


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[PMID]:28467158
[Au] Autor:Khumsaen N; Stephenson R
[Ad] Endereço:Center for Sexuality and Health Disparities, University of Michigan, and the Boromarajonani College of Nursing, Suphanburi, Thailand.
[Ti] Título:Beliefs and Perception About HIV/AIDS, Self-Efficacy, and HIV Sexual Risk Behaviors Among Young Thai Men Who Have Sex With Men.
[So] Source:AIDS Educ Prev;29(2):175-190, 2017 Apr.
[Is] ISSN:1943-2755
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study examined the relationships of HIV/AIDS beliefs, self-efficacy for AIDS preventive behaviors, perception of HIV as a chronic disease, and HIV risk behaviors among young Thai men who have sex with men. Participants were recruited for a self-administered anonymous survey through Facebook. Logistic regression analysis was used to identify factors associated with each of four HIV risk behavior outcomes. Factors associated with sexual risk behaviors included age (18 and 21 years), having a current regular male partner, self-efficacy for AIDS preventive behaviors (self-efficacy in refusing sexual intercourse, self-efficacy in questioning potential sex partners, and self-efficacy in condom use), AIDS health belief (perceived susceptibility to HIV/AIDS, perceived severity of HIV/AIDS, perceived barriers to condom use, and cues to action for HIV/AIDS prevention), and perception of HIV/AIDS as a chronic disease (perceived HIV sero-status disclosure). Knowledge generated from this study has the potential to inform prevention messages for young Thai MSM.
[Mh] Termos MeSH primário: Síndrome de Imunodeficiência Adquirida/prevenção & controle
Conhecimentos, Atitudes e Prática em Saúde
Homossexualidade Masculina/psicologia
Assunção de Riscos
Autoeficácia
[Mh] Termos MeSH secundário: Síndrome de Imunodeficiência Adquirida/psicologia
Síndrome de Imunodeficiência Adquirida/transmissão
Adolescente
Preservativos/utilização
Estudos Transversais
Infecções por HIV/prevenção & controle
Infecções por HIV/psicologia
Infecções por HIV/transmissão
Seres Humanos
Masculino
Percepção
Comportamento Sexual/estatística & dados numéricos
Parceiros Sexuais/psicologia
Fatores Socioeconômicos
Inquéritos e Questionários
Tailândia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:180207
[Lr] Data última revisão:
180207
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.1521/aeap.2017.29.2.175


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[PMID]:29351328
[Au] Autor:Fang D; Sun R; Wilson JR
[Ad] Endereço:Department of Agricultural Economics and Agribusiness, University of Arkansas, Fayetteville, AR, United States of America.
[Ti] Título:Joint modeling of correlated binary outcomes: The case of contraceptive use and HIV knowledge in Bangladesh.
[So] Source:PLoS One;13(1):e0190917, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Recent advances in statistical methods enable the study of correlation among outcomes through joint modeling, thereby addressing spillover effects. By joint modeling, we refer to simultaneously analyzing two or more different response variables emanating from the same individual. Using the 2011 Bangladesh Demographic and Health Survey, we jointly address spillover effects between contraceptive use (CUC) and knowledge of HIV and other sexually transmitted diseases. Jointly modeling these two outcomes is appropriate because certain types of contraceptive use contribute to the prevention of HIV and STDs and the knowledge and awareness of HIV and STDs typically lead to protection during sexual intercourse. In particular, we compared the differences as they pertained to the interpretive advantage of modeling the spillover effects of joint modeling HIV and CUC as opposed to addressing them separately. We also identified risk factors that determine contraceptive use and knowledge of HIV and STDs among women in Bangladesh. We found that by jointly modeling the correlation between HIV knowledge and contraceptive use, the importance of education decreased. The HIV prevention program had a spillover effect on CUC: what seemed to be impacted by education can be partially contributed to one's exposure to HIV knowledge. The joint model revealed a less significant impact of covariates as opposed to both separate models and standard models. Additionally, we found a spillover effect that would have otherwise been undiscovered if we did not jointly model. These findings further suggested that the simultaneous impact of correlated outcomes can be adequately addressed for the commonality between different responses and deflate, which is otherwise overestimated when examined separately.
[Mh] Termos MeSH primário: Comportamento Contraceptivo
Infecções por HIV/prevenção & controle
Conhecimentos, Atitudes e Prática em Saúde
[Mh] Termos MeSH secundário: Adolescente
Adulto
Bangladesh/epidemiologia
Criança
Preservativos/utilização
Comportamento Contraceptivo/estatística & dados numéricos
Política de Planejamento Familiar
Feminino
Infecções por HIV/epidemiologia
Inquéritos Epidemiológicos/estatística & dados numéricos
Seres Humanos
Modelos Logísticos
Masculino
Meia-Idade
Modelos Estatísticos
Fatores de Risco
População Rural
Doenças Sexualmente Transmissíveis/prevenção & controle
População Urbana
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180205
[Lr] Data última revisão:
180205
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180120
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190917


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[PMID]:28451836
[Au] Autor:Appiah AB; Tenkorang EY; Maticka-Tyndale E
[Ad] Endereço:Department of Sociology, Memorial University of Newfoundland, St. John's, NL, A1C 5S7, Canada.
[Ti] Título:Modeling Beliefs, Attitudes, and Intentions of Condom Use Among Secondary School Students in Kenya.
[So] Source:Arch Sex Behav;46(7):1949-1960, 2017 Oct.
[Is] ISSN:1573-2800
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:As in other parts of sub-Saharan Africa, youth in Kenya report low rates of condom use. Although several studies have explored reasons for the low condom use among Kenyan youth, not many have established linkages between lack of use and normative beliefs and attitudes around condoms. Using the Theory of Planned Behavior (TPB), this article examined whether beliefs and attitudes around condoms influenced intentions and actual condom use. Data for the study were restricted to 1453 sexually active youth during the last school break. Path analysis was used to examine the relationship between the TPB constructs and condom use among Kenyan youth. Results indicated a direct relationship between attitudes and condom use for male respondents and an indirect relationship between these two variables for females. Both males and females who expressed greater intentions to use condoms were significantly more likely to report they used condoms consistently. Also, male and female youth with higher perceived behavioral control were significantly more likely to have used condoms consistently. Males with friends who used condoms were significantly more likely to use condoms consistently. The findings suggest the importance of examining young people's attitudes toward condoms-in particular, those deeply rooted in misconceptions that serve to discourage safer sexual behaviors.
[Mh] Termos MeSH primário: Preservativos/utilização
Infecções por HIV/prevenção & controle
Conhecimentos, Atitudes e Prática em Saúde
[Mh] Termos MeSH secundário: Adolescente
Feminino
Seres Humanos
Intenção
Quênia
Masculino
Análise Multivariada
Instituições Acadêmicas
Comportamento Sexual
Estudantes
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180205
[Lr] Data última revisão:
180205
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1007/s10508-017-0966-9


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[PMID]:28463885
[Au] Autor:Crepaz N; Dong X; Chen M; Hall HI
[Ad] Endereço:aDivision of HIV/AIDS Prevention, The US Centers for Disease Control and Prevention bICF International, Atlanta, Georgia, USA.
[Ti] Título:Examination of HIV infection through heterosexual contact with partners who are known to be HIV infected in the United States.
[So] Source:AIDS;31(11):1641-1644, 2017 Jul 17.
[Is] ISSN:1473-5571
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:: Using data from the National HIV Surveillance System, we examined HIV infections diagnosed between 2010 and 2015 attributed to heterosexual contact with partners previously known to be HIV infected. More than four in 10 HIV infections among heterosexual males and five in 10 HIV infections among heterosexual women were attributed to this group. Findings may inform the prioritization of prevention and care efforts and resource allocation modeling for reducing new HIV infection among discordant partnerships.
[Mh] Termos MeSH primário: Preservativos/utilização
Infecções por HIV/transmissão
Heterossexualidade
Parceiros Sexuais
Sexo sem Proteção/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Sistema de Vigilância de Fator de Risco Comportamental
Feminino
Infecções por HIV/prevenção & controle
Conhecimentos, Atitudes e Prática em Saúde
Seres Humanos
Masculino
Meia-Idade
Prevalência
Estudos Prospectivos
Fatores de Risco
Estados Unidos/epidemiologia
Sexo sem Proteção/prevenção & controle
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180202
[Lr] Data última revisão:
180202
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE
[do] DOI:10.1097/QAD.0000000000001526


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[PMID]:27771818
[Au] Autor:Gordon KS; Edelman EJ; Justice AC; Fiellin DA; Akgün K; Crystal S; Duggal M; Goulet JL; Rimland D; Bryant KJ
[Ad] Endereço:VA Connecticut Healthcare System, 950 Campbell Ave. Blg. 35A 2nd FL, 11-ACSLG, West Haven, CT, 06516, USA. kirsha.gordon2@va.gov.
[Ti] Título:Minority Men Who Have Sex with Men Demonstrate Increased Risk for HIV Transmission.
[So] Source:AIDS Behav;21(5):1497-1510, 2017 May.
[Is] ISSN:1573-3254
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Black and Hispanic (minority) MSM have a higher incidence of HIV than white MSM. Multiple sexual partners, being under the influence of drugs and/or alcohol during sex, having a detectable HIV-1 RNA, and non-condom use are factors associated with HIV transmission. Using data from the Veterans Aging Cohort Study, we consider minority status and sexual orientation jointly to characterize and compare these factors. White non-MSM had the lowest prevalence of these factors (p < 0.001) and were used as the comparator group in calculating odds ratios (OR). Both MSM groups were more likely to report multiple sex partners (white MSM OR 7.50; 95 % CI 5.26, 10.71; minority MSM OR 10.24; 95 % CI 7.44, 14.08), and more likely to be under the influence during sex (white MSM OR 2.15; 95 % CI 1.49, 3.11; minority MSM OR 2.94; 95 % CI 2.16, 4.01). Only minority MSM were more likely to have detectable HIV-1 RNA (OR 1.87; 95 % CI 1.12, 3.11). Both MSM groups were more likely to use condoms than white non-MSM. These analyses suggest that tailored interventions to prevent HIV transmission among minority MSM are needed, with awareness of the potential co-occurrence of risk factors.
[Mh] Termos MeSH primário: Grupo com Ancestrais do Continente Africano/estatística & dados numéricos
Infecções por HIV/transmissão
Hispano-Americanos/estatística & dados numéricos
Homossexualidade Masculina/psicologia
Parceiros Sexuais
[Mh] Termos MeSH secundário: Adulto
Afroamericanos
Transtornos Relacionados ao Uso de Álcool/epidemiologia
Estudos de Coortes
Preservativos/utilização
Infecções por HIV/epidemiologia
Infecções por HIV/prevenção & controle
HIV-1
Seres Humanos
Incidência
Masculino
Meia-Idade
Prevalência
Fatores de Risco
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180111
[Lr] Data última revisão:
180111
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE
[do] DOI:10.1007/s10461-016-1590-8


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[PMID]:27770775
[Au] Autor:Marcus U; Gassowski M; Drewes J
[Ad] Endereço:Robert Koch-Institute, Department for Infectious Disease Epidemiology, Berlin, Germany. MarcusU@rki.de.
[Ti] Título:HIV risk perception and testing behaviours among men having sex with men (MSM) reporting potential transmission risks in the previous 12 months from a large online sample of MSM living in Germany.
[So] Source:BMC Public Health;16(1):1111, 2016 10 22.
[Is] ISSN:1471-2458
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: HIV testing and serostatus awareness are essential to implement biomedical strategies (treatment as prevention; oral chemoprophylaxis), and for effective serostatus-based behaviours (HIV serosorting; strategic positioning). The analysis focuses on the associations between reported sexual risks, the perceived risk for HIV infection, and HIV testing behaviour in order to identify the most relevant barriers for HIV test uptake among MSM living in Germany. METHODS: MSM were recruited to a nationwide anonymous online-survey in 2013 on MSM social networking/dating sites. Questions covered testing behaviours, reasons for testing decisions, and HIV risk perception (5-point scale). Additional questions addressed arguments in favour of home/ home collection testing (HT). Using descriptive statistics and logistic regression we compared men reporting recent HIV testing (RT; previous 12 month) with men never tested (NT) in a subsample not previously diagnosed with HIV and reporting ≥2 episodes of condomless anal intercourse (CLAI) with a non-steady partner of unknown HIV serostatus in the previous 12 months. RESULTS: The subsample consisted of 775 RT (13 % of RT) and 396 NT (7 % of NT). The number of CLAI episodes in the last 12 months with non-steady partners of unknown HIV status did not differ significantly between the groups, but RT reported significantly higher numbers of partners (>5 AI partners: 65 vs. 44 %). While perceived risks regarding last AI were comparable between the groups, 49vs. 30 % NT were <30 years, lived more often in towns/villages <100,000 residents (60 vs. 39 %), were less out-particularly towards care providers-about being attracted to men (aOR 10.1; 6.9-14.8), more often identified as bisexual (aOR 3.5; 2.5-4.8), and reported lower testing intentions (aOR 0.08; 0.06-0.11). Perceived risks (67 %) and routine testing (49 %) were the most common testing reasons for RT, while the strong belief not to be infected (59 %) and various worries (41 %) and fears of testing positive (35 %) were predominant reasons of NT. Greater anonymity (aOR 3.2; 2.4-4.4), less embarrassment, (aOR 2.8; 1.9-4.1), and avoiding discussions on sexual behaviour (aOR 1.6; 1.1-2.2) were emphasized in favour of HT by NT. CONCLUSIONS: Perceived partner knowledge and reasons reflecting perceived gay- and HIV-related stigma predicted testing decisions rather than risk perception. Access barriers for testing should be further lowered, e.g. by making affordable HT available, addressing structural barriers (stigma), and emphasizing beneficial aspects of serostatus awareness.
[Mh] Termos MeSH primário: Conscientização
Infecções por HIV
Homossexualidade Masculina
Programas de Rastreamento
Motivação
Aceitação pelo Paciente de Cuidados de Saúde
Assunção de Riscos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Preservativos
Alemanha
Infecções por HIV/etiologia
Infecções por HIV/prevenção & controle
Seres Humanos
Intenção
Modelos Logísticos
Masculino
Meia-Idade
Percepção
Autocuidado
Comportamento Sexual
Parceiros Sexuais
Estigma Social
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171227
[Lr] Data última revisão:
171227
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


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[PMID]:29176849
[Au] Autor:Surie D; Yuhas K; Wilson K; Masese LN; Shafi J; Kinuthia J; Jaoko W; McClelland RS
[Ad] Endereço:Department of Medicine, University of Washington, Seattle, United States of America.
[Ti] Título:Association between non-barrier modern contraceptive use and condomless sex among HIV-positive female sex workers in Mombasa, Kenya: A prospective cohort analysis.
[So] Source:PLoS One;12(11):e0187444, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: As access to antiretroviral therapy in sub-Saharan Africa continues to expand, more women with HIV can expect to survive through their reproductive years. Modern contraceptives can help women choose the timing and spacing of childbearing. However, concerns remain that women with HIV who use non-barrier forms of modern contraception may engage in more condomless sex because of their decreased risk of unintended pregnancy. We examined whether non-barrier modern contraceptive use by HIV-positive female sex workers was associated with increased frequency of recent condomless sex, measured by detection of prostate-specific antigen (PSA) in vaginal secretions. METHODS: Women who were HIV-positive and reported transactional sex were included in this analysis. Pregnant and post-menopausal follow-up time was excluded, as were visits at which women reported trying to get pregnant. At enrollment and quarterly follow-up visits, a pelvic speculum examination with collection of vaginal secretions was conducted for detection of PSA. In addition, women completed a structured face-to-face interview about their current contraceptive methods and sexual risk behavior at enrollment and monthly follow-up visits. Log-binomial generalized estimating equations regression was used to test for associations between non-barrier modern contraceptive use and detection of PSA in vaginal secretions and self-reported condomless sex. Data from October 2012 through September 2014 were included in this analysis. RESULTS: Overall, 314 women contributed 1,583 quarterly examination visits. There was minimal difference in PSA detection at contraceptive-exposed versus contraceptive-unexposed visits (adjusted relative risk [aRR] 1.28, 95% confidence interval [95% CI] 0.93-1.76). There was a higher rate of self-reported condomless sex at visits where women reported using modern contraceptives, but this difference was not statistically significant after adjustment for potential confounding factors (aRR 1.59, 95% CI 0.98-2.58). CONCLUSION: Non-barrier methods of modern contraception were not associated with increased risk of objective evidence of condomless sex.
[Mh] Termos MeSH primário: Preservativos/utilização
Comportamento Contraceptivo/estatística & dados numéricos
Soropositividade para HIV/epidemiologia
Profissionais do Sexo/estatística & dados numéricos
Comportamento Sexual
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Quênia/epidemiologia
Estudos Prospectivos
Antígeno Prostático Específico/análise
Autorrelato
Vagina/secreção
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
EC 3.4.21.77 (Prostate-Specific Antigen)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171219
[Lr] Data última revisão:
171219
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0187444


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[PMID]:28741332
[Au] Autor:Draper BL; Oo ZM; Thein ZW; Aung PP; Veronese V; Ryan C; Thant M; Hughes C; Stoové M
[Ad] Endereço:Department of Disease Elimination, Burnet Institute, Melbourne, Australia.
[Ti] Título:Willingness to use HIV pre-exposure prophylaxis among gay men, other men who have sex with men and transgender women in Myanmar.
[So] Source:J Int AIDS Soc;20(1):21885, 2017 07 26.
[Is] ISSN:1758-2652
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: HIV pre-exposure prophylaxis (PrEP) has emerged as a key component of contemporary HIV combination prevention strategies. To explore the local suitability of PrEP, country-specific acceptability studies are needed to inform potential PrEP implementation. In the context of Myanmar, in addition to resource constraints, HIV service access by gay men, other men who have sex with men, and transgender women (GMT) continues to be constrained by legislative and community stigma and marginalization. We aimed to determine PrEP acceptability among GMT in Myanmar and explore the factors associated with willingness to use PrEP. METHODS: GMT were recruited in Yangon and Mandalay through local HIV prevention outreach programmes in November and December 2014. Quantitative surveys were administered by trained peer educators and collected data on demographics, sexual risk, testing history and PrEP acceptability. A modified six-item PrEP acceptability scale classified self-reported HIV undiagnosed GMT as willing to use PrEP. Multivariable logistic regression identified factors associated with willingness to use PrEP. RESULTS: Among 434 HIV undiagnosed GMT, PrEP awareness was low (5%). PrEP acceptability was high, with 270 (62%) GMT classified as willing to use PrEP. GMT recruited in Mandalay (adjusted odds ratio (aOR) = 1.79; 95%CI = 1.05-3.03), who perceived themselves as likely to become HIV positive (aOR = 1.82; 95%CI = 1.10-3.02), who had more than one recent regular partner (aOR = 2.94; 95%CI = 1.41-6.14), no regular partners (aOR = 2.05; 95%CI = 1.10-3.67), more than five casual partners (aOR = 2.05; 95%CI = 1.06-3.99) or no casual partners (aOR = 2.25; 95%CI = 1.23-4.11) were more likely to be willing to use PrEP. The association between never or only occasionally using condoms with casual partners and willingness to use PrEP was marginally significant (aOR = 2.02; 95%CI = 1.00-4.10). GMT who reported concern about side effects and long-term use of PrEP were less likely (aOR = 0.35; 95%CI = 0.21-0.59) to be willing to use PrEP. CONCLUSIONS: This is the first study to assess PrEP acceptability in Myanmar. Findings suggest PrEP is an acceptable prevention option among GMT in Myanmar, providing they are not required to pay for it. Implementation/demonstration projects are needed to explore the feasibility and cost-effectiveness of PrEP as a prevention option for GMT in Myanmar.
[Mh] Termos MeSH primário: Homossexualidade Masculina
Aceitação pelo Paciente de Cuidados de Saúde
Profilaxia Pré-Exposição
Pessoas Transgênero
[Mh] Termos MeSH secundário: Adulto
Preservativos/utilização
Feminino
Infecções por HIV/prevenção & controle
Comportamentos de Risco à Saúde
Homossexualidade Masculina/estatística & dados numéricos
Seres Humanos
Modelos Logísticos
Masculino
Mianmar
Autorrelato
Comportamento Sexual
Minorias Sexuais e de Gênero
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:170726
[St] Status:MEDLINE
[do] DOI:10.7448/IAS.20.1.21885



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