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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]:29211515
[Au] Autor:Falcao J; Zerbe A; Lahuerta M; Baggaley R; Ahoua L; DiMattei P; Morales F; Ramiro I; El-Sadr WM
[Ad] Endereço:1 Mailman School of Public Health, ICAP, Columbia University , New York, New York.
[Ti] Título:Factors Associated with Use of Short-Term Pre-Exposure Prophylaxis for HIV Among Female Partners of Migrant Miners in Mozambique.
[So] Source:AIDS Patient Care STDS;31(12):528-534, 2017 Dec.
[Is] ISSN:1557-7449
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Effective interventions tailored to specific types of behaviors and contexts are needed for women at risk for HIV acquisition. Oral pre-exposure prophylaxis (PrEP) is an efficacious HIV prevention intervention that uses antiretroviral drugs to reduce the risk of acquiring HIV infection. In Mozambique, HIV remains a major public health concern, with a national prevalence of 13%. Studies have demonstrated that the migration of male miners between southern provinces of Mozambique and South Africa is contributing to the HIV epidemic in Mozambique. This increased risk is associated with the engagement of male miners, while separated from their partners, in sexual relationships with other women, including transactional sex workers, in a hyperendemic setting in South Africa. We conducted 25 in-depth interviews with a subset of female partners in a stable relationship with migrant miners participating in a prospective cohort study to assess the feasibility, acceptability, and adherence to daily oral short-term PrEP. Drug levels were available for the participants, as reported in an earlier study. Interviews were recorded, transcribed, and submitted for qualitative thematic analysis. The major themes identified were the benefits of taking PrEP, the ease of taking daily PrEP, the reluctance to disclose PrEP use to partners, the lack of changes in sexual behavior, and prevailing gender dynamics and how they impact women's ability to access PrEP and other HIV prevention interventions.
[Mh] Termos MeSH primário: Antirretrovirais/administração & dosagem
Infecções por HIV/prevenção & controle
Profilaxia Pré-Exposição
Sexo Seguro/estatística & dados numéricos
Parceiros Sexuais
Migrantes
[Mh] Termos MeSH secundário: Adulto
Feminino
Infecções por HIV/tratamento farmacológico
Seres Humanos
Entrevistas como Assunto
Masculino
Meia-Idade
Moçambique
Estudos Prospectivos
Pesquisa Qualitativa
Sexo Seguro/psicologia
Comportamento Sexual
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Retroviral Agents)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171214
[Lr] Data última revisão:
171214
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE
[do] DOI:10.1089/apc.2017.0179


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[PMID]:27773708
[Au] Autor:El Ayadi AM; Rocca CH; Kohn JE; Velazquez D; Blum M; Newmann SJ; Harper CC
[Ad] Endereço:Bixby Center for Global Reproductive Health, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, United States. Electronic address: alison.elayadi@ucsf.edu.
[Ti] Título:The impact of an IUD and implant intervention on dual method use among young women: Results from a cluster randomized trial.
[So] Source:Prev Med;94:1-6, 2017 Jan.
[Is] ISSN:1096-0260
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Long-acting reversible contraceptives (LARCs) are highly effective at preventing pregnancy but do not protect against sexually transmitted infection (STI). Recent efforts to improve access to intrauterine devices (IUDs) and implants have raised concerns about STI prevention and reduced condom use, particularly among teenagers and young women. We evaluated whether a provider-targeted intervention to increase LARC access negatively impacted dual method use and STI incidence among an at-risk patient population. We conducted a cluster randomized trial in 40 reproductive health centers across the United States from May 2011 to May 2013. After training providers at 20 intervention sites, we recruited 1500 sexually-active women aged 18-25years who did not desire pregnancy and followed them for one year. We assessed intervention effects on dual method use, condom use and STI incidence, modeling dual method use with generalized estimating equations and STI incidence with Cox proportional hazard regression models, accounting for clustering. We found no differences between intervention and control groups in dual method use (14.3% vs. 14.4%, aOR 1.03, 95% CI 0.74-1.44) or condom use (30% vs. 31%, aOR 1.03, 95% CI 0.79-1.35) at last sex at one year. STI incidence was 16.5 per 100 person-years and did not differ between intervention and control groups (aHR 1.20, 95% CI 0.88-1.64). A provider training intervention to increase LARC access neither compromised condom use nor increased STI incidence among young women. Dual method use was very low overall, highlighting the need to bolster STI prevention efforts among adolescents and young women.
[Mh] Termos MeSH primário: Preservativos/utilização
Anticoncepção/métodos
Dispositivos Intrauterinos/utilização
Doenças Sexualmente Transmissíveis/prevenção & controle
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Gravidez
Gravidez não Planejada
Sexo Seguro
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


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[PMID]:29048965
[Au] Autor:Ruiz-Perez I; Murphy M; Pastor-Moreno G; Rojas-García A; Rodríguez-Barranco M
[Ad] Endereço:Isabel Ruiz-Perez, Guadalupe Pastor-Moreno, and Miguel Rodríguez-Barranco are with the Andalusian School of Public Health, Granada, Spain. Isabel Ruiz-Perez and Miguel Rodríguez-Barranco are also with CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain. Matthew Murphy is with the Departmen
[Ti] Título:The Effectiveness of HIV Prevention Interventions in Socioeconomically Disadvantaged Ethnic Minority Women: A Systematic Review and Meta-Analysis.
[So] Source:Am J Public Health;107(12):e13-e21, 2017 Dec.
[Is] ISSN:1541-0048
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Surveys in the United States and Europe have shown a plateau of new HIV cases, with certain regions and populations disproportionately affected by the disease. Ethnic minority women and socioeconomically disadvantaged groups are disproportionately affected by HIV. Previous reviews have focused on prevention interventions targeting ethnic minority men who have sex with men, have not accounted for socioeconomic status, or have included only interventions carried out in clinical settings. OBJECTIVES: To review and assess the effectiveness of HIV prevention interventions targeting socioeconomically disadvantaged ethnic minority women in member states of the Organisation for Economic Co-operation and Development (OECD). SEARCH METHODS: On March 31, 2014, we executed a search using a strategy designed for the MEDLINE (Ovid), CINAHL, Embase, Scopus, and Web of Knowledge databases. Additional searches were conducted through the Cochrane Library, CRD Databases, metaRegister of Controlled Trials, EURONHEED, CEA Registry, and the European Action Program for Health Inequities as well as in gray literature sources. No language or date restrictions were applied. SELECTION CRITERIA: We selected studies assessing the effectiveness of interventions to prevent HIV among ethnic minority women of low socioeconomic status in which at least 80% of participants were reported to belong to an ethnic minority group and to have a low income or be unemployed. We included only studies that were conducted in OECD member states and were randomized controlled trials or quasi-experimental investigations with a comparison group. DATA COLLECTION AND ANALYSIS: A data extraction form was developed for the review and used to collect relevant information from each study. We summarized results both qualitatively and quantitatively. The main outcomes were categorized into 3 groups: improved knowledge regarding transmission of HIV, behavior changes related to HIV transmission, and reductions in the incidence of sexually transmitted infections (STIs). We then performed meta-analyses to assess the effectiveness of the prevention interventions in terms of the 3 outcome categories. MAIN RESULTS: A total of 43 interventions were included, and 31 were judged to be effective, 7 were partially effective, and 5 were ineffective. The most frequently recurring characteristics of these interventions were cultural adaptation, a cognitive-behavioral approach, the use of small groups and trained facilitators, and a program duration of between 1 and 6 weeks. Our meta-analyses showed that the interventions improved knowledge of HIV transmission (odds ratio [OR] = 0.59; 95% confidence interval [CI] = 0.43, 0.75), increased the frequency of condom use (OR = 1.60; 95% CI = 1.16, 2.19), and significantly reduced the risk of STI transmission by 41% (relative risk = 0.59; 95% CI = 0.46, 0.75). CONCLUSIONS: Our study demonstrates the feasibility and effectiveness of HIV prevention interventions targeting socioeconomically deprived ethnic minority women. Public Health Implications. This is one of the first studies to include a meta-analysis assessing reductions in STI incidence among at-risk women who have participated in HIV prevention programs. The fact that our meta-analyses showed a statistically significant reduction in STI transmission provides important evidence supporting the overall effectiveness of directing prevention programming toward this vulnerable population. For policymakers, this review demonstrates the feasibility of working with multiple intervention components while at the same time facilitating more effective interventions that take into account the principal outcome measures of knowledge, behavior change, and STI transmission rates. The review also underscores the need for additional research outside the United States on the effectiveness of prevention interventions in this vulnerable group.
[Mh] Termos MeSH primário: Infecções por HIV/etnologia
Infecções por HIV/prevenção & controle
Grupos Minoritários
[Mh] Termos MeSH secundário: Terapia Comportamental
Feminino
Infecções por HIV/psicologia
Conhecimentos, Atitudes e Prática em Saúde
Seres Humanos
Incidência
Pobreza
Sexo Seguro
Doenças Sexualmente Transmissíveis/epidemiologia
Doenças Sexualmente Transmissíveis/prevenção & controle
Desemprego
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171020
[St] Status:MEDLINE
[do] DOI:10.2105/AJPH.2017.304067


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[PMID]:28858145
[Au] Autor:Stevens R; Gilliard-Matthews S; Dunaev J; Todhunter-Reid A; Brawner B; Stewart J
[Ad] Endereço:Robin Stevens, PhD, MPH, is Assistant Professor, School of Nursing, University of Pennsylvania, Philadelphia. Stacia Gilliard-Matthews, PhD, is Assistant Professor, Department of Sociology, Anthropology, and Criminal Justice, Rutgers University, Camden, New Jersey. Jamie Dunaev, PhD, is Assistant Professor, Health Sciences Program, Rutgers University, Camden, New Jersey. Abigail Todhunter-Reid, is Doctoral Candidate, Department of Childhood Studies, Rutgers University, Camden, New Jersey. Bridgette Brawner, PhD, APRN, is Assistant Professor, School of Nursing, University of Pennsylvania, Philadelphia. Jennifer Stewart, PhD, RN, is Assistant Professor, School of Nursing, Department of Community Public Health, Johns Hopkins University, Baltimore, Maryland.
[Ti] Título:Social Media Use and Sexual Risk Reduction Behavior Among Minority Youth: Seeking Safe Sex Information.
[So] Source:Nurs Res;66(5):368-377, 2017 Sep/Oct.
[Is] ISSN:1538-9847
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Sexual health is an important area of study-particularly for minority youth and youth living in disadvantaged neighborhoods. OBJECTIVES: The purpose of the research was to examine the sources of sexual health information associated with youth adopting sexual risk reduction behaviors. METHODS: Data collection took place in a small city in the Northeastern United States using cross-sectional behavioral surveys and modified venue-based sampling. Participants included 249 African American and Latino youth aged 13-24. Participants reported their sources of information about contraception and human immunodeficiency virus/sexually transmitted disease, such as TV/movies, parents, social media; their intentions to have sex; and condom and contraception use during their last sexual activity. Social media use, past pregnancy experience, past sexual history, age, and gender were also measured. Standard tests of bivariate association (chi-square and F tests) were used to examine initial associations between sexual risk reduction behavior and exposure to sexual risk reduction information on social media. Logistic regression models were used to test multivariate relationships between information sources and sexual risk reduction behavior. RESULTS: Youth who were exposed to sexual health messages on social media were 2.69 times (p < .05) and 2.49 times (p < .08) more likely to have used contraception or a condom at last intercourse, respectively. Parents, schools, or traditional media as information sources were not significantly associated with contractive use or condom use at last intercourse. DISCUSSION: Youth sexual behavior is increasingly informed by social media messages. Health practitioners should utilize social media as an important health promotion tool.
[Mh] Termos MeSH primário: Comportamento do Adolescente
Afroamericanos/educação
Afroamericanos/estatística & dados numéricos
Hispano-Americanos/educação
Hispano-Americanos/estatística & dados numéricos
Grupos Minoritários/educação
Mídias Sociais
[Mh] Termos MeSH secundário: Adolescente
Adulto
Estudos Transversais
Feminino
Promoção da Saúde/métodos
Seres Humanos
Masculino
New England
Fatores de Risco
Comportamento de Redução do Risco
Sexo Seguro/estatística & dados numéricos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:170901
[St] Status:MEDLINE
[do] DOI:10.1097/NNR.0000000000000237


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[PMID]:28817626
[Au] Autor:Larsson M; Mohamed Shio J; Ross MW; Agardh A
[Ad] Endereço:Division of Social Medicine and Global Health, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden.
[Ti] Título:Acting within an increasingly confined space: A qualitative study of sexual behaviours and healthcare needs among men who have sex with men in a provincial Tanzanian city.
[So] Source:PLoS One;12(8):e0183265, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To explore risk perceptions, sexual practices and healthcare needs among men who have sex with men in the provincial city of Tanga in northern Tanzania. Previous research suggests that HIV/STIs are increasing problems for this population. Yet, few studies have been conducted outside the urban area of Dar es Salaam, which has limited our knowledge about the HIV/STI risk factors and healthcare needs among men who have sex with men who live outside major metropolitan areas. METHOD: During three months in 2013, 10 in-depth interviews with men who have sex with men were conducted in Tanga. Data were interpreted through qualitative content analysis. RESULTS: The theme that emerged was labelled "Acting within an increasingly confined space". The theme reflects the interference of stigma in men's lives, and in the face of potential discrimination, men perceived their sexual and healthcare choices as limited. This created obstacles for forming romantic and sexual relationships, insisting on consistent condom use with sexual partners, maintaining open and conducive relationships with family, and accessing healthcare services when required. CONCLUSIONS: Sexual stigma is a concern as it contributes to HIV/STI risk-related behaviours among men who have sex with men. Priority should be given to programmes that support same-sex practicing men in their efforts to make informed choices regarding their sexual health. Creating safe cyber networks provides an opportunity to reach this population with targeted sexual health education messages. Such programmes might be even more urgent in smaller towns and rural areas where gay specific initiatives are more limited than in urban areas.
[Mh] Termos MeSH primário: Necessidades e Demandas de Serviços de Saúde
Homossexualidade Masculina
[Mh] Termos MeSH secundário: Consumo de Bebidas Alcoólicas
Seres Humanos
Masculino
Fatores de Risco
Sexo Seguro
Trabalho Sexual
Estigma Social
Apoio Social
Tanzânia/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170818
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0183265


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[PMID]:28817325
[Au] Autor:Calabrese SK; Underhill K; Mayer KH
[Ad] Endereço:Sarah K. Calabrese is with the Department of Psychology, George Washington University, Washington, DC. Kristen Underhill is with Columbia Law School, Columbia University, New York, NY. Kenneth H. Mayer is with The Fenway Institute, Boston, MA, and the Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston.
[Ti] Título:HIV Preexposure Prophylaxis and Condomless Sex: Disentangling Personal Values From Public Health Priorities.
[So] Source:Am J Public Health;107(10):1572-1576, 2017 Oct.
[Is] ISSN:1541-0048
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Daily HIV preexposure prophylaxis (PrEP) is an effective form of HIV protection that remains unknown and inaccessible for many people in the United States despite receiving federal approval over five years ago. PrEP is supported by the public health community, but forgoing condoms while taking PrEP has proven controversial; this controversy may be contributing to the lag in PrEP uptake. We argue that limiting PrEP access based on anticipated or actual sexual behavior contradicts the goals of public health research and practice and is not scientifically justified. As evidence for the effectiveness of novel forms of biomedical HIV protection emerges, public health professionals need to accept new definitions of "protected sex" and ensure that their personal values do not override empirical evidence when determining public health priorities.
[Mh] Termos MeSH primário: Fármacos Anti-HIV/administração & dosagem
Preservativos/utilização
Infecções por HIV/prevenção & controle
Profilaxia Pré-Exposição/métodos
Comportamento Sexual/psicologia
[Mh] Termos MeSH secundário: Conhecimentos, Atitudes e Prática em Saúde
Seres Humanos
Percepção
Saúde Pública
Medição de Risco
Fatores de Risco
Sexo Seguro/psicologia
Doenças Sexualmente Transmissíveis/epidemiologia
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-HIV Agents)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171002
[Lr] Data última revisão:
171002
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170818
[St] Status:MEDLINE
[do] DOI:10.2105/AJPH.2017.303966


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[PMID]:28659456
[Au] Autor:Ybarra ML; Prescott TL; Phillips GL; Bull SS; Parsons JT; Mustanski B
[Ad] Endereço:Center for Innovative Public Health Research, San Clemente, California; michele@innovativepublichealth.org.
[Ti] Título:Pilot RCT Results of an mHealth HIV Prevention Program for Sexual Minority Male Adolescents.
[So] Source:Pediatrics;140(1), 2017 Jul.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Guy2Guy (G2G) is the first comprehensive HIV prevention program developed for sexual minority males as young as 14 years old and is delivered nationally via text messaging. Here, we report the results of the pilot randomized control trial. METHODS: G2G was tested against an attention-matched "healthy lifestyle" control (eg, self-esteem). Both programs lasted 5 weeks and delivered 5 to 10 text messages daily. A 1-week booster was delivered 6 weeks subsequently. Participants were cisgender males ages 14 to 18 years old who were gay, bisexual, and/or queer and had an unlimited text messaging plan. Youth were recruited across the United States via Facebook and enrolled by telephone from October 2014 to April 2015. Ninety-day postintervention outcomes were condomless sex acts (CSA) and abstinence and, secondarily, HIV testing. We also examined these outcomes at intervention end and stratified them by sexual experience. RESULTS: At 90 days postintervention, there were no significant differences in CSAs or abstinence noted. Among participants who were sexually active at baseline, intervention participants were significantly more likely to report getting an HIV test (adjusted odds ratio = 3.42, = .001). They were also less likely than control youth to be abstinent (adjusted odds ratio = 0.48, = .05). CSAs were significantly lower for those in the intervention versus control at intervention end (incident rate ratio = 0.39, = .04), although significance was lost once age was added to the analysis (incident rate ratio = 0.58, = .26). CONCLUSIONS: G2G appears promising in increasing adolescent HIV testing rates. Sex-positive intervention messages appear to have increased the participants' comfort with having sex (ie, less abstinence) while not increasing their potential for HIV transmission (ie, more CSAs). Additional content or features may be needed to invigorate condom use.
[Mh] Termos MeSH primário: Infecções por HIV/prevenção & controle
Sexo Seguro
Comportamento Sexual
Minorias Sexuais e de Gênero/educação
Telemedicina/métodos
[Mh] Termos MeSH secundário: Adolescente
Preservativos
Seres Humanos
Masculino
Programas de Rastreamento
Projetos Piloto
Mensagem de Texto
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170630
[St] Status:MEDLINE


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[PMID]:28651401
[Au] Autor:Lin HJ; Zhang YC; Shen WW; Wu QH; Xu YY; Qiu DH; Ding YY; He N
[Ad] Endereço:Taizhou Prefecture Center for Disease Control and Prevention, Taizhou 318000, China.
[Ti] Título:[Investigation of group sex in men who have sex with men in Taizhou, Zhejiang province, 2013-2015].
[So] Source:Zhonghua Liu Xing Bing Xue Za Zhi;38(5):634-637, 2017 May 10.
[Is] ISSN:0254-6450
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:To understand the prevalence of group sex in men who have sex with men (MSM) and related factors in Taizhou, Zhejiang province. From March 2013 to September 2015, a cross-sectional survey was conducted among MSM recruited from gay bars or bath houses in Taizhou by using questionnaire to collect the information about their sexual behavior and HIV test. A total of 1 435 MSM were recruited, 179 of them (12.5 ) were HIV infected, 231 (16.1 ) reported group sex during the past year. Compared with MSM without group sex, more MSM with group sex had more than ten male sexual partners (53.7 19.0 , (2)=125.527, <0.01), had both male and female sexual partners (86.6 68.2 , (2)=31.935, <0.01), used no condom at sex with female partners during the past year (28.1 19.8 , (2)=6.540, <0.05). After adjusted for educational level and occupation, group sex was associated with age[≥50 years old . ≤24 years old, adjusted odds ratio (a )=2.25, =0.027], marriage with female (divorced or widowed . unmarried, a =0.29, =0.001), census registering (local resident . non-local resident, a =1.56, =0.023), number of male seuxal partners (≥21 . 2-5, a =8.06, <0.001; 11-20 . 2-5, a =3.25, <0.001) and number of female seuxal partners (≥6 . 0, a =2.63, =0.005; 2-5 . 0, a =2.58, =0.001; 1 . 0, a =2.01, =0.010). The prevalence of group sex in MSM was high in Taizhou, and their poor condom use and complex sex behaviors would result in higher HIV infection rate and risk of transmission.
[Mh] Termos MeSH primário: Homossexualidade Masculina
Comportamento Sexual
Parceiros Sexuais
[Mh] Termos MeSH secundário: Adulto
Bissexualidade
Preservativos
Estudos Transversais
Feminino
Infecções por HIV/epidemiologia
Seres Humanos
Masculino
Meia-Idade
Prevalência
Sexo Seguro
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170904
[Lr] Data última revisão:
170904
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170628
[St] Status:MEDLINE
[do] DOI:10.3760/cma.j.issn.0254-6450.2017.05.015


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[PMID]:28587607
[Au] Autor:Achterbergh RCA; van der Helm JJ; van den Brink W; de Vries HJC
[Ad] Endereço:STI outpatient clinic, Department of Infectious Diseases, Public Health Service Amsterdam, Amsterdam, the Netherlands.
[Ti] Título:Design of a syndemic based intervention to facilitate care for men who have sex with men with high risk behaviour: the syn.bas.in randomized controlled trial.
[So] Source:BMC Infect Dis;17(1):398, 2017 Jun 06.
[Is] ISSN:1471-2334
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Men who have sex with men (MSM) constitute a risk group for sexual transmitted infections (STIs), including HIV. Despite counselling interventions, risk behaviour remains high. Syndemic theory holds that psychosocial problems often co-occur, interact and mutually reinforce each other, thereby increasing high risk behaviours and co-occurring diseases. Therefore, if co-occurring psychosocial problems were assessed and treated simultaneously, this might decrease high risk behaviour and disease. METHOD: An open label randomized controlled trial will be conducted among 150 MSM with high risk behaviour recruited from the STI clinic of Amsterdam. Inclusion criteria are: HIV negative MSM with two STI and/or PEP treatment in the last 24 months, or HIV positive MSM with one STI in the last 24 months. All participants get questionnaires on the following syndemic domains: ADHD, depression, anxiety disorder, alexithymia and sex- and drug addiction. Participants in the control group receive standard care: STI screenings every three months and motivational interviewing based counselling. Participants in the experimental group receive standard care plus feedback based on the results of the questionnaires. All participants can be referred to co-located mental health or addiction services. The primary outcome is help seeking behaviour for mental health problems and/or drug use problems. The secondary outcomes are STI incidence and changes in sexual risk behaviour (i.e. condom use, number of anal sex partners, drug use during sex). DISCUSSION: This study will provide information on syndemic domains among MSM who show high risk behaviour and on the effect of screening and referral on help seeking behaviour and health (behaviour) outcomes. TRIAL REGISTRATION: Trial Registration at clinicaltrail.gov, identifier NCT02859935 .
[Mh] Termos MeSH primário: Infecções por HIV/prevenção & controle
Homossexualidade Masculina/psicologia
Doenças Sexualmente Transmissíveis/prevenção & controle
[Mh] Termos MeSH secundário: Adolescente
Adulto
Protocolos Clínicos
Estudos de Coortes
Aconselhamento
Infecções por HIV/psicologia
Infecções por HIV/transmissão
Comportamento de Busca de Ajuda
Seres Humanos
Incidência
Masculino
Países Baixos
Assunção de Riscos
Sexo Seguro
Comportamento Sexual
Parceiros Sexuais
Doenças Sexualmente Transmissíveis/epidemiologia
Doenças Sexualmente Transmissíveis/psicologia
Transtornos Relacionados ao Uso de Substâncias
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170927
[Lr] Data última revisão:
170927
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170608
[St] Status:MEDLINE
[do] DOI:10.1186/s12879-017-2474-x



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