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[PMID]:28471336
[Au] Autor:Harris T; Rice E; Rhoades H; Winetrobe H; Wenzel S
[Ad] Endereço:a School of Social Work , University of Southern California , Los Angeles , California , USA.
[Ti] Título:Gender Differences in the Path From Sexual Victimization to HIV Risk Behavior Among Homeless Youth.
[So] Source:J Child Sex Abus;26(3):334-351, 2017 Apr.
[Is] ISSN:1547-0679
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Experiencing sexual victimization prior to becoming homeless is common among homeless youth and is associated with increased HIV risk behavior. This study examined mediating variables that underlie this association, adding to the understanding of gender differences in these paths. Participants were homeless youth in Los Angeles recruited through service access centers who completed a computerized self-administered interview in English or Spanish using an iPad. Findings indicate a high presence of sexual victimization across both genders. Female participants experienced posttraumatic stress disorder and subsequent engagement with exchange sex, whereas male participants were primarily involved in substance use risk pathways. Results indicate paths in the association between sexual victimization and HIV risk behavior differ between male and female homeless youth. Gender-specific, mental-health-informed interventions targeting sexual risk reduction are warranted.
[Mh] Termos MeSH primário: Abuso Sexual na Infância
Infecções por HIV/transmissão
Jovens em Situação de Rua/psicologia
Sexo sem Proteção/psicologia
[Mh] Termos MeSH secundário: Adolescente
Abuso Sexual na Infância/psicologia
Abuso Sexual na Infância/estatística & dados numéricos
Feminino
Infecções por HIV/psicologia
Jovens em Situação de Rua/estatística & dados numéricos
Seres Humanos
Masculino
Fatores Sexuais
Abuso de Substâncias por Via Intravenosa/epidemiologia
Abuso de Substâncias por Via Intravenosa/psicologia
Sexo sem Proteção/estatística & dados numéricos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180307
[Lr] Data última revisão:
180307
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1080/10538712.2017.1287146


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[PMID]:27777330
[Au] Autor:Thompson R; Lewis T; Neilson EC; English DJ; Litrownik AJ; Margolis B; Proctor L; Dubowitz H
[Ad] Endereço:1 Juvenile Protective Association, Chicago, IL, USA.
[Ti] Título:Child Maltreatment and Risky Sexual Behavior.
[So] Source:Child Maltreat;22(1):69-78, 2017 Feb.
[Is] ISSN:1552-6119
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Risky sexual behavior is a serious public health problem. Child sexual abuse is an established risk factor, but other forms of maltreatment appear to elevate risky behavior. The mechanisms by which child maltreatment influence risk are not well understood. This study used data from 859 high-risk youth, followed through age 18. Official reports of each form of maltreatment were coded. At age 16, potential mediators (trauma symptoms and substance use) were assessed. At age 18, risky sexual behavior (more than four partners, unprotected sex, unassertiveness in sexual refusal) was assessed. Neglect significantly predicted unprotected sex. Substance use predicted unprotected sex and four or more partners but did not mediate the effects of maltreatment. Trauma symptoms predicted unprotected sex and mediated effects of emotional maltreatment on unprotected sex and on assertiveness in sexual refusal and the effects of sexual abuse on unprotected sex. Both neglect and emotional maltreatment emerged as important factors in risky sexual behavior. Trauma symptoms appear to be an important pathway by which maltreatment confers risk for risky sexual behavior. Interventions to reduce risky sexual behavior should include assessment and treatment for trauma symptoms and for history of child maltreatment in all its forms.
[Mh] Termos MeSH primário: Maus-Tratos Infantis/psicologia
Sexo sem Proteção/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Maus-Tratos Infantis/estatística & dados numéricos
Feminino
Seres Humanos
Masculino
Fatores de Risco
Autoeficácia
Parceiros Sexuais/psicologia
Sexo sem Proteção/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180227
[Lr] Data última revisão:
180227
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE
[do] DOI:10.1177/1077559516674595


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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]:28449332
[Au] Autor:Legemate EM; Hontelez JAC; Looman CWN; de Vlas SJ
[Ad] Endereço:Department of Public Health, Erasmus MC - University Medical Center Rotterdam, Rotterdam, The Netherlands.
[Ti] Título:Behavioural disinhibition in the general population during the antiretroviral therapy roll-out in Sub-Saharan Africa: systematic review and meta-analysis.
[So] Source:Trop Med Int Health;22(7):797-806, 2017 07.
[Is] ISSN:1365-3156
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Improved life expectancy and reduced transmission probabilities due to ART may result in behavioural disinhibition - that is an increase in sexual risk behaviour in response to a perceived lower risk of HIV. We examined trends in sexual risk behaviour in the general population of sub-Saharan African countries 1999-2015. METHODS: We systematically reviewed scientific literature of sexual behaviour and reviewed trends in Demographic and Health Surveys. A meta-analysis on four indicators of sexual risk behaviour was performed: unprotected sex, multiple sexual partners, commercial sex and prevalence of sexually transmitted infections. RESULTS: Only two peer-reviewed studies met our inclusion criteria, while our review of DHS data spanned 18 countries and 16 years (1999-2015). We found conflicting trends in sexual risk behaviour. Reported unprotected sex decreased consistently across the 18 countries, for both sexes. In contrast, reporting multiple partners was decreasing over the period 1999 to the mid-2000s, yet has been consistently increasing thereafter. Similar trends were found for reported sexually transmitted infections and commercial sex (men only). CONCLUSIONS: In conclusion, we found no clear evidence of behavioural disinhibition due to expanded access to ART in sub-Saharan Africa. Substantial increases in condom use coincided with increases in reported multiple partners, commercial sex and sexually transmitted infections, especially during the period of ART scale-up. Further research is needed into how these changes might affect HIV transmission.
[Mh] Termos MeSH primário: Antirretrovirais/uso terapêutico
Atitude Frente à Saúde
Infecções por HIV/prevenção & controle
Infecções por HIV/psicologia
Comportamento Sexual/psicologia
Comportamento Sexual/estatística & dados numéricos
[Mh] Termos MeSH secundário: África ao Sul do Saara
Seres Humanos
Assunção de Riscos
Sexo sem Proteção/psicologia
Sexo sem Proteção/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Anti-Retroviral Agents)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:180129
[Lr] Data última revisão:
180129
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170428
[St] Status:MEDLINE
[do] DOI:10.1111/tmi.12885


  5 / 3952 MEDLINE  
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[PMID]:29240346
[Au] Autor:Bakke A
[Ti] Título:Empowering Our Youth: Initiating Sexual Health Education on the Inpatient Unit for the Chronically Ill Pediatric Patient.
[So] Source:Urol Nurs;36(6):267-73, 2016 Nov-Dec.
[Is] ISSN:1053-816X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Chronicaly ill pre-teens and adolescents often spend months as inpatients while undergoing treatment. This population includes but is not limited to oncology, transplant, physically disabled, and medically fragile pediatric patients. Sexual health education is often considered less important than the complex disease states and medical issues faced by pediatric inpatients. Many clinicians fail to realize the value of providing this guidance as a necessary part of the physical and psychosocial health of these young patients. Chronically ill youth lack normal social interactions while hospitalized and may have body image issues related to physical disabilities. A need for sexual health education stems from the high sexually transmitted disease prevalence in this population. Lack of formal provider education on sexual health, provider discomfort in discussing sexual health topics, and overlooking the importance of adolescent sexual health have delayed integration of sexual education into inpatient teaching, discharge planning, and outpatient follow up. With few guidelines and minimal published research on this topic, clinicians and parents often have no experience, education, or guidance to provide this specific knowledge effectively. The goal of this discussion of sexual health education for chronically ill adolescents is to highlight the need for additional research, improved training for healthcare providers, and development of evidence-based guidelines in the inpatient and outpatient settings.
[Mh] Termos MeSH primário: Adolescente Hospitalizado/educação
Criança Hospitalizada/educação
Educação Sexual/métodos
[Mh] Termos MeSH secundário: Adolescente
Imagem Corporal
Criança
Doença Crônica
Fertilidade
Seres Humanos
Hospedeiro Imunocomprometido
Doenças Sexualmente Transmissíveis/prevenção & controle
Identificação Social
Sexo sem Proteção/prevenção & controle
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171215
[St] Status:MEDLINE


  6 / 3952 MEDLINE  
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[PMID]:29251898
[Au] Autor:Stone A
[Ti] Título:LITERATURE SEARCH: STI SCREENING AND DRUG USE IN YOUNG PEOPLE.
[So] Source:Aust Nurs Midwifery J;24(6):44, 2016 Dec.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:Alcohol and other drug use are almost synonymous with increased risky sexual activity in young people (12-25 years). There is a direct correlation between initiation into methamphetamine use and an increase in sexual risk behaviours (Hoenigl et al. 2015).
[Mh] Termos MeSH primário: Metanfetamina/efeitos adversos
Assunção de Riscos
Doenças Sexualmente Transmissíveis/enfermagem
Transtornos Relacionados ao Uso de Substâncias/enfermagem
Sexo sem Proteção
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
44RAL3456C (Methamphetamine)
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171219
[St] Status:MEDLINE


  7 / 3952 MEDLINE  
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[PMID]:28453142
[Au] Autor:Cardozo-Cruz M; Ramírez-Pereira M
[Ad] Endereço:Organización Panamericana de la Salud (OPS), Colombia.
[Ti] Título:[The dark rooms and the men who have sex with men: making the invisiblevisible].
[Ti] Título:Los cuartos oscuros y los hombres que tienen sexo con hombres: haciendo visible lo invisible..
[So] Source:Rev Salud Publica (Bogota);17(6):886-898, 2015 Dec.
[Is] ISSN:0124-0064
[Cp] País de publicação:Colombia
[La] Idioma:spa
[Ab] Resumo:Objective To design an explanatory model of social representations of men who have sex with men in the dark rooms of the city of Santiago de Chile during the second half of 2012. METHODOLOGY: Exploratory and explanatory qualitative research. The theoretical and methodological approach chosen was based on the founded theory. Data collection was conducted using in-depth interviews. RESULTS: During the first phase of the research open coding was carried out. Codes and related categories were identified: conception of the dark room, biosecurity, reasons for entering a dark room, valuation of the dark room, sex practices, sexual orientation and roles and ways of relating. CONCLUSIONS: The development of a public health policy that includes social determinants of health is an imperative. Three key points are identified to intervene positively in their health: discrimination and social rejection, the absence or reduction of risk perception against dark rooms and places for sexual encounters and the need for inspection, monitoring and control of such sites.
[Mh] Termos MeSH primário: Homossexualidade Masculina/psicologia
Sexo sem Proteção/psicologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Chile
Seres Humanos
Entrevistas como Assunto
Masculino
Meia-Idade
Teoria Psicológica
Pesquisa Qualitativa
Determinantes Sociais da Saúde
Discriminação Social/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180117
[Lr] Data última revisão:
180117
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:28766313
[Au] Autor:Shen J; Che Y; Showell E; Chen K; Cheng L
[Ad] Endereço:Centre for Clinical Research and Training, Key Laboratory of Reproduction Regulation of NPFPC, SIPPR, IRD, Fudan University, 2140 Xie Tu Road, Shanghai, China.
[Ti] Título:Interventions for emergency contraception.
[So] Source:Cochrane Database Syst Rev;8:CD001324, 2017 08 02.
[Is] ISSN:1469-493X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Emergency contraception (EC) is using a drug or copper intrauterine device (Cu-IUD) to prevent pregnancy shortly after unprotected intercourse. Several interventions are available for EC. Information on the comparative effectiveness, safety and convenience of these methods is crucial for reproductive healthcare providers and the women they serve. This is an update of a review previously published in 2009 and 2012. OBJECTIVES: To determine which EC method following unprotected intercourse is the most effective, safe and convenient to prevent pregnancy. SEARCH METHODS: In February 2017 we searched CENTRAL, MEDLINE, Embase, PsycINFO, CINAHL, Popline and PubMed, The Chinese biomedical databases and UNDP/UNFPA/WHO/World Bank Special Programme on Human Reproduction (HRP) emergency contraception database. We also searched ICTRP and ClinicalTrials.gov as well as contacting content experts and pharmaceutical companies, and searching reference lists of appropriate papers. SELECTION CRITERIA: Randomised controlled trials including women attending services for EC following a single act of unprotected intercourse were eligible. DATA COLLECTION AND ANALYSIS: We used standard methodological procedures recommended by Cochrane. The primary review outcome was observed number of pregnancies. Side effects and changes of menses were secondary outcomes. MAIN RESULTS: We included 115 trials with 60,479 women in this review. The quality of the evidence for the primary outcome ranged from moderate to high, and for other outcomes ranged from very low to high. The main limitations were risk of bias (associated with poor reporting of methods), imprecision and inconsistency. Comparative effectiveness of different emergency contraceptive pills (ECP)Levonorgestrel was associated with fewer pregnancies than Yuzpe (estradiol-levonorgestrel combination) (RR 0.57, 95% CI 0.39 to 0.84, 6 RCTs, n = 4750, I = 23%, high-quality evidence). This suggests that if the chance of pregnancy using Yuzpe is assumed to be 29 women per 1000, the chance of pregnancy using levonorgestrel would be between 11 and 24 women per 1000.Mifepristone (all doses) was associated with fewer pregnancies than Yuzpe (RR 0.14, 95% CI 0.05 to 0.41, 3 RCTs, n = 2144, I = 0%, high-quality evidence). This suggests that if the chance of pregnancy following Yuzpe is assumed to be 25 women per 1000 women, the chance following mifepristone would be between 1 and 10 women per 1000.Both low-dose mifepristone (less than 25 mg) and mid-dose mifepristone (25 mg to 50 mg) were probably associated with fewer pregnancies than levonorgestrel (RR 0.72, 95% CI 0.52 to 0.99, 14 RCTs, n = 8752, I = 0%, high-quality evidence; RR 0.61, 95% CI 0.45 to 0.83, 27 RCTs, n = 6052, I = 0%, moderate-quality evidence; respectively). This suggests that if the chance of pregnancy following levonorgestrel is assumed to be 20 women per 1000, the chance of pregnancy following low-dose mifepristone would be between 10 and 20 women per 1000; and that if the chance of pregnancy following levonorgestrel is assumed to be 35 women per 1000, the chance of pregnancy following mid-dose mifepristone would be between 16 and 29 women per 1000.Ulipristal acetate (UPA) was associated with fewer pregnancies than levonorgestrel (RR 0.59; 95% CI 0.35 to 0.99, 2 RCTs, n = 3448, I = 0%, high-quality evidence). Comparative effectiveness of different ECP dosesIt was unclear whether there was any difference in pregnancy rate between single-dose levonorgestrel (1.5 mg) and the standard two-dose regimen (0.75 mg 12 hours apart) (RR 0.84, 95% CI 0.53 to 1.33, 3 RCTs, n = 6653, I = 0%, moderate-quality evidence).Mid-dose mifepristone was associated with fewer pregnancies than low-dose mifepristone (RR 0.73; 95% CI 0.55 to 0.97, 25 RCTs, n = 11,914, I = 0%, high-quality evidence). Comparative effectiveness of Cu-IUD versus mifepristoneThere was no conclusive evidence of a difference in the risk of pregnancy between the Cu-IUD and mifepristone (RR 0.33, 95% CI 0.04 to 2.74, 2 RCTs, n = 395, low-quality evidence). Adverse effectsNausea and vomiting were the main adverse effects associated with emergency contraception. There is probably a lower risk of nausea (RR 0.63, 95% CI 0.53 to 0.76, 3 RCTs, n = 2186 , I = 59%, moderate-quality evidence) or vomiting (RR 0.12, 95% CI 0.07 to 0.20, 3 RCTs, n = 2186, I = 0%, high-quality evidence) associated with mifepristone than with Yuzpe. levonorgestrel is probably associated with a lower risk of nausea (RR 0.40, 95% CI 0.36 to 0.44, 6 RCTs, n = 4750, I = 82%, moderate-quality evidence), or vomiting (RR 0.29, 95% CI 0.24 to 0.35, 5 RCTs, n = 3640, I = 78%, moderate-quality evidence) than Yuzpe. Levonorgestrel users were less likely to have any side effects than Yuzpe users (RR 0.80, 95% CI 0.75 to 0.86; 1 RCT, n = 1955, high-quality evidence). UPA users were more likely than levonorgestrel users to have resumption of menstruation after the expected date (RR 1.65, 95% CI 1.42 to 1.92, 2 RCTs, n = 3593, I = 0%, high-quality evidence). Menstrual delay was more common with mifepristone than with any other intervention and appeared to be dose-related. Cu-IUD may be associated with higher risks of abdominal pain than mifepristone (18 events in 95 women using Cu-IUD versus no events in 190 women using mifepristone, low-quality evidence). AUTHORS' CONCLUSIONS: Levonorgestrel and mid-dose mifepristone (25 mg to 50 mg) were more effective than Yuzpe regimen. Both mid-dose (25 mg to 50 mg) and low-dose mifepristone(less than 25 mg) were probably more effective than levonorgestrel (1.5 mg). Mifepristone low dose (less than 25 mg) was less effective than mid-dose mifepristone. UPA was more effective than levonorgestrel.Levonorgestrel users had fewer side effects than Yuzpe users, and appeared to be more likely to have a menstrual return before the expected date. UPA users were probably more likely to have a menstrual return after the expected date. Menstrual delay was probably the main adverse effect of mifepristone and seemed to be dose-related. Cu-IUD may be associated with higher risks of abdominal pain than ECPs.
[Mh] Termos MeSH primário: Anticoncepção Pós-Coito/métodos
Anticoncepcionais Pós-Coito/administração & dosagem
[Mh] Termos MeSH secundário: Anticoncepção Pós-Coito/efeitos adversos
Anticoncepcionais Pós-Coito/efeitos adversos
Esquema de Medicação
Estradiol/administração & dosagem
Estradiol/efeitos adversos
Feminino
Seres Humanos
Dispositivos Intrauterinos de Cobre/efeitos adversos
Dispositivos Intrauterinos Medicados/efeitos adversos
Levanogestrel/administração & dosagem
Levanogestrel/efeitos adversos
Mifepristona/administração & dosagem
Mifepristona/efeitos adversos
Norpregnadienos/administração & dosagem
Norpregnadienos/efeitos adversos
Gravidez
Taxa de Gravidez
Ensaios Clínicos Controlados Aleatórios como Assunto
Sexo sem Proteção
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Nm] Nome de substância:
0 (Contraceptives, Postcoital); 0 (Norpregnadienes); 320T6RNW1F (Mifepristone); 4TI98Z838E (Estradiol); 5W7SIA7YZW (Levonorgestrel); YF7V70N02B (ulipristal acetate)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170803
[St] Status:MEDLINE
[do] DOI:10.1002/14651858.CD001324.pub5


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[PMID]:28759572
[Au] Autor:Lindbom SJA; Larsson M; Agardh A
[Ad] Endereço:Social Medicine and Global Health, Department of Clinical Sciences, Lund University, Malmö, Sweden.
[Ti] Título:The naked truth about HIV and risk taking in Swedish prisons: A qualitative study.
[So] Source:PLoS One;12(7):e0182237, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: This qualitative study explores former prison inmates' perceptions and attitudes towards HIV risk inside Swedish prisons. METHOD: In 2014, eight semi-structured interviews were conducted with former male prisoners to gain a deeper understanding of situations perceived to be associated with risk of HIV transmission. The material gathered from the interviews was analyzed by manifest and latent qualitative content analysis. RESULTS: The findings revealed that risky behavioral practices, such as sharing needles, unprotected sexual activity, and lack of openness about HIV status represented potential health threats with regard to the risk of HIV transmission. CONCLUSIONS: Evidence from the study indicates that educational interventions regarding HIV and the transmission routes are required for HIV prevention in Swedish prisons.
[Mh] Termos MeSH primário: Infecções por HIV/psicologia
Conhecimentos, Atitudes e Prática em Saúde
Prisioneiros/psicologia
Assunção de Riscos
[Mh] Termos MeSH secundário: Adulto
Infecções por HIV/epidemiologia
Infecções por HIV/transmissão
Seres Humanos
Masculino
Uso Comum de Agulhas e Seringas/psicologia
Prisões/estatística & dados numéricos
Suécia
Sexo sem Proteção/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170928
[Lr] Data última revisão:
170928
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170801
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0182237


  10 / 3952 MEDLINE  
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[PMID]:28650230
[Au] Autor:Lauby J; Zhu L; Milnamow M; Batson H; Bond L; Curran-Groome W; Carson L
[Ad] Endereço:Public Health Management Corp., Philadelphia, Pennsylvania.
[Ti] Título:Get Real: Evaluation of a Community-Level HIV Prevention Intervention for Young MSM Who Engage in Episodic Substance Use.
[So] Source:AIDS Educ Prev;29(3):191-204, 2017 Jun.
[Is] ISSN:1943-2755
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Young men who have sex with men (YMSM) have high rates of recreational drug use and binge drinking that are related to increases in unprotected sex and HIV risk. We describe the development of a community-level intervention focused on MSM ages 15 to 29 who identify as Black or White and who reported episodic use of alcohol and/or drugs. Intervention content included culturally-relevant role model stories and peer outreach. Outcome measures, including number of partners and a risk score indicating risk for HIV from protected or unprotected insertive or receptive anal sex, were examined over 36 months in a sample of YMSM in Philadelphia, the intervention site, and Baltimore, the comparison site. Decreases in risk scores over time were significantly larger in the intervention sample than in the comparison sample. Effects were greater for YMSM who engaged in binge drinking and/or marijuana use, compared to those who used other drugs.
[Mh] Termos MeSH primário: Consumo de Bebidas Alcoólicas/efeitos adversos
Infecções por HIV/prevenção & controle
Homossexualidade Masculina
Transtornos Relacionados ao Uso de Substâncias/psicologia
Sexo sem Proteção/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Afroamericanos
Grupo com Ancestrais do Continente Africano/estatística & dados numéricos
Baltimore
Grupo com Ancestrais do Continente Europeu/estatística & dados numéricos
Infecções por HIV/transmissão
Seres Humanos
Estudos Longitudinais
Masculino
Grupo Associado
Comunicação Persuasiva
Philadelphia
Desenvolvimento de Programas
Avaliação de Programas e Projetos de Saúde
Assunção de Riscos
Comportamento Sexual
Parceiros Sexuais
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170717
[Lr] Data última revisão:
170717
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:170627
[St] Status:MEDLINE
[do] DOI:10.1521/aeap.2017.29.3.191



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