Author: Donn J. ColbyPublisher:
ISBN:
Category :
Languages : en
Pages : 128
Book Description
HIV Knowledge and Risk Factors Among Men who Have Sex with Men in Ho Chi Minh City, Vietnam
Author: Donn J. ColbyThe Risk of Aids in Vietnam
Author: Barbara FranklinPublisher:
ISBN:
Category : AIDS (Disease)
Languages : en
Pages : 60
Book Description
Risk Behaviors, Sexually Transmitted Infections and HIV Among Men who Have Sex with Men in Southern Vietnam
Author: Thuong Vu NguyenPublisher:
ISBN:
Category :
Languages : en
Pages : 143
Book Description
Introductions: HIV infection is occurring more rapidly among men who have sex with men (MSM) than among other risk groups. This study was conducted to determine the prevalence and factors associated with HIV, syphilis, urethral gonorrhea and chlamydia infection, and anal sexual positions among MSM in southern Vietnam. Methods: A total of 2768 MSM participated in several surveys implemented in eight southern provinces of Vietnam. Information on socio demographic factors, sexual behavior risks, and treatment seeking behaviors were obtained via face-to-face interviews. Blood and urine samples were collected for HIV, syphilis, gonorrhea and chlamydia testing. Multivariate logistic regression analysis was used to determine factors associated with HIV, syphilis, urethral gonorrhea and chlamydia. Multivariate multinomial logistic regression analysis was performed to determine the correlates of anal sexual positions. Results: The prevalences (and 95%CI) of HIV, syphilis, urethral gonorrhea and chlamydia amongst MSM were 2.6% (2.0%-3.2%), 1.6% (1.1%-2.1%), 2.4% (1.7%-3.0%) and 4.3% (3.4%-5.1%), respectively. The prevalences of being exclusively insertive (EI), versatile and exclusively receptive (ER) among MSM were 25.6%, 64.5% and 9.9%, respectively. Demographic factors (age, marital status, whom currently living with, being religious, income, occupation), sexual risk behaviors (having ever had sex with a foreigner, condom use, anal sexual positions), alcohol use, recreational drug use, self assessment of HIV risk and syphilis seropositive were associated with HIV infection. Several factors were found to be associated with syphilis infection (occupation, HIV knowledge, multiple anal sex partners, condom use and HIV positive), urethral gonorrhea (religion, living with friends/male partners, engaging in sex with foreigners, middle/high income, ever acquired an STI and having urethral chlamydia), and chlamydia infection (age, occupation, exclusively receptive, drinking before anal sex, interaction between condom use and income and having urethral gonorrhea). Correlates of anal sexual positions included sociodemographic factors, sexual risk behaviors, recreational drug use, previous HIV testing, HIV and STI knowledge, STI related symptoms and receiving free or discounted-price condoms. Conclusions: HIV/STI and related risk behaviors are important public health issues among MSM in Southern Vietnam. On the basis of the study results, we make specific policy and intervention recommendations.
HIV and Men who Have Sex with Men in Asia and the Pacific
Author: Roger WinderPublisher: Unaids Regional Support Team East and Southern Africa
ISBN:
Category : Medical
Languages : en
Pages : 72
Book Description
The term "men who have sex with men" - frequently shortened to MSM - describes a behaviour rather than a specific group of people. It includes self-identified gay, bisexual, transgendered or heterosexual men. Many men who have sex with men do not consider themselves gay or bisexual. They are often married, particularly where discriminatory laws or social stigma of male sexual relations exist. Largely because of the taboo, the female partners of men who have sex with men are often unaware of their partner's other liaisons, and the threat posed to themselves. Forced sex among men is not uncommon, especially in men-only environments such as prisons. Men who have sex with men are found in all societies, yet are largely invisible in many places. In terms of HIV, sex between men is significant because it can involve anal sex, which when unprotected carries a very high risk. Sex between men is thought to account for between 5 and 10% of global HIV infections, although the proportion of cases attributed to this mode of transmission varies considerably between countries. It is the predominant mode in much of the developed world. Globally less than one in twenty men who have sex with men have access to the HIV prevention and care services they need. Many factors contribute to this situation including denial by society and communities, stigma and discrimination, and human rights abuse. Vulnerability to HIV infection is increased where sex between men is criminalised, as men are either excluded from, or exclude themselves from, sexual health and welfare agencies out of fear. A range of interventions to reduce risk behaviours among men who have sex with men have proven successful, including: condom promotion, safer-sex campaigns and skills training; peer education with outreach programmes; and programmes tailored to subpopulations such as male sex workers and men in prisons. Specific policy measures are crucial for making prevention, care and support available to men who have sex with men. First and foremost, they must be included in national HIV programming and funding priorities. The governments must support organisations of men who have sex with men, enabling them to promote HIV prevention and care programmes and to participate in HIV planning and policymaking. Legislation should be changed, decriminalizing same-sex acts and providing protective laws against discrimination based on sexual orientation.
No Turning Back
Author: New International Directions in HIV Prevention for Gay and Bisexual Men
Author: Michael WrightPublisher: Routledge
ISBN: 1317713028
Category : Health & Fitness
Languages : en
Pages : 155
Book Description
It is widely recognized that current HIV intervention models are falling short of their goals. What are the alternatives?To answer this question, New International Directions in HIV Prevention for Gay and Bisexual Men presents a collection of articles from European and American authors that rival dominant paradigms of HIV prevention. Researchers, practitioners, and community organizations will be challenged to examine current assumptions and to consider neglected aspects of risk behavior such as love, trust, and the dynamics of sexual intimacy. New International Directions in HIV Prevention for Gay and Bisexual Men explores models and theories that will help you develop more effective HIV prevention programs to better serve patients and clients.New International Directions in HIV Prevention for Gay and Bisexual Men offers you fresh perspectives on prevention work by examining risk behaviors in the interactional, communal, and social contexts in which they are practiced. You will receive alternative explanations and reasons for HIV risk that go beyond current approaches and that introduce possibilities for new intervention strategies. Written by experts in the field, the chapters in New International Directions in HIV Prevention for Gay and Bisexual Men will give you insight into new ideas and developments, including: placing a greater emphasis on improving successful risk management strategies as opposed to quantifying risk factors examining the meaning and context of sexual acts which occur in casual encounters or steady partnerships and incorporating their relevancy into prevention work considering the effects that cultural context and socially constructed meanings have on prevention work and incorporating individuals’values and feelings into prevention strategies focusing on more realistic goals of harm reduction that take sexual decision making into consideration as opposed to expecting abstinence relating the various aspects of sexual encounters--physical attraction, intimacy, reciprocity, and power--to reasons why men choose not to use condomsExamining how gay men can underestimate the risk of HIV in order to meet needs of intimacy, New International Directions in HIV Prevention for Gay and Bisexual Men will help you understand the symbolic dimension of sexual contact. The normal, everyday reasons for having sex without a condom are explored, questioning models which often characterize unprotected sex as being the result of low self-esteem, substance abuse, or some other psychological vulnerability. Presenting data from both qualitative and quantitative research conducted at group and individual levels, this book reveals the complexity of risk behavior, the richness of sexual experience, and the importance of respecting the unique context in which gay men live their sexual lives. New International Directions in HIV Prevention for Gay and Bisexual Men will help you understand this point of view, enabling you to provide patients and clients with more effective HIV prevention and risk management services.
The Global HIV Epidemics Among Men who Have Sex with Men
Author: Publisher: World Bank Publications
ISBN: 0821387278
Category : Medical
Languages : en
Pages : 300
Book Description
Human Rights; Risk behavior; Cost-effectiveness; Low and middle income countries; Human Immunodeficiency Virus; Epidemic; Men who have sex with men; Attributable fraction; Intervention/Prevention; Homosexuality.
HIV and Men who Have Sex with Men in Asia and the Pacific
Author: Joint United Nations Programme on HIPublisher:
ISBN: 9789291732623
Category : Medical
Languages : en
Pages : 68
Book Description
In Asia and the Pacific alone, an estimated 7.1 million people are living with HIV/AIDS, which means that this region has the second-largest number of people living with the virus after Sub-Saharan Africa. In this context, men who have sex with men (MSM) constitute a vulnerable group because of the risk associated with their sexual practices, and related HIV transmission is particularly significant in the more developed sub-regions of Asia and the Pacific.
The connection between HIV risk and unsafe sex between men
Author: ROMEO LEEPublisher: GRIN Verlag
ISBN: 3668539774
Category : Medical
Languages : en
Pages : 33
Book Description
Academic Paper from the year 2017 in the subject Health - Public Health, De La Salle University (College of Liberal Arts), language: English, abstract: This report reviews published research-based data on the prevalence of anal intercourse without using condoms (AIWC) among men having sex with men (MSM) samples and the characteristics of MSM having AIWC. The number of MSM in various parts of the world and who are contracting sexually transmitted infections (STI), including human immunodeficiency virus infection, is increasing. Risk-reduction interventions need more nuanced information to further understand how AIWC, the main driver of the growth in the STI prevalence among MSM populations, can be better addressed. Overall, the findings indicate that there are large numbers of MSM samples reported to have engaged in AIWC (range: 12%-72%). There are a variety of characteristics found to be statistically significantly related with AIWC, many of which are related with the general life aspects of MSM. Risk-reduction interventions need to do more in reaching out to the MSM populations by broadening the focus, substance and impact of their efforts.
Men at Risk
Author: Shari L. DworkinPublisher: NYU Press
ISBN: 0814720765
Category : Family & Relationships
Languages : en
Pages : 239
Book Description
Presents a unique approach to HIV prevention at the intersection of sociological and public health research Although the first AIDS cases were attributed to men having sex with men, over 70% of HIV infections worldwide are now estimated to occur through sex between women and men. In Men at Risk, Shari L. Dworkin argues that the centrality of heterosexual relationship dynamics to the transmission of HIV means that both women and men need to be taken into account in gender-specific HIV/AIDS prevention interventions. She looks at the “costs of masculinity” that shape men’s HIV risks, such as their initiation of sex and their increased status from sex with multiple partners. Engaging with the common paradigm in HIV research that portrays only women—and not heterosexually active men—as being “vulnerable” to HIV, Dworkin examines the gaps in public health knowledge that result in substandard treatment for HIV transmission and infection among heterosexual men both domestically and globally. She examines a vast array of structural factors that shape men’s HIV transmission risks and also focuses on a relatively new category of global health programs with men known as “gender-transformative” that seeks to move men in the direction of gender equality in the name of improved health. Dworkin makes suggestions for the next generation of gender-transformative health interventions by calling for masculinities-based and structurally driven HIV prevention programming. Thoroughly researched and theoretically grounded, Men at Risk presents a unique approach to HIV prevention at the intersection of sociological and public health research.