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Beri LV, Shelke PS, Acharya SM. Sexual behavior and contraceptive practices: Study among married heterosexual HIV serodiscordant couples of reproductive age group attending anti-retroviral therapy centre at a Tertiary care hospital in Mumbai, India. J Family Med Prim Care 2021; 10:3401-3405. [PMID: 34760764 PMCID: PMC8565118 DOI: 10.4103/jfmpc.jfmpc_2389_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2021] [Revised: 02/21/2021] [Accepted: 05/03/2021] [Indexed: 11/18/2022] Open
Abstract
Background: As many as half of people with HIV who are in a long-term sexual relationship have an HIV-negative partner. Data on sexual behavior and contraceptive needs of heterosexual serodiscordant couples are scarce in India. Keeping these facts in mind, it was considered imperative to conduct a study on sexual behavior, contraceptive practices and associated high risk factors among heterosexual serodiscordant couples. Objectives: The objective of the study was to assess the sexual behavior, current contraceptive practices and various risk factors of HIV transmission among married heterosexual HIV serodiscordant couples. Materials and Methods: Descriptive study conducted at antiretroviral therapy (ART) centre from where 100 discordant couples were included, data were collected related to their sexual practices, knowledge about different contraception methods and high risk factors related to infection transmission were recorded. Results: All couples had knowledge of use of condoms (100%) while consistent usage was seen only in 18%. The high risk of HIV transmission was seen among recently married serodiscordant couples. Couples engaged in daily intercourse were more likely to have high risk of transmission (P value < 0.05). Conclusion: This study showed various risk factors for infection transmission to the seronegative partner among serodiscordant couples. Henceforth, given conception that prevention of these factors could reduce overall seroconversion rate among such couples.
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Affiliation(s)
- Lakshay V Beri
- Department of Community Medicine, Seth GS Medical Colege and KEM hospital, Parel, Mumbai, Maharashtra, India
| | - Pallavi S Shelke
- Department of Community Medicine, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India
| | - Shrikala M Acharya
- Additional Project Director (APD), Mumbai Districts AIDS Control Society (MDACS), Mumbai, Maharashtra, India
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Female Condom Use and Its Acceptability Among HIV-serodiscordant Couples in China. J Assoc Nurses AIDS Care 2020; 30:428-439. [PMID: 31241507 DOI: 10.1097/jnc.0000000000000004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Intimate partners of people living with HIV are at risk of HIV infection. We assessed the acceptability of female condom use among 89 married, heterosexual, HIV-serodiscordant couples from Sichuan and Hunan provinces in China for this prospective observational cohort study. Participants used female condoms for 3 months, reporting use and attitudes in written logs and questionnaires. At the end of the study, 58.4% of couples expressed willingness to continue using female condoms. Factors associated with willingness to use female condoms were (a) the female partner reporting having experienced forced sex by the male partner, (b) applying a lubricant to the penis, (c) understanding the correct application method, (d) being married more than 20 years, and (e) experiencing no difficulty during the first use. Most HIV-serodiscordant couples found female condoms to be acceptable. Increasing access to female condoms could be an acceptable alternative barrier method to male condoms for preventing HIV transmission.
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Jabr AM, Di Stefano M, Greco P, Santantonio T, Fiore JR. Errors in Condom Use in the Setting of HIV Transmission: A Systematic Review. Open AIDS J 2020. [DOI: 10.2174/1874613602014010016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Background:
The efficacy of condom use in declining HIV transmission may be compromised by their incorrect usage. Much focus has been paid on the regularity of condom usage but consumer mistakes and challenges must be considered. Breakage, slipping, leakage, incomplete use and other problems during the sexual event may compromise the protective role of the condom.
Objective:
To evaluate through a systematic review of published data, the type, and incidence of error and problems in condom use, and their possible role in reducing the preventive action of condoms.
Methods:
A systematic literature search for peer-reviewed articles published between January 2000 and January 2019, issued in English in peer-reviewed journals, and reporting the occurrence of condom errors/problems among HIV high-risk populations.
Results:
Twenty studies representing nine countries met the inclusion criteria. The most predominant mistakes associated with condom use included condom breakage, slippage, delayed condom application, early removal, issues related to erection loss and difficulties with fit and feel were reported, failure to squeeze out air, use of expired condoms, reuse of condom, and wearing the condom outside out were other issues noticed.
Conclusions:
Condom use problems and mistakes are prevalent across the globe. Educational efforts are needed to empower HIV the at-risk population with confidence and knowledge to improve correct condom use and increase preventive activity
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Wang Z, Lau JTF, Wang Q, Mo PKH. Prevalence of and Factors Associated With Inconsistent Condom Use With HIV-Discordant Male Regular Sex Partners Among HIV-Infected Women in China. JOURNAL OF SEX & MARITAL THERAPY 2019; 45:339-349. [PMID: 30703336 DOI: 10.1080/0092623x.2018.1526835] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
This study was to investigate the prevalence and associated factors of inconsistent condom use with HIV-discordant regular male sex partners (RP: defined as their husband or steady boyfriends) in the last six months among HIV-infected women in China. We interviewed 256 HIV-infected women who currently had at least one HIV-discordant RP and had had sexual intercourse with such RP since diagnosis. The prevalence of inconsistent condom use with HIV-discordant RP was 48.4%. Associated factors included perceptions related to condom use and perceived competence in communicating with HIV-discordant RP regarding condom use.
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Affiliation(s)
- Zixin Wang
- a Centre for Health Behaviours Research, JC School of Public Health and Primary Care , The Chinese University of Hong Kong , Hong Kong SAR , China
- b Shenzhen Research Institute , The Chinese University of Hong Kong , Shenzhen , China
| | - Joseph T F Lau
- a Centre for Health Behaviours Research, JC School of Public Health and Primary Care , The Chinese University of Hong Kong , Hong Kong SAR , China
- b Shenzhen Research Institute , The Chinese University of Hong Kong , Shenzhen , China
| | - Qian Wang
- c Department of Prevention of Mother to Child Transmission of Disease, National Center for Women and Children's Health , Chinese Center for Disease Control and Prevention , Beijing , China
| | - Phoenix K H Mo
- a Centre for Health Behaviours Research, JC School of Public Health and Primary Care , The Chinese University of Hong Kong , Hong Kong SAR , China
- b Shenzhen Research Institute , The Chinese University of Hong Kong , Shenzhen , China
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Tsui HY, Lau JTF, Wang Z, Gross DL, Wu AMS, Cao W, Gu J, Li S. Applying the pre-intentional phase of the Health Action Process Approach (HAPA) Model to investigate factors associated with intention on consistent condom use with various types of female sex partners among males who inject drugs in China. AIDS Care 2016; 28:1079-88. [DOI: 10.1080/09540121.2016.1146652] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Moreno JA, McKerral M. Relationships between risky sexual behaviour, dysexecutive problems, and mental health in the years following interdisciplinary TBI rehabilitation. Neuropsychol Rehabil 2016; 28:34-56. [PMID: 26872445 DOI: 10.1080/09602011.2015.1136222] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Little is known about the long-term consequences of traumatic brain injury (TBI) regarding risky sexual behaviour. The objectives of the study were (1) to compare risky sexual behaviour in a sample of individuals with TBI having received interdisciplinary rehabilitation with that of healthy controls, and (2) to explore the relationships between risky sexual behaviour, executive functions, and mental health in individuals with TBI. The study group consisted of 42 individuals with TBI with a mean age of 37.9 years (SD = 9.7), 12.8 years of education (SD = 3.3), and 3.3 years post-injury (SD = 4.3). Healthy controls consisted of 47 participants, with a mean age of 37.6 years (SD = 10.7), and 13 years of education (SD = 3). Risky sexual behaviour was measured with the Sexual Risk Survey and executive function with the Dysexecutive Questionnaire. Mental health measures included the Generalised Anxiety Disorder Scale, and the Patient Health Questionnaire for depression. Compared to healthy controls, individuals with TBI reported more dysexecutive and mental health problems, without differences in risky sexual behaviour. In individuals with TBI, risky sexual behaviour was associated with behavioural, cognitive and emotional dysexecutive problems, but not with anxiety or depression. It was concluded that special attention should be given to individuals with TBI showing difficulties in executive functions given their association with risky sexual behaviour.
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Affiliation(s)
- Jhon Alexander Moreno
- a Center for Interdisciplinary Research in Rehabilitation (CRIR)-Centre de Réadaptation Lucie-Bruneau (CRLB) , Montréal , Canada
| | - Michelle McKerral
- b Centre de Recherche en Neuropsychologie et Cognition (CERNEC), Department of Psychology , Université de Montréal , Montréal , Canada
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Wei S, Chen X, Li G, Zhou W, Shi W, Wang X. Sexually transmitted infections among migrants' wives remaining in rural homes - a pilot study of the remaining women in rural Wuhan, China. Health Psychol Behav Med 2014; 2:82-87. [PMID: 25750769 PMCID: PMC4346001 DOI: 10.1080/21642850.2013.872991] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2013] [Accepted: 12/04/2013] [Indexed: 11/07/2022] Open
Abstract
The growing HIV/AIDS epidemic in China appears to be related to the vast rural-to-urban migration, with rural migrants serving as a “living bridge” for the spread of HIV. The purpose of this study is to examine whether migrants' wives remaining in rural homes play a role in spreading the virus. Participants were recruited from 12 rural villages. Social and demographic factors, sexual behaviour, and HIV/AIDS knowledge were assessed using survey questionnaire. Reproductive tract infection (RTI; syphilis, chlamydia, gonorrhea, vaginalis trichomonas, and candidiasis) were assessed using blood and vaginal specimens. Among the total 63 participants, 28 (44.4%) were wives remaining behind while their husbands migrated to a city (“remaining”) and 35 were women whose spouses remained in the rural setting (“comparison”). The reported median duration (inter-quarter range (IQR)) since the last episode of sex with husband was nine months (IQR: 7–15) for the remaining women and three months (IQR: 2–7) for the comparison women (Z = 3.95, p < 0.01). RTI was 32.1% for remaining women and 17.1% for the comparison women (Odds ratio = 2.28, 95%CI: 0.70–7.48, p = 0.165). The high rate of RTI suggests that remaining women in rural areas may be at increased risk for acquiring HIV infection compared to women whose husbands remained in rural homes.
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Affiliation(s)
- Shanbo Wei
- Wuhan Family Planning and Health Commission , Wuhan , China
| | - Xinguang Chen
- Wuhan Centers for Disease Prevention and Control , Wuhan , China ; School of Medicine, Wayne State University , Detroit , MI , USA
| | - Gang Li
- Wuhan Institute of Sexually Transmitted Diseases , Wuhan , China
| | - Wang Zhou
- Wuhan Centers for Disease Prevention and Control , Wuhan , China
| | - Weidong Shi
- Wuhan Institute of Sexually Transmitted Diseases , Wuhan , China
| | - Xia Wang
- Wuhan Centers for Disease Prevention and Control , Wuhan , China
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Should associations between HIV-related risk perceptions and behaviors or intentions be positive or negative? PLoS One 2012; 7:e52124. [PMID: 23284896 PMCID: PMC3526527 DOI: 10.1371/journal.pone.0052124] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2012] [Accepted: 11/08/2012] [Indexed: 11/24/2022] Open
Abstract
Risk perceptions are important in HIV research and interventions; mixed results were found between HIV-related perceptions and behaviors. We interviewed 377 sexually active injecting drug users in China, finding mixed associations between HIV-related risk perception assessed by two general measures and two previous risk behaviors (syringe sharing: p<.05; unprotected sex: p>.05) – partially supporting the ‘reflective hypothesis’ that reflection on previous behaviors increases risk perceptions. When we use specific measures for risk perceptions (HIV transmission via unprotected sex with specific types of sex partner and via syringe sharing) and use behavioral intention to adopt protective risk behaviors (condom use and avoid syringe sharing totally) as dependent variables, positive significant associations were observed – supporting the motivational hypothesis that risk perceptions motivate one to adopt protective behaviors. The direction and significance of the associations of concern depends on types of measures used. It has important implications on research design, data interpretation and services.
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Persson A. Notes on the concepts of 'serodiscordance' and 'risk' in couples with mixed HIV status. Glob Public Health 2012; 8:209-20. [PMID: 23043414 DOI: 10.1080/17441692.2012.729219] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Serodiscordant primary relationships, in which one partner is HIV-positive and the other is HIV-negative, are increasingly recognised as a key context for the transmission of HIV globally. Yet insights into the dynamics of serodiscordance remain relatively limited. I argue that to understand what makes serodiscordant couples engage in sexual practices that increase the chance of transmission, we need to examine what HIV 'risk' actually means in different cultures and contexts. A 'socially situated' approach to HIV risk moves beyond its scientific conceptualisation as an objective 'fact', revealing a diversity of perceptions and competing risks. It also reveals that couples do not necessarily perceive their mixed HIV status in terms of 'difference', a common assumption that predetermines serodiscordance and thereby obscures its many and complex enactments. I draw on examples from the social research literature to illustrate how serodiscordance is shaped in different ways by local practices, priorities, and meanings. I argue that it is within these lived contexts that perceptions and negotiations of 'risk' arise and, thus, where couples' sexual practices need to be situated and understood. Such insights are timely as HIV research and prevention grapple with emerging scientific data that challenge traditional understandings about HIV transmission risk.
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Affiliation(s)
- Asha Persson
- National Centre in HIV Social Research, University of New South Wales, Sydney, NSW, Australia.
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