A Review of Cultural Influences on Risk for HIV and Culturally-Responsive Risk Mitigation Strategies Among African Immigrants in the US

Aidoo-Frimpong, Gloria; Agbemenu, Kafuli; Orom, Heather

doi:10.1007/s10903-020-01138-8

Cited by 17 publications

(6 citation statements)

References 62 publications

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“…Several studies have reported this. [15][16][17][18][19][20] The prevalence pattern of HIV infection across Nigeria shows that the sexually active group contributes significantly to the burden of the disease, and the youths form a large percentage of this population group in Nigeria. Interestingly, very few studies have been conducted to examine youths' perspectives on how to curb the spread of HIV infection across the nation.…”

Section: Discussionmentioning

confidence: 99%

“…Even though various authors have shown that increasing HTS services is one of the most critical pathways to reducing the prevalence of HIV infection, little is known about the situation. [20][21][22][23] Studying university students in north central Nigeria has revealed a rising number of infections among this group. Even though there was a high level of disease awareness among the youths, very few actively sought HTS services.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of Human Immunodeficiency Virus Infection and Risky Sexual Behaviours among Clients Attending HIV Testing Service in Ogun State, Nigeria

Salako¹,

Amoran²,

Okere³

et al. 2022

Ann Health Res

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Background: HIV testing services (HTS) are a component of HIV prevention and care programs in developed countries and have proven to be a cost-effective way of monitoring the disease, reducing risky behaviours and leading patients to other services. Objective: To determine the prevalence and risky behavioural factors associated with HIV among the attendees of HIV testing services in a part of Ogun state, Nigeria. Methods: This was a descriptive cross-sectional study of HTS clients in health facilities within Ogun State, Nigeria. A multi-stage sampling technique was used for data collection using a pretested, close-ended, interviewer-administered questionnaire. Results: A total of 800 respondents with a mean age of 32.57±10.39 years were surveyed. The prevalence of HIV was 1.6%. The majority (93.6%) of the respondents were sexually experienced. The percentage tested previously among study participants was 5.0%. This significantly comprised those below the age of 18 years (X2 = 22.01, p = 0.0001) and female respondents (Χ2 = 4.84, p = 0.028). Only 21 (2.6%) have had unprotected sex with a casual partner. Significantly more of the female respondent had been involved in this risky sexual behaviour (X2 = 4.52, p = 0.034). Only 7 (0.9%) had sex with multiple sexual partners in the last three months, and 17 (2.1%) were positive for symptomatic STI screening. Conclusion: The prevalence of HIV was low to be 1.6%, and the percentage tested previously was 5.0%. The practice of free HIV screening should be maintained to encourage more people to undergo the test.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Prevalence of Human Immunodeficiency Virus Infection and Risky Sexual Behaviours among Clients Attending HIV Testing Service in Ogun State, Nigeria

Salako¹,

Amoran²,

Okere³

et al. 2022

Ann Health Res

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“…Usually, homosexual behaviors with condoms are regarded as low sexual risk behaviors, and high sexual risk behaviors include heterosexual/homosexual behaviors without condoms [ 16 ]. In addition, having multiple sexual partners increases the sexual risk [ 17 , 18 ]. Specifically, sexual risk behavior was defined as sexual intercourse with a casual or new main partner without a condom or without a HIV test for those partners who had ever had intercourse [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

Migration experiences and reported commercial and non-commercial sexual behaviors among newly diagnosed HIV infections in China: a cross-sectional study

et al. 2023

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Background Migration is known to influence human health. China has a high migration rate and a significant number of people who are HIV-positive, but little is known about how these factors intersect in sexual risk behaviors. Objective This study aimed to explore sexual risk behaviors between migrants and non-migrants among newly diagnosed HIV infections, and assess the changes of sexual risk behaviors with length of stay in the current city of migrants. Methods A cross-sectional questionnaire was conducted among people newly diagnosed with HIV from July 2018 to December 2020 who lived in Zhejiang Province. In the study, sexual risk behaviors included having multiple sexual partners and unprotected sexual behaviors (in commercial sexual behaviors, non-commercial sexual behaviors, heterosexual behaviors, and homosexual behaviors). Binary logistic regression models were employed to explore the influencing factors of sexual risk behaviors, measured by multiple sexual partners and unprotected sexual partners. Results A total of 836 people newly diagnosed with HIV/AIDS were incorporated in the study and 65.31% (546) were migrants. The percentages of non-commercial sexual behaviors among migrants were statistically higher than those of non-migrants. Commercial heterosexual behavior was higher among non-migrants compared with migrants. The proportion of study participants having unprotected sexual behaviors and multiple sexual partners with commercial/non-commercial partners was both higher among migrants compared with non-migrants. Among migrants, the likelihood of sexual risk behaviors in both commercial and non-commercial sex increased in the first 3 years and reduced after 10 years. Compared with non-migrants, migrants were statistically associated with multiple sexual partners [P = .007, odds ratio (OR) = 1.942]. However, migrants did not exhibit a significant difference in unprotected sexual behaviors compared with non-migrants. In addition, migrants aged between 18 and 45 years who relocated to the current city in the past 2–3 years tended to have multiple sexual partners (P < .05). Conclusions People newly diagnosed with HIV engaged in different sexual risk behaviors among migrants and non-migrants and more attention should be paid to migrants. For non-migrants, it is urgent to promote the prevention of commercial sexual behaviors. For migrants, prevention of non-commercial sexual behaviors and universal access to health care especially for new arrivals who migrated to the current city for 2–3 years are needed. Moreover, sexual health education and early HIV diagnosis are necessary for the entire population.

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“…Migration is recognized as a significant, large-scale social change that impacts the spread of human immunodeficiency virus (HIV) and sexually transmitted diseases (STDs), posing challenges to the effectiveness of national Acquired Immune Deficiency Syndrome (AIDS)/ Human Immunodeficiency Virus (HIV) intervention strategies [ 5 ]. Studies have identified factors such as partner separation, limited knowledge about HIV risk, and reluctance to undergo HIV testing as contributing factors to an increased risk of HIV infection among Africans in America [ 6 ]. Researchers from London have also found a correlation between low contraceptive use among female migrants and an increased risk of STD infections [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

HIV/STD prevalence and test uptake among african in Guangzhou, China: an analysis of data from hospital-based surveillance

Xiong,

Yang,

Zhao

et al. 2023

BMC Infect Dis

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Human immunodeficiency virus (HIV) and sexually transmitted diseases (STDs) cause substantial morbidity and mortality both in African and China. However, there is limited data available on the prevalence of HIV/STDs and the uptake of testing experience ever during in China among African migrants. A venue-based survey was conducted at a tertiary hospital in Guangzhou to investigate the prevalence of HIV/STDs through laboratory testing and identify the associated factors. A total of 200 eligible participants completed the survey and bring into the analysis from April to October 2019, and the temporary visitors were excluded. The prevalence rates of HIV, syphilis, NG, CT, and HBsAg among the participants were 1.0%, 2.5%, 1.0%, 1.5%, and 5.5%, respectively. The overall reported rate of HIV/STD testing was 37.0%, with rates of 23.0% for HIV, 16.5% for syphilis, 12.5% for NG, 6.5% for genital herpes, 5.0% for condyloma acuminata, and 2.5% for CT. HIV/STD testing was associated with living environment in Guangzhou, having medical insurance in China, and utilizing health services in China in the past year. HIV/STDs are prevalent among Africans in Guangzhou, and the epidemic is likely to spread due to a significant proportion of unprotected sexual behaviors and low rates of HIV/STD testing. Urgent interventions, including targeted health education, promotion of health service utilization, and active surveillance of HIV/STDs, are needed to reduce the risk of HIV/STD transmission.

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A Review of Cultural Influences on Risk for HIV and Culturally-Responsive Risk Mitigation Strategies Among African Immigrants in the US

Cited by 17 publications

References 62 publications

Prevalence of Human Immunodeficiency Virus Infection and Risky Sexual Behaviours among Clients Attending HIV Testing Service in Ogun State, Nigeria

Prevalence of Human Immunodeficiency Virus Infection and Risky Sexual Behaviours among Clients Attending HIV Testing Service in Ogun State, Nigeria

Migration experiences and reported commercial and non-commercial sexual behaviors among newly diagnosed HIV infections in China: a cross-sectional study

HIV/STD prevalence and test uptake among african in Guangzhou, China: an analysis of data from hospital-based surveillance

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