Efforts to control sexually transmitted infections as a means to limit HIV transmission: What is the evidence?

Dallabetta, Gina; Neilson, Graham

doi:10.1007/s11904-004-0026-7

Cited by 8 publications

(8 citation statements)

References 47 publications

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“…We found an increase in syphilis prevalence among waria in Jakarta from 19.3% in 2002 to 25.2% in 2007 [3]. Syphilis control needs to be emphasized as syphilis fuels the HIV epidemic by increasing susceptibility for HIV and by increasing HIV infectiousness among those already infected with HIV [8]. In addition, untreated syphilis results in short-term (e.g., genital lesions, lymphadenopathy, and alopecia) and long-term (cardiovascular complications such as aortic aneurysm and neurological complications such as meningitis) morbidity [9].…”

Section: Discussionmentioning

confidence: 80%

“…Syphilis and rectal STIs were associated with HIV infection in our study. As previous studies have indicated that these infections may result in increased risk of HIV transmission [8], it seems appropriate to focus on controlling STIs among waria in order to decrease HIV transmission. We have shown previously that periodic presumptive treatment for gonorrhea and chlamydia among female sex workers in Indonesia resulted in a rapid decline in prevalence of gonorrhea and Chlamydia [12].…”

Section: Discussionmentioning

confidence: 99%

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HIV, Sexually Transmitted Infections, and Sexual Risk Behavior Among Transgenders in Indonesia

et al. 2010

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Behavioral surveillance was undertaken among 1,150 male-to-female transgenders (waria) in Java, Indonesia, 2007; samples were collected for HIV and STI testing (n = 748). Almost all waria had ever sold sex (median duration 10 years). Prevalence of HIV was 24.4%, syphilis 26.8% and rectal gonorrhea and/or chlamydia 47.0%. Syphilis and rectal STIs were associated with HIV infection. Consistent condom use during receptive anal sex with clients was reported by 35.9% waria and was higher among those who visited an STI clinic and who knew their HIV status. Efforts should continue to strengthen behavior change and STI care in future HIV prevention programs.

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Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

HIV, Sexually Transmitted Infections, and Sexual Risk Behavior Among Transgenders in Indonesia

et al. 2010

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“…1 With the epidemic of HIV, control of STDs has received higher priority throughout the world. 2 STD are the facilitating cofactor that contributes to the spread of HIV by increasing risk of infectiousness and susceptibility. 3 Empirical evidence has indicated that control of STDs can be an effective strategy of HIV prevention.…”

Section: Introductionmentioning

confidence: 99%

Demographic and behavioral determinants of self-reported history of sexually-transmitted diseases (STDs) among young migrant men who have sex with men (MSM) in Beijing, China

Song

Zhang

et al. 2011

Health Education Journal

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Background: Sexually-transmitted disease (STD) is a facilitating cofactor that contributes to human immunodeficiency virus (HIV) transmission. Previous studies indicated a high prevalence of STDs among men who have sex with men (MSM) in China. To date, limited data are available for correlates of STD infection among young migrant MSM in China. The current study intends to examine the association between demographic and behavioral factors and STD infection. Methods: Data were collected from a sample of 307 migrant MSM aged 18-29 years in Beijing in 2009. Multivariate logistic regression analysis was employed to examine the factors associated with a history of STDs. Results:Results showed that about 13% of MSM reported a history of STDs. The average number of lifetime sexual partners was 15.0. About 56.7% of MSM did not use a condom at the first sexual encounter. The percentage of MSM who used a condom consistently was 47.4%. Multivariate logistic regression results showed that STD history was positively associated with education, income, the number of lifetime male sexual partners, and negatively associated with the frequency of properly using a condom. Conclusion: STD history was associated with socioeconomic status and sexual risk behaviors. The results suggested that HIV prevention intervention programs need to educate MSM to reduce the number of sexual partners and to use a condom properly. Furthermore, HIV prevention intervention programs among MSM need to be tailored to meet the needs of different socioeconomic groups of MSM.

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“…To design effective prevention interventions, we need a better understanding of how these factors shape sexual protection behavior among seropositive gay men. Prevention with HIV-positive individuals (''positive prevention'') in HIV care settings is relevant for a number of reasons: unprotected sexual activity may lead to deteriorated health through additional STIs (Dallabetta & Neilsen, 2007) or infection with treatment resistant HIV-strains and subsequent treatment failure (Remien et al, 2007;Richman et al, 2004). ''Positive prevention''is also an important contribution towards reducing onwards HIV infections.…”

Section: Introductionmentioning

confidence: 99%

Sexual Protection Behavior in HIV-Positive Gay Men: Testing a Modified Information-Motivation-Behavioral Skills Model

et al. 2010

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This study on determinants of sexual protection behavior among HIV-positive gay men used the empirically tested information-motivation-behavioral skills (IMB) model. HIV-specific variables were added to the model to determine factors decisive for condom use with steady and casual partners. Data were collected using an anonymous, standardized self-administered questionnaire. Study participants were recruited at HIV outpatient clinics associated with the Eurosupport Study Group and the Swiss HIV Cohort Study. To identify factors associated with condom use, backward elimination regression analyses were performed. Overall, 838 HIV-infected gay men from 14 European countries were included in this analysis. About 53% of them reported at least one sexual contact with a steady partner; 62.5% had sex with a casual partner during the last 6 months. Forty-three percent always used condoms with steady partners and 44% with casual partners. High self-efficacy and subjective norms in favor of condom-use were associated with increased condom use with casual and steady partners, whereas feeling depressed was associated with decreased condom use with casual partners. Condoms were used less often with HIV-positive partners. Self-efficacy as an important behavioral skill to perform protection behavior was influenced by lower perceived vulnerability, higher subjective norms, and more positive safer sex attitudes. The IMB-model constructs appeared to be valid; however, not all the model predictors could be determined as hypothesized. Besides the original IMB constructs, HIV-specific variables, including sexual partners' serostatus and mental health, explained condom use. Such factors should be considered in clinical interventions to promote "positive prevention."

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Efforts to control sexually transmitted infections as a means to limit HIV transmission: What is the evidence?

Cited by 8 publications

References 47 publications

HIV, Sexually Transmitted Infections, and Sexual Risk Behavior Among Transgenders in Indonesia

HIV, Sexually Transmitted Infections, and Sexual Risk Behavior Among Transgenders in Indonesia

Demographic and behavioral determinants of self-reported history of sexually-transmitted diseases (STDs) among young migrant men who have sex with men (MSM) in Beijing, China

Sexual Protection Behavior in HIV-Positive Gay Men: Testing a Modified Information-Motivation-Behavioral Skills Model

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