HIV/AIDS among female sex workers, injecting drug users and men who have sex with men in Lebanon: results of the first biobehavioral surveys

Mahfoud, Ziyad; Afifi, Rima; Ramia, S.; D, El Khoury; Kassak, Kassem; F, El Barbir; Ghanem, Maguy; Elnakib, Mostafa; DeJong, Jocelyn

doi:10.1097/01.aids.0000386733.02425.98

Cited by 64 publications

(86 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Likewise, enjoyment associated with group sex practices and their preference to experience sexual sensation without condoms, coupled with the unavailability of condoms at time when such practices happened, were enablers to MSM engagement in UAI. Findings of the current study conform to previous studies (Egypt Ministry of Health and Population National AIDS Program, 2006;El-Sayed, et al, 1994;Elrashied, 2006;Mahfoud, Afifi, Ramia, El-Khoury, & Kassak, 2010), including, that participants' engagement in transactional sex practices as male sex workers put them in a weak position for safe sex negotiation. These findings also support results of previous studies (Balán, et al, 2009;Berg & Grimes, 2010;Elford, Bolding, & Sherr, 2001;Mettey, Crosby, DiClemente, & Holtgrave, 2003;Poon, et al, 2013), that inform the use of internet to meet online sex partners for offline sex and transactional sex as the common practices that contributed to unprotected sexual behaviours among MSM populations.…”

Section: Discussionsupporting

confidence: 89%

Exploring Determinants of Unprotected Sexual Behaviours Favouring HIV Transmission among Men who Have Sex with Men in Yogyakarta, Indonesia

Fauk¹,

Crutzen

Merry³

et al. 2017

GJHS

View full text Add to dashboard Cite

A qualitative inquiry using individual interviews explored determinants of unprotected sexual behaviours favouring HIV transmission among Men who Have sex with Men (MSM) in Yogyakarta, Indonesia. The study was conducted in July 2015 with 24 MSM participants recruited using convenience sampling technique. Data were analysed using a qualitative data analysis framework, with the Social Cognitive Theory (SCT) employed as the study conceptual framework. Findings were grouped into a reciprocal triadic relationship involving behavioural, personal (cognitive) and environmental determinants. Behavioural determinants comprised having multiple casual sex partners, engagement in group sex and transactional sex practices. Environmental factors associated with unprotected sexual behaviours included influence of unsafe sex from regular partners and lack of access to HIV-related services. Personal (cognitive) determinants favouring unprotected sexual behaviours identified were lack of knowledge of condom and HIV/AIDS, individuals' expectation of pleasurable sexual intercourse, and low self-efficacy to discuss condom use and HIV status with casual sex partners. As effort to address HIV in MSM in Indonesia is still at its infancy, the findings of the current study are insightful and will inform the development of evidence-based programs in addressing HIV/AIDS problem in MSM populations in Yogyakarta and other similar settings.

show abstract

Section: Discussionsupporting

confidence: 89%

Exploring Determinants of Unprotected Sexual Behaviours Favouring HIV Transmission among Men who Have Sex with Men in Yogyakarta, Indonesia

Fauk¹,

Crutzen

Merry³

et al. 2017

GJHS

View full text Add to dashboard Cite

show abstract

“…Most of them had attended school and could read and write but some had completed university education. These findings are in accordance with findings of most studies on FSW in the Middle East and North Africa [12][13][14][15]. On the other hand, most of the FSW had been married at a relatively young age.…”

Section: Discussionsupporting

confidence: 91%

Looking beyond legality: understanding the context of female sex workers in greater Cairo, Egypt

Ia¹,

I²,

Ya³

2013

East Mediterr Health J

View full text Add to dashboard Cite

Data on demographic, social and behavioural characteristics of female sex workers in greater Cairo are very scarce. A cross-sectional study was conducted with 431 randomly selected sex workers after mapping of sites where they gather. Data collection was performed by direct interviewing using a questionnaire sheet covering sociodemographic data and sexual history with paying and non-paying partners. More than one half of participants (52.7%) were aged < 30 years. Only 39.3% were exclusively working as sex workers while the rest had other jobs beside sex work. Almost 70% were responsible for dependants. The age of first selling sex was < 15 years for 4.7% of the women and 15-25 years for 58.7%. Unwanted pregnancies were experienced by 36.2% and 34.8% had had an abortion. Many participants had ever been arrested by the police (71.2%). The study has provided some useful background data for further studies in this very sensitive area of research. RÉSUMÉ Les données sur les caractéristiques démographiques, sociales et comportementales des professionnelles du sexe dans le Grand Caire sont très rares. Une étude transversale a été menée auprès de 431 professionnelles du sexe sélectionnées aléatoirement après avoir cartographié leurs lieux de rassemblement. Le recueil des données a été réalisé par entretien direct à l'aide d'un questionnaire couvrant les données sociodémographiques et les antécédents sexuels avec des partenaires payants ou non. Plus de la moitié des participantes (52,7 %) avait moins de 30 ans. Seules 39,3 % exerçaient exclusivement cette activité professionnelle alors que les autres avaient un autre emploi en plus de leur activité de professionnelle du sexe. Près de 70 % avaient des personnes à charge. L'âge de la première vente de services sexuelles était inférieur à 15 ans pour 4,7 % des femmes et se situait entre 15 à 25 ans pour 58,7 %. Au total, 36,2 % avaient eu une grossesse non désirée et 34,8 % avaient subi un avortement. Les participantes étaient nombreuses à avoir été arrêtées par la police (71,2 %). L'étude a fourni des données contextuelles utiles pour la réalisation d'autres études approfondies dans ce domaine de recherche très sensible.‫املتوسط‬ ‫لرشق‬ ‫الصحية‬ ‫املجلة‬ ‫عرش‬ ‫التاسع‬ ‫املجلد‬ ‫األول‬ ‫العدد‬ 25

show abstract

“…The same finding was obtained in our study where more than one-third of the studied sex workers reported having sex under the threat of abuse or abusive sex, which was mostly physical. Violence is associated with unprotected sex and increases the risk of HIV infection due to vaginal trauma and lacerations resulting from the use of force [2,[15][16][17][18]. Sexually transmitted infections (STIs) are common among FSWs as shown by different studies [19][20][21].…”

Section: Discussionmentioning

confidence: 99%

HIV infection and related risk behaviours among female sex workers in greater Cairo, Egypt

Kabbash¹,

I²,

Shehata³

et al. 2012

Easter Mediterr Health J

View full text Add to dashboard Cite

Although illegal in Egypt, prostitution exists. The prevalence of HIV infection among female sex workers (FSWs) in Cairo is not precisely known. This cross-sectional study investigated the high-risk behaviour for HIV infection and HIV prevalence among FSWs in greater Cairo. A total of 431 FSWs were interviewed about their sexual history with paid and unpaid partners, condom use and risky behaviour for HIV infection; all were tested for HIV. Use of alcohol and drugs was reported by 39.9% and 49.0% of the women respectively; 37.6% only used such substances while with a client. Male condoms were known by 72.6% but their use in the previous month was low (32.8%) and only 22.4% had used one with their last client. The main reasons for not using condoms were not thinking of it (40.6%) and client refusal (20.5%). All the women tested negative for HIV infection. The high-risk behaviour of many FSWs necessitates intervention programmes to reduce their risk of HIV infection. Health and Community Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt (Correspondence to I.A. Kabbash: iafkabbash@gmail.com RÉSUMÉ Bien qu'illégale en Égypte, la prostitution existe. La prévalence de l'infection à VIH chez les professionnelles du sexe au Caire n'est pas connue précisément. La présente étude transversale a étudié les comportements associés à un risque important de contracter une infection à VIH et la prévalence de ce virus chez les professionnelles du sexe en activité dans le Grand Caire. Au total, 431 professionnelles du sexe ont été interrogées au sujet de leurs antécédents en matière de rapports sexuels avec des partenaires rémunérant ou non leurs services, d'utilisation du préservatif et de comportements à risque pour l'infection à VIH ; toutes les personnes interrogées ont été soumises à un test de dépistage du VIH. Parmi celles-ci, 39,9 % déclaraient consommer de l'alcool et 49,0 % de la drogue ; 37,6 % en consommaient uniquement avec leurs clients. Les préservatifs masculins étaient connus de 72,6 % d'entre elles mais elles étaient peu nombreuses (32,8 %) à en avoir utilisé au cours du mois précédent et seulement 22,4 % en avaient utilisé un avec leur dernier client. Les principales raisons de leur absence d'utilisation des préservatifs étaient l'oubli (40,6 %) et le refus du client (20,5 %). Toutes les professionnelles du sexe de l'étude ont obtenu des résultats négatifs dans le dépistage du VIH. Le comportement à haut risque de nombreuses professionnelles du sexe appelle des programmes d'intervention afin de réduire leur risque d'infection à VIH. 1 Department of Public‫املتوسط‬ ‫لرشق‬ ‫الصحية‬ ‫املجلة‬ ‫عرش‬ ‫الثامن‬ ‫املجلد‬ ‫التاسع‬ ‫العدد‬ 921

show abstract

HIV/AIDS among female sex workers, injecting drug users and men who have sex with men in Lebanon: results of the first biobehavioral surveys

Cited by 64 publications

References 7 publications

Exploring Determinants of Unprotected Sexual Behaviours Favouring HIV Transmission among Men who Have Sex with Men in Yogyakarta, Indonesia

Exploring Determinants of Unprotected Sexual Behaviours Favouring HIV Transmission among Men who Have Sex with Men in Yogyakarta, Indonesia

Looking beyond legality: understanding the context of female sex workers in greater Cairo, Egypt

HIV infection and related risk behaviours among female sex workers in greater Cairo, Egypt

Contact Info

Product

Resources

About