Prevalence of HIV, syphilis, and assessment of the social and structural determinants of sexual risk behaviour and health service utilisation among MSM and transgender women in Terai highway districts of Nepal: findings based on an integrated biological and behavioural surveillance survey using respondent driven sampling

Storm, Margrethe Larsdatter; Deuba, Keshab; Damas, José; Shrestha, Upendra Thapa; Rawal, Bir; Bhattarai, Rajan; Marrone, Gaetano

doi:10.1186/s12879-020-05122-3

Cited by 21 publications

(13 citation statements)

References 33 publications

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“…HIV prevention in countries with relatively stable prevalence or where the epidemic is concentrated in specific populations, such as Brazil and Portugal, is especially challenging, as the spread of the virus is fueled by high-risk and often stigmatized behaviors 47 - 48 .…”

Section: Discussionmentioning

confidence: 99%

Determinants of sexual exposure to HIV in Portuguese and Brazilian adolescents: a path analysis

Teixeira

Lima

Sousa

et al. 2022

Rev. Latino-Am. Enfermagem

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Objective: to analyze the direct and indirect effects of determinants of sexual exposure to the human immunodeficiency virus among male adolescents who have sex with men and the implications for nursing care. Method: cross-sectional study carried out with 578 Portuguese and Brazilian adolescents aged 18 and 19. Interrelationships of conjugal status, use of dating apps, practice of chemsex, unawareness, partner credibility, challenging sexual practices and ineffective forms of protection against sexual exposure to the human immunodeficiency virus were evaluated using the Path Analysis technique. Results: significant direct effect on sexual exposure to the human immunodeficiency virus: conjugal status (β=-0.16), use of apps (β=-0.30), challenging sexual practices (β=0.48) and ineffective forms of protection (β=0.35). Indirect paths: partner credibility influenced ineffective forms of protection (β=0.77); having a steady/polyamorous relationship influenced the use of dating apps (β=-0.46); chemsex, mediated by challenging sexual practices (β=0.67), determined greater sexual exposure. Conclusion: adolescent sexual behaviors and forms of amorous/sexual relationship must be considered in nursing care planning to reduce sexual exposure to the human immunodeficiency virus.

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Section: Discussionmentioning

confidence: 99%

Determinants of sexual exposure to HIV in Portuguese and Brazilian adolescents: a path analysis

Teixeira

Lima

Sousa

et al. 2022

Rev. Latino-Am. Enfermagem

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“…A prevenção do HIV em países com prevalência relativamente estável ou onde a epidemia está concentrada em populações específicas, como Brasil e Portugal, é especialmente desafiadora, uma vez que a disseminação do vírus é alimentada por comportamentos de alto risco, muitas vezes estigmatizados (47)(48) .…”

Section: Discussionunclassified

Fatores determinantes da exposição sexual ao HIV em adolescentes luso-brasileiros: uma análise de caminhos*

Teixeira

Lima

Sousa

et al. 2022

Rev. Latino-Am. Enfermagem

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Resumo Objetivo: analisar os efeitos diretos e indiretos de fatores determinantes da exposição sexual ao vírus da imunodeficiência humana entre adolescentes homens que fazem sexo com homens e as implicações para o cuidado em enfermagem. Método: estudo transversal, realizado com 578 adolescentes de 18 a 19 anos luso-brasileiros. Avaliaram-se inter-relações de situação conjugal, uso de aplicativos de relacionamento, prática de chemsex, desinformação, credibilidade do parceiro, práticas sexuais desafiadoras e medidas protetivas pouco eficazes sobre a exposição sexual ao vírus da imunodeficiência humana, com a técnica de Análise de Caminhos. Resultados: apresentou efeito direto significante para exposição sexual ao vírus da imunodeficiência humana: situação conjugal (β=-0,16), uso de aplicativos (β=-0,30), práticas sexuais desafiadoras (β=0,48) e medidas protetivas pouco eficazes (β=0,35). Nos caminhos indiretos: credibilidade do parceiro influenciou medidas protetivas pouco eficazes (β=0,77); ter relacionamento fixo/poliamoroso influenciou o uso de aplicativos de relacionamento (β=-0,46); chemsex, mediado por práticas sexuais desafiadoras (β=0,67), determinou maior exposição sexual. Conclusão: comportamentos sexuais dos adolescentes e configurações do relacionamento amoroso/sexual precisam ser considerados no planejamento da assistência em enfermagem para diminuir a exposição sexual ao vírus da imunodeficiência humana.

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“…The ongoing HIV/AIDS pandemic remains a devastating global health crisis that both structures, and is structured by, persistent social inequities worldwide (e.g., [49][50][51][52][53]). Yet very few studies have examined the specific role of LS in structuring HIV/AIDS risk.…”

Section: Legal Status and Hivmentioning

confidence: 99%

Legal status as a life course determinant of health: parent status, adjudication stages, and HIV knowledge among highlanders in Thailand

et al. 2021

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Background Rising nativism and political volatility worldwide threaten to undermine hard-won achievements in human rights and public health. Risks are particularly acute for hundreds of millions of migrants, minorities, and Indigenous peoples, who face disproportionately high health burdens, including HIV/AIDS, and precarious legal status (LS). While LS is receiving increasing attention as a social determinant of health and HIV, understandings are still limited to select immigrant communities. Its effects on health among stateless communities, particularly in the Global South, remain largely unknown. Moreover, widespread limitations in census measures of LS reduce its complexity to a simplistic citizen/non-citizen binary or insufficient proxies. Thailand’s ethnolinguistically diverse highlander population experiences disproportionately high HIV prevalence and comprises one of the world’s largest and most protracted cases of statelessness, an acute condition of precarious LS. As such, analysis of LS and health outcomes among highlanders is both critically warranted, and useful as a case study outside of the migration paradigm. Methods Drawing on the UNESCO Highland Peoples Survey II (2010), an unprecedented and unique cross-sectional census of highlanders in Thailand, we mobilize complex measures of LS in adjusted ordinal logistic regression models to assess how parent citizenship and LS adjudication over the early life course condition adult HIV knowledge—a key protective factor against transmission (n = 8079). Results Adjusted ordinal logistic regression on knowledge scores reveal that parent citizenship predicts odds of greater knowledge by 1.4- to 2.2-fold, depending on ethnic group. This is partially explained by divergent stages of LS adjudication between birth and adulthood, including successful birth registration and adult citizenship acquisition, along with secondary school completion. Precisely how these factors contribute to HIV knowledge varies by ethnic group. Conclusions This study advances knowledge of LS outside of the migration paradigm, reveals heretofore unexamined connections between LS and access to public health information, and elucidates how instabilities in LS adjudication stages underlie health inequalities over the life course. Findings indicate that securing success in public health and human rights agendas requires attention to how states adjudicate and deploy LS in multiple stages across the life course to structure access and exclusion among migrant and non-migrant communities alike.

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Cited by 21 publications

References 33 publications

Determinants of sexual exposure to HIV in Portuguese and Brazilian adolescents: a path analysis

Determinants of sexual exposure to HIV in Portuguese and Brazilian adolescents: a path analysis

Fatores determinantes da exposição sexual ao HIV em adolescentes luso-brasileiros: uma análise de caminhos*

Legal status as a life course determinant of health: parent status, adjudication stages, and HIV knowledge among highlanders in Thailand

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