1.  Peer Reviewed Title: High-risk behaviours among juvenile prison inmates in Pakistan. Author: Altaf A; Janjua NZ; Kristensen S; Zaidi NA; Memon A; Hook EW 3rd; Vermund SH; Shah SA Source: Public Health. 2009 Jul 15; Abstract: OBJECTIVES: To assess the sexual- and drug-use-related risk behaviours of male juvenile detainees in Karachi, Pakistan. DESIGN: Cross-sectional study. METHODS: A cross-sectional study was conducted of prison inmates aged 15-21 years in Karachi Juvenile Prison in 2002. In total, 321 inmates were interviewed about sexual orientation and behaviours, and knowledge about human immunodeficiency virus (HIV) and sexually transmitted infections (STIs). Urine specimens were collected and tested for Chlamydia trachomatis and Neisseria gonorrhoeae using ligase chain reaction. RESULTS: A substantial proportion (n=111, 34.6%) of the participants were sexually active. Sixty-two (19%) and 67 (21%) had had sex with a male or female before incarceration, respectively. Twenty-seven (8.4%) participants had an STI, and 50% of the 109 sexually active participants had had multiple sexual partners. Use of addictive substances was associated with sexual activity. The mean knowledge score computed from the sum of 16 items was 4.7, with a median of 2.9. A large proportion (40%) of participants knew about condoms, but very few (3.4%) had ever used one. The mean+/-standard deviation risk score from nine items was 2.4+/-1.7. On the basis of behavioural and biological markers, 117 (36.4%) participants had high-risk behaviour. In multivariate logistic regression analysis, knowledge, risk perception and age were predictive of higher risk. CONCLUSIONS: HIV risk behaviours are common among adolescent inmates. Although inmates do have knowledge about modes of transmission and condom use, the use of condoms is significantly low. Interventions are needed for behavioural change among this group. Language: English Keywords: PAKISTAN | RESEARCH REPORT | YOUTH | PRISONERS | SEX BEHAVIOR | DRUG USE AND ABUSE | ALCOHOL USE AND ABUSE | KNOWLEDGE | SEXUALLY TRANSMITTED DISEASES | HIV INFECTIONS | AIDS | Developing Countries | Asia, Southern | Asia | Age Factors | Population Characteristics | Demographic Factors | Population | Crime | Social Problems | Sociocultural Factors | Behavior | Reproductive Tract Infections | Infections | Diseases | Viral Diseases Document Number: 342285 |
| 2. Peer Reviewed Title: Sexual risk behaviour of the first cohort undergoing screening for enrollment into Phase I/II HIV vaccine trials in South Africa. Author: Andersson KM; Van Niekerk RM; Niccolai LM; Mlungwana ON; Holdsworth IM; Bogoshi M; McIntyre JA; Gray GE; Vardas E Source: International Journal of STD and AIDS. 2009 Feb;20(2):95-101. Abstract: We assessed risk behaviour in a heterosexual cohort undergoing prescreening for the first Phase I/II HIV vaccine trials in Soweto. We developed a survey and collected self-reported data from HIV-negative potential volunteers. Of 488 participants, most were single and approximately half were from households with incomes below the poverty level. Males reported higher rates of heavy alcohol use (P < 0.001), marijuana use (P < 0.001) and other recreational drug use (P < 0.01). Males reported more sex partners than females in the previous six months (P < 0.001), as well as more casual/anonymous partners (P < 0.001) and one-night stands (P < 0.001). Multivariate analyses revealed substance use and male gender predicted higher risk behaviours, including <100% condom use with known/suspected HIV-positive partners, having casual/anonymous partners and having more than two partners. For this population, male volunteers may need increased risk-reduction counselling during Phase I/II trials and additional recruitment methods may be necessary to identify high-risk female volunteers for Phase III efficacy trials. Language: English Keywords: SOUTH AFRICA | RESEARCH REPORT | KAP SURVEYS | CLINICAL TRIALS | MULTIVARIATE ANALYSIS | HETEROSEXUALS | SEXUAL PARTNERS | SEX BEHAVIOR | RISK BEHAVIOR | VACCINES | ALCOHOL USE AND ABUSE | SCREENING | POVERTY | DRUG USE AND ABUSE | SEX FACTORS | Developing Countries | Africa, Southern | Africa, Sub Saharan | Africa | Surveys | Sampling Studies | Studies | Research Methodology | Clinical Research | Data Analysis | Behavior | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Health | Examinations and Diagnoses | Socioeconomic Factors | Economic Factors | Population Characteristics | Demographic Factors | Population Document Number: 331093 |
| 3. Peer Reviewed Title: Intentional condomless anal intercourse among Latino MSM who meet sexual partners on the Internet. Author: Balan IC; Carballo-Dieguez A; Ventuneac A; Remien RH Source: AIDS Education and Prevention. 2009 Feb;21(1):14-24. Abstract: Data on intentional condomless anal intercourse in risky contexts, also known as "barebacking," among ethnic minority MSM, whose rates of HIV infection continue to rise, are extremely limited. In this study, 31 Latino MSM who seek barebacking partners via the Internet underwent in-depth interviews about bareback sex and its association to pleasure, substance use, HIV concerns, and cultural identity. Participants reported engaging in bareback sex owing to the physical and emotional pleasure they experience. They expressed concern about HIV infection and took steps to reduce risk of infection. Although a majority of participants reported using alcohol or drugs in the context of bareback sex, substance use did not appear to propel the behavior. Crystal methamphetamine use, prevalent only among our HIV-positive participants, was related to very high HIV risk behavior. In this sample, culture did not seem to play a large role in barebacking. Language: English Keywords: NEW YORK | RESEARCH REPORT | KAP SURVEYS | MEN HAVING SEX WITH MEN | SEXUAL PARTNERS | ETHNIC GROUPS | ANAL SEX | CONDOM USE | INTERNET | RISK BEHAVIOR | SEX BEHAVIOR | PARTNER COMMUNICATION | DRUG USE AND ABUSE | HIV TRANSMISSION | PERCEPTION | Developed Countries | United States of America | North America | Americas | Surveys | Sampling Studies | Studies | Research Methodology | Behavior | Cultural Background | Population Characteristics | Demographic Factors | Population | Risk Reduction Behavior | Information Networks | Communication | Interpersonal Relations | HIV Infections | Viral Diseases | Diseases | Psychological Factors Document Number: 330344 |
| 4. Title: Sexual practices, drug use behaviors, and prevalence of HIV, syphilis, hepatitis B and C, and HTLV-1/2 in immigrant and non-immigrant female sex workers in Argentina. Author: Bautista CT; Pando MA; Reynaga E; Marone R; Sateren WB; Montano SM; Sanchez JL; Avila MM Source: Journal of Immigrant and Minority Health. 2009 Apr;11(2):99-104. Abstract: OBJECTIVE: To study socio-demographics, sexual practices, drug use behaviors, and prevalences of HIV, syphilis, hepatitis B and C, HTLV-1 and HTLV-2 in immigrant (foreigner) and non-immigrant (local/native) female sex workers (FSW). DESIGN: This was a cross-sectional study in immigrant and non-immigrant FSW living in Buenos Aires, Argentina. Participants were interviewed using a standardized questionnaire. RESULTS: A total of 625 FSW were enrolled, of whom 169 (27%) were immigrant FSW from Paraguay, the Dominican Republic, Brazil, Peru, and Uruguay. The prevalence of syphilis and hepatitis C was significantly higher among Argentinean FSW than among immigrant FSW. However, hepatitis B prevalence was higher among immigrant FSW. Adjusted risk factor analysis comparing immigrant FSW with Argentinean FSW indicated that marital status (single), occupation (none), fee per sex act ( Keywords: ARGENTINA | RESEARCH REPORT | KAP SURVEYS | CROSS SECTIONAL ANALYSIS | COMPARATIVE STUDIES | EPIDEMIOLOGIC METHODS | SEX WORKERS | WOMEN IN DEVELOPMENT | IMMIGRANTS | HEPATITIS | SYPHILIS | PREVALENCE | DRUG USE AND ABUSE | HIV INFECTIONS | SEX BEHAVIOR | South America, Southern | South America | Latin America | Americas | Developing Countries | Surveys | Sampling Studies | Studies | Research Methodology | Behavior | Economic Development | Economic Factors | Migrants | Migration | Population Dynamics | Demographic Factors | Population | Viral Diseases | Diseases | Sexually Transmitted Diseases | Reproductive Tract Infections | Infections | Measurement Document Number: 331118 |
| 5. Peer Reviewed Title: Alcohol and illicit drug use and its influence on the sexual behavior of teenagers from Minas Gerais State, Brazil. Uso de alcool e drogas e sua influencia sobre as praticas sexuais de adolescentes de Minas Gerais, Brasil. Author: Bertoni N; Bastos FI; de Mello MV; Makuch MY; de Sousa MH; Osis MJ; Faundes A Source: Cadernos de Saude Publica. 2009 Jun;25(6):1350-1360. Abstract: This article summarizes the findings of a survey of 5,981 students from public schools in Minas Gerais State, Brazil. The analysis assessed the influence of drug use on sexual practices. Among the boys who stated having used illicit drugs and who were engaged in relationships with casual partners, 56% reported consistent condom use, as compared to 65% among those not reporting such habits. Among boys who reported illicit drug use and who were engaged in relationships with stable partners, consistent condom use was reported by 43%, versus 64% among those not reporting such habits. In the subgroup of boys engaged in stable relationships who did not report illicit drug use, consistent condom use was less frequent among those who used alcohol or cigarettes, compared to those who did not drink or smoke (61% versus 71%). Girls were less likely than boys to use condoms consistently, regardless of the nature of their relationships, without a noticeable influence of drug use. Policies to prevent drug abuse, sexually transmitted infections, and unplanned pregnancy should be fully integrated. Language: Portuguese Keywords: BRAZIL | RESEARCH REPORT | SURVEYS | YOUTH | ADOLESCENTS | STUDENTS | DRUG USE AND ABUSE | ALCOHOL USE AND ABUSE | SEX BEHAVIOR | RISK BEHAVIOR | CONDOM USE | SEXUALLY TRANSMITTED DISEASES | PREGNANCY, UNPLANNED | RISK FACTORS | South America, Eastern | South America | Latin America | Americas | Developing Countries | Sampling Studies | Studies | Research Methodology | Age Factors | Population Characteristics | Demographic Factors | Population | Education | Behavior | Risk Reduction Behavior | Reproductive Tract Infections | Infections | Diseases | Reproductive Behavior | Fertility | Population Dynamics | Health Document Number: 340175 |
| 6. Title: Supportive friendships moderate the association between stressful life events and sexual risk taking among African American adolescents. Author: Brady SS; Dolcini MM; Harper GW; Pollack LM Source: Health Psychology. 2009 Mar;28(2):238-48. Abstract: OBJECTIVE: This study examined whether uncontrollable stressful life events were associated with sexual risk taking among adolescents across a 1-year period, and whether supportive friendships modified associations. DESIGN: Participants were 159 sexually active African American adolescents (57% male; mean age [SD] = 17.0 [1.5] years at baseline). Participants were recruited for in-person interviews through random digit dialing in one inner-city neighborhood characterized by high rates of poverty and crime relative to the surrounding city. MAIN OUTCOME MEASURES: Dependent variables included substance use before sexual activity and inconsistent condom use. RESULTS: Among adolescents who reported low levels of supportive friendships, uncontrollable stressors were associated with greater levels of sexual risk taking over time. In contrast, uncontrollable stressors were not associated with sexual risk taking among adolescents who reported high social support from friends; risk taking was typically moderate to high among these adolescents. CONCLUSION: Different processes may explain sexual risk taking among adolescents with varying levels of social support from friends. Adolescents with low support may be prone to engagement in health risk behavior as a stress response, while adolescents with high support may engage in risk behavior primarily due to peer socialization of risk. Language: English Keywords: UNITED STATES OF AMERICA | RESEARCH REPORT | KAP SURVEYS | FRIENDS AND RELATIVES | BLACKS | ADOLESCENTS | PEER GROUPS | URBAN POPULATION | STRESS | SEX BEHAVIOR | RISK BEHAVIOR | DRUG USE AND ABUSE | INTERPERSONAL RELATIONS | Developed Countries | North America | Americas | Surveys | Sampling Studies | Studies | Research Methodology | Family and Household | Sociocultural Factors | Ethnic Groups | Cultural Background | Population Characteristics | Demographic Factors | Population | Youth | Age Factors | Knowledge Sources | Communication | Psychological Factors | Behavior Document Number: 341117 |
| 7. Title: Conflicting policies in China's fight against HIV/AIDS. Author: Burki T Source: Lancet Infectious Diseases. 2009 Feb;9(2):84. Abstract: The police and security forces are hampering Chinese efforts to address the HIV/AIDS epidemic, according to a Human Rights Watch (HRW) report published on Dec 9. "The government has expanded prevention and treatment programmes for drug users" said Joe Amon, HIV/AIDS programme director at HRW, "but at the same time, police are detaining drug users trying to access these services, and putting drug users in so-called drug rehabilitation centres where they are provided no drug dependency treatment". The report focuses on Guangxi province in southern China, but noted that the issues with which it dealt "stem from national laws and policies". HRW claim that police routinely wait outside methadone clinics and pharmacies to arrest suspected drug users. By placing them in mandatory confinement, the report says, the Chinese authorities were discouraging intravenous drug users from engaging with voluntary drug treatment programmes. HRW commented that the rehabilitation centres-which have a country wide population of over 340 000-"subject drug users to abusive, inhuman, and degrading treatment. They not only fail to provide HIV prevention and treatment to drug users, but facilitate its spread". The report added that HIV-positive detainees do not have their CD4 count monitored. According to official figures, there are roughly 700 000 cases of HIV/AIDS in China, and between 3 and 6 million drug users. Unsafe injection practices are a major source of HIV transmission, accounting for nearly half of new cases. "China has been very open-minded in rolling out drug substitution policies" Joseph Schumacher (University of Alabama, USA) told TLID. Since 2000, over 500 methadone clinics have been established in the country. Several nongovernmental organisations run needle exchange programmes. "More NGOs are opening and making voluntary HIV testing and counselling available", Schumacher pointed out. In China, drug addiction is widely regarded as an offence against society. The rehabilitation centres-some of which are known as "re-education through labour" centres-are emblematic of this. Schumacher suggests adjusting their function. "Instead of using these camps or re-education programmes as punishment", he says "integrate evidence-based therapies into the programmes. Use them more as treatment than as incarceration". In a related story, researchers report that improper care and the overuse of anti-tuberculosis drugs, throughout the country, have propelled Chinese rates of drug-resistant tuberculosis to almost twice the global average. (full-text) Language: English Keywords: CHINA | CRITIQUE | EVALUATION | POLICE | POLICYMAKERS | IV DRUG USERS | HIV PREVENTION | AIDS PREVENTION | HEALTH POLICY | DRUG USE AND ABUSE | VOLUNTARY COUNSELING AND TESTING | Asia, Eastern | Asia | Developing Countries | Corrections Officers | Government | Political Factors | Sociocultural Factors | Administrative Personnel | Organization and Administration | Behavior | HIV Infections | Viral Diseases | Diseases | AIDS | Policy | HIV Testing | Laboratory Examinations and Diagnoses | Examinations and Diagnoses | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Health Document Number: 330595 |
8.  Peer Reviewed Title: Sexual behavior and drug consumption among young adults in a shantytown in Lima, Peru. Author: Galvez-Buccollini JA; DeLea S; Herrera PM; Gilman RH; Paz-Soldan V Source: BMC Public Health. 2009 Jan 19;9(23):[27] p. Abstract: Risky sexual behaviors of young adults have received increasing attention during the last decades. However, few studies have focused on the sexual behavior of young adults in shantytowns of Latin America. Specifically, studies on the association between sexual behaviors and other risk factors for sexually transmitted infections (STI) and HIV/AIDS transmission, such as the consumption of illicit drugs or alcohol are scarce in this specific context. The study participants were 393 men and 400 women between 18 and 30 years of age, from a shantytown in Lima, Peru. Data were obtained via survey: one section applied by a trained research assistant, and a self-reporting section. Logistic regression was used to estimate associations between use of any illicit drug, high-risk sexual behaviors and reported STI symptoms, adjusting for alcohol consumption level and various socio-demographic characteristics. Among men, age of sexual debut was lower, number of lifetime sexual partners was higher, and there were higher risk types of sexual partners, compared to women. Though consistent condom use with casual partners was low in both groups, reported condom use at last intercourse was higher among men than women. Also, a lifetime history of illicit drug consumption decreased the probability of condom use at last sexual intercourse by half. Among men, the use of illicit drugs doubled the probability of intercourse with a casual partner during the last year and tripled the probability of reported STI symptoms. Drug consumption is associated with high-risk sexual behaviors and reported STI symptoms in a Lima shantytown after controlling for alcohol consumption level. Development of prevention programs for risky sexual behaviors, considering gender differences, is discussed. Language: English Keywords: PERU | RESEARCH REPORT | OLDER ADULTS | RISK FACTORS | RISK BEHAVIOR | DRUG USE AND ABUSE | ALCOHOL USE AND ABUSE | SEX BEHAVIOR | SEXUALLY TRANSMITTED DISEASES | AIDS | HIV INFECTIONS | CONDOM USE | SIGNS AND SYMPTOMS | South America, Western | South America | Latin America | Americas | Developing Countries | Adults | Age Factors | Population Characteristics | Demographic Factors | Population | Biology | Behavior | Reproductive Tract Infections | Infections | Diseases | Viral Diseases | Risk Reduction Behavior Document Number: 329532 |
| 9. Title: HIV seroprevalence and associated risk factors among male inmates at the Belize Central Prison. Author: Gough E; Edwards P Source: Revista Panamericana de Salud Pública / Pan American Journal of Public Health. 2009 Apr;25(4):292-299. Abstract: To determine the seroprevalence of HIV and identify associated risk factors among inmates at the Belize Central Prison, managed by the Kolbe Foundation, Belize. METHODS: A voluntary sample of 623 participants was obtained from the male inmate population incarcerated during the period from 15 January to 5 March 2005. HIV serostatus was determined on location using the Abbott Determine Assay for HIV-1/2 for screening, and the MedMira MiraWell Rapid HIV-1/2 Test for confirmatory testing. Remaining serum was tested by ELISA at the Central Medical Laboratory, Belize. Demographic and risk behavior data were collected using an interviewer administered pre-tested questionnaire. A multivariate logistic regression was used to adjust for potential confounders and to identify independent associations with HIV seropositivity. RESULTS:Of the 623 inmates in the sample, 25 tested positive for HIV-1/2 antibody for a seroprevalence of 4.0% (95% Confidence Interval 2.7, 6.0). After adjustment for confounding, HIV serostatus was positively associated with male-to-male sexual activity outside prison, age, and district of residence before current incarceration. CONCLUSIONS: The seroprevalence in the Central Prison was almost twice that estimated for the adult population of Belize in 2004 (2.4%). However, the social variables of importance to inmates appeared to reflect the epidemic in the general population, with the exception that male-to-male sex outside prison is likely more important to the male inmate population in Belize. The findings suggest that HIV is likely contracted by most inmates before their incarceration, largely due to same-sex activity. Language: English Keywords: BELIZE | RESEARCH REPORT | SAMPLING STUDIES | PRISONERS | MEN | HIV INFECTIONS | PREVALENCE | RISK FACTORS | VOLUNTARY COUNSELING AND TESTING | SEX BEHAVIOR | CONDOM USE | DRUG USE AND ABUSE | Developing Countries | Central America | Latin America | Americas | Studies | Research Methodology | Crime | Social Problems | Sociocultural Factors | Demographic Factors | Population | Viral Diseases | Diseases | Measurement | Health | HIV Testing | Laboratory Examinations and Diagnoses | Examinations and Diagnoses | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Behavior | Risk Reduction Behavior Document Number: 341875 |
| 10. Peer Reviewed Title: The relationship of sexual dyad and personal network characteristics and individual attributes to unprotected sex among young injecting drug users. Author: Gyarmathy VA; Neaigus A Source: AIDS and Behavior. 2009 Apr;13(2):196-206. Abstract: We examine in the heterosexual partnerships (dyads) of IDUs the correlates of engaging in unprotected sex on three levels: individual attributes, social network characteristics, and dyad characteristics. Unprotected sex was significantly less likely to occur in dyads where the participant injected daily or had high safe-sex attitude scores, and in dyads where both members encouraged each other to use condoms. Unprotected sex was significantly more likely to occur in dyads that smoked crack together, shared needles with each other, and where the participant knew that the sex partner had concurrent sex partners. In the sexual dyads of IDUs there is a combined risk of unsafe injecting and unsafe sex. Both injecting and sexual risk, and their combination need to be addressed in interventions that target the sexual partnerships of IDUs. Such interventions should also aim to reduce injected and noninjected crack and other stimulant use associated with high-risk sex. Language: English Keywords: NEW YORK | RESEARCH REPORT | KAP SURVEYS | SEXUAL PARTNERS | IV DRUG USERS | SOCIAL NETWORKS | COUPLES | HETEROSEXUALS | SEX BEHAVIOR | RISK BEHAVIOR | SAFER SEX | ATTITUDES | CONDOM USE | NEEDLE SHARING | DRUG USE AND ABUSE | Developed Countries | United States of America | North America | Americas | Surveys | Sampling Studies | Studies | Research Methodology | Behavior | Friends and Relatives | Family and Household | Sociocultural Factors | Family Characteristics | Psychological Factors | Risk Reduction Behavior Document Number: 340121 |
| 11. Peer Reviewed Title: Gender differences in the prevalence and behavioral risk factors on HIV in South African drug users. Author: Hedden SL; Whitaker D; Floyd L; Latimer WW Source: AIDS and Behavior. 2009 Apr;13(2):288-296. Abstract: South Africa continues to be the global epicenter of HIV infection. Further, extensive gender disparities in HIV infection exist with females four times as likely to be infected with HIV/AIDS as males (UNAIDS, AIDS epidemic update, 2006; WHO, Epidemiological fact sheets on HIV/AIDS and sexually transmitted infections, 2006). A cross-sectional collection of drug users recruited in the Pretoria region of South Africa (N = 385) was used to model HIV infection as a function of sexual risk behaviors and drug use as modified by gender. Receiving money from illicit sources and knowing someone with AIDS were loosely associated with HIV. Gender interactions were observed for age, cocaine use and condom use. Gender stratified analyses revealed that males who used condoms, were younger and tested negative for cocaine use were less likely to test positive for HIV. Findings suggest that males may have more control of risk behaviors and support the need for gender specific prevention strategies. Language: English Keywords: SOUTH AFRICA | RESEARCH REPORT | EPIDEMIOLOGIC METHODS | CLINICAL RESEARCH | CROSS SECTIONAL ANALYSIS | PERSONS LIVING WITH HIV/AIDS | URBAN POPULATION | PREVALENCE | HIV INFECTIONS | RISK BEHAVIOR | SEX BEHAVIOR | DRUG USE AND ABUSE | CRIME | SEX FACTORS | CONDOM USE | Developing Countries | Africa, Southern | Africa, Sub Saharan | Africa | Research Methodology | Viral Diseases | Diseases | Population Characteristics | Demographic Factors | Population | Measurement | Behavior | Social Problems | Sociocultural Factors | Risk Reduction Behavior Document Number: 340127 |
| 12. Peer Reviewed Title: Correlates of HIV-1 viral suppression in a cohort of HIV-positive drug users receiving antiretroviral therapy in Hanoi, Vietnam. Author: Jordan MR; La H; Nguyen HD; Sheehan H; Lien TT; Duong DV; Hellinger J; Wanke C; Tang AM Source: International Journal of STD and AIDS. 2009 Jun;20(6):418-22. Abstract: Injection drug users bear the burden of HIV in Vietnam and are a focus of national treatment programmes. To date, determinants of successful therapy in this population are unknown. Substance use and clinical correlates of viral suppression were studied in 100 HIV-1-infected drug users receiving antiretroviral therapy (ART) for at least six months in Hanoi, Vietnam. The mean age of the cohort was 29.9 + 4.9 years; all were men. A majority of patients (73%) achieved viral suppression (HIV-RNA <1000 copies/mL). Correlates of viral suppression include self-reported > or = 95% adherence (P < 0.01) and current use of trimethoprim/sulphamethoxazole (P < 0.01); current or ever diagnosed with tuberculosis was associated with viral non-suppression (P = 0.006). Tobacco use was prevalent (84%), and surprisingly 48% of patients reported active drug use; neither was associated with viral non-suppression. This is the first study to document successful ART treatment in a population of Vietnamese drug users; rates of viral suppression are comparable to other international populations. The 28% of patients without HIV-1 suppression highlight the need for adherence promotion, risk reduction programmes, and population-based surveillance strategies for assessing the emergence of HIV drug resistance in settings where access to viral load and drug resistance testing is limited. Language: English Keywords: VIETNAM | RESEARCH REPORT | COHORT ANALYSIS | IV DRUG USERS | PERSONS LIVING WITH HIV/AIDS | DRUG USE AND ABUSE | SUBSTANCE ADDICTION | HIV INFECTIONS | ANTIRETROVIRAL THERAPY | USER COMPLIANCE | Asia, Southeastern | Asia | Developing Countries | Research Methodology | Behavior | Viral Diseases | Diseases | Social Problems | Sociocultural Factors | HIV Document Number: 342439 |
| 13. Title: Determinants of actual condom use among adolescents in Thailand. Author: Khumsaen N; Gary FA Source: Journal of the Association of Nurses In AIDS Care. 2009 May-Jun;20(3):218-29. Abstract: This study examined the relationships among attitudes toward condom use, personal characteristics, condom use self-efficacy, and actual condom use among Thai adolescents. Predictors of condom use were also investigated. The sample consisted of 270 Thai vocational students aged 18 to 21 years. Multiple regressions were used to estimate the correlates between the independent study variables and condom use among Thai adolescents. The results showed that self-reported history of alcohol or drug use, attitudes toward condom use, and condom use self-efficacy were related to actual condom use. Language: English Keywords: THAILAND | RESEARCH REPORT | KAP SURVEYS | MULTIVARIATE ANALYSIS | THEORETICAL MODELS | YOUTH | STUDENTS | NURSES AND NURSING | CONDOM USE | SAFER SEX | ATTITUDES | PREMARITAL SEX BEHAVIOR | ALCOHOL USE AND ABUSE | DRUG USE AND ABUSE | SEX DISCRIMINATION | Developing Countries | Asia, Southeastern | Asia | Surveys | Sampling Studies | Studies | Research Methodology | Data Analysis | Age Factors | Population Characteristics | Demographic Factors | Population | Education | Health Personnel | Delivery of Health Care | Health | Risk Reduction Behavior | Behavior | Sex Behavior | Psychological Factors | Social Discrimination | Social Problems | Sociocultural Factors Document Number: 341111 |
| 14. Title: A pilot study of HIV education on readiness to change on substance use, AIDS knowledge, self-efficacy for risk reduction among male drug-dependent inmates. Author: Ko NY; Hsu ST; Chen CH; Tsai CY; Chu PJ; Huang CJ; Yen CF Source: Substance Use and Misuse. 2009;44(3):322-31. Abstract: Taiwan is experiencing an outbreak of human immunodeficiency virus infection among injection drug users. The purpose of the study was to determine the impact of a Transtheoretical Model-based HIV education program among drug-dependent inmates. A single group pre/post design was used to evaluate shortened impacts among 136 inmates who were arrested for illicit drug use and had attended a brief HIV education program in 2005. A repeated-measures analysis of variance indicated positive changes in AIDS knowledge (F > = 104.16, p < 0.001), self-efficacy to reduce HIV-risk behaviors (F = 26.5, p < 0.001), and readiness of change on substance use (F = 4.83, p = 0.03). The study findings showed that a brief TTM-based HIV education program can be effective for drug-dependent inmates. Language: English Keywords: TAIWAN | RESEARCH REPORT | PILOT PROJECTS | MEN | PRISONERS | IV DRUG USERS | DRUG USE AND ABUSE | AIDS | KNOWLEDGE | RISK REDUCTION BEHAVIOR | HEALTH EDUCATION | NEEDS | Asia, Eastern | Asia | Developed Countries | Studies | Research Methodology | Demographic Factors | Population | Crime | Social Problems | Sociocultural Factors | Behavior | HIV Infections | Viral Diseases | Diseases | Education | Economic Factors Document Number: 341356 |
| 15. Title: Risk-taking behaviour is more frequent in teenage girls with multiple sexual partners. Author: Kuortti M; Kosunen E Source: Scandinavian Journal of Primary Health Care. 2009;27(1):47-52. Abstract: OBJECTIVE: To investigate associations between sexual behaviour and risk-taking health behaviour among adolescent females in our changing sexual culture. DESIGN: A questionnaire study. Girls who had had multiple sexual partners (at least five in their lifetime or four during the last six months) were compared with those with fewer partners. Logistic regression was applied. SETTING: The Adolescent Clinic, a primary healthcare unit in the city of Tampere, Finland. SUBJECTS: A sample of 247 female clients aged 15-18 years who had experienced sexual intercourse. MAIN OUTCOME MEASURES: Contraceptive practices, substance use, and sexual attitudes. RESULTS: Girls with multiple sexual partners (n = 69) and the reference group (n = 178) did not differ from each other significantly by age, age at menarche, or educational status. In univariate analysis, age at sexual debut, contraceptive practices, and various substance uses were strongly associated with having multiple sexual partners. Ever-use of emergency contraception was marginally associated, while ever-use of conventional hormonal contraception or condoms was not. In multivariate analysis, low age at sexual debut (OR 8.75 for age 11-13), omitting contraception at the most recent intercourse (OR 3.48), ever-use of withdrawal as a contraceptive method (OR 2.34), and repeated use of drugs (OR 4.10) were associated with having multiple sexual partners. CONCLUSION: Different types of risk-taking behaviour are still interlinked. In discussions with adolescents showing one type of risk behaviour health service providers should make an effort to identify other modes of risk-taking. Language: English Keywords: FINLAND | RESEARCH REPORT | KAP SURVEYS | STATISTICAL REGRESSION | MULTIVARIATE ANALYSIS | CASE CONTROL STUDIES | ADOLESCENTS, FEMALE | MULTIPLE PARTNERS | SEX BEHAVIOR | RISK BEHAVIOR | FIRST INTERCOURSE | ATTITUDES | DRUG USE AND ABUSE | CONTRACEPTIVE USAGE | CONDOM USE | Europe, Northern | Europe | Developed Countries | Surveys | Sampling Studies | Studies | Research Methodology | Data Analysis | Adolescents | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Sexual Partners | Behavior | Psychological Factors | Contraception | Family Planning | Risk Reduction Behavior Document Number: 330352 |
| 16. Title: Relationships between social norms, social network characteristics, and HIV risk behaviors in Thailand and the United States. Author: Latkin C; Donnell D; Celentano DD; Aramrattna A; Liu TY; Vongchak T; Wiboonnatakul K; Davis-Vogel A; Metzger D Source: Health Psychology. 2009 May;28(3):323-9. Abstract: OBJECTIVE: Social norms have been associated with a wide range of health behaviors. In this study, the authors examined whether the social norms of HIV risk behaviors are clustered within social networks and whether the norms of network members are linked to the risk behaviors of their social network members. DESIGN: Data were collected from the baseline assessment of 354 networks with 933 participants in a network-oriented HIV prevention intervention targeting injection drug users in Philadelphia, United States, and Chiang Mai, Thailand. MAIN OUTCOME MEASURES: Four descriptive HIV risk norms of sharing needles, cookers, and cotton and front- or back-loading among friends who inject were assessed. Results: Three of 4 injection risk norms (sharing needle, cookers, and cotton) were found to be significantly clustered. In Philadelphia, 1 network member's (the index participant) norms of sharing needles and front- or back-loading were found to be significantly associated with the network members' risk behaviors, and the norm of sharing cotton was marginally associated. CONCLUSION: The results of this study suggest that among injection drug users, social norms are clustered within networks; social networks are a meaningful level of analyses for understanding how social norms lead to risk behaviors, providing important data for intervening to reduce injection-related HIV risks. Language: English Keywords: UNITED STATES OF AMERICA | THAILAND | RESEARCH REPORT | VALUE ORIENTATION | SOCIAL NETWORKS | IV DRUG USERS | DRUG USE AND ABUSE | HIV INFECTIONS | HIV TRANSMISSION | RISK FACTORS | RISK BEHAVIOR | HIV PREVENTION | Developed Countries | North America | Americas | Developing Countries | Asia, Southeastern | Asia | Psychological Factors | Behavior | Friends and Relatives | Family and Household | Sociocultural Factors | Viral Diseases | Diseases | Health Document Number: 342066 |
| 17. Title: Risk-taking behaviors among vertically HIV-infected adolescents in Northern Thailand. Author: Lee B; Oberdorfer P Source: Epidemiology and Social Science. 2009 Jul-Aug;8(4):221-228. Abstract: This study reports on a quantitative survey conducted from 2007 to 2008 at two pediatric HIV clinics in northern Thailand among vertically HIV-infected adolescents aged =13 years, with disclosed HIV status. The survey assessed sociodemographics, substance use, sexual behavior, peer behaviors, knowledge, and attitudes regarding HIV disclosure. Fifty-four adolescents (median age 14.6 years) participated; 18.5% reported previous alcohol use but none reported drug use; 35.2% reported presexual activity, and 3.7% reported sexual activity. Nearly all (96.3%) knew that HIV could be transmitted sexually, but knowledge regarding other sexually transmitted infections was poor. Nearly half (48.1%) had never disclosed their status to anyone. Language: English Keywords: THAILAND | RESEARCH REPORT | ADOLESCENTS | PERSONS LIVING WITH HIV/AIDS | MOTHER-TO-CHILD TRANSMISSION | SEX BEHAVIOR | KNOWLEDGE | ATTITUDES | ALCOHOL USE AND ABUSE | DRUG USE AND ABUSE | Developing Countries | Asia, Southeastern | Asia | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | HIV Infections | Viral Diseases | Diseases | Transmission | Infections | Behavior | Sociocultural Factors | Psychological Factors Document Number: 339911 |
| 18. Title: Curricula review of emergency plan centrally-funded HIV prevention programs for youth. Author: Lopez C; Speizer I Source: Chapel Hill, North Carolina, University of North Carolina at Chapel Hill, Carolina Population Center, MEASURE Evaluation, 2009 May. 32 p. (MEASURE Evaluation Working Paper Series No. WP-09-112USAID Cooperative Agreement No. GPO-A-00-03-00003-00) Abstract: This paper reports on an evaluation of the strengths and weaknesses of curricula used by centrally-funded President's Emergency Plan for AIDS Relief programs that focus on abstinence and be faithful messages for youth. Language: English Keywords: DEVELOPING COUNTRIES | SUMMARY REPORT | YOUTH | ABSTINENCE, BE FAITHFUL, CONDOM USE | AIDS PREVENTION | CURRICULUM | HIV PREVENTION | KNOWLEDGE | ATTITUDES | RISK BEHAVIOR | HIV TESTING | COUNSELING | ALCOHOL USE AND ABUSE | DRUG USE AND ABUSE | PROGRAM DESIGN | PROGRAM EVALUATION | Age Factors | Population Characteristics | Demographic Factors | Population | Sex Behavior | Behavior | AIDS | HIV Infections | Viral Diseases | Diseases | Education | Sociocultural Factors | Psychological Factors | Laboratory Examinations and Diagnoses | Examinations and Diagnoses | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Health | Clinic Activities | Program Activities | Programs | Organization and Administration Document Number: 331373 |
| 19. Peer Reviewed Title: Correlates of HIV testing among South African women with high sexual and substance-use risk behaviours. Author: Luseno WK; Wechsberg WM Source: AIDS Care. 2009 Feb;21(2):178-84. Abstract: Despite its importance in raising awareness of HIV risk behaviour and in linking HIV-positive individuals to care and treatment, research findings indicate that the HIV antibody testing rate in the general South African population remains relatively low, although knowledge of HIV testing services is high. The identification of important correlates of testing behaviour can be used to improve HIV testing campaigns by refining messages that target individuals at highest risk for infection. This study uses data from an ongoing prevention intervention study in Pretoria, South Africa to identify factors that may have a greater influence on facilitating or hindering HIV testing among South African women who face a high risk for infection. The data for this study (n=425) are derived from the baseline interviews and HIV test results collected between June 2004 and January 2007. HIV testing for this study was significantly associated with education level, alcohol and cannabis use, sex trading, number of STI symptoms, physical abuse and number of visits to a clinic for medical treatment. Results suggest that more focused efforts need to be made to provide HIV testing to women who report substance use behaviour, experience violence and report high-risk sexual behaviour. Interventions also need to address denial of HIV infection and fear to test for HIV. Language: English Keywords: SOUTH AFRICA | RESEARCH REPORT | DATA COLLECTION | CLIENTS | HIV TESTING | RISK BEHAVIOR | SEX BEHAVIOR | ALCOHOL USE AND ABUSE | DRUG USE AND ABUSE | KNOWLEDGE | CAMPAIGNS | Developing Countries | Africa, Southern | Africa, Sub Saharan | Africa | Research Methodology | Program Activities | Programs | Organization and Administration | Laboratory Examinations and Diagnoses | Examinations and Diagnoses | Medical Procedures | Medicine | Health Services | Delivery of Health Care | Health | Behavior | Sociocultural Factors | Communication Programs | Communication Document Number: 330808 |
| 20. Peer Reviewed Title: Protecting the unprotected: mixed-method research on drug use, sex work and rights in Pakistan's fight against HIV/AIDS. Author: Mayhew S; Collumbien M; Qureshi A; Platt L; Rafiq N; Faisel A; Lalji N; Hawkes S Source: Sexually Transmitted Infections. 2009 Apr;85(Suppl 2):ii31-ii36. Abstract: Objectives: To investigate the nature and extent of human rights abuses against three vulnerable groups (injecting drug users (IDUs) and male and female sex workers), to understand the social and sexual linkages between them and to examine how protecting their rights could enhance the impact of HIV prevention policies. Methods: In-depth interviews were carried out with 38 high-risk respondents (IDUs and female, male and transgender sex workers) and a bio-behavioural survey was performed of 813 IDU/sex worker respondents in Rawalpindi. Results: People in all vulnerable groups interacted both sexually and socially. All groups experienced human rights abuses by state and non-state actors which increased their HIV risk. Non-state actors, including relations and sex worker clients, are responsible for verbal, physical and sexual violence. State actors (particularly police) perpetrate harassment, exploitation and abuse of all vulnerable groups with impunity. Health service providers fail to provide adequate services for vulnerable groups. Conclusions: High levels of discrimination and abuse of human dignity of all groups studied were revealed. This violates their physical and mental integrity and also leads to an increased risk of HIV. The sexual and social interactions between groups mean that human rights abuses experienced by one high-risk group can increase the risk of HIV both for them and other groups. The protection of human rights needs to become an integral part of a multisector response to the risk of HIV/AIDS by state and non-state agencies. The Government of Pakistan should work at both legal and programme levels to protect the rights of, and minimise discrimination against, groups vulnerable to HIV in order to reduce the potential for the spread of HIV before the epidemic takes hold. Language: English Keywords: PAKISTAN | METHODOLOGICAL STUDIES | KAP SURVEYS | SEX WORKERS | SOCIAL NETWORKS | IV DRUG USERS | POLICE | SEX BEHAVIOR | STIGMA | DRUG USE AND ABUSE | HUMAN RIGHTS | SOCIAL DISCRIMINATION | HIV PREVENTION | RISK BEHAVIOR | Developing Countries | Asia, Southern | Asia | Studies | Research Methodology | Surveys | Sampling Studies | Behavior | Friends and Relatives | Family and Household | Sociocultural Factors | Corrections Officers | Government | Political Factors | Social Problems | HIV Infections | Viral Diseases | Diseases Document Number: 340115 |
| 21. Peer Reviewed Title: Disco funerals: a risk situation for HIV infection among youth in Kisumu, Kenya. Author: Njue C; Voeten HA; Remes P Source: AIDS. 2009 Feb 20;23(4):505-9. Abstract: OBJECTIVE: We investigated the so-called 'disco funeral' phenomenon in Kisumu, Kenya, whereby community members including adolescents congregate at the home of the deceased for several days, accompanied by music and dancing. We explored whether disco funerals are a risk situation for HIV/sexually transmitted infection infection among youth. DESIGN:: Cross-sectional qualitative study. METHODS: We conducted 44 in-depth interviews with male and female adolescents aged 15-20 years in Kisumu municipality in Nyanza Province, Kenya. We also made observations during six disco funerals. RESULTS: Disco funerals were an important place for young people to hang out; they increased the opportunities to meet and engage in (risky) sexual activities. Many adolescents reported having casual sex on these occasions, sometimes with multiple partners, and mostly without condoms. Some girls were forced into sex, and there were several accounts of gang rape. Sex in exchange for money was reported frequently. Drugs and alcohol seemed to facilitate unprotected, multiple-partner, coerced, and transactional sex. CONCLUSION: In Kisumu, a town with a generalized HIV/AIDS epidemic, the high AIDS mortality leads to frequent disco funerals. Because many adolescents are having unprotected, transactional, or coerced sex at these occasions, disco funerals might contribute to the high HIV prevalence among youth, especially among adolescent girls. HIV interventions urgently need to include outreach actions to youth who hang out at disco funerals and link up with parents and funeral organizers to reduce risk situations. Language: English Keywords: KENYA | RESEARCH REPORT | KAP SURVEYS | CROSS SECTIONAL ANALYSIS | ADOLESCENTS | SEX WORKERS | MULTIPLE PARTNERS | DANCING | MUSIC | DEATH | SEX BEHAVIOR | RISK BEHAVIOR | RAPE | CONDOM USE | DRUG USE AND ABUSE | Africa, Eastern | Africa, Sub Saharan | Africa | Developing Countries | Surveys | Sampling Studies | Studies | Research Methodology | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Behavior | Sexual Partners | Culture | Sociocultural Factors | Mortality | Population Dynamics | Crime | Social Problems | Risk Reduction Behavior Document Number: 341131 |
| 22. Peer Reviewed Title: Stages of consistent condom use, partner intimacy, condom use attitude, and self-efficacy in African-American crack cocaine users. Author: Pallonen UE; Timpson SC; Williams ML; Ross MW Source: Archives of Sexual Behavior. 2009 Feb;38(1):149-58. Abstract: This study examined how condom use attitude, self-efficacy, and partner intimacy related to five stages of consistent condom use. Interview data were collected from sexually active, heterosexual, African-American crack cocaine smokers (N = 366). Dependent measures assessed both the participants' own responses and their perceptions about their last sex partner's own personal condom use attitude and participants' condom use self-efficacy expectations. Partner intimacy was assessed both as a continuous attitudinal and as a discrete relationship measure. Less than 10% were classified as consistent condom users. Two thirds of inconsistent users were in the Precontemplation (PC) stage. The contemplation (C) and preparation (P) stages were equal among the remainder of the inconsistent condom users. Higher partner intimacy reduced modestly readiness for consistent condom use. The stage but not the intimacy group was related to the condom use attitudes and self-efficacy measures. Last partners' perceived own negative attitudes were significantly related to the stages of consistent condom use and was especially low in the action (A) and maintenance (M) stages. Participants' own negative attitudes were unrelated to the stages. Of the self-efficacy measures, both participants' performance and situational condom use self-efficacies increased significantly after the PC stage and were highest in the P, A, and M stages. However, situational self-efficacy accounted for most of performance self-efficacy variance. In sum, consistent condom use was rare. A partner's attitudes and the participants' own situational self-efficacy expectations, rather than intimacy, determined the readiness to adopt consistent condom use. Language: English Keywords: UNITED STATES OF AMERICA | RESEARCH REPORT | DATA COLLECTION | INTERVIEWS | BLACKS | CONDOM USE | ATTITUDES | DRUG USE AND ABUSE | CHANGES | RISK REDUCTION BEHAVIOR | Developed Countries | North America | Americas | Research Methodology | Ethnic Groups | Cultural Background | Population Characteristics | Demographic Factors | Population | Behavior | Psychological Factors | Social Change | Sociocultural Factors Document Number: 330845 |
| 23. Title: HIV-risk behavior among injecting or non-injecting drug users in Cape Town, Pretoria, and Durban, South Africa. Author: Parry CD; Carney T; Petersen P; Dewing S; Needle R Source: Substance Use and Misuse. 2009;44(6):886-904. Abstract: The rapid assessment aimed to describe drug use and sexual practices that place injection and noninjection drug users (IDUs/NIDUs) at risk for HIV in South Africa. The sample comprised 85 key-informant (KI) and focus-group (FG) interviewees in or serving locations with high levels of drug use in Cape Town, Durban, and Pretoria. HIV testing of drug-using KIs was conducted using the SmartCheck Rapid HIV-1 Antibody Test. The findings indicated that commonly used drugs had differing effects on sexual and drug-use practices. Risky injecting behaviors among IDUs were common, and most interviewees engaged in sex when on drugs, some without condoms. These behaviors were also influenced by trust in intimate relationships. Injection drug users seemed more knowledgeable about HIV transmission than NIDUs, and 20% of IDUs who agreed to HIV screening tested positive. Views about drug- and HIV-intervention services, accessibility, and their efficacy were mixed. The findings suggest greater synergy is needed between drug- and HIV-intervention sectors and that consideration should be given to making various risk-reduction strategies more accessible. The study's limitations have been noted. Language: English Keywords: SOUTH AFRICA | RESEARCH REPORT | IV DRUG USERS | HIV INFECTIONS | HIV TRANSMISSION | AIDS | RISK BEHAVIOR | DRUG USE AND ABUSE | RISK FACTORS | KNOWLEDGE | Developing Countries | Africa, Southern | Africa, Sub Saharan | Africa | Behavior | Viral Diseases | Diseases | Health | Sociocultural Factors Document Number: 342693 |
| 24. Peer Reviewed Title: Partner- and partnership-related risk factors for preterm birth among low-income women in Lima, Peru. Author: Paul K; Garcia PJ; Manhart LE; Holmes KK; Hitti JE Source: Social Science and Medicine. 2009 Apr;68(8):1535-40. Abstract: A woman's partner and the characteristics of their partnership can play an important role in the health of her pregnancy. Yet, with the notable exception of intimate partner violence, there has been little previous research addressing the associations between partner- or partnership-related factors and birth outcomes. This analysis tested the hypothesis that risk factors related specifically to partner or partnership characteristics increased the risk for preterm birth. Between 2003 and 2005, a total of 580 preterm cases (20-36 weeks gestational age at delivery) and 633 term controls (> or =37 weeks) were selected from women delivering at an obstetric hospital in Lima, Peru. Each woman completed a confidential, structured interview and provided biological specimens within 48 h after delivery. Multivariable logistic regression was used to assess associations between partner and partnership characteristics and preterm birth. After adjustment for behavioral, demographic, and obstetric risk factors, ever having had a partner with a history of drug use (aOR = 1.91, 95% CI 1.22-2.99), ever having had anal sex (aOR = 1.40, 95% CI 1.07-1.84), having a current partner with a history of visiting prostitutes (aOR = 1.69, 95% CI 1.22-2.33), and perceiving one's current partner as a "womanizer" (aOR = 1.34, 95% CI 1.02-1.77) were significantly associated with an elevated risk of preterm birth when tested in separate models. These four factors were then used to create a composite partnership risk score, which showed an increasing dose-response relationship with preterm birth risk (per additional partner risk factor: aOR = 1.31, 95% CI 1.16-1.49). These results highlight the importance of considering a broader set of risk factors for preterm birth, specifically those related to a woman's partner and partnership characteristics. Further research could clarify the specific mechanisms through which these partner and partnership characteristics may increase the risk of preterm birth. Language: English Keywords: PERU | RESEARCH REPORT | CONTROL GROUPS | LOW INCOME POPULATION | WOMEN | SEXUAL PARTNERS | PREMATURE BIRTH | RISK FACTORS | SEX BEHAVIOR | DRUG USE AND ABUSE | INTERVIEWS | Developing Countries | South America, Western | South America | Latin America | Americas | Research Methodology | Social Class | Socioeconomic Status | Socioeconomic Factors | Economic Factors | Demographic Factors | Population | Behavior | Pregnancy Outcomes | Pregnancy | Reproduction | Health | Data Collection Document Number: 341690 |
| 25. Title: Prevalence and risk factors of gender-based violence committed by male college students in Awassa, Ethiopia. Author: Philpart M; Goshu M; Gelaye B; Williams MA; Berhane Y Source: Violence and Victims. 2009;24(1):122-36. Abstract: We sought to determine the prevalence and risk factors for the perpetration of gender-based violence among 1,378 male undergraduate students in Awassa, Ethiopia. A self-administered questionnaire was used to collect information. Nearly a quarter (24.4%; 95% confidence interval [CI] 22.1-26.7) of students admitted perpetrating acts of gender-based violence during the current academic year. Approximately 15.8% (95% CI 13.7-17.9) of students reported physically abusing, and 16.9% (95% CI 14.8-19.0) reported committing acts of sexual violence against an intimate partner or nonpartner. Alcohol consumption, khat use (Catha edulis, a natural stimulant), combined use of alcohol and khat, and witnessing parental violence were risk factors for committing gender-based violent acts. These findings suggest an obvious need for effective prevention programs targeted toward changing social norms on the use of violence. Language: English Keywords: ETHIOPIA | RESEARCH REPORT | EPIDEMIOLOGIC METHODS | KAP SURVEYS | MEN | STUDENTS | WOMEN IN DEVELOPMENT | PREVALENCE | RISK FACTORS | VIOLENCE AGAINST WOMEN | UNIVERSITIES | DRUG USE AND ABUSE | ALCOHOL USE AND ABUSE | SEXUAL ABUSE | PARENTAL INVOLVEMENT | Africa, Eastern | Africa, Sub Saharan | Africa | Developing Countries | Research Methodology | Surveys | Sampling Studies | Studies | Demographic Factors | Population | Education | Economic Development | Economic Factors | Measurement | Health | Domestic Violence | Crime | Social Problems | Sociocultural Factors | Schools | Behavior | Child Rearing Document Number: 341064 |
| 26. Peer Reviewed Title: Correlates of any condom use among Russian narcology patients reporting recent unprotected sex. Author: Raj A; Cheng DM; Krupitsky EM; Coleman S; Bridden C; Samet JH Source: AIDS and Behavior. 2009 Apr;13(2):310-317. Abstract: The purpose of this study was to assess whether HIV/sexually transmitted infection (STI) risk factors: risky sex (multiple sex partners and sex trade involvement), past HIV or STI diagnosis and substance use (at risk drinking and injection drug use) are associated with the outcome any condom use in the past 6 months among Russian narcology hospital patients. Participants (N = 178) included only those who reported unprotected sex in the past 6 months and were aged 18-55 years and 76% male. Any condom use in the past 6 months was reported by 55% of the sample. History of STIs was reported by 43% of participants; 15% were HIV-infected. Regression analyses adjusted for demographics demonstrated that those reporting multiple sex partners (ORadj = 4.2, 95% CI = 2.0-8.7) and sex trade involvement (ORadj = 2.4, 95% CI = 1.1-5.1) in the past 6 months had significantly higher odds of reporting any condom use in this same timeframe. HIV/STI and substance use were not associated with increased odds of condom use. Language: English Keywords: RUSSIA | RESEARCH REPORT | KAP SURVEYS | STATISTICAL REGRESSION | MULTIPLE PARTNERS | SEX WORKERS | IV DRUG USERS | SEX BEHAVIOR | RISK BEHAVIOR | CONDOM USE | DRUG USE AND ABUSE | ALCOHOL USE AND ABUSE | SEX FACTORS | Developing Countries | Asia, Northern | Asia | Surveys | Sampling Studies | Studies | Research Methodology | Data Analysis | Sexual Partners | Behavior | Risk Reduction Behavior | Population Characteristics | Demographic Factors | Population Document Number: 340132 |
| 27. Title: Advocacy for harm reduction in China: a new era dawns. Author: Reid G; Aitken C Source: International Journal On Drug Policy. 2009 Jul;20(4):365-70. Abstract: BACKGROUND: China's initial response to drug use and HIV was largely ineffective but has improved with recent government endorsement of harm reduction interventions. This paper examines the views of senior key informants inside China who articulated core needs and objectives for the development of a harm reduction advocacy strategy. METHODS: Thirty-nine key informants (KI) were interviewed, representing 19 stakeholder bodies selected from the Chinese government public health sector, public security sector, international agencies such as WHO, UNODC and UNAIDS, and international non-government organisations. RESULTS: The concept of harm reduction is widely understood and considered valid. Support for harm reduction is increasing, but KIs perceived an imbalance between the rapid expansion of methadone maintenance treatment programs over needle and syringe programs and other interventions. Challenges for harm reduction identified by KIs included: policy inconsistencies; lack of skilled resources, training programs and technical capacity; poor coverage of interventions; and gaps in the sharing of information. KIs suggested numerous ways to strengthen the capacity of the government and communities to reduce drug related harm. DISCUSSION: Increased acceptance of harm reduction in China, particularly among public security, implies a new level of optimism towards addressing the HIV epidemic among drug users, and parallels an impressive expansion of harm reduction interventions. Nevertheless, scaling up a response to the ongoing dual epidemic of drug use and HIV remains an enormous challenge. With appropriate technical education and training, ongoing advocacy, and a cohesive, coordinated multi-sectoral effort, the capacity of the government and community to adopt, support and promote measures to reduce HIV and other drug related harm would be markedly strengthened. Language: English Keywords: CHINA | RESEARCH REPORT | INTERVIEWS | RISK REDUCTION BEHAVIOR | POLICY | HIV INFECTIONS | ADVOCACY | DRUG USE AND ABUSE | Asia, Eastern | Asia | Developing Countries | Data Collection | Research Methodology | Behavior | Political Factors | Sociocultural Factors | Viral Diseases | Diseases | Communication Document Number: 342703 |
| 28. Title: Building international research partnerships to develop HIV programs for women of color in the context of social inequalities and human rights. Author: Sanders-Phillips K; Pretorius L; Reddy P Source: Social Work In Public Health. 2009 Jan-Apr;24(1-2):60-75. Abstract: This article examines relationships among social inequality, drug use, and HIV risk for women of color in the United States and South Africa. In the first section, social and cultural factors that may place women of color at risk for drug use and exposure to HIV are identified. In the second section, lessons learned while developing HIV prevention research protocols for women of color in South Africa are presented and discussed. Experience suggests that to effectively address women's risks of drug use and AIDS requires specific theoretical models and methodological approaches that acknowledge the critical interface that may exist among social inequality, drug use, and AIDS risk for women worldwide. Successful HIV prevention and intervention programs for women of color worldwide also require international research partnerships that are based on mutual respect between partners and attention to the needs and priorities of the target populations. Language: English Keywords: SOUTH AFRICA | UNITED STATES OF AMERICA | CRITIQUE | RESEARCH ACTIVITIES | WOMEN | BLACKS | INEQUALITIES | HUMAN RIGHTS | DRUG USE AND ABUSE | HIV INFECTIONS | AIDS | SOCIOCULTURAL FACTORS | PROGRAM DEVELOPMENT | INTERNATIONAL COOPERATION | Developing Countries | Africa, Southern | Africa, Sub Saharan | Africa | Developed Countries | North America | Americas | Research Methodology | Demographic Factors | Population | Ethnic Groups | Cultural Background | Population Characteristics | Socioeconomic Factors | Economic Factors | Political Factors | Behavior | Viral Diseases | Diseases | Programs | Organization and Administration Document Number: 341953 |
| 29. Title: Alcohol consumption, drug use, and condom use among STD clinic patients. Author: Scott-Sheldon LA; Carey MP; Vanable PA; Senn TE; Coury-Doniger P; Urban MA Source: Journal of Studies on Alcohol and Drugs. 2009 Sep;70(5):762-70. Abstract: OBJECTIVE: Research on the association between substance use and sexual risk behavior has yielded a complex pattern of findings. Such inconsistent findings may reflect method variance, including factors such as gender of the participant, nature of the sexual event, partner characteristics, and type of substance used. The purpose of this study was to investigate the association between substance use and unprotected sex independently for alcohol, drugs, or combined substance use and to examine partner characteristics as a moderator of this association. METHOD: Participants (N = 1,419; 48% women) were recruited from a publicly funded sexually transmitted disease clinic and were asked to complete an audio computer-assisted self-interview regarding their most recent sexual experience, including nature of the event, substance use, and partner characteristics. RESULTS: Analyses showed that alcohol use was related to condom use when gender and partner type were considered; thus, for women, but not for men, partner type interacted with alcohol consumption such that condom use was less likely when alcohol consumption preceded sex with nonprimary partners (drinking was unrelated to condom use with primary partners). Subsequent analyses examining partner substance use showed that women, but not men, who reported both they and their nonprimary partners were drinking during sex were less likely to use a condom. CONCLUSIONS: At the event level, alcohol consumption among sexually transmitted disease clinic patients is associated with condom use, but this association differs by gender and partner characteristics. Findings suggest the need to strengthen substance-use components in sexual risk reduction interventions for women and their partners. Language: English Keywords: UNITED STATES OF AMERICA | NEW YORK | RESEARCH REPORT | CLIENTS | ADOLESCENTS, FEMALE | ALCOHOL USE AND ABUSE | DRUG USE AND ABUSE | SEXUALLY TRANSMITTED DISEASES | CONDOM USE | GENDER RELATIONS | SOCIOCULTURAL FACTORS | Developed Countries | North America | Americas | Program Activities | Programs | Organization and Administration | Adolescents | Youth | Age Factors | Population Characteristics | Demographic Factors | Population | Behavior | Reproductive Tract Infections | Infections | Diseases | Risk Reduction Behavior | Gender Issues Document Number: 342714 |
| 30. Peer Reviewed Title: Incidence of HIV and sexually transmitted infections and risk factors for acquisition among young methamphetamine users in northern Thailand. Author: Sutcliffe CG; Aramrattana A; Sherman SG; Sirirojn B; German D; Wongworapat K; Quan VM; Keawvichit R; Celentano DD Source: Sexually Transmitted Diseases. 2009 May;36(5):284-9. Abstract: BACKGROUND: Southeast Asia is experiencing an epidemic of methamphetamine use, a drug associated with risky sexual behaviors, putting a large segment of the population at increased risk for sexually transmitted infections (STIs) and HIV and in need of prevention efforts. Incidence estimates of STIs are rare in Southeast Asia, especially among newer risk groups. STUDY DESIGN: We enrolled methamphetamine users aged 18 to 25 years in a 12-month randomized behavioral intervention trial in Chiang Mai, Thailand in 2005. Behavioral questionnaires were administered at visits every 3 months, and biologic specimens were collected at baseline and 12 months to test for common STIs (chlamydia, gonorrhea, HSV-2, and HIV). Poisson regression with robust variance was used to determine risk factors for incident STIs. RESULTS: Overall, 12.7% of 519 participants acquired at least 1 STI. Chlamydia was the most common (10.6%), followed by HSV-2 (4.0%), gonorrhea (2.9%), and HIV (0.6%). Risk factors for both men and women included self-reported incarceration and having a casual sex partner during follow-up, and having a prevalent STI at baseline. Additionally, among women, having 2 or more heterosexual partners, and among men, having a greater frequency of drunkenness were risk factors for STI acquisition. CONCLUSIONS: Although HIV incidence is low in this population, incidence of other STIs is high compared with previous studies of young Thai adults. Risk factors for acquisition emphasize the need for new prevention strategies targeted toward current populations at risk. Language: English Keywords: THAILAND | RESEARCH REPORT | YOUTH | DRUG USE AND ABUSE | HIV INFECTIONS | SEXUALLY TRANSMITTED DISEASES | INCIDENCE | RISK FACTORS | SEX BEHAVIOR | Developing Countries | Asia, Southeastern | Asia | Age Factors | Population Characteristics | Demographic Factors | Population | Behavior | Viral Diseases | Diseases | Reproductive Tract Infections | Infections | Measurement | Research Methodology | Health Document Number: 341439 |
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