Factors associated with sexually transmissible infection testing practices among men who have sex with men in Jamaica: results from a cross-sectional, tablet-based survey

Logie, Carmen H.; Kenny, Kathleen S.; Lacombe‐Duncan, Ashley; Wang, Ying; Levermore, Kandasi; Jones, Nicolette; Ellis, Tyrone; Marshall, Annecka

doi:10.1071/sh17186

Cited by 7 publications

(7 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Finally, food insecurity was associated with young women’s reduced STI testing uptake. This aligns with research that describes poorer healthcare utilisation among food insecure persons in Uganda due to competing food and healthcare priorities,26 and research in Jamaica that reported associations between food insecurity and delayed STI testing 27. Food insecurity has been conceptualised as a risk factor for HIV, particularly among young women, as it reduces access to SRH services while elevating practices that can increase STI exposure (eg, transactional sex) 28…”

Section: Discussionsupporting

confidence: 55%

“…HIV-related stigma was a STI testing barrier, building on research documenting its role in constraining HIV testing practices 13. Adolescent SRH-related stigma was higher among young men who had tested for STI, corroborating research with sexually diverse men in Jamaica that noted associations between sexual stigma and STI testing 27. It is plausible that in seeking STI testing, urban refugee young men experienced SRH-related stigma from healthcare providers.…”

Section: Discussionmentioning

confidence: 63%

“…Condom self-efficacy – knowledge, relationship dynamics and condom access22 23 – was a protective factor associated with reduced odds of STI diagnosis. In prior research with youth in Jamaica, condom self-efficacy was associated with STI testing,27 and among youth in Canada it was associated with increased condom use 22. Condom use self-efficacy may be an important protective factor to address in behavioural STI preventions with this population.…”

Section: Discussionmentioning

confidence: 91%

See 2 more Smart Citations

Sexually transmitted infection testing awareness, uptake and diagnosis among urban refugee and displaced youth living in informal settlements in Kampala, Uganda: a cross-sectional study

Logie

Okumu

Mwima

et al. 2019

BMJ Sex Reprod Health

View full text Add to dashboard Cite

BackgroundSexually transmitted infection (STI) prevention needs among urban refugee and displaced youth are understudied. The study objective was to explore factors associated with the STI prevention cascade (STI services awareness, testing, diagnosis) among urban refugee and displaced youth in Kampala, Uganda.MethodsWe implemented a cross-sectional survey with youth aged 16–24 years in informal settlements in Kampala. We conducted bivariate and multivariable logistic regression analyses to identify social ecological (intrapersonal, interpersonal, community) level factors associated with STI testing services awareness, lifetime STI testing, and lifetime STI diagnosis.ResultsParticipants (n=445; mean age 19.3, SD 2.6, years) included young women (n=333, 74.8%) and young men (n=112, 25.2%). Less than half (43.8%) were aware of community STI services. One-quarter (26.1%) reported lifetime STI testing. Of these, 39.5% reported a lifetime STI diagnosis. In multivariable analyses among young women, age, lifetime sex partners, and lower adolescent sexual and reproductive health (SRH)-related stigma were associated with STI services awareness; and age, lower adolescent SRH-related stigma, and food security were associated with STI testing. Among young men, time in Uganda and lower HIV-related stigma were associated with STI services awareness; and age, condom self-efficacy, and increased adolescent SRH-related stigma were associated with testing. Lifetime sex partners, lower condom self-efficacy, and lower adolescent SRH-related stigma were associated with lifetime STI diagnosis.ConclusionsSocial ecological factors including stigma (adolescent SRH-related, HIV-related) were associated with STI testing and diagnosis among young urban refugees. Gender, age and stigma-tailored strategies can advance the STI prevention cascade among urban young refugees.

show abstract

Section: Discussionsupporting

confidence: 55%

Section: Discussionmentioning

confidence: 63%

Section: Discussionmentioning

confidence: 91%

See 1 more Smart Citation

Sexually transmitted infection testing awareness, uptake and diagnosis among urban refugee and displaced youth living in informal settlements in Kampala, Uganda: a cross-sectional study

Logie

Okumu

Mwima

et al. 2019

BMJ Sex Reprod Health

View full text Add to dashboard Cite

show abstract

“…We only assessed depression, and a fuller picture of mental health could be acquired if we had also measured anxiety and post-traumatic stress disorder. Our brief food insecurity measure, while used in prior studies [37,38], does not provide information about the scope, persistence, and nature of food insecurity. Similarly, our single-item measure of perceived community insecurity Fig.…”

Section: Discussionmentioning

confidence: 99%

“…Food insecurity was assessed with a single item asking participants how often they went to sleep hungry because they did not have enough food to eat (responses were dichotomized for those who indicated they had gone to sleep hungry rarely-always [1] or never [0]). Food insecurity is an indicator of poverty assessed using this single item in prior research [37,38]. Community insecurity was assessed by asking participants to indicate how physically safe they felt in their communities (responses were dichotomized: not safe = 1, and fairly safe-very safe = 0).…”

Section: Methodsmentioning

confidence: 99%

Contextual factors associated with depression among urban refugee and displaced youth in Kampala, Uganda: findings from a cross-sectional study

et al. 2020

Self Cite

View full text Add to dashboard Cite

Background: Advancing mental health among refugee and displaced adolescents and youth is critically important, as chronic psychological stress can have lifelong harmful impacts. These groups experience socio-environmental stressors that can harm mental health. Informed by a social contextual framework, this study explored the prevalence of depression among urban refugee and displaced youth in Kampala, Uganda and associations with symbolic (violence), relational (social support), and material (food and community insecurity) contexts. Methods: We implemented a cross-sectional survey with refugee and displaced adolescent girls and young women and adolescent boys and young men aged 16-24 living in Kampala's informal settlements. We conducted peer-driven recruitment, whereby peer navigators shared study information with their networks and in turn participants were invited to recruit their peers. We conducted gender disaggregated analyses, including stepwise multiple regression to examine factors associated with depression. We then conducted structural equation modeling (SEM) using weighted least squares estimation to examine direct paths from violence, food insecurity, and community insecurity to depression, and indirect effects through social support. Results: Among participants (n = 445), young women (n = 333) reported significantly higher depression symptoms than young men (n = 112), including any symptoms (73.9% vs. 49.1%, p < 0.0001), mild to moderate symptoms (60.4% vs. 45.5%, p = 0.008), and severe symptoms (13.5% vs 3.6%, p = 0.002). SEM results among young women indicate that the latent violence factor (lifetime sexual and physical violence) had direct effects on depression and social support, but social support did not mediate the path from violence to depression. The model fit the data well: χ2(3) = 9.82, p = 0.020; RMSEA = 0.08, 90% CI [0.03, 0.14], CFI = 0.96). Among young men, SEM findings indicate that food insecurity had direct effects on social support, and an indirect effect on depression through the mediating role of social support. Fit indices suggest good model fit: χ2(3) = 2.09, p = 0.352; RMSEA = 0.02, 90% CI [0.000, 0.19], CFI = 0.99.

show abstract

Intervening for HIV prevention and mental health: a review of global literature

et al. 2021

View full text Add to dashboard Cite

Introduction Numerous effective HIV prevention options exist, including behaviour change interventions, condom promotion and biomedical interventions, like voluntary medical male circumcision and pre‐exposure prophylaxis. However, populations at risk of HIV also face overlapping vulnerabilities to common mental disorders and severe mental illness. Mental health status can affect engagement in HIV risk behaviours and HIV prevention programmes. We conducted a narrative review of the literature on HIV prevention among key populations and other groups vulnerable to HIV infection to understand the relationship between mental health conditions and HIV prevention outcomes and summarize existing evidence on integrated approaches to HIV prevention and mental healthcare. Methods We searched five databases for studies published from January 2015 to August 2020, focused on HIV prevention and mental health conditions among key populations and individuals with serious mental illness. Studies were included if they evaluated an HIV prevention intervention or assessed correlates of HIV risk reduction and included assessment of mental health conditions or a mental health intervention. Results and discussion We identified 50 studies meeting our inclusion criteria, of which 26 were randomized controlled trials or other experimental designs of an HIV prevention intervention with or without a mental health component. Behaviour change interventions were the most common HIV prevention approach. A majority of studies recruited men who have sex with men and adolescents. Two studies provided distinct approaches to integrated HIV prevention and mental health service delivery. Overall, a majority of included studies showed that symptoms of mental disorder or distress are associated with HIV prevention outcomes (e.g. increased risky sexual behaviour, poor engagement in HIV prevention behaviours). In addition, several studies conducted among groups at high risk of poor mental health found that integrating a mental health component into a behaviour change intervention or linking mental health services to combination prevention activities significantly reduced risk behaviour and mental distress and improved access to mental healthcare. Conclusions Evidence suggests that mental health conditions are associated with poorer HIV prevention outcomes, and tailored integrated approaches are urgently needed to address overlapping vulnerabilities among key populations and other individuals at risk.

show abstract

Factors associated with sexually transmissible infection testing practices among men who have sex with men in Jamaica: results from a cross-sectional, tablet-based survey

Abstract: Findings document associations between structural factors and delayed timing of STI testing. Further research is necessary to explore how to address social ecological factors in sexual health interventions with MSM in Jamaica.

Cited by 7 publications

References 45 publications

Sexually transmitted infection testing awareness, uptake and diagnosis among urban refugee and displaced youth living in informal settlements in Kampala, Uganda: a cross-sectional study

Sexually transmitted infection testing awareness, uptake and diagnosis among urban refugee and displaced youth living in informal settlements in Kampala, Uganda: a cross-sectional study

Contextual factors associated with depression among urban refugee and displaced youth in Kampala, Uganda: findings from a cross-sectional study

Intervening for HIV prevention and mental health: a review of global literature

Contact Info

Product

Resources

About