Pleasure and Prevention: When Good Sex Is Safer Sex

Philpott, Anne; Knerr, Wendy; Boydell, Victoria

doi:10.1016/s0968-8080(06)28254-5

Cited by 128 publications

(100 citation statements)

References 9 publications

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“…In the current study, STIs were more prevalent among less or non educated people, in agreement with other studies [11]. Similarly, a history of selling sex for money or drugs or pleasure was significantly associated with HBV, HCV, HSV, and syphilis [22][23][24].…”

Section: Discussionsupporting

confidence: 92%

Prevalence and behavioral risk factors for STIs/HIV among attendees of the Ministry of Health hospitals in Saudi Arabia

Filemban

Yasein

Abdalla

et al. 2015

J Infect Dev Ctries

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Introduction: Sexually transmitted infections (STI) are a major public health, social, and economic problem leading to morbidity, mortality, and stigma. This study was conducted to determine the prevalence of STIs, investigate behavioral risk factors and the relationship between the STIs/HIV and demographic factors. Methodology: A cross-sectional survey was conducted between 2013 and 2014 among attendees of the Ministry of Health hospitals. Results: The total number of participants was 3,994 (2,441 males and 1,553 females), with a mean age of 31.95 ± 9.45 years (range 12 to 77 years). The prevalence of STIs and HIV was 6.2% and 0.05% respectively. The mean age for infected people with STIs was 29.42 ± 7.51, vs. 32.12 ± 9.55 for non infected (p < 0.05). There was no diffference between infected and non infected people regarding gender, occupation and marital status. The prevalence of STIs was more commonly reported among non-Saudi (10.9%). Drug use (OR = 4.74; 95%; CI: 3.47-6.48), intravenous drug use (OR = 4.51; 95% CI: 1.45-13.12), illegal sex (OR = 10.7; 95% CI: 7.62-13.32), sex for money (OR = 6.36; 95% CI: 4.52-8.93), sex for pleasure (OR=9.76; 95% CI: 7.29-13.07) were significantly associated with STIs. Conclusion: The prevalence of STIs including HIV in Saudi Arabia is low compared to other countries in the region and globally.

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Section: Discussionsupporting

confidence: 92%

Prevalence and behavioral risk factors for STIs/HIV among attendees of the Ministry of Health hospitals in Saudi Arabia

Filemban

Yasein

Abdalla

et al. 2015

J Infect Dev Ctries

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“…Additional research should also explore new means of communication for improving the image of condoms and promoting condom use as a conjugal practice. 14,47,55 New counselling tools focused on couples could also contribute to increasing condom use. 56 Finally, research on HIV risk management and prevention within couple relationships should be strengthened.…”

Section: Discussionmentioning

confidence: 99%

Couple-centred testing and counselling for HIV serodiscordant heterosexual couples in sub-Saharan Africa

Loû¹,

Orne-Gliemann²

2008

Reproductive Health Matters

101

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In Africa, a large proportion of HIV infections occur within stable relationships, either because of prior infection of one of the partners or because of infidelity. In five African countries at least two-thirds of couples with at least one HIV-positive partner were HIV serodiscordant; in half of them, the woman was the HIV-positive partner. Hence, there is an urgent need to define strategies to prevent HIV transmission within couple relationships. HIV counselling and testing have largely been organised on an individual and sex-specific basis, for pregnant women in programmes for prevention of mother-to-child transmission of HIV and in STI consultations and recently male circumcision for men. A couple-centred approach to HIV counselling and testing would facilitate communication about HIV status and adoption of preventive behaviours within couples. This paper reviews what is known about HIV serodiscordance in heterosexual couples in sub-Saharan Africa and what has been published about couple-centred initiatives for HIV counselling and testing since the early 1990s. Despite positive outcomes, couple-oriented programmes have not been implemented on a large scale. In order to stimulate and strengthen HIV prevention efforts, increased attention is required to promote prevention and testing and counselling for couples in stable relationships.

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“…There is evidence that condoms remain one of the most cost effective tools available in HIV prevention [15,16]. Nonetheless, condom use has not received enough attention among HIV positive people when compared to HIV negative people.…”

Section: Introductionmentioning

confidence: 99%

Barriers of Condom Use among HIV Positive Women at Thika Level 5 Hospital, Kenya

Macharia¹,

Kombe²,

Mwaniki³

et al. 2017

J AIDS Clin Res

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Human immunodeficiency virus (HIV)/Acquired immune deficiency syndrome (AIDS) is the key public health concern particularly in sub-Saharan Africa including Kenya. Consistent condom use is crucial especially among HIV positive people to prevent HIV transmission as well as re-infection with different resistant virus strain. It is important to identify the obstacles of condom use among HIV positive individuals in order to constitute preventive measures. Thus, the study was conducted to explore barriers and challenges of condom use among women living with HIV attending Comprehensive Care Centre of Thika Level 5 Hospital, Kenya. We conducted qualitative method of data collection using three focus group discussions and ten key informant interviews. Purposive sampling was used to select participants. Descriptive quotes representing key themes were identified and then analysed thematically. The result indicated that the main barriers of condom use were inability to negotiate in condom use, fear of mistrust, nondisclosure of HIV positive status to partner, alcohol use, and reduced sexual pleasure. In addition, among the negative beliefs and misconceptions identified as barriers of condom use were feeling promiscuous for carrying condoms, religion (being Catholic) and perceived pores in condoms. HIV positive women face many challenges in using condoms and the specific areas of focus should include the barriers mentioned above.Citation: Macharia AG, Kombe Y, Mwaniki P, Habtu M (2017) Sample size and techniqueThree FGDs and ten KIIs were conducted. Each FGD was consisted of 8 participants. The twenty (24) participants for the FGDs and ten (10) for the KIIs were selected purposively. Purposive sampling is a non-probability sampling method also known as 'judgmental sampling' that is used to select participants based on the researchers personal judgment about which ones will be most representative or informative. Focus group discussions (FGDs)An FGD guide was developed and it was mainly concerned about perceptions and use of condoms among HIV positive women. The discussions were conducted by the principal investigator, who acted as the moderator and a second person to record (both females). A tape recorder was used to capture all data from the groups. Participants were selected based on age (18-24 years, 25-32 years and 33-49 years). The discussions were conducted in the counseling room in the CCC clinic which offered a quiet and conducive environment. A written informed consent was obtained from each participant. Key informant interviews (KIIs)Key informant interviews (KIIs) were used to gather data on experiences with condom use. It was developed to guide the interviews. This approach was useful to capture insights that would otherwise be difficult to voice in gatherings of people (FGDs). Ten participants were selected based on age and female sex. The interviews were conducted by the researcher at the same venue as FGDs. After written informed consent was obtained, a voice recorder was used to collect the data. An...

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Pleasure and Prevention: When Good Sex Is Safer Sex

Cited by 128 publications

References 9 publications

Prevalence and behavioral risk factors for STIs/HIV among attendees of the Ministry of Health hospitals in Saudi Arabia

Prevalence and behavioral risk factors for STIs/HIV among attendees of the Ministry of Health hospitals in Saudi Arabia

Couple-centred testing and counselling for HIV serodiscordant heterosexual couples in sub-Saharan Africa

Barriers of Condom Use among HIV Positive Women at Thika Level 5 Hospital, Kenya

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