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1 – 10 of 799Spotlights the body of work with regard to the sociology of AIDS showing how this has grown over the last two decades of the twentieth century. Indicates that sexually transmitted…
Abstract
Spotlights the body of work with regard to the sociology of AIDS showing how this has grown over the last two decades of the twentieth century. Indicates that sexually transmitted infections (STIs) are affected by patterns of sexual behaviour along with drug related practices. Cites the vulnerability of low socio‐economic groups to STIs, with the use of an explanatory figure with lots of detail within it. Summarizes that health research on inequality, particularly with regard to HIV and STIs would assist greatly in determining the relevant factors.
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This study investigates the relationship between being formerly incarcerated and the sexual health of African American and White men. It uses data from the 2011–2013 National…
Abstract
This study investigates the relationship between being formerly incarcerated and the sexual health of African American and White men. It uses data from the 2011–2013 National Survey of Family Growth to compare the likelihoods of reporting sexually transmitted disease among African American and White men who were formerly incarcerated with those who were never incarcerated. The results show that having been incarcerated increases the likelihood of having sexually transmitted infections (STIs) for both African American men and White men. The results also reveal that, when controlling for sociodemographic and sexual network differences, White men maintain lower infection rates than do comparable African American men regardless of their former incarceration statuses. When several factors are taken into account, the likelihood of infections for African American men who have never been incarcerated are higher than those of White men who have been incarcerated. Racial disadvantage is a key determinant of disparities in STIs between formerly incarcerated White males and never incarcerated African American males. The implications of these results are discussed.
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Jennifer Gratrix, Petra Smyczek, Lindsay Bertholet, M.C. Lee, Diane Pyne, Dan Woods, Keith Courtney and Rabia Ahmed
Incarceration provides an opportunity for screening and treatment of sexually transmitted and blood-borne infections (STBBIs) in high-risk groups. The purpose of this paper is to…
Abstract
Purpose
Incarceration provides an opportunity for screening and treatment of sexually transmitted and blood-borne infections (STBBIs) in high-risk groups. The purpose of this paper is to determine positivity rates of STBBI screening within correctional facilities using opt-in strategies and estimate the proportion of admissions tested.
Design/methodology/approach
A cross-sectional, retrospective review of testing data from January 2012 to August 2015 from three provincial correctional facilities located in Alberta, Canada was completed. Analysis variables included STBBI, gender, facility, collection year and age. STBBI-stratified analysis was performed to identify correlates for positivity using univariate and logistic regressions.
Findings
Overall prevalence of chlamydia was 11.2 percent and gonorrhea was 3.5 percent; correlates for both were younger age and facility type. The syphilis prevalence rate was 3.2 percent; correlates included being female, older age, adult facilities, with later years being protective. In total, 14 (0.3 percent) newly diagnosed HIV cases were found, prevalence increased with age. HBV prevalence was 1.7 percent with no significant correlations. Nearly one-tenth (n=422) of those screened for HCV antibody were positive; all variables were significantly correlated. Overall estimates of the proportion of admissions tested by STBBI were low and ranged from 4.8 to 16.1 percent.
Originality/value
This study found high rates of STBBI in correctional facilities and showed that only a small proportion of the population was tested using an opt-in strategy. Shifting to an “opt-out” strategy may be warranted.
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Adeniyi O. Olaleye, Olayinka A. Anoemuah, Oladapo A. Ladipo, Grace E. Delano and Grace F. Idowu
The paper seeks to explore sexual behaviours and reproductive health knowledge among in‐school young people with disabilities (PWD) in Ibadan, Nigeria.
Abstract
Purpose
The paper seeks to explore sexual behaviours and reproductive health knowledge among in‐school young people with disabilities (PWD) in Ibadan, Nigeria.
Design/methodology/approach
In the paper a structured questionnaire was administered to 103 randomly selected PWD, aged ten to 25, from four integrated secondary schools in Ibadan. The data were collected through face‐to‐face interview. Five categories of disability included were hearing and speech, sight, speech, intellectual, and physical disabilities.
Findings
The paper finds that 57 percent of the sample were females and 43 percent were males. Of the 36 (35 percent) respondents who were sexually active, 17 did not give a definite reason for their sexual initiation, nine were influenced by peers, five were “experimenting” with sex, four were raped, while one person began sexual activity for monetary gains. A total of 17 percent of the respondents had either procured abortion or been involved in the procurement of abortion for a sexual partner. In total 28 percent of the sample reported ever being raped. In total, 43 percent had been fondled, kissed, or caressed, against their wishes. Knowledge of contraceptives was reported by 40 percent. A total of 23 percent had never used condoms, while 6 percent were consistent condom users. Half of the respondents had heard about HIV/AIDS, 9 percent had tested for HIV, while 16 percent reported previous episodes of sexually transmitted infections. In total, 70 percent did not know where they could access reproductive health services.
Originality/approach
The paper shows that there is an urgent need to develop specific programs for young people with disabilities, especially for those in schools, to address knowledge and behaviour issues regarding reproductive health and HIV/AIDS.
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Behnam Farhoudi, Elnaz Shahmohamadi, SeyedAhmad SeyedAlinaghi, Zohreh Rostam Afshar, Zohal Parmoon, Pegah Mirzapour, SeyedAlireza Nadji, Fatemeh Golsoorat Pahlaviani and Mehrzad Tashakorian
Sexually transmitted infections (STIs) can be transferred from one person to another through sexual contact. STIs lead to substantial morbidity and mortality and affect many…
Abstract
Purpose
Sexually transmitted infections (STIs) can be transferred from one person to another through sexual contact. STIs lead to substantial morbidity and mortality and affect many different aspects of human life, including quality of life, sexual health, reproductive health and even the health of newborns and children. Despite of high rates of STIs in prisons, there are not sufficient screening, prevention and treatment programs to control STIs transmission among prisoners in Iran. This study aims to evaluate the prevalence of STIs among incarcerated women in Iran for the first time, using the active case finding strategy.
Design/methodology/approach
This is a cross-sectional study conducted on 438 incarcerated women in a prison in Tehran, Iran, from 2017 to 2018. A total of 438 prisoners were screened by active case findings for STI symptoms, then evaluated by complete genital and anal examination, followed by molecular testing.
Findings
A total of 189 (43.2%) prisoners announced vaginal discharge, while 194 (44.3%) individuals had vaginal discharge in the genital examination. In the cervical examination, 137 individuals (31.3%) had abnormal findings, of which 83 (18.9%) individuals had cervicitis, 40 (9.1%) individuals had cervical erosion, 38 (8.7%) individuals had cervical prolapse and 17 (3.9%) individuals had bleeding originated from the cervix.
Originality/value
This study showed that it is possible to set up a system in which the diagnosis, follow-up and treatment of prisoners with STIs can be actively performed. Educating prisoners about signs and symptoms, risk behaviors and prevention routes of STIs, as much as regular screening of prisoners, and adequate treatment can help control the STIs prevalence among prisoners and in the general population.
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Garry Forrest, Leng Boonwaat, Jenny Douglas and Niyi Awofeso
Chlamydia is currently the most frequently notified infectious disease in New South Wales (NSW). Published articles relating to chlamydia prevalence in Australian prison settings…
Abstract
Chlamydia is currently the most frequently notified infectious disease in New South Wales (NSW). Published articles relating to chlamydia prevalence in Australian prison settings are sparse, but studies from the United Kingdom and the United States indicate relatively high chlamydia prevalence among young incarcerated individuals. This article reports on findings from an enhanced chlamydia surveillance programme in NSW prisons between 2005 and 2007. The authors report a relatively low chlamydia prevalence among the general population of NSW prisoners (compared with figures from the United Kingdom and United States), which by the end of 2007 was 4%. The average crude chlamydia notification rate for the NSW prison population during the review period was about four times that of the general NSW community ‐ 716/100,000 during the review period compared with 175/100,000 in the NSW general community. The average crude chlamydia notification rate for Aboriginal prisoners during the review period was 1262/100,000, compared with 1470/100,000 in the general Australian Aboriginal population. The authors grapple with the dilemma of expanding chlamydia screening and treatment services for the sexual health benefits of prison populations with static prison health budgets on one hand, and limited evidence of cost‐effectiveness of such an expensive intervention on the other.
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Koyeli Girigoswami, Agnishwar Girigoswami, A. Harini and J. Thanujashree
Menstruation is a part of the female reproductive cycle that begins with adolescence. Menstruation is a natural change; it relates to several malpractices and misconceptions that…
Abstract
Purpose
Menstruation is a part of the female reproductive cycle that begins with adolescence. Menstruation is a natural change; it relates to several malpractices and misconceptions that may contribute to adverse health outcomes.
Design/methodology/approach
The authors have searched relevant papers using Google Scholar and PubMed to write this mini review.
Findings
During menstruation, poor hygiene maintenance can cause serious illness, which includes the urinary tract and reproductive tract infection. Menstruation management is a hygienic system, and it is essential for females because poor hygiene maintenance during menstruation can cause some infections and numerous sexually transmitted diseases. There are a few nanotechnology-based products that have come into the market to offer some relief to females during their periods.
Originality/value
This mini review will help researchers to design innovative female hygiene products that can relieve the discomfort caused to women during their reproductive age.
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Wendy Macdowall, Kaye Wellings, Judith Stephenson and Anna Glasier
This paper aims to examine whether greater consideration should be given to the timing of sexual health interventions within the calendar year.
Abstract
Purpose
This paper aims to examine whether greater consideration should be given to the timing of sexual health interventions within the calendar year.
Design/methodology/approach
The paper uses a review of the literature.
Findings
The evidence points to seasonality in a number of areas of sexual health among young people, including: the timing of first intercourse and conceptions, both of which peak in the summer and over Christmas; abortions which peak approximately two months later in February and late summer and sexually transmitted infections, which peak over the summer and autumn. In the case of conceptions there is evidence that the seasonal pattern among young people is different from that of adults. Potential explanations fall into four main categories: biological; behavioural; social, and service‐related.
Research limitations/implications
Many of the studies included in this review are from the USA, and some are based on either small samples or specific risk groups, which raises questions of representativeness and generalisability. Further, it is notable how little research there has been regarding seasonal variations in other aspects of sexual behaviour, such as risk reduction practice and other potential explanatory factors such as health‐seeking behaviour and availability of services.
Practical implications
The findings consistently point to periods of heightened sexual activity among young people in the summer and over Christmas, and suggest that greater consideration should indeed be given to the timing of sexual health interventions within the calendar year.
Originality/value
To the best of the authors' knowledge, no other review of this kind has yet been found.
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The rates of HIV infection among prisoners in most countries are significantly higher than in the general population. HCV seroprevalence rates are even higher. While most…
Abstract
The rates of HIV infection among prisoners in most countries are significantly higher than in the general population. HCV seroprevalence rates are even higher. While most prisoners living with HIV or AIDS and/or HCV contract their infection(s) outside the institutions before imprisonment, there is evidence that the risk of being infected in prison, in particular through sharing of contaminated injecting equipment and through unprotected sex, is great. Outbreaks of HIV infection have been documented in a number of countries. Since the early 1990s, various countries have introduced HIV and, to a lesser extent, HCV prevention programmes in prisons. Part 2 of the select annotated bibliography on HIV/AIDS and HCV in prisons contains selected “essential” articles and reports that provide information about (1) prevalence of HIV, HCV, and risk behaviours in prisons; (2) transmission of HIV and HCV in prisons; and (3) measures aimed at preventing HIV and HCV infection in prisons: education, voluntary testing and counselling, provision of condoms, prevention of rape, sexual violence and coercion and bleach and needle and syringe programmes. Each section also contains a brief review of the evidence, based on recent work undertaken by WHO.
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