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Exploring the Impact of Pre-exposure Prophylaxis Related to Sexual Behavior in College Men

Exploring the Impact of Pre-exposure Prophylaxis Related to Sexual Behavior in College Men
Author: Dalton Poe
Publisher:
Total Pages: 57
Release: 2020
Genre:
ISBN:

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Pre-exposure prophylaxis (PrEP) is an effective tool for preventing human immunodeficiency virus (HIV) acquisition in sexually active at-risk individuals such as men who have sex with men (MSM). The purpose of this study is to examine factors associated with intent to engage in risky sexual behavior among HIV-negative college aged (18-24) MSM who are currently adherent to PrEP or who have expressed interest in the future adoption of PrEP. A multiracial/ethnic sample of 31 men expressing interest in the adoption of PrEP and 6 men currently taking PrEP completed a quantitative survey identifying key themes regarding attitudes towards PrEP and potential behaviors associated with adherence. Themes associated with current adherence to PrEP included protection from HIV infection, the opportunity to engage in sexual activities with a non-condom HIV prevention method, and perceived protection from sexually transmitted infections. Themes associated with potential adoption of PrEP included protection from HIV infection, opportunity to engage in sexual activity with known HIV-positive partners, opportunity to engage in sexual activities with a non-condom HIV prevention method, and perceived protection from sexually transmitted infections. Review found that decreased condom use and increased sexual partners are key themes related to initiation of PrEP, and a decrease in frequency of condom use was indicated among the adherent sample. Other key themes identified include barriers to PrEP implementation and misinformation regarding sexually transmitted infections among the population.


Effect of Pre-Exposure Prophylaxis (PrEP) Education on Sexual Behaviors of Gay and Bisexual Men

Effect of Pre-Exposure Prophylaxis (PrEP) Education on Sexual Behaviors of Gay and Bisexual Men
Author: Randulf Villaneuva Erguiza
Publisher:
Total Pages: 212
Release: 2017
Genre: Animal behavior
ISBN:

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Pre-exposure prophylaxis (PrEP) is a drug that prevents the transmission of human-immunodeficiency virus (HIV), but not the transmission of other sexually-transmitted infections (STIs). Studies of PrEP use to prevent the transmission of HIV among gay and bisexual men (GBM) have demonstrated high risks for engagement in risk-compensating sexual behaviors, which increase their susceptibility to STIs. This study’s aims were to elicit understanding of the effect of PrEP education on sexual behaviors and STI rates of GBM, and to inform the development of evidence-based PrEP education. The quasi-experimental intervention study was based on Pender’s Health Promotion Model (HPM) as the theoretical framework and comprised two phases: a pre-post intervention assessment and a three-month follow-up. The knowledge, attitudes, and practices (KAP) of a purposive sample of GBM were measured in both phases, through in-person semi-structured interviews, an STI-PrEP Knowledge QuestionnaireTM, Sexual Risk Cognition Questionnaire (SRCQ), and self-reported STI status. The intervention comprised two brief Centers for Disease Control and Prevention (CDC) educational videos. Quantitative analyses included descriptive statistics and non-parametric tests. Analysis of open-ended questions was based on the hierarchical, editing style to generate categories and themes. Eight GBM participated in the first phase and four of them (50%) in the second, follow-up phase. Comparing the STI-PrEP questionnaire scores, there was a significant difference in scores between pre-intervention (Median = 13.50) and both post-intervention (Median = 15.00) and three-month follow-up (Median = 14.75), p = .023, demonstrating that the improvement in STI-PrEP questionnaire scores was maintained at follow-up. The SRCQ yielded no significant change in sexual cognition between pre-intervention and follow-up, p = .461. There was a 25% decrease in the self-reported STI rate from baseline at pre-intervention to follow-up. Thematic analysis of the qualitative responses showed that PrEP use motivators include sexual pleasure, condom-less sex, and PrEP’s efficacy; PrEP education effects include improved informed decision-making and PrEP compliance. PrEP education improved knowledge, reduced STI rates, and had an effect on sexual intentions. Strengthened PrEP education in healthcare may improve sexual behaviors and STI rates utilizing the HPM and a multidisciplinary approach in implementing multimodal strategies in addressing sexual behaviors.


Sexual Risk Behavior in Men Who Have Sex with Men in an Era of Pre Exposure Prophylaxis (PrEP) for HIV Prevention

Sexual Risk Behavior in Men Who Have Sex with Men in an Era of Pre Exposure Prophylaxis (PrEP) for HIV Prevention
Author: Kellie Freeborn
Publisher:
Total Pages: 113
Release: 2018
Genre:
ISBN: 9780355857627

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Dissertation Aims - 1) review the literature to examine if PrEP is associated with changes in risk behavior in MSM; 2) determine the reasons why MSM who self-identify as low risk for HIV request PrEP; and 3) determine how PrEP use affects condom use and STIs rates in MSM who self-identify as high risk for HIV.


Men Who Have Sex with Men

Men Who Have Sex with Men
Author: Leonard Obodo
Publisher:
Total Pages: 143
Release: 2017-10-29
Genre:
ISBN: 9781973176657

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Recent multicenter, randomized, double blind clinical trials have shown no association between HIV preexposure prophylaxis (PrEP) and increased sexual risk behavior among high-risk men who have sex with men (MSM). However, little research has been conducted under natural conditions devoid of clinical trial controlled environment to confirm the lack of association between PrEP and increased sexual risk behavior. Also, research has shown conflicting associations between sociodemographic characteristics and sexual risk behavior among MSM. In this cross-sectional, web-based, primary data analysis, MSM who reside in United States of America and who make use of PrEP for HIV prevention were examined to determine and explain the relationship between PrEP and sexual risk behavior using the theory of health belief model.


Social Psychological Foundations of Health and Illness

Social Psychological Foundations of Health and Illness
Author: Jerry Suls
Publisher: John Wiley & Sons
Total Pages: 608
Release: 2008-04-15
Genre: Psychology
ISBN: 0470752092

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Social Psychological Foundations of Health and Illness is a summary of current research in social-health psychology. The chapters, written by distinguished leaders in the field, provide brief surveys of classic developments in each area of study followed by extended discussion of the authors’ research programs. Includes state-of-the-art descriptions of new findings and theories concerning social aspects of physical health and illness. Discusses virtually all of the major topics studied in the contemporary field of social-health psychology. Contains chapters written by leading figures in the field that discuss their own research within the context of classic efforts.


Adolescents and AIDS

Adolescents and AIDS
Author: Ralph J. DiClemente
Publisher: SAGE Publications, Incorporated
Total Pages: 102
Release: 1992-07-06
Genre: Medical
ISBN:

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There hasn't been a resource to inform readers about the HIV risk confronting our adolescent population--until now! In Adolescents and AIDS, leading researchers in health, medicine, sociology, and psychology describe the risks to this vulnerable population. Divided into three parts (epidemiology, prevention/risk reduction, and policy), this comprehensive book addresses not only adolescents in general, but includes specific chapters on high-risk populations such as minority, incarcerated and homeless youth. The authors explore the data and theoretical underpinnings necessary for designing and implementing effective risk-reduction and prevention programs by approaching the AIDS epidemic as a social and developmental crisis that adolescents are ill-prepared to address. While proposing appropriate theoretical models for behavior change, the book also evaluates the effectiveness of various intervention strategies ranging from school-based programs to mass-media approaches and offers public policy recommendations for intervening for this population. Health professionals, researchers, policy analysts, clinicians, counselors, and students will find this timely text a valuable resource.


Disease Control Priorities, Third Edition (Volume 6)

Disease Control Priorities, Third Edition (Volume 6)
Author: King K. Holmes
Publisher: World Bank Publications
Total Pages: 1027
Release: 2017-11-06
Genre: Medical
ISBN: 1464805253

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Infectious diseases are the leading cause of death globally, particularly among children and young adults. The spread of new pathogens and the threat of antimicrobial resistance pose particular challenges in combating these diseases. Major Infectious Diseases identifies feasible, cost-effective packages of interventions and strategies across delivery platforms to prevent and treat HIV/AIDS, other sexually transmitted infections, tuberculosis, malaria, adult febrile illness, viral hepatitis, and neglected tropical diseases. The volume emphasizes the need to effectively address emerging antimicrobial resistance, strengthen health systems, and increase access to care. The attainable goals are to reduce incidence, develop innovative approaches, and optimize existing tools in resource-constrained settings.


An Exploration of Psychosocial Factors Contributing to Risky Sexual Behaviors Among Men with Same Sex Partners

An Exploration of Psychosocial Factors Contributing to Risky Sexual Behaviors Among Men with Same Sex Partners
Author: Honnalore Byrdeen Steissberg
Publisher:
Total Pages: 214
Release: 2017
Genre:
ISBN:

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This research investigated Risky Sexual Behaviors (RSB) among men with same sex partners, in reference to the increased number of new HIV infections within that population. Men who have Sex with Men (MSM) continue to suffer disproportionately high HIV infection rates, with this population accounting for the majority of new HIV infections, while making up only an estimated 2 percent of the population. Prominent themes were identified and described using a phenomenological perspective to contextualize the experiences of members of the study sample, as gathered from online self-reports and blogs to conduct qualitative research and using Grounded Theory processes to outline interrelated emergent components that form enmeshed schemas. Illicit drug use by MSM was situated within a cyclical relationship with risky sexual practices that facilitate HIV transmission. The study findings indicate that one inadequately recognized driver of RSB could involve the compelling primacy of seminal transaction within male same-sex sexuality. Behavioral, cognitive, and emotional patterns associated with Risky Sexual Behaviors emerged as transferable to other public health issues involving at-risk populations, such as chemical dependency, unhealthy lifestyle patterns as well as general sexual risk-taking. Sexual identity, body image, and social/subcultural constructions of masculinity emerged as primary themes within the study's findings. A complex combination of factors contributes to RSB among men who have sex with men, including perceived sexual needs, pernicious effects of stigma, issues relating to cultural identity, fatalism, complacency, and use of substances as associated with sexual risk-taking. Recommendations include increased promotion of Pre-Exposure Prophylaxis, increased acknowledgement of ambivalence surrounding HIV prevention among MSM, and targeted educational approaches to minimize the conceptions associated with Risky Sexual Behaviors among males with same sex partners, with the collaborative efforts of governmental and non-governmental organizations.


Missing Voices

Missing Voices
Author: Stephanie Brown
Publisher: Oxford University Press, USA
Total Pages: 316
Release: 1994
Genre: Family & Relationships
ISBN:

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Motherhood is often portrayed as one of the most fulfilling experiences in a woman's life. Books on pregnancy, birth and motherhood not only tell women what they should do, they also encourage them to have high expectations of what is inevitably a 'journey into the unknown'. Missing Voices isdifferent: its authors offer no prescriptions. Instead they tell the stories of 800 recent mothers. We hear about what happened to them during pregnancy and childbirth, what contributed to good and bad experiences of birth, and what women thought of the care they received. Ninety of the women went on to participate in interviews two years later. The result is a moving and powerful account of what it is like to be a mother in Australia in the 1990s. How do mothers' daily lives compare with accepted wisdom about 'good mothers'? How is the work of caring for children,running the household and providing financial support divided within the family? How do women feel about the care of children and work - both paid and unpaid? One in seven women was depressed in the year after birth. In Missing Voices they talk candidly about the origins of this depression and howthey coped with it. This is a book for all mothers (and fathers), for anyone contemplating having children, and for all those concerned about the health and well-being of mothers, children and families.