2,714 results match your criteria safer sexual

Prevalence of STIs, sexual practices and substance use among 2083 sexually active unmarried women in Lebanon.

Sci Rep 2021 May 10;11(1):9855. Epub 2021 May 10.

Marsa Sexual Health Center, Beirut, Lebanon.

Access to sexual and reproductive health in conservative communities and in the MENA region are particularly limited and, as such, increase women's vulnerability to unwanted pregnancies, unsafe abortions, and sexually transmitted infections (STIs). The aim was to assess the prevalence of STIs, sexual practices, recreational drug-use and their possible associations among cisgender unmarried women residing in Lebanon. Data on demographics, sexual practices and substance-use were collected from 2083 unmarried cisgender women who voluntarily attended a sexual health clinic in Lebanon between 2015 and 2019. Read More

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The spatial ecology of red deer under different land use and management scenarios: Protected areas, mixed farms and fenced hunting estates.

Sci Total Environ 2021 Apr 16;786:147124. Epub 2021 Apr 16.

Grupo Sanidad y Biotecnología (SaBio), Instituto de Investigación en Recursos Cinegéticos (IREC), UCLM-CSIC-JCCM, 13071 Ciudad Real, Spain. Electronic address:

The knowledge regarding the spatial ecology of red deer (Cervus elaphus) in different environments is crucial if effective management actions are to be designed. However, this knowledge continues to be scarce in the complex contexts of mixed land use and management circumstances. This study describes the spatial ecology of red deer monitored using GPS collars in Mediterranean ecosystems of South-Central Spain, considering the effect of individual and seasonal (food shortage period, rut, hunting season and food abundance period) factors on different land use and management scenarios, namely protected areas, mixed farms and fenced hunting estates. Read More

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Childhood Adversity, Impulsivity, and HIV Knowledge as Predictors of Sexual Risk Outcomes in At-Risk Female Youth.

Adolescents 2021 Mar 23;1(1):56-69. Epub 2021 Mar 23.

Department of Counseling Psychology and Human Services, University of Oregon, Eugene, OR 97403, USA.

Sexual risk behavior in adolescence can lead to adverse health consequences, particularly for female youth. Most interventions focus on imparting knowledge about the consequences of such behaviors, even though little research has examined whether increasing such knowledge results in desired behavioral changes. Further, individual factors such as impulsivity and childhood adversity might moderate this relationship. Read More

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Social self-efficacy and sexual communication among adolescents in the United States: a cross-sectional study.

Sex Health 2021 May;18(2):172-179

North Carolina State University, Department of Psychology, Campus Box 7650, Raleigh, NC, USA.

Background Sexual communication between partners is associated with safer sex behaviours, including condom use among adolescents. Several studies have found a relationship between negative psychological constructs (e.g. Read More

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Mass Media Exposure and Safer Sex Negotiation among Women in Sexual Unions in Sub-Saharan Africa: Analysis of Demographic and Health Survey Data.

Behav Sci (Basel) 2021 Apr 28;11(5). Epub 2021 Apr 28.

School of International Development and Global Studies, University of Ottawa, Ottawa, ON K1N 6N5, Canada.

(1) Background: Improving sexual autonomy among women in sexual unions comes with various benefits, including the reduction of sexually transmitted and blood-borne infections. We examined the relationship between mass media exposure and safer sex negotiation among women in sub-Saharan Africa (SSA). (2) Methods: The study involved a cross-sectional analysis of Demographic and Health Survey (DHS) data of 29 sub-Saharan African countries. Read More

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Condoms, Trust and Stealthing: The Meanings Attributed to Unprotected Hetero-Sex.

Int J Environ Res Public Health 2021 Apr 16;18(8). Epub 2021 Apr 16.

School of Social Sciences, Nottingham Trent University, Nottingham NG1 5LT, UK.

University students tend to have greater sexual health knowledge than the general public, yet condom use among this group continues to be a public health concern because effective condom use could reduce sexually transmitted infections and, for heterosexual women, unwanted pregnancies. We report findings from a small, qualitative study of condom use among sexually active heterosexual university students in the UK. In interviews, students shared their views about condom use and sometimes their personal experiences too. Read More

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HIV-positive status disclosure to a sexual partner and associated factors among HIV-positive pregnant women attending antenatal care in Dire Dawa, Ethiopia: A cross-sectional study.

PLoS One 2021 27;16(4):e0250637. Epub 2021 Apr 27.

Department of Midwifery, College of Medicine and Health Sciences, Dire Dawa University, Dire Dawa, Ethiopia.

Introduction: Pregnant women who disclose their HIV-positive status to their sexual partners have played an important role in reducing the risk of HIV/AIDS transmission to the baby during the antepartum, intrapartum, and postnatal periods. Studies are limited in the current study area in a similar arena. Therefore, this study aimed to assess the proportion of HIV-positive status disclosure and its associated factors among pregnant women. Read More

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Women's autonomy in household decision-making and safer sex negotiation in sub-Saharan Africa: An analysis of data from 27 Demographic and Health Surveys.

SSM Popul Health 2021 Jun 17;14:100773. Epub 2021 Mar 17.

School of Public Health, Faculty of Health, University of Technology Sydney, Sydney, Australia.

Women's ability to negotiate the conditions and timing of sex is key to several reproductive health outcomes including family planning and prevention of sexually transmitted infections. We investigated the association between women's autonomy in household decision-making and safer sex negotiation (SSN) in sub-Saharan Africa (SSA). This was a cross-sectional analysis of data from the Demographic and Health Survey (DHS) of 27 countries in SSA. Read More

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Sexually transmissible infections and sexual risk behaviour among deployed, ship-assigned USA Navy and Marine Corps personnel.

Sex Health 2021 May;18(2):162-171

Department of Defense HIV/AIDS Prevention Program, Defense Health Agency, San Diego, CA, USA; and University of New Mexico, Albuquerque, NM, USA.

Background Data show sexually transmissible infection (STI) diagnoses in USA military personnel engaging in unprotected sex are higher during deployment than before or after. We examined sexual risk behaviour, same-sex contact, mixed sex partnerships (both casual and committed partners) and STIs among ship-assigned USA Navy and Marine Corps personnel to assess increased risk.

Methods: Data on sexual risk behaviour, partner type, gender, and healthcare provider-diagnosed STIs were collected longitudinally (2012-14) among sexually active personnel during deployment. Read More

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"What does it matter?" Young sexual minority men discuss their conversations with sexual partners about HPV vaccination.

J Am Coll Health 2021 Apr 8:1-7. Epub 2021 Apr 8.

Division of General Pediatrics and Adolescent Health, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota, USA.

Objective: Human papillomavirus vaccination coverage is suboptimal, especially among males. Social networks influence young adults' health behaviors and could be leveraged to promote vaccination. We sought to describe how young sexual minority men communicate about human papillomavirus (HPV) vaccination with their sexual partners. Read More

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Redeveloping a Digital Sexual Health Intervention for Adolescents to Allow for Broader Dissemination: Implications for HIV and STD Prevention.

AIDS Educ Prev 2021 04;33(2):89-102

North Carolina State University, Department of Computer Science, Raleigh, North Carolina.

HIV/STDs and unintended pregnancy persist among adolescents in the United States; thus, effective sexual health interventions that can be broadly disseminated are necessary. Digital health interventions are highly promising because they allow for customization and widespread reach. The current project involved redeveloping and expanding HEART (Health Education and Relationship Training)-a brief, digital sexual health intervention efficacious at improving safer sex knowledge, self-efficacy, and behavior-onto an open-source platform to allow for greater interactivity and accessibility while reducing long-term program costs. Read More

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Drug Injection-Related and Sexual Behavior Changes in Drug Injecting Networks after the Transmission Reduction Intervention Project (TRIP): A Social Network-Based Study in Athens, Greece.

Int J Environ Res Public Health 2021 03 1;18(5). Epub 2021 Mar 1.

Medical School, University of Cyprus, Nicosia 2029, Cyprus.

The Transmission Reduction Intervention Project (TRIP) was a network-based, enhanced contact tracing approach, targeting recently HIV-infected people who inject drugs (PWID) in Athens, Greece (2013-2015). This analysis examines behavioral changes of participants in TRIP and their determinants between baseline and follow-up visits to the program. All participants of TRIP were tested for HIV and interviewed using a questionnaire with items on drug injection-related and sexual behaviors. Read More

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Use of fertility awareness methods as a component of safer conception for women in HIV-serodifferent relationships in Kenya.

Reprod Health 2021 Apr 1;18(1):73. Epub 2021 Apr 1.

Department of Global Health, University of Washington, 325 Ninth Avenue, Box 359927, Seattle, WA, 98104, USA.

Background: For couples affected by HIV, and serodifferent couples in particular, pregnancy desire is often juxtaposed against the risk of HIV transmission between the couple and the potential neonate leading to thinking about measures to minimize risk of HIV transmission. We assess the use of fertility awareness methods [FAM] and evaluate the drivers of alignment between indicators of fertility and sexual behavior among HIV-serodifferent couples desiring pregnancy.

Methods: HIV-serodifferent couples from Thika, Kenya were enrolled into an open-label pilot evaluation of safer conception strategies. Read More

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'Test Now, Stop HIV': COVID-19 and the idealisation of quarantine as the 'end of HIV'.

Cult Health Sex 2021 Apr 1:1-14. Epub 2021 Apr 1.

Department of Science and Technology Studies, UCL, London, UK.

The emergence of COVID-19 precipitated varied responses from public health officials in London, England. In April 2020, clinicians at 56 Dean Street sexual health and advice clinic in central London described social isolation as 'a unique window of opportunity' to 'break the chain' in HIV transmission. This was followed by critical responses within HIV prevention circles. Read More

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Empowerment and HIV Risk Behaviors in Couples: Modeling the Theory of Gender and Power in an African Context.

Womens Health Rep (New Rochelle) 2020 21;1(1):89-101. Epub 2020 Apr 21.

Department of Psychiatry, Michigan State University, East Lansing, Michigan, USA.

Young women and girls in Eastern and Southern Africa are at elevated risk of acquiring human immunodeficiency virus (HIV) compared with men, largely due to power dynamics within heterosexual relationships that contribute to HIV risk behaviors. Few studies employ a comprehensive framework to examine divisions between men and women and HIV risk behaviors in an African context. Thus, we examined associations between levels of women's empowerment and HIV risk behaviors applying the Theory of Gender and Power. Read More

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"It really proves to us that we are still valuable": Qualitative research to inform a safer conception intervention for men living with HIV in South Africa.

PLoS One 2021 25;16(3):e0240990. Epub 2021 Mar 25.

Department of Obstetrics and Gynaecology, MRU (MatCH), University of the Witwatersrand, Faculty of Health Sciences, Durban, South Africa.

Objective: Many men living with HIV want to have children. Opportunities to reduce periconception HIV transmission include antiretroviral therapy as prevention, pre-exposure prophylaxis, limiting condomless sex to peak fertility, and sperm processing. Whether men have knowledge of or want to adopt these strategies remains unknown. Read More

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"Knowledge I seek because culture doesn't work anymore … It doesn't work, death comes": the experiences of third-generation female caregivers (gogos) in South Africa discussing sex, sexuality and HIV and AIDS with children in their care.

BMC Public Health 2021 Mar 9;21(1):470. Epub 2021 Mar 9.

School of Public Health, University of the Witwatersrand, Johannesburg, South Africa.

Background: Sexual reproductive health communication between parents and children has been shown to promote safer sexual choices. In many South African households, third-generation female caregivers, often grandmothers or other older females, locally known as gogos, are primary caregivers of children due to parents being deceased or absent. Subsequently, the responsibility of talking about sex and related issues has shifted to these gogos. Read More

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A narrative review of the ethnomedicinal usage of Cannabis sativa Linnaeus as traditional phytomedicine by folk medicine practitioners of Bangladesh.

J Cannabis Res 2021 Mar 19;3(1). Epub 2021 Mar 19.

Biotechnology & Natural Medicine Division, TechB Nutrigenomics, Dhaka, Bangladesh.

Background: There is a worldwide interest in the use of Cannabis sativa for biomedicine purposes. Cannabis has ethnomedicinal usage as a natural medicine in Bangladesh and cultivated during the British Empire period for revenues.

Objective: Folk medicine practitioners (FMPs) from different districts of Bangladesh have been using Cannabis sativa, but until now there have not been any compiled studies particularly regarding this practice. Read More

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Commercial sex work among university students: a case study of four public universities in Ghana.

BMC Womens Health 2021 Mar 10;21(1):103. Epub 2021 Mar 10.

Department of Political Science Education, Faculty of Social Science, University of Education Winneba, P.O. Box 25, Winneba, Ghana.

Background: Despite its criminalization in Ghana, commercial sex work dates back to ancient societies and occurs in various forms within communities. The authors examined commercial sex work in selected public Universities in Ghana to inform policy and program decisions for safer sex at the universities in Ghana.

Methods: The study was an exploratory-mixed-method design. Read More

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Horizons and Group Motivational Enhancement Therapy: HIV Prevention for Alcohol-Using Young Black Women, a Randomized Experiment.

Am J Prev Med 2021 05 5;60(5):629-638. Epub 2021 Mar 5.

Department of Psychology, University of Rhode Island, Kingston, Rhode Island.

Introduction: Black women are at disproportionately greater risk for HIV and sexually transmitted infections than women of other ethnic/racial backgrounds. Alcohol use may further elevate the risk of HIV/sexually transmitted infection acquisition and transmission.

Study Design: A random-assignment parallel-group comparative treatment efficacy trial was conducted with random assignment to 1 of 3 conditions. Read More

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STI prevalence among men living with HIV engaged in safer conception care in rural, southwestern Uganda.

PLoS One 2021 3;16(3):e0246629. Epub 2021 Mar 3.

Global Health Collaborative, Mbarara, Uganda.

HIV care provides an opportunity to integrate comprehensive sexual and reproductive healthcare, including sexually transmitted infection (STI) management. We describe STI prevalence and correlates among men living with HIV (MLWH) accessing safer conception care to conceive a child with an HIV-uninfected partner while minimizing HIV transmission risks. This study reflects an ongoing safer conception program embedded within a regional referral hospital HIV clinic in southwestern Uganda. Read More

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The Experience of Using Dating Applications for Sexual Hook-Ups: A Qualitative Exploration among HIV-Negative Men Who Have Sex With Men in Hong Kong.

J Sex Res 2021 Mar 3:1-10. Epub 2021 Mar 3.

School of Nursing, University of Hong Kong.

Men who have sex with men (MSM) use dating applications (apps) to explore various romantic and sexual relationships. This qualitative study aimed to describe HIV-negative MSM's experiences with app usage, the sexual activities arranged accordingly and their experiences in using dating apps to arrange sexual encounters. Thirty-one MSM who were sexually active and who used dating apps were recruited. Read More

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Not your unicorn: trans dating app users' negotiations of personal safety and sexual health.

Health Sociol Rev 2021 Mar 22;30(1):72-86. Epub 2020 Nov 22.

ACON, Sydney, Australia.

This article reflects on 14 Australian trans dating app users' accounts of feeling safer (and less safe) when using apps, as well as their experiences of sexual healthcare. We explore both app use and healthcare in the context of the interdisciplinary field of 'digital intimacies', considering the ways that digital technologies and cultures of technological use both shape and are shaped by broader professional and cultural norms relating to sexuality and gender. Drawing on Preciado's [(2013). Read More

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Safer Conception and Family Planning Knowledge, Attitudes, and Practices Among Postpartum Women with HIV in Rural South Africa.

Open Access J Contracept 2021 10;12:17-25. Epub 2021 Feb 10.

Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, USA.

Introduction: With the help of safer conception strategies (SCS), women with HIV (WHIV) can achieve their reproductive goals while minimizing the risk of transmission to their partners or infants. However, interpregnancy intervals of at least 24 months are recommended to optimize maternal and infant health outcomes, so postpartum WHIV need to use contraception to delay subsequent pregnancies. Understanding safer conception and family planning knowledge, attitudes, and practices among WHIV is key to tailoring family planning policy and intervention development in regions with high HIV prevalence. Read More

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February 2021

Should We Worry About Setting? Association of Program Fidelity with Youths' Satisfaction and Intention to Practice Safer Sex.

Am J Health Promot 2021 02;35(2):168-171

Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, 2629University of South Carolina, Columbia, SC, USA.

Purpose: To examine whether deviation from fidelity in the implementation of an evidence-based program on safer sex education affected youth satisfaction and intention to avoid risky sexual behaviors.

Design: Implementation evaluation.

Setting: In-school and out-of-school settings in South Carolina. Read More

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February 2021

Sexual experiences of adolescents and young adults living with HIV attending a specialized clinic in Accra, Ghana.

Ghana Med J 2020 Jun;54(2 Suppl):91-97

Department of Medicine, School of Medicine and Dentistry, College of Health Sciences, University of Ghana, Korle Bu, Accra, Ghana.

Background: We assessed sexual experiences among adolescent and young adults living with HIV (AYALHIV) attending the adolescent HIV care clinic in Korle Bu Teaching Hospital (KBTH).

Design: Cross-sectional study conducted in 2015.

Setting: HIV clinic at KBTH. Read More

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Small RNA-directed DNA elimination: the molecular mechanism and its potential for genome editing.

RNA Biol 2021 Feb 8:1-6. Epub 2021 Feb 8.

Department of BioNanoScience, Kavli Institute of Nanoscience, Delft University of Technology, Delft, The Netherlands.

Transposable elements have both detrimental and beneficial effects on their host genome. is a unicellular eukaryote that deals with transposable elements in a unique way. It has a separate somatic and germline genome in two nuclei in a single cell. Read More

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February 2021


Endocr Pract 2021 Jan 13;27(1):63-70. Epub 2020 Dec 13.

Mount Sinai Center for Transgender Medicine, Mount Sinai Health System and Icahn School of Medicine at Mount Sinai, New York, New York. Electronic address:

Objective: To review screening guidelines for cardiometabolic disease in aging patients and review literature describing the effect of hormone therapy (HT) on several key cardiometabolic processes to inform providers caring for older transgender individuals.

Methods: A traditional literature review was performed using PubMed and Google Scholar databases.

Results: The risk of cardiovascular disease increases with age. Read More

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January 2021

90 DAYS: An investigation of a short entertainment-education film to improve HIV status disclosure among black women living with HIV in Miami-Dade County.

Soc Sci Med 2021 Feb 10;270:113683. Epub 2021 Jan 10.

Dept of Obstetrics and Gynecology, University of Miami, Miami, FL, USA.

Within Miami-Dade County, Black women experience disproportionate rates of HIV incidence and prevalence. Status disclosure to sexual partners is central to mitigating the HIV epidemic and ensuring a healthier lifestyle for those living with the virus. The disclosure processes model (DPM) posits that barriers such as stigma and negative outcome expectations often facilitate disclosure avoidance. Read More

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February 2021

Dating apps as public health 'problems': cautionary tales and vernacular pedagogies in news media.

Health Sociol Rev 2020 11 20;29(3):232-248. Epub 2020 Jun 20.

University of Technology, Sydney, Australia.

In this paper we examine how popular media reporting positions dating and hookup app use as a 'social problem' that impacts on health and wellbeing. The paper adopts a mixed-methods media studies approach to create and analyse a dataset of over 6,000 international news articles published within a 12-month period, drawing on thematic content analysis and inductive and deductive techniques. These analyses are framed in relation to online consultations with Australian sexual health professionals and app users. Read More

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November 2020