Paying to prevent HIV infection in young women?

Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.
The Lancet (Impact Factor: 45.22). 02/2012; 379(9823):1280-2. DOI: 10.1016/S0140-6736(12)60036-1
Source: PubMed
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    • "This could be explained by the social and cultural conditions that affect sexual risk-taking behaviors (Blum, Bastos, Kabiru, & Le, 2012; Le Marchand, Evans, Page, Davidson, & Hahn, 2013; Pettifor, McCoy, & Padian, 2012). Indeed, in Africa highrisk behaviors due to precariousness, low literacy rate and the lack of proper sexual education is a serious problem that needs to be addressed (Bankole, Ahmed, Neema, Ouedraogo, & Konyani, 2007; Blum, 2009; Blum et al., 2012; Catalano et al., 2012; Gupta, Parkhurst, Ogden, Aggleton, & Mahal, 2008; Le Marchand et al., 2013; Pettifor et al., 2012); one of the principal issues is the implementation of school-based sexual education. Olley (2007) demonstrated that education increased street youths' awareness and reduced antisocial and risky behaviors. "
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    ABSTRACT: This is a short report on blood-borne infections among high school learners and university students aged 15–24 years old, recruited during outdoor blood donation campaign in 2013/2014 in Libreville. Participants were tested for HIV, HBS, HCV, HTLV and Syphilis. The prevalence of HIV, HBS, HCV, HTLV and Syphilis in the studied population was, respectively, 0.49%, 3.92%, 2.94%, 8.33% and 0.73%. University students and high school learners had comparable rates of sexually transmitted infections infection (14.86% and 14.67%, respectively). It is important to introduce chapters on sexual behavior, contraception and sexually transmitted diseases at schools to increase pupils’ awareness. Also parents need to be educated to ease this process.
    Vulnerable Children and Youth Studies 04/2015; DOI:10.1080/17450128.2015.1034800
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    • "Women, young people and people from modest backgrounds are thought to be particularly vulnerable to STIs [7], [8], [9], [10], [11], [12]. In 2009 in the USA, persons aged from 15 to 29 years represented 21% of the population but accounted for 39% of all new HIV infections [13]. "
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    ABSTRACT: The purpose of this study was to (1) describe the distribution of Chlamydia trachomatis (CT) and Human Immunodeficiency Virus (HIV) cases across gender and age groups in Libreville (Gabon); (2) examine Gabonese Sexually Transmitted Infections (STIs)-related risk behaviour. The sampled population was people attending the "Laboratoire National de Santé Plublique". Between 2007 and 2011, 14 667 and 9 542 people respectively, were tested for CT and HIV infections. 1 854 of them were tested for both infections. We calculated CT and HIV rates across gender and age groups. Also analysed was the groups' contribution to the general CT and HIV epidemiology. STIs-related risk behaviours were assessed in 224 men and 795 women (between July 2011 and March 2013) who agreed and answered a questionnaire including questions on their marital status, number of sex partners, sexual practices, history of STIs, sex frequency and condom use. Data showed a 24% dropped in the CT infection rate between 2007 and 2010, followed by a 14% increase in 2011. The HIV infection rates for the same period were between 15% and 16%. The risk of a CT-positive subject getting HIV is about 0.71 times the risk of a CT-negative subject. Young adult aged between 18 and 35 years old represented 65.2% of people who had STIs. 80% of women and 66% of men confessed to an inconsistent use of condoms. 11.6% of women and 48% of men declared having multiple sex partners. 61% of questioned women and 67% of men declared knowing their HIV status. In this Gabonese setting, the population-aged from18 to 35 years is the most affected by STIs. Other matters of concern are the inconsistent use of protection and sex with non-spousal or non-life partners.
    PLoS ONE 03/2014; 9(3):e90174. DOI:10.1371/journal.pone.0090174 · 3.23 Impact Factor
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    ABSTRACT: The social, economic, political and environmental structural factors that increase susceptibility to HIV infection and undermine prevention and treatment efforts continue to pose a challenge. The papers in this series highlight the importance of sustaining those efforts to address the structural drivers of the HIV epidemic, and that initiatives to achieve HIV elimination will only come about through a comprehensive HIV response, that includes meaningful responses to the social, political, economic and environmental factors that affect HIV risk and vulnerability. In the context of declining resources for HIV/AIDS, the papers speak to the need to integrate responses to the structural drivers of HIV/AIDS into future HIV investments, with both initiatives to integrate HIV into broader gender and development initiatives, as well as adaptations of current service models, to ensure that they are sensitive to and able to respond to the broader economic and social responsibilities that their clients face.
    Journal of the International AIDS Society 06/2012; 15 Suppl 1(Suppl 1):1-4. DOI:10.7448/IAS.15.3.17397 · 5.09 Impact Factor
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