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UNESCO HIV and Health Education Clearinghouse

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  1. Targeting HIV prevention messaging to a new generation of gay, bisexual, and other young men who have sex with men

    HIV prevention messaging has been shown to reduce or delay high-risk sexual behaviors in young men who have sex with men (YMSM). Since the onset of the HIV/AIDS epidemic, a new generation of YMSM has come of age during an evolution in communication modalities. Because both these communication technologies and this new generation remain understudied, the authors investigated the manner in which YMSM interact with HIV prevention messaging. …

  2. Bisexual behavior among Chinese young migrant men who have sex with men: implications for HIV prevention and intervention

    The authors analyzed data from 307 Chinese young migrant men who have sex with men (MSM) in Beijing to examine bisexual behavior and the associated socio-demographic and behavioral factors. Twenty-seven percent of the MSM were also concurrently engaged in sexual behavior with women (MSMW). Among MSMW, 8.4% were infected with HIV, and 10.8% with syphilis, compared to 4.9% and 23.7%, respectively, among men who have sex with men only (MSM-only). …

  3. Young People Most at Risk for HIV/AIDS

    Attention paid to adults most at risk for HIV/AIDS - people who sell sex, those who inject drugs, and men who have sex with men (MSM) - is growing. Unfortunately, the particular needs of young people (ages 10 to 24) in these groups have drawn little focus. Young people who are most at risk for infection with HIV are among society’s most marginalized groups. In most cultures, the prevailing reaction to behavior linked to high risk of HIV infection is to try to prevent and punish it. Programs that aim to reduce harm provoke opposition, because they seem to tolerate or enable illegal behavior. …

  4. Reducing sexual risk taking behaviors among adolescents who engage in transactional sex in post-conflict Liberia

    Transactional sex (TS) has been correlated with HIV/STD infection, pregnancy, early marriage, and sexual violence in sub-Saharan Africa (SSA). Few Western-based HIV prevention programs adapted for SSA have examined intervention impacts for this group. This article examines whether an HIV prevention intervention, delivered to sixth-grade students in Liberia (age range 14–17) and found to increase condom use and other mediators for the larger sample, significantly impacted sexual behaviors and mediators for those who engaged in TS. …

  5. Jamaican Mothers' Influences of Adolescent Girls' Sexual Beliefs and Behaviors

    The purpose of this study was to identify the ways in which urban Jamaican mothers influence their adolescent daughters' sexual beliefs and behaviors in order to incorporate them into the design of a family-based, HIV risk-reduction intervention program. Focus groups were conducted with forty-six 14- to 18-year-old adolescent girls and 30 mothers or female guardians of adolescent girls recruited from community-based organizations in and around Kingston and St. Andrew, Jamaica. Separate focus groups were held with mothers and daughters; each included 6 to 10 participants. …

  6. HIV, syphilis infection, and risky sexual behaviors among male university students who have sex with men in Beijing, China: a cross-sectional study

    Young male university students who have sex with men are at high risk of HIV and sexually transmitted infections (STIs). The authors conducted a cross-sectional survey to assess the prevalence of risky sexual behaviors, HIV, and syphilis among male university students who have sex with men in Beijing, China; and to identify risk factors for unprotected anal intercourse (UAI). Among 157 study participants, HIV and syphilis prevalence were 2.5% and 7.0%, respectively. The authors found a high prevalence of UAI in the study population. …

  7. HIV among out-of-school youth in Eastern and Southern Africa: a review

    The overall decline of the HIV epidemic in Sub-Saharan Africa conceals how the HIV burden has shifted to fall on areas that have been more difficult to reach. This review considers out-of-school youth, a category typically eluding interventions that are school-based. Our review of descriptive studies concentrates on the most affected region, Southern and Eastern Africa, and spans the period between 2000 and 2010. …

  8. Alcohol and Its Effect on Young People's Reproductive and Sexual Health

    Young people are exposed to alcohol at many levels in society, particularly through advertising and peer pressure. As a result, harmful drinking habits are on the rise among adolescents and other youth. This brief describes the consequences of alcohol use on young people’s sexual and reproductive health. It also addresses policies and programs aimed at reducing alcohol use and its negative consequences among young people as well as programmatic responses to alcohol use and abuse.

  9. Paying to prevent HIV infection in young women?

    Between a quarter and a third of young women in sub-Saharan Africa are infected with HIV by the time they reach their early 20s. Structural factors such as poor education, poverty, and gender and power inequalities are important determinants of young women’s vulnerability to HIV infection. In The Lancet, Sarah Baird and colleagues report the results of a randomised controlled trial done with adolescent girls in rural Malawi, examining the effects of a cash transfer programme on risk of HIV infection. …

  10. The Impact of a Comprehensive Microfinance Intervention on Depression Levels of AIDS-Orphaned Children in Uganda

    The relationship between poverty and mental health functioning is well documented. Poverty affects not only families’ ability to physically care for children, but also families’ stability, functioning, and psychosocial well-being. In this article, we examine the impact of a comprehensive microfinance intervention, intended to reduce the risk of poverty, on depression among adolescent youth who have lost either one or both parents to AIDS.A child who has been affected by AIDS is more likely to have increased levels of anxiety, depression, and reduced self-esteem. …

  11. Addressing sexual violence and HIV risk among married adolescent girls in rural Nyanza, Kenya

    HIV infection is much higher among adolescent girls in sub-Saharan Africa than among boys. In settings such as Nyanza Province, Kenya, rates of HIV infection are extremely high, and evidence is increasing in some settings that girls who are married are much more likely to be infected with HIV, compared with their unmarried sexually active counterparts. This brief describes a program addressing the problem of sexual violence and the risk of HIV transmission within marriage in Kenya's Nyanza Province. …

  12. Le VIH a 30 ans, des nouvelles du futur

    Remaides est une revue trimestrielle destinée aux personnes vivant avec le VIH et leurs proches. Elle apporte une information claire et précise sur les traitements au VIH et les hépatites comme sur toutes les difficultés auxquelles chacun peut se retrouver confronté dans sa vie quotidienne. A travers les témoignages de ses lecteurs, Remaides est attaché à rendre visible la réalité intime de l'épidémie et à enrichir chacun de l'expérience des autres. Ce numéro propose un dossier spécialement consacré aux IST, aux traitements et aux différentes techniques de dépistage.

  13. HIV/AIDS Prevention among Youth: What Works?

    Young people are at the heart of the HIV/AIDS pandemic. Not only are they disproportionately represented in terms of new infections, but they are also key to overcoming the disease. Effective HIV prevention efforts that focus on youth are crucial to reversing the pandemic. The World Bank is one of the largest official financiers of HIV/AIDS programs in the world, with over $2.7 billion committed for HIV/AIDS prevention, care, support and treatment since 1988. …

  14. Sexual, reproductive health needs and rights of young people with perinatally acquired HIV in Uganda

    The number of young people with perinatally acquired HIV is growing significantly. With antiretroviral drugs, children who get infected at birth with HIV have an opportunity to graduate into adolescence and adulthood. This achievement notwithstanding, new challenges have emerged in their care and support needs, the most dynamic being their sexual and reproductive health needs and rights (SRHR). …

  15. The perspectives of injection drug users regarding safer injecting education delivered through a supervised injecting facility

    Unsafe injection practices can lead to HIV and HCV transmission as well as other bacterial and viral infections. Vancouver established North America's first supervised injection facility (SIF) to address such harms among injecting drug users (IDU). This study looks at their experiences receiving safer injecting education within the SIF. Through semi-structured, qualitative interviews, the experiences of 50 IDU were collected. Their testimonies indicate that gaps in knowledge exist among local IDU, often leading to unsafe injecting. …

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