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UNESCO HIV and Health Education Clearinghouse

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  1. HIV and adolescents: focus on young key populations

    Adolescents and young adults are at increased risk for HIV due to the many developmental, psychological, social, and structural transitions that converge in this period of the lifespan. In addition, adolescent deaths resulting from HIV continue to rise despite declines in other age groups. There are also young key populations (YKPs) that bear disproportionate burdens of HIV and are the most vulnerable, including young men who have sex with men (MSM), transgender youth, young people who inject drugs, and adolescent and young adult sex workers. …

  2. An overview of gay, lesbian and bisexual issues in Botswana

    In Botswana, homosexuality is criminalized, stigmatized, and considered by some to be “un-African.” Unsurprisingly in this context there has been scant research on lesbian, gay, and bisexual (LGB) issues. This paper reviews what research has been done in the areas of HIV risk, substance abuse, and mental health; explores the issues facing LGBs in Botswana; and offers recommendations for policy and future research. …

  3. HIV infection and sexual risk behaviour among youth who have experienced orphanhood: systematic review and meta-analysis

    Background: Previous research has suggested that orphaned children and adolescents might have elevated risk for HIV infection. We examined the state of evidence regarding the association between orphan status and HIV risk in studies of youth aged 24 years and younger. Methods: Using systematic review methodology, we identified 10 studies reporting data from 12 countries comparing orphaned and non-orphaned youth on HIV-related risk indicators, including HIV serostatus, other sexually transmitted infections, pregnancy and sexual behaviours. …

  4. Transactional sexual relationships, sexually transmitted infection risk, and condom use among young Black Women in peri-urban areas of the Western Cape Province of South Africa

    This study evaluated the relationship between having a history of transactional sexual relationships with condom use and STI risk. Participants completed a behavioral questionnaire and provided self-collected vaginal swabs which were tested for chlamydia trachomatis, neisseria gonorrhea, and trichomonas vaginalis. Multinomial logistic regression was used to compare condom use rates and STI risk among women with a history of transactional sexual relationships to women with a history of casual sexual relationships and those with no history of casual sexual relationships. …

  5. 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. …

  6. Self-reported sexual behaviour among adolescent girls in Uganda: reliability of data debated

    The objective of this study was to compare self-reported information about sexual behavior in a research interview to information retrieved during a clinical consultation. Social workers interviewed 595 sexually experienced women below 20 years about genital symptoms and sexual behavior. A midwife interviewed and examined the women and took vaginal samples for gonorrhea and chlamydia. Four questions were embedded in both the social workers' interviews and among the midwife's questions. …

  7. 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.

  8. Assessing reasons for school/college dropout among young adults and implications for awareness about STDs and HIV/AIDS: findings from a population-based study in Karachi, Pakistan

    This study investigated, among young adults in Karachi, Pakistan, the risk factors associated with involuntary school/college dropout and the implications for awareness about HIV/AIDS and STIs. The authors conducted a population-based, cross-sectional study with a structured questionnaire among 1,650 young males and females, ages 17-21 years and living in Karachi. Bivariate and multivariate analyses were performed separately for males and females. Females were twice as likely to drop out of school/college as males. …

  9. HIV prevention for South African youth: which interventions work? A systematic review of current evidence

    South Africa's HIV prevalence among 15-24 year olds is one of the highest in the world. This systematic review looks at the evidence for youth HIV prevention in the country since 2000 and critically assesses interventions across four domains: study design and outcomes; intervention design; thematic focus and HIV causal pathways; and intervention delivery. Eight interventions were included in the review, all similar regarding content and objectives, but with variouis thematic foci, causal pathways, theoretical bases, delivery methods, intensity and duration. …

  10. Study of knowledge, perception and attitude of adolescent girls towards STIs/HIV, safer sex and sex education: (A cross sectional survey of urban adolescent school girls in South Delhi, India)

    This cross-sectional study conducted in 2007 in South Delhi, India aimed to assess adolescent school girls' knowledge, attitudes and perceptionsátowards STIs/HIV and safer sex practices and sex education and to explore current sexual behavior. Two hundred and fifty-one female students from two senior secondary schools completed self-administered questionnaires. Over 33% of students did nto have accurate knowledge of the symptoms of STIs other than HIV. …

  11. Práticas educativas e prevenção de HIV/Aids: lições aprendidas e desafios atuais

    A prevenção tem sido uma questão crucial para os programas de controle da Aids. Os enormes progressos doá conhecimento e da técnica nesse campo não chegaram a alterar substantivamente os determinantes fundamentais da infecção e adoecimento de significativos contingentes populacionais. Neste ensaio busca-se sistematizar as lições que aprendemos no campo da prevenção nessas duas décadas de epidemia, tomando como base, em especial, a experiência brasileira. …

  12. Sem Direito de Amar? A Vontade de Ter Filhos entre Homens (e Mulheres) Vivendo com o HIV

    O presente artigo apresenta os resultados de uma pesquisa com 250 homens portadores do HIV com vida sexualmente ativa em relaçâo ao cuidado com a sua saúde reprodutiva em centros de referência de Aids, comparando-os com estudos realizados com mulheres portadoras. Apesar das conquistas queápermitem a paternidade sem infecção da parceira e da criança, os resultados indicam pouco acolhimento, mesmo nos centros de excelência pesquisados. …

  13. HIV and emergencies: one size does not fit all

    The dynamics and impact of HIV in humanitarian crises are complex. They depend on the kind of crisis: is it the result of conflict, a rapid-onset natural disaster (such as a flood or cyclone), or a slow-onset emergency caused by drought or environmental degradation? It also depends on the HIV prevalence rate before the crisis, the political situation, the scale and duration of the crisis, the existing infrastructure and services and the level of awareness of HIV. Case studies from five countries facing very different emergencies and HIV prevalence rates were backed by a literature review. …

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