Search

This study used a Social network analysis (SNA) approach to describe HIV transmission and venue affiliations among social and sexual networks of young men who have sex with men (YMSM) in Houston, TX.A total of 34 YMSM indices aged 18-23 years and 23 of their network members were interviewed about their social and sexual networks and venues at which they met and spent time.Participants reported information on 220 friends (mean age = 25.3 years) and 112 sexual partners (mean age = 26.3 years). Participants spent time with friends and sexual partners at similar venues but relied more heavily on social media and dating applications to meet sexual partners. Participants lived in zip codes consistent with high concentrations of HIV positivity. Popularly frequented clubs/gay bars were often 10-20 miles away, also in zip codes with high densities of seropositivity.Both friendship and sexual networks are large, diffuse, and not limited by geography. Participants came from areas with high rates of HIV/AIDS. The venues at which participants recruited sexual partners may present increased opportunities for HIV transmission. HIV prevention interventions should focus on the heightened risk of unknown HIV serostatus.

Studies on HIV/AIDS routinely identify stigma as a barrier to both reducing sexual risk and increasing protective behaviors. Due to the high rates of HIV infections among Black females in the United States, this exploratory study examined stigma perceptions and their associations with risk behaviors in a sample of 281 Black females aged 18–23 attending family planning clinics. Participants completed the HIV/AIDS Stigma scale which has three sub-scales assessing knowledge, subjective, and community stigma. Risk behaviors were also measured. The majority of participants demonstrated a lack of knowledge about HIV transmission pathways, some displayed self-shaming attitudes associated with an HIV diagnosis, and perceived stigma from the community. Overall, there were no associations between the stigma subscales and risk behaviors. Since there are major inconsistences in knowledge, stigma and behaviors among sexually active Black female youth, HIV education must address both stigma and risk behaviors a...

Because of its availability, anonymity, and low cost of access, the Internet is an increasingly common way for adolescents to find information about sensitive issues. Sexual health website question portals are an important way for adolescents to seek personalized information tailored to their individualized needs. Few studies have examined the content within anonymous e-mails sent to these question portals. The purpose of this qualitative evaluation was to analyze thematic content of anonymous e-mails sent through a question portal on a comprehensive sexual health clinic website for an adolescent family planning clinic in a large city in the southwest United States. Between August 2009 and June 2012, the e-mail server received questions from 484 individuals who were seeking sexual health-related information. The authors used a content analysis to identify recurrent themes in the questions submitted. The most common questions regarded the cost of the clinic's services and testing for sexually transmitted diseases. The questions revealed that adolescents lack basic sexual health knowledge and hold many misconceptions. The findings support the usefulness of online question portals as effective venues for teenagers to quickly and anonymously obtain accurate information on sensitive issues.

This study aimed to identify health issues that affect young men and the barriers they experience in accessing care. Participants were 48 minority men 18-28 years old, distributed among 9 focus groups. Four main themes emerged in the study. First, the authors identified sexually transmitted infections, mental health problems, and drug use as major health issues. Second, participants identified attitudinal and institutional barriers to accessing care. This included denial; fear; embarrassment; perception that it is not considered manly to seek help; cost; and accessibility. Third, focus group participants felt that services have to be augmented in order to address the specific needs of men. Last, participants suggested strategies to attract men to family planning clinics that are consistent with a youth culture. Focus groups are effective in obtaining input in order to augment services for men.

The current study assessed the impact of individual, interpersonal, and contextual factors on HIV risk perception. A total of 426 female adolescents attending family planning clinics took part in this study. The majority, 60.1% were African-American and 39.9% were Hispanic. The results indicated that the majority of participants perceived themselves to be at no or low risk for contracting HIV. Individual, interpersonal as well as contextual factors correlated with HIV risk perception in the study. Adolescents who perceived themselves to be at no or low risk were more likely to be Hispanic, be married and had children. They also felt that they can control situations where they have to refuse sex or insist on condom use, had more frequent communication with sexual partners about condom use and held perceptions that peer norms support condom use. The findings in this study have important implications for risk reduction education for female adolescents. Risk reduction education should strengthen adolescents' personal skills to help them avoid HIV risk despite the various pressures they experience in their life.

The purpose of this study was to examine ethnic and marital status differences in family structure, risk behaviors and service requests among African American and Hispanic adolescent fathers participating in a community-based fatherhood program. Demographic factors, risk behaviors, and service requests were gathered at program entry. The results indicated that each group demonstrated distinct patterns associated with family structure, sexual risk behaviors, substance use, and criminal behavior. In comparison to African American fathers, Hispanic fathers were younger and were more likely to be married and present at the delivery of their child. African American fathers reported having more children than Hispanic fathers. Disparities in school-related measures were also found, with African American fathers having higher high school graduation rates than Hispanic fathers. The impact of marriage on risk behaviors had mixed results. Services requests were similar for both groups. The finding that different ethnic groups have specific patterns of risk behaviors highlights the importance of considering the ethnic composition of a population when developing future research and interventions.

The purpose of this study was to examine risk factors, knowledge, and attitudes as predictors of intent to use condoms among 290 minority female adolescents who attended family planning clinics. Data on demographic characteristics and risk behaviors such as drug use, school attendance, and contraceptive use were gathered. The results indicated that slightly over half of the teens intended to use condoms at the next intercourse. Overall knowledge about HIV/AIDS and STDs was poor and was not a predictor of intent to use condoms. Teens who intended to use condoms had more favorable attitudes about condom use and a better sense of self-protection regardless of partner feelings or beliefs. These findings suggest that program planners need to be aware that inconsistencies between knowledge and the behaviors of teens exist and this must be viewed within the teens' cultural milieu. Condom use and sex education should become a collaborative endeavor among teens, parents, and partners of female adolescents.

This study examined whether an assessment tool combining HIV-related risk behaviors and symptoms would increase HIV testing and return for post-test counseling among 466 adolescents attending family planning clinics. The results indicted that high-risk behaviors were common among these adolescents. The majority (78.3%) identified themselves as not using condoms consistently, almost a quarter (24.7%) reported a history of STDs and 129 (27.7%) reported they had pierced their bodies. A total of 214 (45.9%) received HIV testing. Two (0.4%) adolescents, one male and one female, tested positive for HIV. Of the 214 adolescents who underwent testing, 183 (85.5%) returned to the clinic for post-test counseling. The results of this study indicated that adolescents who reported risk behaviors and symptoms were not more likely than those who reported no risk behaviors and symptoms to request testing and return for post-test counseling. In light of these results, the authors review the protocols associated with testing and post-test counseling and propose solutions that can potentially improve these processes. The authors recommend integrating a risk assessment tool with HIV testing in family planning clinics as testing and return for post-test counseling rates were high.

A focus group was used to elicit information about the needs of young fathers who were interested in participating in a male involvement program to increase parenting responsibility. Seven focus groups were conducted with 17 young fathers in order to identify specific curricula components. The discussions were tape recorded, transcribed, and analyzed using content analysis. Young fathers identified the most needed curricula components to enable responsible fatherhood. This included human sexuality knowledge and skills as well as employment. Twelve of the fathers who subsequently enrolled in the program completed a behavioral risk assessment. Their behavioral profiles were consistent with the needs they identified. Involving young fathers in selecting curriculum content can be instrumental in tailoring educational programs to meet the unique needs of this group.