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This course has been developed to provide guidance around youth-specific HIV programming and support staff working across the Asia Pacific region to meet the specific needs and rights of young people from key affected populations. …
The Global State of Harm Reduction 2012 presents the major developments in harm reduction policy adoption and programme implementation that have occurred since 2010. …
This report systematizes existing knowledge of effective interventions in the area of juvenile sexual and reproductive health. Its goal is to provide information for designing effective programs, particularly those related to teen pregnancy, sexually transmitted diseases and risky sexual behaviors in Latin America and the Caribbean. Drawing on rigorous evidence, this innovative tool is designed to support operations by focusing on the identification and analysis of promising practices. …
This book is designed to help in-school students learn about the health risks involved in pre-marital sex and to improve their life skills. The material is presented in story form, in hopes that young people will identify with the characters. The topics and concepts of this booklet were drawn from studies conducted with youth in Kogi and Cross River states of Nigeria. The issues highlighted revolve around young people's ability to abstain or delay pre-marital sex in order to reduce their risk of HIV infection. …
The authors present data from operations research into the introduction of male circumcision (MC) in Zambia, assessing informed consent (IC) procedures for adolescent MC clients. They administered a comprehension test among adult (n=311) and adolescent (n=115) clients at 10 clinics around Lusaka between the counseling and IC process. They conducted semi-structured interviews with adolescent (1317 years) MC clients 1 week post-surgery (n=28) and 13 key informants (service providers and stakeholders). …
This study investigated how HIV/sexually transmitted infection peer education (PE) affected HIV knowledge, perceived prevention self-efficacy, and risky sexual behaviors among Turkish university students (N = 118) who were sexually active but did not use condoms. A methodological and pre-/posttest controlled study design was used, with data collected before PE, just after PE, 3 months after PE, and 6 months after PE. …
It has become evident that sexual health and HIV-risk behaviours cannot be addressed effectively without paying adequate attention to constructions of gender and sexuality. While the body of literature examining these themes is growing and becoming more nuanced, there is still a significant gap in our understanding of the relationship between gendered sexual identities and vulnerabilities to disease. In particular, few studies have explored how youths themselves perceive this relationship, and how these perceptions may differ among males and females. …
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). …
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. …
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. …
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. …
This paper presents findings of a feasibility study to adapt and evaluate the impact of an evidence-based HIV prevention intervention on sexual risk behaviors of in-school 6th grade youth in post-conflict Liberia (n = 812). The study used an attention-matched, group randomized controlled trial. Four matched pairs of elementary/middle schools in Monrovia, Liberia, were randomly assigned to either an adapted eight-module HIV prevention or a general health curriculum. Three- and nine-month impacts of the intervention on sexual risk behaviors and on mediating variables are presented. …
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. …
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. …
The aims of the study were to elicit the perceptions of young people in Tanzania on the role of fear appeals in HIV-prevention messages and to identify important contextual factors that may influence young people's perceptions of HIV-prevention posters. A total of 10 focus groups were conducted to investigate the role of fear appeals using the extended parallel process model (EPPM) as a guide. …