Multiple factors explain why middle-aged heterosexuals with new sexual partners don’t use condoms

nam/aidsmap

New strategies and approaches are needed to address the sexual health needs of middle-aged heterosexuals starting new relationships, research published in Sexually Transmitted Infections suggests.

The UK study involved men and women aged between 40 and 59 years with, or considering, new sexual partners after the break-up of a long-term relationship. In-depth interviews showed that beliefs about sexual risk were frequently based on past rather than current circumstances and that individuals often felt that existing sexual health services were geared towards the needs of younger people.

We won’t eradicate FGM if we keep misunderstanding its history (Opinion)

by Sada Mire, The Guardian, Mon 9 Mar 2020

A simple way to promote HPV vaccination among Asian American women: Storytelling

The Conversation, March 4, 2020 10.58pm AEDT

Why do so many Asian Americans and Pacific Islander women know so little about HPV? We set out to answer this question by interviewing  ethnic groups and conducting surveys.

Our findings suggest their knowledge and attitudes toward HPV prevention are closely tied to health beliefs and cultural or language barriers. What’s more, we discovered preventive health care is not a top priority for immigrant populations. In general, they seek treatment only when already sick. Our studies also suggest many of them are skeptical about participating in research.

We discovered in our study that narrative storytelling – that is, mothers and their children sharing their experiences and having conversations about HPV vaccination – can increase HPV vaccination rates.

From that, we’ve developed what we call a storytelling intervention for young Korean American women using a “peer-paired” approach. Because the storytellers are about the same age as the participants, a meaningful conversation is more likely to occur. The women are less shy about sharing their personal experiences, feelings and fears.

Factors associated with testing for HIV in people aged ≥50 years

BMC Public Health 2018 18:1204

https://doi.org/10.1186/s12889-018-6118-x

Published: 26 October 2018

Factors associated with testing for HIV in people aged ≥50 years: a qualitative study

Abstract

Background

Despite a decline in the number of new HIV infections in the UK overall, the number and proportion of new HIV diagnoses in people aged ≥50 years continues to increase. People aged ≥50 years are disproportionately affected by late diagnosis, which is associated with poorer health outcomes, increased treatment complexity and increased healthcare costs. Late HIV diagnosis also has significant public health implications in terms of onward HIV transmission. It is not fully understood what factors affect the decision of an older person to test for HIV. The aim of this study was to identify factors associated with testing for HIV in people aged ≥50 years who tested late for HIV.

Methods

We interviewed 20 people aged ≥50 years diagnosed late with HIV to identify factors associated with HIV testing. Interviews were audio recorded, transcribed verbatim and thematically analysed.

Results

Seven themes associated with HIV testing in people aged ≥50 years were identified: experience of early HIV/AIDS campaigns, HIV knowledge, presence of symptoms and symptom attribution, risk and risk perception, generational approaches to health and sexual health, stigma, and type of testing and testing venue.

Conclusion

Some factors associated with testing identified in this study were unique to older individuals. People aged ≥50 years often do not perceive themselves to be at risk of HIV. Further, stigma and a lack of knowledge of how to access HIV testing suggest a need for health promotion and suggest current sexual health services may need to adapt to better meet their needs.

First criminal prosecution of female genital mutilation in Queensland goes to trial today

ABC News, 21/05/18

The first couple to be prosecuted on female genital mutilation charges in Queensland have pleaded not guilty to allegedly taking two girls aged nine and 12 to Africa to undergo the procedure.

The African man and woman—who cannot be named for legal reasons—were charged in 2015 on two counts each of removing a child from the state for female genital mutilation.

Their case is being heard today at a Beenleigh sitting of the District Court.

Changing attitudes to and engagement with biomedical HIV prevention by gay and bisexual men

Centre for Social Research in Health, UNSW, 2017

The latest findings from the PrEPARE Project have now been published. The  PrEPARE Project is a longitudinal study of Australian gay and bisexual men’s attitudes to biomedical HIV prevention, particularly PrEP and treatment as prevention (TasP).

With the unprecedented scaling up of PrEP access in many states over the last few years, we have observed a surge in PrEP use, and increasing levels of support for PrEP in the community. Belief in the effectiveness of TasP has also increased, although many men remain skeptical about it. The report includes national summary data. it is hoped that the report will be useful in assessing community readiness for biomedical prevention and potential issues in implementation.

Key findings:

» Nearly a quarter of gay and bisexual men (24%) reported they had ever used PrEP. This was a large increase from the 2015 survey (3%).

» Most current PrEP users were accessing it from a research study or demonstration project (82%) and the majority (74%) reported increased sexual confidence and reduced concern about acquiring HIV as a result of PrEP.

» Nearly all participants (95%) had heard of PrEP and two-thirds of participants (66%) knew someone who had taken PrEP; substantial increases from the 2015 survey. Knowledge of PrEP also improved between 2015 and 2017.

» Willingness to use PrEP has increased among HIV-negative and untested men (to 37% in 2017) and concern about using it has fallen (to 36%).

» Support for gay and bisexual men using PrEP increased to 75% in 2017, as did willingness to have sex with someone using PrEP (47%).

» Belief that HIV treatment prevents transmission increased to 20% in 2017; the increase was primarily among HIV-negative and untested men.

» Agreement that early HIV treatment is necessary increased to 79% in 2017; this increase was concentrated among HIV-positive men