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This article presents the results of a randomized trial in South Africa of an adapted evidence-based Woman-Focused intervention on condom use with primary sex partners. The preliminary findings show that regardless of HIV status, condom negotiation was significantly associated with condom use at the 3- and 6-month follow-ups.
By intervention group, significant intervention effects were found at 6-month follow-up for HIV-positive and HIV-unknown status women in the Woman-Focused intervention who were more likely than women in the Standard intervention to report condom use with a primary male partner.
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Studies of thousands of people have revealed that most people infected with HIV carry the virus for years before enough damage is done to the immune system for AIDS to develop. On 21 November , a new UN report said more than three-quarters of Aids-related deaths occurred in sub-Saharan Africa and South Africa was officially the country with the highest prevalence of HIV in the world.
Women face a greater risk of HIV infection. On average in South Africa there are three women infected with HIV for every two men who are infected. The difference is greatest in the age group, where three young women for every one young man are infected. One of the most significant damages caused by this disease is the number of children orphaned as a result of AIDS. Obtaining accurate statistics on the number of children orphaned is problematic.
This figure is higher than for any other country. However, it is estimated that Zimbabwe has 1 children orphaned due to AIDS among a total population of fewer than 13 million. How does South Africa celebrate World Aids day? Therefore, researchers and statisticians use the prevalence of HIV among groups whose status is known such as pregnant women attending antenatal classes to work out the likely prevalence rate in the general population.
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Recently, the importance of targeting key populations and marginalized groups, including men who have sex with men MSM and transgender people, has been added to the national agenda. This mini-review explores the current state of empirical research on HIV risk and MSM, women who have sex with women WSW , lesbian, gay, bisexual and transgender LGBT populations in South Africa in order to assess the current state of research and identify gaps in the literature.
Since the s, the HIV epidemic in South Africa has been understood as characterized mainly by heterosexual transmission [ 1 , 2 ]. Research and HIV prevention has therefore been focused primarily on HIV surveillance and intervention programs for the prevention of heterosexual transmission and prevention of mother-to-child transmission PMTCT [ [ 3 ]Recently, key populations such as men who have sex with men MSM , transgender people, sex workers, and injecting drug users IDUs have received greater attention in the context of a generalized HIV epidemic.
The NSP recognizes the importance of targeting key populations and marginalized groups, explicitly identifying MSM and transgender people as key populations [ [ 4 ]/p>
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Keywords: condom negotiation, condom use, HIV risk, sex workers, sexual control, The Women’s Health CoOp (WHC)–Pretoria is a randomized community trial of a to seek testing services at a clinic or voluntary testing and counseling site. he has HIV, whether he had sex with someone else while dating/together with.
Corresponding author: K Peltzer kpeltzer hsrc. Little attention has been paid to the role of poor mental health among young people with regard to HIV risk behaviour and HIV prevention in Africa. To determine the association between mental health, substance use and HIV sexual risk behaviour among a sample of university students in South Africa.
A cross-sectional survey was conducted among undergraduate students who were recruited conveniently from public campus venues at the University of Limpopo Medical University of Southern Africa Medunsa campus. The sample included university students Of the students, In multivariate analysis, HIV risk behaviour was associated with, among men, hazardous or harmful alcohol use and having screened positive for PTSD, and among women, being in the 4th or more year of study and current cannabis use.
Poor mental health, including substance use, was found to be associated with HIV risk behaviour. Co-ordinated mental health and sexual and reproductive health services that meet the needs of university students would be desirable. S Afr J Psych ;19 2 Studies conducted among university students found that anxiety, 14 depression, 14 , 15 psychological distress, 15 alcohol use, drug use, 19 , 20 and traumatic experiences 21 in particular childhood abuse, physical abuse, and especially sexual abuse 22 were associated with various forms of HIV risk behaviour.