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Given the impact of trauma symptoms on disease progression in PLH, exposure to bullying must be considered in any intervention aiming to reduce trauma symptoms or improve mental or physical health among HIV-positive populations. This study set out to explore the social-psychological aspects of living with HIV among a group of HIV-positive Colombian gay men in London, and the strategies that they deployed to manage ensuing threats to their identities.

Focus group and individual interview data were collected from 14 Colombian gay men living with HIV, and were analysed using qualitative thematic analysis and identity process theory. The following themes are discussed: 1 identity struggles and conflicts in Colombia, 2 , managing multiple layers of social stigma in England, and 3 changing interpersonal and intergroup dynamics, which highlight the inter-connections between sexual prejudice, sexual risk-taking and HIV stigma.

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Identity may be chronically threatened due to the multiple layers of stigma, which can limit the coping strategies available to individuals. Findings strongly support the need for action and programmes to highlight and tackle both racism and HIV stigma on the gay scene and to fund more specific resources for sub-communities of gay, bisexual and other men who have sex with men , which employ appropriately trained and culturally competent staff.

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Individuals who disclose their sexual orientation are more likely to also disclose their HIV status. Disclosure of HIV-serostatus is associated with better health outcomes. The goal of this study was to build and test comprehensive models of sexual orientation that included 8 theory-informed predictors of disclosure to mothers, fathers, and closest friends in a sample of HIV-positive Latino gay and bisexual men.

US acculturation, gender non-conformity to hegemonic masculinity in self-presentation, comfort with sexual orientation, gay community involvement, satisfaction with social support, sexual orientation and gender of the closest friend emerged as significant predictors of disclosure of sexual orientation. Rates of sexual history taking and screening in HIV-positive men who have sex with men. A case note audit was undertaken of HIV-positive men who have sex with men MSM to ascertain whether national guidelines for taking sexual histories, including recreational drug use and sexually transmitted infection STI screening were being met.

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Information was collected regarding sexual history, recreational drug use documentation, sexually transmitted infection screen offer and test results. The high rate of STIs highlights that regular screening in this group is essential. Additionally, the fact that over a quarter reported recreational drug use and given the increasing concern around chemsex, questions about this should be incorporated into the sexual history proforma.

Sexual health and socioeconomic-related factors among HIV-positive men who have sex with men in Puerto Rico. Most of the research among HIV-positive populations has been approached from behavioral risk models. This is particularly true for those otherwise socially vulnerable groups like men who have sex with men MSM. As a response to this pattern, we examined data from an ongoing health promotion research being conducted in Puerto Rico PR.

The study is limited to HIV-positive MSM and consists of the participation in a survey interview that includes domains used to assess indicators of socio-economic-related factors age, educational level, employment, religion, and partnership status and sexual health sexual satisfaction, condom use, and sexual health knowledge SHK. Findings support the notion that men of a disadvantaged socioeconomic position may have a poorer sexual health status; with a lower level of education and unemployment leading this disparity.

Findings provide valuable information to address the sexual health needs of an underserved population. We conducted a randomized trial of Healthy Choices, a 4-session MI intervention, targeting sexual risks among HIV-positive youth ages 16—25 years in Thailand. Risk assessments were conducted at baseline, 1 month, and 6 months post-intervention.

This report presents the analysis of 74 HMSM in the study. Improvements in mental health and HIV stigma were noted in Intervention group. Healthy Choices is a promising behavioral intervention and should be further developed to serve the needs of young HMSM in resource-limited countries. Personal values and meaning in the use of methamphetamine among HIV-positive men who have sex with men.

Our aim with this qualitative study was to understand the role of personal values, meaning, and impact of drug use among HIV-positive men who have sex with men MSM who struggle with methamphetamine use. Grounded theory was used to analyze the data collected in individual interviews. Emergent constructs of context, meaning, and perceived impact were identified and are described in a theoretical narrative format. The importance of broadening our understanding of HIV and methamphetamine addiction and their interaction is highlighted.

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Between September October , electronic interview data were collected from YBMSM attending a federally supported sexually transmitted infection clinic located in the southern United States. Seventeen condom use errors and problems were assessed. The recall period was the past 90 days.

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Beyond these 2 exceptions, condom use errors and problems were ubiquitous in this population regardless of HIV serostatus. Clinic-based intervention is warranted for these young men , including education about correct condom use and provision of free condoms and long-lasting lubricants. It was hypothesized that men who had witnessed or experienced violence in their families of origin would be more likely to perpetrate or experience violence in their intimate relationships.

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Perpetration and receipt of abuse were assessed to provide Background Available treatment options for anal high-grade squamous intraepithelial lesions HSIL in HIV-positive men who have sex with men MSM are limited by low response rates and frequent recurrences. Cryotherapy is an established therapeutic option for several pre-malignant skin disorders.

Let's talk about sex : A qualitative study exploring the experiences of HIV nurses when discussing sexual risk behaviours with HIV-positive men who have sex with men. Discussing sexual risk behaviour has been shown to help prevent sexually transmitted infections.

Little is reported about HCV awareness among MSM, although this is essential for developing targeted prevention strategies. We, therefore, studied HCV. Perceived discrimination and physical health among HIV-positive Black and Latino men who have sex with men. Participants completed audio computer-assisted self-interviews.

Black men who have sex with men BMSM are severely affected by the HIV epidemic, yet research on the relationship between HIV stigma and status disclosure is relatively limited among this population. Results revealed that greater internalized stigma was associated with less HIV status disclosure to participants' last sexual partner and to family members.

Findings from this study provide evidence that internalized negative beliefs about one's HIV status are linked to adverse interpersonal consequences. Implications of these findings are discussed with regard to prevention and intervention efforts to reduce HIV stigmatization. A diagnostic service was established in response to the outbreak linked to a voluntary LGV Enhanced Surveillance system.


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We examined the performance of this novel surveillance system to identify utility in tracking a re-emerging infection. We described laboratory data on samples and surveillance data from case reports for LGV from HIV-positive men reported a shorter duration of symptoms aOR 0. The surveillance identified the population at greater risk of infection based on higher levels of risk behaviour in HIV-positive LGV cases. HIV-positive Latino men have been found to have poorer medication adherence compared to Whites.

This study sought to identify how cultural conceptualisations of masculinity are associated with self-reported medication adherence among Latino men. Conceptualisations of masculinity consisted of traditional machismo e. Multivariate logistic regression was used to identify factors associated with adherence. These findings reinforce the importance of identifying cultural factors that may affect medication adherence among HIV-positive Latino men resident in the USA. Pilot trial of an expressive writing intervention with HIV-positive methamphetamine-using men who have sex with men.

HIV-positive , methamphetamine-using MSM were recruited to pilot test a 7-session, multicomponent resilient affective processing RAP intervention that included expressive writing exercises targeting HIV-related traumatic stress. Acceptability was evidenced by participants randomized to RAP expressing significantly more negative emotions in their writing and reporting greater likelihood of recommending expressive writing exercises to a friend living with HIV.

Over the 3-month follow-up period, attention-control participants reported significant decreases in HIV-related traumatic stress while RAP intervention participants reported no significant changes. Compared to attention-control participants, those in the RAP intervention reported significant reductions in the frequency of methamphetamine use immediately following the 1-month RAP intervention period.


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  6. Thematic analyses of RAP expressive writing exercises revealed that multiple negative life events characterized by social stigma or loss contribute to the complex nature of HIV-related traumatic stress. Findings support the feasibility and acceptability of an exposure-based intervention targeting HIV-related traumatic stress.

    From May to June , in-depth interviews were conducted with 30 men receiving care at 15 HIV clinics. The key barriers to the use of family planning included concerns about side effects of contraceptives, lack of knowledge about contraceptive methods, myths and misconceptions including fear of infertility, structural barriers such as staffing shortages at HIV clinics, and a lack of male focus in family planning methods and service delivery. The integration of family planning into HIV clinics including family planning counseling and education was cited as an important strategy to improve family planning receptivity among men.

    Integrating family planning into HIV services is a promising strategy to facilitate male involvement in family planning. Integration needs to be rigorously evaluated in order to measure its impact on unmet need for contraception among HIV-positive women and their partners and assure that it is implemented in a manner that engages both men and women. Incidence of HIV is also increasing regionally, but data are limited regarding any association between this trend and MA use.

    In bivariate analyses, users of MA had significantly greater odds of reporting other substance use, including alcohol, powder or crack cocaine, marijuana, and methylenedioxymethamphetamine MDMA, "ecstasy". They were also more likely to have reported sexual activity while traveling outside NC; sex with anonymous partners; and previous HIV testing. In a predictive model, MA use had a negative association with nonwhite race, and strong positive associations with powder cocaine, "ecstasy," or intravenous drug use and being a university student.

    These data are among the first to demonstrate this relationship in a region with a burgeoning epidemic of MA use. Opportunities exist for MA-related HIV risk-reduction interventions whenever young men intersect the healthcare system. Prevalence and predictors of depressive symptoms among HIV-positive men who inject drugs in Vietnam. We used cross-sectional data from PWID in a randomized controlled trial of an intervention to reduce high-risk injecting and sexual behaviors in Thai Nguyen from Interventions that promote social support from family and reduce drug dependence may particularly benefit PWID experiencing severe depressive symptoms.

    Greater recognition and treatment of depressive symptoms has the potential to enhance quality of life and improve HIV clinical outcomes for PWID. Incidence and characteristics of sexually transmitted acute hepatitis C virus infection among HIV-positive men who have sex with men in Copenhagen, Denmark during four years : a retrospective cohort study. We determined the incidence of hepatitis C virus among Danish human immunodeficiency virus HIV -positive men who have sex with men MSM and described their characteristics.

    Full Text Available While voluntary medical male circumcision VMMC has been shown to be protective against HIV-acquisition, the procedure may place men and their partners at risk of HIV infection in the period following circumcision if sex is resumed before the wound is healed. This prospective cohort study evaluates post-circumcision wound healing to determine whether the day post-circumcision abstinence period, recommended by the World Health Organization and adopted by VMMC programs, is optimal.

    Men were circumcised by forceps-guided method and their post-circumcision wounds examined weekly for seven weeks and at 12 weeks. Time to complete healing was recorded in completed weeks since circumcision, and its associations with baseline covariates were assessed by Kaplan-Meier methods and Cox Proportional Hazard Models.