This document summarizes a study on incarcerated women and HIV risk. It describes the sample of 11 women incarcerated in Pulaski State Prison who completed a baseline survey. The survey collected data on substance use, sexual behaviors, mental health, and demographics. Descriptive analysis was performed on the data. Most participants engaged in substance use from a young age, with over 50% using marijuana and 75% using alcohol. Participants also exhibited risky sexual behaviors and low socioeconomic status, with less than half using condoms or attending HIV/AIDS classes. The study aims to include a total of 200 participants.
Drug use patterns among participants in a woman-focused RCT in GeorgiaIrma Kirtadze M.D.
The purpose of this poster presentation is to depict preliminary results from small-scale RCT IMEDI study and show the drug use patterns among women who use illicit substance and the rate of HIV infection.
PrEP, or Pre-Exposure Prophylaxis, is a once a day pill that can be taken by an HIV negative individual to prevent HIV infection. This presentation reviews current statistics, research and policy regarding PrEP.
Addressing Sexual Assault and Intimate Partner Violence in Medical Care and Education in the U.S. and Globally
Jennifer A. Wagman, PhD, MHS
April 13th, 2018
UCSD HIV & Global Health Rounds
Comparing local epidemiology of Chlamydia in Miami- Dade County to that of State of Florida and the United States. Highlighting basic description of the disease, surveillance methods, reporting, control measures, epidemiology of the disease and comparison of 5 year trends/incident rates in Miami Dade County to that of State of Florida and the United States.
Drug use patterns among participants in a woman-focused RCT in GeorgiaIrma Kirtadze M.D.
The purpose of this poster presentation is to depict preliminary results from small-scale RCT IMEDI study and show the drug use patterns among women who use illicit substance and the rate of HIV infection.
PrEP, or Pre-Exposure Prophylaxis, is a once a day pill that can be taken by an HIV negative individual to prevent HIV infection. This presentation reviews current statistics, research and policy regarding PrEP.
Addressing Sexual Assault and Intimate Partner Violence in Medical Care and Education in the U.S. and Globally
Jennifer A. Wagman, PhD, MHS
April 13th, 2018
UCSD HIV & Global Health Rounds
Comparing local epidemiology of Chlamydia in Miami- Dade County to that of State of Florida and the United States. Highlighting basic description of the disease, surveillance methods, reporting, control measures, epidemiology of the disease and comparison of 5 year trends/incident rates in Miami Dade County to that of State of Florida and the United States.
FSD is increasing and needs a scientific and an empathic approach . its a condition not only affecting the conjugal relationships but also is a major cause of infertility. This talk was delivered at the ISAR 2019 as a recent update on this very important issue
The negative impacts of adolescent sexuality problems among secondary school ...lukeman Joseph Ade shittu
This study was conducted to focus on the negative health outcomes related to sexual behaviour in adolescents and young adults attending public school in the Oworonshoki region of Lagos, Nigeria, Africa. Since, there is a relative dearth of knowledge on adolescents who face unique and challenging economics, health and education problems in our society. Data on the socio-demographic characteristics, prevalence and knowledge towards STD including HIV/AIDS, prevalence of sexual abuse practice/sexual behaviour, family planning awareness and acceptance including abortion practice were sorted out using self structured questionnaires and administered to 60% of student’s population using a stratified random sampling technique. 55.8% lived with both parents. While, 50.3% of the mothers had basic secondary school qualifications, 72.4% of them are traders. 61.5% had sex education were from misinformed friends/peers while 51% had no basic knowledge about sexual behavioral practice and attitude towards STDs/AIDS (HIV). STD has a prevalence of 34 and 41% of boys used condoms for preventing STI/HIV transmission and unwanted pregnancies. One out of every five sexually active teenagers has experienced forced sex, especially among the circumcised girls who were more sexually active than the uncircumcised girls. 60% of girls between ages of 12 and 18 years had more than one unsafe abortion with severe vaginal bleeding (haemorrhage) as the chief complication. However, 65% of the girls did abortion for fear of leaving school and financial hardship as the reasons.
FSD is increasing and needs a scientific and an empathic approach . its a condition not only affecting the conjugal relationships but also is a major cause of infertility. This talk was delivered at the ISAR 2019 as a recent update on this very important issue
The negative impacts of adolescent sexuality problems among secondary school ...lukeman Joseph Ade shittu
This study was conducted to focus on the negative health outcomes related to sexual behaviour in adolescents and young adults attending public school in the Oworonshoki region of Lagos, Nigeria, Africa. Since, there is a relative dearth of knowledge on adolescents who face unique and challenging economics, health and education problems in our society. Data on the socio-demographic characteristics, prevalence and knowledge towards STD including HIV/AIDS, prevalence of sexual abuse practice/sexual behaviour, family planning awareness and acceptance including abortion practice were sorted out using self structured questionnaires and administered to 60% of student’s population using a stratified random sampling technique. 55.8% lived with both parents. While, 50.3% of the mothers had basic secondary school qualifications, 72.4% of them are traders. 61.5% had sex education were from misinformed friends/peers while 51% had no basic knowledge about sexual behavioral practice and attitude towards STDs/AIDS (HIV). STD has a prevalence of 34 and 41% of boys used condoms for preventing STI/HIV transmission and unwanted pregnancies. One out of every five sexually active teenagers has experienced forced sex, especially among the circumcised girls who were more sexually active than the uncircumcised girls. 60% of girls between ages of 12 and 18 years had more than one unsafe abortion with severe vaginal bleeding (haemorrhage) as the chief complication. However, 65% of the girls did abortion for fear of leaving school and financial hardship as the reasons.
Rape Victimization and High Risk Sexual Behaviors Longitudinal Stud.docxmakdul
Rape Victimization and High Risk Sexual Behaviors: Longitudinal Study of African-American Adolescent Females
Delia L. Lang, PhD, MPH,* Jessica M. Sales, PhD,* Laura F. Salazar, PhD,* James W. Hardin, PhD,†Ralph J. DiClemente, PhD,* Gina M. Wingood, ScD, MPH,* and Eve Rose, MSPH*
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Go to:Abstract
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Go to:Objectives:
African-American women are affected by disproportionately high rates of violence and sexually transmitted infections (STI)/human immunodeficiency virus (HIV) infection. It is imperative to address the intersection of these two urgent public health issues, particularly as these affect African-American adolescent girls. This study assessed the prevalence of rape victimization (RV) among a sample of African-American adolescent females and examined the extent to which participants with a history of RV engage in STI/HIV associated risk behaviors over a 12-month time period.
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Go to:Methods:
Three hundred sixty-seven African-American adolescent females ages 15–21, seeking sexual health services at three local teenager-oriented community health agencies in an urban area of the Southeastern United States, participated in this study. Participants were asked to complete an audio computer-assisted self-interview (ACASI) at baseline, 6- and 12-month follow-up. We assessed sociodemographics, history of RV and sexual practices. At baseline, participants indicating they had experienced forced sex were classified as having a history of RV.
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Go to:Results:
Twenty-five percent of participants reported a history of RV at baseline. At 6- and 12-months, victims of RV had significantly lower proportions of condom-protected sex (p=.008), higher frequency of sex while intoxicated (p=.005), more inconsistent condom use (p=.008), less condom use at last sex (p=.017), and more sex partners (p=.0001) than non-RV victims. Over the 12-month follow-up period, of those who did not report RV at baseline, 9.5% reported that they too had experienced RV at some point during the 12-month time frame.
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Go to:Conclusion:
African-American adolescent females who experience RV are engaging in more risky sexual behaviors over time than non-RV girls, thereby placing themselves at higher risk for contracting STIs. In light of the results from this unique longitudinal study, we discuss considerations for policies and guidelines targeting healthcare, law enforcement and educational and community settings. The complexities of RV screening in healthcare settings are examined as is the need for tighter collaboration between healthcare providers and law enforcement. Finally, we consider the role of prevention and intervention programs in increasing awareness about RV as well as serving as an additional safe environment for screening and referral.
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Go to:INTRODUCTION
Due to jeopardized health of adult and adolescent w ...
National studies have demonstrated that LGBTQ adolescents are disproportionately impacted by negative health outcomes including STDs, HIV, and unplanned pregnancy. In 2014, Essential Access Health surveyed LAUSD school-based Wellness Centers; gaps in current knowledge and practice related to inclusive clinical care of LGBTQ patients were identified. In 2016, we implemented staff trainings to improve LGBTQ-inclusive services. Based on training evaluation, areas for further technical assistance were identified, and used to develop online training resources. This presentation will discuss tools and best practices for implementing trainings on inclusive care.
Physical activity acculturation and sexual risk behaviors among LatinasRick Goldman
http://publichealthconsulting.org/ Karina Villalba gives a presentation in Atlanta at the Annual conference of the American Public Health Association. The title of the presentation is: Physical Activity, Acculturation, and Sexual Risk Behaviors Among Latinas: A Longitudinal Community Based Study
This is awareness campaign report during health teaching in a rural community within the Philippines to increase awareness of increasing trend of teenage pregnancy especially among low poverty income and less educated residents in a certain community in the Philippines
1. SAMPLE (N=11)
Enrolled in the Women's Health Intervention Survey
Incarcerated women
18 years and older
Sexually active
Recruited from Pulaski State Prison in Pulaski, GA
DATA COLLECTION USING BASELINE SURVEY
All data were collected through face-to-face interviews
All data were analyzed through SPSS
PHQ-9 Vaildated instrument to asses depressive stpmtoms
Variables of interest for secondary data analysis were identified
Descriptive analysis was completed including mean and frequencies
Limitations
- Small sample sixe
- Self reported measures
- Recall bias
Methods
Results
Conclusions
This research was supported by the National Institute of
Minority Health and Health Development. Grant # 1P20MD006881
Special thanks to my mentor Dr. Holliday, the entire project
staff, and the women who participated in the original study.
Secondary investigation of this data was supported Howard
Hughes Research Associates Program HHMI Grant # 52007559
Acknowledgements
Background
Exploratory Analysis of the Correlation between
the Contraction of HIV in Incarcerated Women
Author: Kara A. Wilson Advisor: Dr. Rhonda Holliday
Morehouse School of Medicine
Spelman College Howard Hughes Program RAP
Objectives of Study
Describe substance use behaviors, sexual behaviors, and mental
health of incarcerated women
Complete Secondary Data Analysis using SPSS
Select References
Richie, Beth E. "Challenges incarcerated women face as they return to their
communities: Findings from life history interviews." Crime & Delinquency
47.3 (2001): 368-389.
Tuyp, Benjamin J. "The Adverse Health Effects Of Persistent Cannabis Use:
Review & Recommendations For Change." UBC Medical Journal 5.1 (2013):
24-29. Academic Search Complete. Web. 27 June 2014.
Newcomb, Michael E., et al. "Sexual Orientation, Gender, And Racial
Mimiaga, Matthew J., et al. "Substance Use Among HIV-Infected Patients
Engaged In Primary Care In The United States: Findings From The Centers
For AIDS Research Network Of Integrated Clinical Systems Cohort."
American Journal Of Public Health 103.8 (2013): 1457-1467. Academic
Search Complete. Web. 27 June 2014.
Lewis, Catherine F. "Post-traumatic stress disorder in HIV-positive
incarcerated women." Journal of the American Academy of Psychiatry and
the Law Online 33.4 (2005): 455-464.
Rich, Josiah D., et al. "Prevalence and incidence of HIV among incarcerated
and reincarcerated women in Rhode Island." JAIDS Journal of Acquired
Immune Deficiency Syndromes 22.2 (1999): 161-166.
STD History
Demographics
Abuse History
Relationship History
Sexual history/drug use
There are approximately 1.1 million people living with HIV in the
U.S. An estimated 50,000 new HIV infections occur in the U.S. each
year. Women account for one in four people living with HIV in the
United States. African American women and Latinas are
disproportionately affected at all stages of HIV infection. The vast
majority of newly diagnosed HIV-positive women contracted the virus
through heterosexual sex.
According to the CDC, inmates in jails and prisons across the
United States (US) are disproportionately affected by multiple health
problems, including HIV, other sexually transmitted infections (STIs),
tuberculosis (TB), and viral hepatitis. Each year, an estimated 1 in 7
persons living with HIV passes through a correctional facility.
Incarcerated women are at increased risk for contracting HIV. Multiple
studies suggest an association between incarcerated women and the
contraction of HIV. The combination of gender inequality, stigma and
discrimination increases imprisoned women’s vulnerability to HIV
infection.
A number of studies have found an association between elevated
sexual risk behavior and the prevalence of psychiatric disorders and
psychiatric symptomatology. A lack of socioeconomic resources, for
example low education level is linked to the practice of riskier health
behaviors, which can lead to the contraction of HIV and other STDs.
These behaviors include earlier initiation of sexual activity and less
frequent use of condoms. Education is one of our key defenses against
the spread and impact of AIDS. People with higher levels of education
are more likely to use condoms and less likely to engage in casual sex
than their peers with less education.
Demographics
Variables Participants
Education 45.5% low education level
Marital Status 72.8% not married
Income 45.5% under $10,000/yr
Sexual Behavior
Variables Participants
Sexual Preference 63.6% heterosexual
# of people had sex with 45.5% 2-3 people
# of condom usage 9.1% none
# of times talk about sex
with partner
36.4% 2-5 times
# of people comfortable to
talk about sex with
9.1 % 2-5 people
Ever attended a class about
HIV/AIDS
54.5% yes
Substance Use
Variables Participants
Ever used alcohol 90.9% yes
Age at 1st alcohol use Mean: 13 years of age
Ever used marijuana 54.5% yes
Age at 1st marijuana use Mean 18 years of age
Felt guilty about drinking 45.5% no
Injected drugs without
prescription
27.3% yes
Past 3 months, had sex for
dugs
27.3% yes
0
5
10
15
20
25
30
35
40
Never Once a
Month
Les than
Once a
Week
Once a
Week
Several
mes a
Week
Daily
Alcohol
Marijuana
Substance Use 3 Months before Prison
In conclusion most participants engaged in
substance usage at a young age. More than 50% of the
participants used marijuana and over 75% of participants
used alcohol. In addition participants are affected by low
socioeconomic status. Almost half of participants have a low
education level and earn an annual income under $10,000.
Sexual risky behavior has also been associated with the
participants. Less than half of the participants have ever used
a condom or even attended and HIV/AIDs informational
class. There will be an ongoing study with a total of 200
participants.