1) Despite awareness of HIV prevention benefits of voluntary medical male circumcision (VMMC), most circumcised males in the study cited other reasons for seeking the procedure.
2) These included beliefs that circumcision enhances sexual pleasure and ability to have more sexual encounters. Males also felt circumcision would reduce their risk of sexually transmitted infections.
3) Peer pressure from already circumcised males, who portrayed uncircumcised males as smelly and disease-prone, also motivated males to become circumcised.
Sex, Drugs & Scotland's Health- The prevalence and impacts of stealthing (non...HIVScotland
Delivered at Sex, Drugs & Scotland's Health Virtual Conference, this presentation was delivered by Niamh Roberts & Kate Astbury.
More information about the virtual event is available here: http://ow.ly/YntW50GWhJ0
Sex, Drugs & Scotland's Health- Feeling rules in youth break up cultures: Imp...HIVScotland
Delivered at Sex, Drugs & Scotland's Health Virtual Conference, this presentation was delivered by Raquel Boso Perez.
More information about the virtual event is available here: http://ow.ly/YntW50GWhJ0
Sex, Drugs & Scotland's Health- What is sexual wellbeing and why does it matt...HIVScotland
Delivered at Sex, Drugs & Scotland's Health Virtual Conference, this presentation was delivered by Prof. Kirstin Mitchell.
More information about the virtual event is available here: http://ow.ly/YntW50GWhJ0
Sex, Drugs & Scotland's Health- The prevalence and impacts of stealthing (non...HIVScotland
Delivered at Sex, Drugs & Scotland's Health Virtual Conference, this presentation was delivered by Niamh Roberts & Kate Astbury.
More information about the virtual event is available here: http://ow.ly/YntW50GWhJ0
Sex, Drugs & Scotland's Health- Feeling rules in youth break up cultures: Imp...HIVScotland
Delivered at Sex, Drugs & Scotland's Health Virtual Conference, this presentation was delivered by Raquel Boso Perez.
More information about the virtual event is available here: http://ow.ly/YntW50GWhJ0
Sex, Drugs & Scotland's Health- What is sexual wellbeing and why does it matt...HIVScotland
Delivered at Sex, Drugs & Scotland's Health Virtual Conference, this presentation was delivered by Prof. Kirstin Mitchell.
More information about the virtual event is available here: http://ow.ly/YntW50GWhJ0
June 1, 2018
Historically and across societies people with disabilities have been stigmatized and excluded from social opportunities on a variety of culturally specific grounds. These justifications include assertions that people with disabilities are biologically defective, less than capable, costly, suffering, or fundamentally inappropriate for social inclusion. Rethinking the idea of disability so as to detach being disabled from inescapable disadvantage has been considered a key to twenty-first century reconstruction of how disablement is best understood.
Such ‘destigmatizing’ has prompted hot contestation about disability. Bioethicists in the ‘destigmatizing’ camp have lined up to present non-normative accounts, ranging from modest to audacious, that characterize disablement as “mere difference” or in other neutral terms. The arguments for their approach range from applications of standards for epistemic justice to insights provided by evolutionary biology. Conversely, other bioethicists vehemently reject such non-normative or “mere difference” accounts, arguing instead for a “bad difference” stance. “Bad difference” proponents contend that our strongest intuitions make us weigh disability negatively. Furthermore, they warn, destigmatizing disability could be dangerous because social support for medical programs that prevent or cure disability is predicated on disability’s being a condition that it is rational to avoid. Construing disability as normatively neutral thus could undermine the premises for resource support, access priorities, and cultural mores on which the practice of medicine depends.
The “mere difference” vs. “bad difference” debate can have serious implications for legal and policy treatment of disability, and shape strategies for allocating and accessing health care. For example, the framing of disability impacts the implementation of the Americans with Disabilities Act, Section 1557 of the Affordable Care Act, and other legal tools designed to address discrimination. The characterization of disability also has health care allocation and accessibility ramifications, such as the treatment of preexisting condition preclusions in health insurance. The aim of this conference was to construct a twenty-first century conception of disablement that resolves the tension about whether being disabled is merely neutral or must be bad, examines and articulates the clinical, philosophical, and practical implications of that determination, and attempts to integrate these conclusions into medical and legal practices.
Learn more: http://petrieflom.law.harvard.edu/events/details/2018-petrie-flom-center-annual-conference
Il s'agit d'une présentation powerpoint de la Directrice du Center Of Excellence For Transgender HIV Prevention,UCSF (2009)
Il y est question d'épidémiologie, bien évidemment, dans un contexte où n'existe aux Etats-Unis (comme en France) aucune donnée nationale sur le nombre de personnes trans, et donc encore moins sur le nombre de trans vivant avec le VIH. La présentation donne des pistes de recommandation concernant la production de données épidémiologiques spécifiques.
La présentation est également l'occasion de passer en revue les enjeux et déterminants de santé liés à l'épidémie de VIH chez les trans, et plus largement à leur état de santé.
Objectifs de l'épidémiologie du VIH chez les personnes trans :
- comprendre les tendances épidémiologiques en cours dans les populations transgenres ;
- comprendre les facteurs favorisant le risque de dissémination du VIH parmi les femmes transgenres
(déterminants négatifs) ;
- comprend les facteurs protecteurs contre les "facteurs négatifs du point de vue de la santé" (negative health outcomes) parmi les transgenres (déterminants positifs).
Sex, Drugs & Scotland's Health- How do Older People talk about their Sexuality HIVScotland
Delivered at Sex, Drugs & Scotland's Health Virtual Conference, this presentation was delivered by Prof. Trish Hafford-Letchfield.
More information about the virtual event is available here: http://ow.ly/YntW50GWhJ0
This is the Abstract Presentation of of Dr Saritha P Viswan. This presentation was part of the 14th session of #APCRSHR10 Virtual, on the theme of "Sexual orientation and gender identity and SRHR in Asia Pacific".
Chair: Dr Chivorn Var, Convener of APCRSHR10 and Executive Director of Reproductive Health Association of Cambodia (RHAC)
Plenary Speaker: CheyLeaphy Heng, Program Team Manager, Rainbow Community Kampuchea (RoCK) | "UPR as an advocacy strategy for SOGIE-SC issues in Cambodia"
ABSTRACT PRESENTERS:
* Saroj Tamang | Male-to-Female Transgender Community barrier and challenges in access of Sexual Health Services
* Saritha P Viswan | A review of transgender issues in India
* Sobo Malik | Limited Access to Health Rights Resulting in Increase Self Medication
* Ciptasari Prabhawanti | Sexual Identity, Sexual Orientation, Sexual Risk and Condom Use Behaviors of Clients of Transgender Sex Workers in Jakarta, Indonesia
For further information, visit www.bit.ly/apcrshr10virtual14
Conference website: www.apcrshr10cambodia.org or check out www.bit.ly/apcrshr10virtual
Thanks
Support Without Borders: The Ovarian Cancer Online CommunityInspire
Inspire CEO Brian Loew presents online research data to the national conference of the Ovarian Cancer Research Fund Alliance (OCRFA), an Inspire partner. The conference session took place July 10, 2016, in Washington, DC.
Here is the presentation that I did for the Rosa Parks lecture at UNLV on Feb. 10, 2010. The presentation is entitled, "Reproductive Health, Social Determinants, Health Disparities, and Public Policy: Let\'s Come Up with Solutions." This presentation reviews some of the work that I have done over the years to bring me to some key conclusions. If you have any questions or comments about the presenation, please do not hesitate to contact me.
Invisible Men who have Sex with Men and Survival: From Practice to Research a...Jim Pickett
John Schneider's, University of Chicago, presentation at the Sex in the City II: Men, Sex, Love and HIV conference, held in Chicago on September 25, 2014. Sponsored by AIDS Foundation of Chicago and other partners.
June 1, 2018
Historically and across societies people with disabilities have been stigmatized and excluded from social opportunities on a variety of culturally specific grounds. These justifications include assertions that people with disabilities are biologically defective, less than capable, costly, suffering, or fundamentally inappropriate for social inclusion. Rethinking the idea of disability so as to detach being disabled from inescapable disadvantage has been considered a key to twenty-first century reconstruction of how disablement is best understood.
Such ‘destigmatizing’ has prompted hot contestation about disability. Bioethicists in the ‘destigmatizing’ camp have lined up to present non-normative accounts, ranging from modest to audacious, that characterize disablement as “mere difference” or in other neutral terms. The arguments for their approach range from applications of standards for epistemic justice to insights provided by evolutionary biology. Conversely, other bioethicists vehemently reject such non-normative or “mere difference” accounts, arguing instead for a “bad difference” stance. “Bad difference” proponents contend that our strongest intuitions make us weigh disability negatively. Furthermore, they warn, destigmatizing disability could be dangerous because social support for medical programs that prevent or cure disability is predicated on disability’s being a condition that it is rational to avoid. Construing disability as normatively neutral thus could undermine the premises for resource support, access priorities, and cultural mores on which the practice of medicine depends.
The “mere difference” vs. “bad difference” debate can have serious implications for legal and policy treatment of disability, and shape strategies for allocating and accessing health care. For example, the framing of disability impacts the implementation of the Americans with Disabilities Act, Section 1557 of the Affordable Care Act, and other legal tools designed to address discrimination. The characterization of disability also has health care allocation and accessibility ramifications, such as the treatment of preexisting condition preclusions in health insurance. The aim of this conference was to construct a twenty-first century conception of disablement that resolves the tension about whether being disabled is merely neutral or must be bad, examines and articulates the clinical, philosophical, and practical implications of that determination, and attempts to integrate these conclusions into medical and legal practices.
Learn more: http://petrieflom.law.harvard.edu/events/details/2018-petrie-flom-center-annual-conference
Il s'agit d'une présentation powerpoint de la Directrice du Center Of Excellence For Transgender HIV Prevention,UCSF (2009)
Il y est question d'épidémiologie, bien évidemment, dans un contexte où n'existe aux Etats-Unis (comme en France) aucune donnée nationale sur le nombre de personnes trans, et donc encore moins sur le nombre de trans vivant avec le VIH. La présentation donne des pistes de recommandation concernant la production de données épidémiologiques spécifiques.
La présentation est également l'occasion de passer en revue les enjeux et déterminants de santé liés à l'épidémie de VIH chez les trans, et plus largement à leur état de santé.
Objectifs de l'épidémiologie du VIH chez les personnes trans :
- comprendre les tendances épidémiologiques en cours dans les populations transgenres ;
- comprendre les facteurs favorisant le risque de dissémination du VIH parmi les femmes transgenres
(déterminants négatifs) ;
- comprend les facteurs protecteurs contre les "facteurs négatifs du point de vue de la santé" (negative health outcomes) parmi les transgenres (déterminants positifs).
Sex, Drugs & Scotland's Health- How do Older People talk about their Sexuality HIVScotland
Delivered at Sex, Drugs & Scotland's Health Virtual Conference, this presentation was delivered by Prof. Trish Hafford-Letchfield.
More information about the virtual event is available here: http://ow.ly/YntW50GWhJ0
This is the Abstract Presentation of of Dr Saritha P Viswan. This presentation was part of the 14th session of #APCRSHR10 Virtual, on the theme of "Sexual orientation and gender identity and SRHR in Asia Pacific".
Chair: Dr Chivorn Var, Convener of APCRSHR10 and Executive Director of Reproductive Health Association of Cambodia (RHAC)
Plenary Speaker: CheyLeaphy Heng, Program Team Manager, Rainbow Community Kampuchea (RoCK) | "UPR as an advocacy strategy for SOGIE-SC issues in Cambodia"
ABSTRACT PRESENTERS:
* Saroj Tamang | Male-to-Female Transgender Community barrier and challenges in access of Sexual Health Services
* Saritha P Viswan | A review of transgender issues in India
* Sobo Malik | Limited Access to Health Rights Resulting in Increase Self Medication
* Ciptasari Prabhawanti | Sexual Identity, Sexual Orientation, Sexual Risk and Condom Use Behaviors of Clients of Transgender Sex Workers in Jakarta, Indonesia
For further information, visit www.bit.ly/apcrshr10virtual14
Conference website: www.apcrshr10cambodia.org or check out www.bit.ly/apcrshr10virtual
Thanks
Support Without Borders: The Ovarian Cancer Online CommunityInspire
Inspire CEO Brian Loew presents online research data to the national conference of the Ovarian Cancer Research Fund Alliance (OCRFA), an Inspire partner. The conference session took place July 10, 2016, in Washington, DC.
Here is the presentation that I did for the Rosa Parks lecture at UNLV on Feb. 10, 2010. The presentation is entitled, "Reproductive Health, Social Determinants, Health Disparities, and Public Policy: Let\'s Come Up with Solutions." This presentation reviews some of the work that I have done over the years to bring me to some key conclusions. If you have any questions or comments about the presenation, please do not hesitate to contact me.
Invisible Men who have Sex with Men and Survival: From Practice to Research a...Jim Pickett
John Schneider's, University of Chicago, presentation at the Sex in the City II: Men, Sex, Love and HIV conference, held in Chicago on September 25, 2014. Sponsored by AIDS Foundation of Chicago and other partners.
Young Gay Couples - How they use drugs and sex to stay safeYTH
Data collected from 199 young gay couples (YMSM couples) recruited through Facebook ads found that men were thoughtful about their drug use and HIV risk reduction strategies within their partnerships.
FGM or female genital cutting, also known as female circumcision comprises all procedures involving partial or total removal of the external female genitalia or other injury to the female genital organs for non-medical reasons, there are 4 types of FGM with different complications varies between the early, late, acute and chronic complications .
In Sudan FGM figures and data shows there is real problem regarding this issue, different studies show that FGM is supported or mandated by religion, so it is important to study FGM in many ways including possible causes and factors which may support FGM prevention .
The religious leader can make a real change in this issue, if we understand their perception and possible potential role in this problem .
This research will use a qualitative approach ( in which there will be documentation to all previous religious leaders' talks in different media and structured face-to-face interviews will be conducted .
Voluntary medical male circumcision vs hiv prevention...evidence.Adeniji Victory
Voluntary Medical Male circumcision has been proven to be an evidence based route of HIV prevention . Its also envisaged that the cost of HIV treatment in the next ten year can be reduced by tenth fraction with an elaborate VMMC performed in two years.
The uptake of VMMC is still not impressive in sub-saharan Africa.
This slides present the evidence for the efficiency of VMMC in HIV prevention.
This presentation talks on various information about HIV & AIDS from the basic stuff to detailed information as well as a video to show how the regular medicines given to patients help reduce the time of them dying faster hence summarizing the entire presentation.
1. Sexual Pleasure, Reduced STI’s,
and Peer Norms:
Underlying motivations for seeking voluntary medical male
circumcision (VMMC) in Gauteng, South Africa
Authors & affiliations:
Nieuwoudt,S.1
; Frade,S.2
; Taljaard,D.2
; Spyrelis,A.2
; Rech,D.2
1.
Division of Social and Behaviour Change Communication,School of Public Health,Faculty of Health Sciences,University of the Witwatersrand
2.
Centre for HIV and AIDS Prevention Studies (CHAPS)
Results:
Despite high awareness of HIV prevention
messages, most circumcised males cited other
reasons for seeking VMMC.
Sexual Pleasure
Most participants, including uncircumcised males, believed
that circumcised males experience more sexual pleasure and
can go“more rounds”:
“I can say sex is great.…It is because of the circumcision,
because now I get a good feeling that I never did before.Like,I
was being robbed.It was being withheld and now it can come
out...Even the rounds are now longer…”
(Uncircumcised, Orange Farm, <25)
Reduced STIs
Post-circumcision there remained a prevailing attitude of
“mistakes”happen while drunk, such as unprotected sex.
However, many circumcised males felt that the consequences
had changed now that they were at lower risk of contracting
STIs:
“I remember one time I was with a girl whom most of the
guys slept with caught “drop”.So,when the guys see me with
her they told me I’d experience the same.But because I’m
circumcised,nothing happened to me.I slept with her but even
today I’m still okay.”
(Circumcised, Orange Farm, <25)
Hygiene
Participants also noted the hygiene benefits of circumcision.
The desire to remove“germs”and“dirt”was a clear reason
for seeking circumcision. It seems, however, that“dirt”and
“germs”were being used euphemistically for STI’s or HIV, as
illustrated in the quote below:
“Getting circumcised was a good way of reducing chances of
infections and disease since a foreskin also traps dirt during
unsafe sex.”
(Circumcised, OF, <25)
Peer Pressure
Circumcised males seemed proud of their efforts to shift
norms. They talked about the pressure they put on their
uncircumcised peers. Peer pressure from circumcised males
usually framed uncircumcised males as smelly, disease prone
and less sexually prow in efforts to influence them to seek
VMMC.
“We intimidate [uncircumcised peers],persuading them in a
way.We tell them “Hey,you are not a man if you still have a
foreskin…”
(Circumcised, Zola, <25)
“We do get a pressure because the guys like to tease one
another and they brag about being men because they have
their foreskins removed.That sometimes makes us feel bad and
inferior…”
(Uncircumcised, Zola, <25)
It was notable that circumcised males were much more
likely to talk about telling uncircumcised peers about
female preference for sex with them more than the HIV
risk reduction benefits.Contact: Sara Nieuwoudt
Division of Social and Behaviour Change
Communication, School of Public Health,
Faculty of Health Sciences, University of the
Witwatersrand
email: sara.nieuwoudt@wits.ac.za
Introduction:
It is widely accepted that VMMC plays an essential role in comprehensive HIV
prevention strategies in countries with generalised epidemics. An essential
part of reaching the allocated VMMC targets is to generate a strong demand
for this once-off service.
However, whether HIV prevention messages are motivating males to seek
VMMC has not been well explored. The perspectives of those who have
undergone VMMC as well as those not electing to undergo circumcision are
critical to gain insight into the decision-making process.
Objectives:
The purpose of this study was to explore the VMMC decision-making process
in the context of existing demand creation efforts in two communities, namely
Soweto and Orange Farm in South Africa.
Methods:
A qualitative exploratory study was conducted, consisting of 12 focus
group discussions with both circumcised and non-circumcised males living
in Orange Farm and Soweto. In addition, six in-depth interviews were
conducted with female sexual partners of circumcised males. A total of 70
circumcised and 54 uncircumcised males and 6 females were included in the
sample.
Data were analyzed using both deductive and inductive codes in NVivo 9,
developed and categorized by theme, using a grounded theory approach.
Conclusions:
HIV prevention was not the main (stated) reason that male participants decided
to circumcise. While they were aware of the HIV prevention benefits, other factors
appear to have had more influence over their final decision to circumcise.
STI prevention, sexual pleasure, hygiene, and peer influence, were more likely to be
cited as motivation for VMMC than HIV, and need to be accounted for in developing
more nuanced demand creation messaging. This is critical both to the achievement
of national targets as well as ensuring well-informed VMMC decisions.
Presented at the 7th IAS Conference on HIV Pathogenesis,
Treatment Prevention
Photograph 1. Young men waiting for VMMC service
outside a clinic
Photograph 2. Zola clinic,located in Soweto,a
VMMC site