AIDSFree Prevention Update: November 2017

Alcohol and Drug Use Lead to Risky Sexual Behaviors

From: Journal of Acquired Immune Deficiency Syndromes

This systematic review showed that alcohol and substance abuse can lead to high-risk behaviors among men who have sex with men (MSM) in sub-Saharan Africa. Future interventions for MSM should be informed by the local context of alcohol and drug use practices and their link to risky sex, and build activities around this information.

Integrating Reproductive Health and HIV Prevention Can Work for Serodiscordant Couples

From: AIDS and Behavior

This study examined fertility intentions, pregnancy outcomes, and seroconversion in 1,013 serodiscordant couples in Kenya and Uganda. Adherence to antiretrovirals or pre-exposure prophylaxis was high. Four individuals were diagnosed with HIV during the study. Integrated sexual and reproductive health and HIV prevention services can meet the needs of serodiscordant couples who wish to conceive.

Sex Workers Avoid Health Services Because of Stigma

From: AIDS Care

Over half of the sex workers in this Kenyan study reported being stigmatized by health care workers (HCWs); as a result, they were more likely to delay or avoid HIV testing and other health services. Addressing stigma directed toward key populations by HCWs is critical to achieving universal HIV testing.