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Affiliation
1 Academic Medical Center of the University of Amsterdam and Amsterdam Institute for Global Health and Development, PO Box 22700, 1100 DE Amsterdam, The Netherlands. n.veldhuijzen@amc-cpcd.org
Nienke J Veldhuijzen et al. Sex Health. 2011 Jun.
Affiliation
1 Academic Medical Center of the University of Amsterdam and Amsterdam Institute for Global Health and Development, PO Box 22700, 1100 DE Amsterdam, The Netherlands. n.veldhuijzen@amc-cpcd.org
Introduction: Epidemiological and HIV prevention studies in sub-Saharan Africa have almost exclusively focussed on vaginal transmission of HIV, the primary mode of transmission in the region. Little is known about the prevalence of heterosexual anal intercourse (AI), its correlates and its role in the spread of HIV. Prevention messaging seldom, if ever, includes AI.
Methods: Sexual and other risk behaviours (including frequency of AI) were assessed in two cross-sectional surveys of female sex workers (FSW) in Kigali, Rwanda (n=800) and Mombasa, Kenya (n=820). In addition, a subset of FSW surveyed in Kigali attended seven focus group discussions and four in-depth interviews.
Results: AI was reported by 5.5% and 4.3% of FSW in the cross-sectional surveys, in Kigali and Mombasa, respectively. FSW practising AI reported multiple risk factors for HIV transmission: inconsistent condom use (odds ratio (OR) Kigali 5.9 (95% CI 1.4-24.7); OR Mombasa 2.1 (1.1-4.2)); more than five sexual partners in the past week (OR Kigali 4.3 (1.5-12.4); OR Mombasa 2.2 (1.1-4.3)); alcohol use before sex (OR Kigali 2.8 (1.4-5.8)); more than 5 years of female sex work (OR Mombasa 2.4 (1.2-4.9)); and history of genital symptoms in the past year (OR Mombasa 3.6 (1.7-7.9)). AI was, however, not associated with HIV prevalence (OR Kigali 0.9 (0.5-1.9); OR Mombasa 0.5 (0.2-1.2)). Negative connotations and stigma associated with AI were expressed during qualitative interviews.
Conclusions: AI was associated with several indicators of sexual risk behaviour. Prevalence of AI was probably underreported due to social desirability bias. Stigma associated with AI poses methodological challenges in obtaining valid data.
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Owen BN, Baggaley RF, Elmes J, Harvey A, Shubber Z, Butler AR, Silhol R, Anton P, Shacklett B, van der Straten A, Boily MC. Owen BN, et al. AIDS Behav. 2020 Mar;24(3):697-713. doi: 10.1007/s10461-019-02477-w. AIDS Behav. 2020. PMID: 30953304 Free PMC article.
Chen J, Ren Y, Daharsh L, Liu L, Kang G, Li Q, Wei Q, Wan Y, Xu J. Chen J, et al. Front Microbiol. 2018 Mar 29;9:557. doi: 10.3389/fmicb.2018.00557. eCollection 2018. Front Microbiol. 2018. PMID: 29651274 Free PMC article.
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Disturbing video shows Denver high school cheerleaders forced into repeated splits
Denver police are investigating a high school cheer coach's intense training methods that left team members in excruciating pain.
Aug. 24, 2017, 3:09 PM MSK / Source: TODAY
Police in Denver, Colorado, are investigating allegations surrounding a high school cheer coach's intense training methods which left young team members in excruciating pain.
Shocking video released overnight by NBC affiliate KUSA shows footage of teenagers from Denver's East High School in severe pain as they are forced into split positions while their arms are held in place — despite their screams and pleas to stop.
(Warning: The video may be intense and disturbing for some viewers.)
One of the girls in the video, incoming 13-year-old freshman Ally Wakefield, told the network that she was forced into the split position against her will by the newly-hired cheer coach. "It was tearing my ligament and my muscle at the same time," said Wakefield, one of three East High School cheerleaders to speak to KUSA. "He was pushing down on the back of my right leg. He was pushing like with his other knee on my back to try to keep my posture straight."
The cheer coach at the center of the investigation has been placed on leave, along with the school's principal, assistant principal, an assistant cheer coach and the Denver Public Schools deputy general counsel.
"This is a grown man pushing my 13-year-old girl so hard against her will while she's crying and screaming for him to stop that he's ripping tissues in her body," said Kristen Wakefield, the girl's mother.
The elder Wakefield sent an email alerting school officials on June 15, but a police investigation wasn't started for more than two months.
"We absolutely prohibit any practices that place our students’ physical and mental health in jeopardy," Denver Public Schools Superintendent Tom Boasberg said in a statement. "We do not and will not allow any situation in which a student is forced to perform an activity or exercise beyond the point at which they express their desire to stop."
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