Population Of Men Research Articles

Predictors of Syphilis in the Population of Men Like Sex with Men (LSl) in 10 Regencies/Cities In Indonesia

Syphilis is a bacterial sexually transmitted infection (STI) caused by Treponema pallidum. This disease results in significant morbidity and mortality. This study aims to analyze the predictors of syphilis incidence in the MSM population, namely age, education level, HIV status, use of condoms, consumption of drugs/injecting drugs, alcohol consumption, number of sex partners and STI examinations. The research design is cross sectional using secondary data from the 2015 IBBS. The analysis used is Cox regression which estimates the Prevalence Ratio value. The proportion of syphilis infection in the MSM group in 10 districts/cities in Indonesia is 15.7%. There was a significant relationship between HIV status (PR 2.05 (95% CI 1.58-2.66), Age (20-24 years old PR 2.45 (95% CI 1.07-5.64), 25-24 years old. 29 years PR 3.01 (95% CI 1.30-6.95), > 30 years PR 2.42 (95% CI 1.04-5.65) versus 15-19 years), Alcohol (PR 1, 37 (95% CI 1.01-1.86), Education 1.45 (95% CI 1.02-2.06) with the incidence of syphilis infection in MSM while condom use, drugs, number of male sex partners and STI examinations were not statistically related with p value > 0.05.

Factors Contributing to Loss to Follow-Up from HIV Care Among Men Living with HIV/AIDS in Kibaha District, Tanzania.

Human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) remains a global public health challenge and epidemic disease in sub-Saharan African (SSA) countries. Retention in HIV care should be emphasized to reach", 95-95-95" the Joint United Nations Program on HIV/AIDS (UNAIDS) target by 2030. In Tanzania, in spite of existing strategies to ensure retention, loss to follow-up (LTFU) among HIV-infected men is still a common challenge. With limited studies focusing on men's population, little is known on their perspectives on factors contributing to LTFU. This study aimed to explore factors contributing to LTFU among men living with HIV/AIDS in the Kibaha district and to try to formulate strategies that work for men. The qualitative study using a phenomenological approach was conducted among 16 men with experience in LTFU from three HIV care and treatment clinics located in the Kibaha district. Purposive sampling was used to select informants for semi-structured in-depth interviews from August to December, 2021. The collected data was analyzed thematically. The findings were grouped into three themes which highlightedthe contribution of individual factors, socio-economic factors and health system factors. These factors include anticipated HIV-related stigma, lack of disclosure of their HIV status to their partners, poor knowledge on HIV care, unbearable antiretroviral (ART) medication side effects, sharing of ART medications with their partners, perceived good health status, financial difficulties, work-related travels, demanding employment schedules, spiritual belief in faith healing, poor conduct among healthcare workers and loss of Care and Treatment Clinic (CTC) cards hindered their use of ART services at clinics. The findings from this study revealed linked multi-level factors that influence LTFU from HIV care among HIV-infected men. In order to retain men in HIV care, tailored intervention approaches should be formulated.

Emotional Intelligence and Coping Strategies as Predictive Variables of Muscle Dysmorphia Symptoms in a Population of Men

The current study analyzes the relationship among the variables of muscle dysmorphia (MD) emotional intelligence (EI), and coping strategies (CS), as well as the role of EI and CS in predicting MD symptoms in 112 men between ages 18 and 30 years. The Muscle Dysmorphia Disorder Inventory, the Trait Meta-Mood Scale 24, and the COPE-28 questionnaire were used as measures. We calculated descriptive statistics, correlation analysis, and linear regression. Results show that an inadequate EI (excessive emotional attention or a lack in both emotional clarity and repair) is related to higher levels of MD symptoms. Likewise, almost all maladaptive CS showed significant positive correlations with MD symptoms, whereas just one adaptive CS showed negative correlation with MD symptoms. Only some CS (acceptance, self-blame, and denial) were shown to be predictors of MD symptoms, and they accounted for 36% of the variance. [ Psychiatr Ann . 2021;51(5):235–241.]

Risky Alcohol Drinking Pattern and Its Association with Educational Attainment and Wealth Index among Adult Men Population in Ethiopia: Further Analysis of 2016 Ethiopian Demographic Health Survey.

Risky alcohol drinking is one of the major public health problems and an important health risk factor for premature death and disability worldwide. Identifying the determinants of risky alcohol drinking patterns is crucial for developing and improving intervention on drinking behavior. In Ethiopia, the role of educational attainment and affluence in reducing risky alcohol drinking patterns among men remains unclear. Therefore, this study aimed to assess the association of educational status and affluence with risky alcohol drinking patterns using national representative data in Ethiopia. Secondary data analysis was conducted on 12,688 adult men using data from the 2016 Ethiopia Demographic Health Survey (EDHS). The dependent variable was a risky alcohol drinking pattern which is defined as the consumption of alcohol every day in the last 12 months before the interview. Multivariable logistic regression was employed to assess the association between educational attainment, Ethiopian standard wealth index, and risky alcohol drinking pattern, after adjusting for the potential confounders. The overall magnitude of risky alcohol drinking patterns among men in Ethiopia was 4.5% (95% CI: 3.4–5.9). Of the total men who had ever taken alcohol, 9.7% of men drink almost every day in the last 12 months. The odds of having a risky alcohol drinking pattern were lower among men who completed secondary education (AOR = 0.56 (0.329–0.961)) and men who completed higher education levels (AOR = 0.35 (0.164–0.765)) as compared to men who did not attend any formal education. Adult men in the top two wealth quintiles were twice more likely to have risky alcohol drinking patterns than those in the lowest wealth quintile (AOR = 2.13 (1.254–3.605)). This study showed that from the total adult male population, nearly 5% of Ethiopian men had risky drinking patterns. Individuals with low educational status and greater affluence engaged in high-risk alcohol consumption behavior.

Giant Acuminated Condyloma in a HIV Positive Migrant Patient: Is There a Benefit on Giving the HPV Vaccine To the Men Who Have Sex With Men Population? Case Report and Literature Review

Anal cancer is a serious health problem in HIV-positive Men who have Sex with Men (MSM), and precursor lesions like anal intraepithelial neoplasia; are well defined. Anal intraepithelial neoplasia (AIN), a human papillomavirus (HPV)- associated anal cancer precursor lesion, is frequent among human immunodeficiency virus (HIV)-positive men who have sex with men and women (MSMW). There is a paucity of data published on the progression of high-grade AIN to invasive cancer as well as on clinical and virological characteristics comparing anal margin and anal canal carcinoma. Men who are infected with HIV and MSM are at particularly high risk for persistent HPV infection and HPV-induced lesions. The treatment of high-grade squamous intraepithelial lesions (HISL) in HIV positive MSM associating the adjuvant vaccine against HPV is likely to be cost-effective, with benefits reported in the age group above 38 years. It is convenient to design large controlled studies that enroll the MSM population infected with HIV, as in our patient; to evaluate the benefits of the HPV vaccine.

The 'Heart Kuznets Curve'? Understanding the relations between economic development and cardiac conditions.

As countries turn wealthier, some health indicators, such as child mortality, seem to have well-defined trends. However, others, including cardiovascular conditions, do not follow clear linear patterns of change with economic development. Abnormal blood pressure is a serious health risk factor with consequences for population growth and longevity as well as public and private expenditure in health care and labor productivity. This also increases the risk of the population in certain pandemics, such as COVID-19. To determine the correlation of income and blood pressure, we analyzed time-series for the mean systolic blood pressure (SBP) of men's population (mmHg) and nominal Gross Domestic Product per capita (GDPPC) for 136 countries from 1980 to 2008 using regression and statistical analysis by Pearson's correlation (r). Our study finds a trend similar to an inverted-U shaped curve, or a 'Heart Kuznets Curve'. There is a positive correlation (increase GDPPC, increase SBP) in low-income countries, and a negative correlation in high-income countries (increase GDPPC, decrease SBP). As country income rises people tend to change their diets and habits and have better access to health services and education, which affects blood pressure. However, the latter two may not offset the rise in blood pressure until countries reach a certain income. Investing early in health education and preventive health care could avoid the sharp increase in blood pressure as countries develop, and therefore, avoiding the 'Heart Kuznets Curve' and its economic and human impacts.

PJI with Sepsis, a Complex Emergency Situation with Prodromal Stage

Introduction: With a considerable morbidity, mortality and a high financial impact, PJI has been considered as one of the most serious complications after arthroplasty. Special awareness must be given to these patients due to a life threatening systemic PJI related complication, sepsis. A prompt detection and adequate medical management of this situation is crucial for avoiding unfavorable outcomes. Methods: Between January 2011 and December 2012, we retrospectively examined adult patients who met PJI-SIRS criteria. Medical history search for patients’ anamnesis, surgical times, laboratory-microbiological findings and success rates was performed. Results: Twenty patients were enrolled in this study with a mean age of 71.35 years. Men population was more commonly affected with 55% of the cases. The knee was mainly the affected joint with 52%. A severe systemic disease was present in 80% of the cases. A sickness sensation and pain were the most common prodromal symptoms found 4.9 days before the admission to the hospital. In 85.7% of the cases the etiological agent was identified, with Staphylococcus aureus as the most common. Two-stage surgery treatment was performed with a time interval between admission and the first operation of 5.45 h. The mean time during the first and second operation was of 23 minutes and 117 minutes respectively. A reduction on microbiological positive cultures was found after the first rapid operation (P = 0.0038). Serum CRP levels and fever disappearance were the first parameters which indicated a favorable disease evolution after the first operation (P = 0.0137) and (P = 0.0181) respectively. A successful management was possible in 90% of the cases. Conclusion: Sepsis in patients with PJI announces itself early through the leading symptoms of feeling sick and pain in the affected joint. This time interval should be used therapeutically and diagnostically to prevent the complication of a life-threatening sepsis at best.

Analysis of Gender Gaps in Public Spending in the Republic of Moldova

Gender issues address all aspects of women's and men's lives, analyzing the differences between their opportunities, access to specific resources and needs. Gender issues do not mean that only women's issues are analyzed and debated. It is about the comparison of women's status with that of men in all social spheres and the analysis of gender relations and differences to correct the disadvantages and inequalities of gender roles and ensure fair development for both women and men. Although women are generally the disadvantaged group, men may encounter barriers. Policies are designed for women's and men's population groups or have direct implications for them, therefore they are more or less relevant from a gender perspective. Public policies affect women and men differently and should therefore be planned and designed to take account of these differences in order not to strengthen existing gender gaps but to correct them and to address fairly the interests and needs of women and men. But on closer analysis, it can be demonstrated that policies that at first seem neutral from a gender perspective have a different influence on women and men. This is because we find substantial differences in the lives of women and men in most areas - differences that can make policies seemingly neutral to strengthen existing inequalities. There are no sex-neutral policies. Gender statistics crosses horizontally with statistics in traditional areas, with the aim to identify, produce, and disseminate statistics that reflects the reality of women's and men's life and the impact of gender-focused policies, according to the definition of the UN Economic Commission for Europe. The statistical data about women and men, reflecting their situation in all the areas of society life, represent the main tool for systematic analysis of relations and differences between women and men (gender analysis). Gender Budgeting reveals the actors behind the numbers. How are public resources divided between both sexes? Does it meet everyone's needs? These are fundamental questions in this method. The purpose is to ensure that public funds and resources are distributed fairly, equally, and equitably. Gender Budgeting is important because budget allocation might give a gender neutral impression at the surface while the reality could be different. In the other words, even if a numerically equal amount is distributed to both sexes, the value that each amount holds might not be of the same importance. Gender Budgeting deals with the issue of equity besides equality. Knowledge and awareness of gender affects the budget and reveals whether resources have to be redistributed on a more even basis. The focus is, thus, on equitable resource distribution rather than budget allocations.

Molecular Characterization of HIV-1 Minority Subtypes in Hong Kong: A Recent Epidemic of CRF07_BC among the Men who have Sex with Men Population.

Over the past years, an increasing trend was noticed for non-B and non- CRF01_AE HIV-1 strains prevalence in Hong Kong. In this study, we aimed at using the available HIV-1 pol sequences collected from 1994 to 2013 through our local antiretroviral resistance surveillance program to investigate the molecular epidemiology and evolution of HIV-1 minority subtypes in Hong Kong. We also aimed at investigating their potential association and impact of those transmission risk groups. A total of 2,315 HIV-1 partial pol sequences were included. HIV-1 genotypes were determined by REGA Genotyping Tool and phylogenetic analysis with reference sequences. The viral evolutionary rates and time of the most common ancestor (tMRCA) were estimated by Bayesian Markov Chain Monte Carlo (MCMC) interference. Apart from the two prevalent HIV-1 genotypes in Hong Kong (subtype B,41.6%, CRF01_AE,40.5%), phylogenetic analysis revealed a broad viral diversity including CRF07_BC(5.1%), subtype C(4.5%), CRF02_AG(1.1%), CRF08_BC(0.8%), subtype A1(0.8%), subtype G(0.4%), subtype D(0.4%), CRF06_cpx(0.4%), subtype F(0.1%), CRF12_BF(0·04%) and other recombinants(4.5%). The top five minority subtypes were further analyzed which demonstrated distinct epidemiological and phylogenetic patterns. Over 70% of subtypes A1, C and CRF02_AG infections were circulated among non-Chinese Asians or African community in Hong Kong and were mainly transmitted between heterosexual regular partners. Instead, over 90% of CRF07_BC and CRF08_BC patients were Chinese. An epidemic cluster was identified in CRF07_BC and estimated to expand from 2002 onwards based on skyline plot and molecular clock analysis. Our results highlighted the emergence of CRF07_BC epidemic in local MSM community, public health interventions targeting the community should be further enhanced to tackle the epidemic.

Short Communication: Discordance of HIV-1 Viral Load from Paired Blood and Seminal Plasma Samples in a Chinese Men Who Have Sex with Men Population.

The alarming spread of HIV among men who have sex with men (MSM) has become a national concern in China. Estimating men's sexual HIV infectiousness from blood plasma viral load (BPVL) depends on the association between BPVL and seminal plasma viral load (SPVL). However, previous studies were controversial and few concentrated on MSM. Twenty antiretroviral therapy (ART)-naive MSM and 54 MSM under ART were recruited between July and September 2015 in the city of Hangzhou, China. Blood and semen were collected in pairs at the same visit for each individual. BPVL and SPVL were measured by COBAS AmpliPrep/COBAS TaqMan HIV-1 Test ver2.0. The mean viral load in blood plasma was higher than that in semen (4.5 ± 0.9 log10 vs. 3.4 ± 1.3 log10) in 20 ART-untreated MSM, and a positive correlation was found between BPVL and SPVL, as evaluated by linear regression (R2 = 0.565, p < .001). A total of 96.3% (52/54) of ART-treated patients had successful viral suppression (<400 copies/mL) according to the BPVL. Fourteen subjects (25.9%, 14/54) presenting undetectable SPVL showed detectable BPVL, ranging from 20.4 to 7,470 copies/mL. Three subjects (5.6%, 3/54) presented detectable SPVL although BPVL was undetectable. MSM could pose a transmission risk despite undetectable BPVL. Consistent use of condoms and other risk-reduction strategies should be strongly advocated in MSM throughout all stages of HIV infection, regardless of ART.

Матрицы парных сравнений выборок в оценке хаотической динамики параметров кардиоритма мужского населения Югры

Матрицы парных сравнений выборок в оценке хаотической динамики параметров кардиоритма мужского населения Югры

A Unique Second-Generation Recombinant Form of HIV-1 Identified Among Men Who Have Sex with Men Population in Beijing, China.

In China, CRF01_AE and CRF07_BC are the most circulating strains of HIV-1, more and more second-generation recombinant forms have been isolated around the two strains. The same situation happened in Beijing in recent years. In our study, we have isolated a new second-generation recombinant form of HIV-1 from a male patient who was infected by homosexual behavior. Polygenetic analysis revealed that the sequence includes five CRF01_AE fragments and four CRF07_BC fragments. CRF01_AE is the skeleton of the recombinant which was inserted with four CRF07_BC fragments. The emergency of such second-generation recombinant forms manifests the diversity of the HIV-1 epidemic. Consequently, further investigation of molecular epidemiology is needed to track the genetic evolution of HIV-1.

Dynamics and forecast of morbidity and mortality from prostate cancer in St. Petersburg

The paper presents the characteristics of primary disease incidence, prevalence and mortality from prostate cancer among men's population of St. Petersburg (normal and age-standardized rates); analyzed their dynamics for 20 years; shows the calculated trend of these indicators up to 2020.

Squamous cell carcinoma of the oral cavity in Slovakian population: a clinical study of 1132 patients

Global cancer statistical data show that Central Europe has one of the highest incidence rates of oral cancer worldwide mainly in men's population. Early detection is extremely important as it results in lower morbidity and death rates. The aim of this study was to evaluate and determines the frequency, distribution, etiologic factors and types of oral cavity squamous cell carcinomas (SCC) in a large representative sample in the general public of western part of Slovakia.We retrospectively analyzed the medical records of 1132 patients with oral cavity squamous cell carcinomas treated from 1991 to 2011 at a single institution at Department of Oral and Maxillofacial surgery, University Hospital in Bratislava, Slovakia.

MP-03.10 Can Pre-biopsy Multi-parametric MRI Reduce the Number of TRUS Cores Required to Diagnose Prostate Cancer in an 'At-Risk' Population of Men?

MP-03.10 Can Pre-biopsy Multi-parametric MRI Reduce the Number of TRUS Cores Required to Diagnose Prostate Cancer in an 'At-Risk' Population of Men?

La rhizarthrose chez l’homme : des enjeux différents. Résultats de trois techniques chirurgicales

Basal thumb arthritis is less common in men, but the functional implication is different in this manual worker or active retired population. The objective was to analyse the results of three surgical procedure in an exclusively men's population. Twenty-eight patients (19 partial trapeziectomy with interposition of a chondrocostal autograft, seven total trapeziectomy and two prosthesis), with a mean age of 69 years old, were reviewed at a mean follow-up of 71 months. Mobility and pain were similar in the three populations. But the strength and Dash scores were better in the cartilage group. Radiologically the length of the thumb ray was greater in the cartilage group and no signs of loosening were observed in the prosthesis group. The surgery of reference in this population is the arthrodesis of the trapeziometacarpal joint. But the lack of mobility is disabling, the strength is questionable and painlessness varies due to high rates of non-union. Only one study compared four surgical procedures in an exclusively male population and total trapeziectomy seemed to give the best results. But this technique carries risk of shortening of the thumb ray. Even if the comparison is difficult, the association of partial trapeziectomy with interposition of costal cartilage graft seems to give better stability to the thumb column by preserving length as well as greater strength compared to total trapeziectomy. We advocate this procedure for basal thumb arthritis in men.

High-Intensity Interval vs. Moderate Steady-State Exercise

To the Editor: The study by Rossow et al. titled “Postexercise Hypotension in an Endurance-Trained Population of Men and Women Following High-Intensity Interval and Steady-State Cycling”1 is interesting and adds important information to the discussion about the postexercise hypotension and high-intensity interval exercise in healthy subjects. The current study evaluated 15 men and 10 women in a randomized crossover design and concluded that postexercise hypotension was similar between high-intensity interval and steady-state exercise sessions. Although the study is original for analyzing postexercise hypotension after high-intensity interval exercise in a young and healthy endurance-trained population, it is not the first time that postexercise hypotension following highintensity interval exercise was demon strated. Ciolac et al.2 evaluated the postexercise hypotension in 52 hypertensive subjects, and also found no difference in postexercise hypotension between highintensity interval and moderate steady-state exercise sessions. Although the simple assessment of postexercise hypotension is very important, it can underestimate the real benefits of interval exercises, because it has been shown to be superior to moderate steady-state exercise when chronically performed.3,4 Guimaraes et al.3 evaluated the effects of high-intensity interval training vs. moderate steady-state exercise on 24-h ambulatory blood pressure and arterial stiffness in hypertensive subjects receiving long-term treatment. They concluded that exercise training, independent of the exercise training method, decreased blood pressure, but only the interval training improved arterial stiffness as evaluated by a decrease in carotid–femoral pulse wave velocity. When analyzing the effects of high-intensity interval training vs. moderate steady-state exercise on several hemodynamic, metabolic and neurohumoral variables of young normo tensive women at high familial risk for hypertension, Ciolac et al.4 found that both exercises were equally effective in improving 24-h ambulatory blood pressure, insulin and insulin sensitivity; however, high-intensity interval training was superior in improving cardiorespiratory fitness, carotid–femoral pulse wave velocity, as well as blood pressure, norepinephrine, endothelin-1, and nitric oxide response to exercise. In this context, the study by Rossow et al.1 could have found greater benefits of highintensity exercise if they also had evaluated postexercise hypotension after a period of high-intensity interval or moderate steadystate training.

Postexercise Hypotenstion In An Endurance-trained Population Of Men And Women Following High-intensity Interval And Steady-state Cycling

Postexercise Hypotenstion In An Endurance-trained Population Of Men And Women Following High-intensity Interval And Steady-state Cycling

Emergence and Persistence of CXCR4‐Tropic HIV‐1 in a Population of Men from the Multicenter AIDS Cohort Study

We examined the emergence of CXCR4 (i.e., X4) tropism in 67 male human immunodeficiency virus type 1 (HIV-1) seroconverters from the Multicenter AIDS Cohort Study (MACS) who were selected to reflect the full spectrum of rates of HIV-1 disease progression. A mean of 10 serial samples per donor were evaluated by a laboratory-validated, commercially available assay to determine phenotypic coreceptor use. A total of 52% of men had dual- or mixed-tropic HIV-1 detected at 1 or more of the time points tested. Use of X4 by HIV-1 was detected more frequently among men who developed AIDS (defined as a CD4(+) T cell count of <200 cells/muL and/or an AIDS-defining illness) < or =11 years after seroconversion than among those who did not (P = .005), as well as among men who exhibited a total T cell count decline (i.e., a CD3(+) inflection point), compared with those who did not (P = .03). For men in whom both X4 virus and an inflection point were detected, emergence of X4 virus preceded the inflection point by a median of 0.83 years. The median CD4(+) T cell count at first detection of X4 viruses before the onset of AIDS was 475 cells/microL. We conclude that HIV-1 variants that used X4 frequently emerged at high CD4(+) T cell counts and may contribute to the decrease in T cell numbers during late HIV-1 infection.

Suicide rates in young men in England and Wales in the 21st century: time trend study

Objectives To explore trends in suicide in young people to investigate the recent observation that after year on year rises in the 1970s, 1980s, and early 1990s, rates in young...