Sexual Activity Research Articles

For sex, ulterior motives or relief: a latent profile analysis of individuals who sext their relationship partner(s)

ABSTRACT Sexting has emerged as a prevalent avenue for individuals to express their sexuality and desires. To explore the diverse motivations to engage in sexting a comprehensive review of existing literature and analysis of survey data from 109 individuals from the United States (collected online 2019, mean age of 29.0 years, 56% identified as female) we employ Latent Profile Analysis (LPA) to identify distinct profiles of sexting motivations. Three primary profiles emerge: those who sext primarily for sexual purposes, individuals who sext to alleviate relational anxiety and those engaging in sexting for ulterior motives such as body image reinforcement or instrumental/aggressive reasons. Notably, each profile exhibits unique patterns of attachment styles and motivations for engaging in sexting behaviours. While the largest number of participants sext to initiate sexual encounters with their partner(s) (n = 44, 40.4%), a significant subset sexts as a coping mechanism for relational insecurities (n = 34, 31.2%) or with manipulative intentions (n = 31, 28.4%). These findings underscore the complexity of sexting behaviours and highlight the need for tailored interventions and awareness campaigns to promote healthy sexual communication and relationship dynamics. Understanding these diverse motivations is crucial for clinicians, educators and policymakers aiming to address the multifaceted implications of sexting in contemporary society.

Pendidikan Kesehatan tentang Pencegahan Infeksi Menular Seksual pada Remaja

Sexually Transmitted Infections (STIs) are diseases transmitted through sexual activity, whether vaginal, oral, or anal. However, these infections can also be transmitted outside of sexual contact, such as from mother to child (e.g., during birth or through breastfeeding) or through shared needles among drug users, as well as due to poor hygiene of the reproductive organs (http://dewibest.blogspot.com/2014/11/sap-kespro-pada-remaja.htm). STIs can be caused by bacteria, fungi, viruses, and protozoa. STIs are a significant public health issue globally, affecting both developed and developing countries. The actual incidence and prevalence of these infections are not precisely known in various countries (Fauziah Husna, 2020). According to the Centers for Disease Control (CDC) in 2022, the most frequently reported STIs worldwide include syphilis (including congenital syphilis), gonorrhea, chlamydia, chancroid, and HIV (Human Immunodeficiency Virus) (Niforatos, J.D., & Rothman, 2021).

Application of ‘CDC- Public Security Bureau-NGO’ Joint Prevention and Control Mechanism Allied AIDS prevention and control in Guigang, Guangxi

BackgroundHIV/AIDS has emerged as a nationwide epidemic and has taken the forefront position as the primary infectious killer of adults in China. The control and prevention of the disease have been hampered by a weak link in the form of heterosexual transmission. However, conventional intervention measures have demonstrated suboptimal efficacy in reducing the incidence of new HIV infections. In light of the current epidemiological characteristics, we have developed and executed an innovative intervention model known as the Joint Prevention and Control Mechanism of the ‘CDC-Public Security Bureau-NGO’. The purpose of this research is to assess the impact of this model on the AIDS awareness, HIV infection rates, sexual behavior, and associated factors among female sex workers and elderly clients. Through the provision of robust evidence of the efficacy of this innovative model, we seek to advocate for its implementation in future interventions.MethodsThe research design of this study incorporates both a serial cross-sectional study and time-series analysis from 2014 to 2021, including a 4-year traditional intervention (2014–2017) and the 4-year ‘CDC-Public Security Bureau-NGO’ innovative intervention (2018–2021), was conducted to evaluate the effects of the new intervention. The GM(1, 1) model was performed to predict the proportion of HIV infection without implementing the innovative intervention in 2018–2021; P and C values were used to evaluate the performance of the model. Mann-Kendall test and descriptive methods were used to analyzed the trend of traditional and innovative interventions models on HIV positive detection rate in FSWs and elderly clients.ResultsThe condom usage rates during the last commercial sexual encounter for FSWs and elderly clients improved from 74.9% and 9.1%, respectively, to 96.9% and 28.1%. (P < 0.05), newly reported cases of HIV have decreased by 15.56% yearly and the HIV positive detection rate among middle-aged and elderly people has dropped by 14.47%. The innovative intervention model has significantly reduced the HIV infection rates.ConclusionsThe ‘CDC-Public Security Bureau-NGO’ innovative intervention has achieved beneficial effects on HIV/AIDS prevention and control and provides a good reference for Guangxi, China.

Understanding Peer Sexual Norms, Attitudes, and Pressure: Correlates of Risky Sexual Behaviours among Secondary School Adolescents in Anambra State, Nigeria

Aims: Sexual behaviour initiation often takes place throughout adolescence and is typically linked to engaging in unprotected sexual practices and other high-risk sexual behaviours. This research investigated the correlation between peer sexual behaviour, sexual attitudes, pressure to engage in sexual activity, and sexual risk behaviours among secondary school adolescents in Anambra State. Methodology: The study was carried out with a correlational research approach. The research included 1,200 individuals from a population of 19,048 SS2 teenagers in public secondary schools. Cronbach's Alpha statistics were used to evaluate the internal consistency of three scales: the Brief Sexual Attitudes Scale (BSAS), the Pressure to Have Sex Questionnaire (PTHSQ), and the modified Sexual Risk Behaviour Scale (SRBS). The reliability coefficients for the Adolescent Sexual Behaviour Index (ASBI) were 0.86, 0.96, and 0.80, respectively. The reliability index of the ASBI was determined using Kuder Richardson statistics, resulting in a coefficient of 0.86. The data was obtained by directly administering the instruments and processed using the Statistical Package for Social Sciences (SPSS). Pearson Product Moment Correlation is a statistical measure that quantifies the strength and direction of the linear relationship between two variables. Coefficients were used to address the research enquiries, while the null hypotheses were examined using a t-test to determine significant association. Results: The results indicated a weak positive association between the sexual conduct of peers, sexual attitudes, and pressure to engage in sexual activity, and sexual risk behaviours among secondary school teenagers in Anambra State. Furthermore, the findings demonstrated a notable association between these variables and the sexual risk behaviours of secondary school adolescents in Anambra State. Conclusion: Based on these data, it was determined that there is a weak positive link between peer sexual behaviour, sexual attitude, peer pressure to engage in sexual activity, and unsafe sexual behaviours among secondary school teenagers in Anambra State. Given this information, it is advisable for school administrators to establish health initiatives aimed at assisting young people in adopting enduring sexual habits that promote their overall health and well-being. These practices should also aim to minimise their susceptibility to HIV and other sexually transmitted diseases.

Do inflammation and relational motivation coordinate having better sex? The interplay between C-reactive protein and relational approach motivation on sexual well-being

Much evidence on heightened inflammation and social behavior focuses on social withdrawal. Building on recent theory (Muscatell and Inagaki, 2021), we focused instead on the socially affiliative experience of sex. We investigated the interplay between immunology and motivation on sexual well-being among 158 individuals in romantic relationships. Inflammation, indexed by C-reactive protein (CRP), and sexual well-being were measured multiple times over a month. Relational approach motivation (i.e., motivation toward rewards in relationships) was measured at study entry. Results revealed significant associations between CRP and sexual satisfaction and partnered orgasms frequency for those most motivated to approach rewards with their partner. Interaction effects were replicated with relationship-focused psychological correlates of sexual well-being (e.g., touch, shared laughter, social support), but not with individual-focused outcomes (e.g., adapting to change, goal progress). This is one of the first human studies to demonstrate the body and mind coordinate to promote satisfying sexual experiences within romantic relationships.

Efficacy of Pericoccygeal Local Injection with Rectal Manipulation in the Treatment of Chronic Coccygodynia

Introduction: Coccygodynia, predominantly affecting women, involves pain around the coccyx, exacerbated by sitting, sexual activity, defecation, or transitioning from sitting to standing. Despite various conservative treatments like NSAIDs, ice packs, and physical therapy, some patients do not experience relief. Objective: This study aims to evaluate the efficacy of rectal manipulation combined with paracoccygeal steroid injections in patients with chronic coccygodynia unresponsive to conservative treatments. Methods: This retrospective study included 24 patients (20 females, 4 males) with chronic coccygodynia unresponsive to over 3 months of conservative treatment. All patients received a combination of steroid-local anesthetic injections and rectal manipulation. VAS scores were recorded before intervention, on the 10th day post-intervention, at one year, and at the last follow-up visit. Patients were assessed for trauma history, BMI, coccyx type, and dynamic radiographic findings. Results: The mean VAS score significantly decreased from 7.9 pre-treatment to 2.2 on the 10th day post-treatment (p

Sexual Excitation in Young Women with Different Levels of Sexual Satisfaction in Relationships: A Laboratory Study

Sexual satisfaction is an important dimension of sexual health. Despite there being evidence about its relations with sexual arousal, this association has not been addressed considering arousal as a trait and as a state. Therefore, the goal of this laboratory study was to examine, in young women with different levels of sexual satisfaction in their relationships, sexual arousal as a trait (i.e., propensity for sexual excitation/inhibition) and as a state (i.e., genital response and self-reported sexual arousal to a video with explicit sexual content). The sample was composed of 45 Spanish heterosexual women with a partner, from 18 to 25 years old. In the first phase, we evaluated the propensity for sexual inhibition/excitation and sexual satisfaction of the participants. In the second phase—in the context of a sexuality laboratory—the vaginal pulse amplitude, the rating of sexual arousal, and the rating of genital sensations were evaluated. The participants, distributed in three groups with different levels of sexual satisfaction (p &lt; 0.001), were compared based on the different measures of sexual arousal. The results indicated that the group with lower sexual satisfaction, compared to the group with higher sexual satisfaction, reported more sexual inhibition due to the threat of performance failure (p = 0.011) and due to the threat of performance consequences (p = 0.038). However, no significant differences in sexual arousal status were found between the three groups. In conclusion, the negative association between sexual satisfaction and propensity for sexual inhibition in young women with a partner is supported, but not the positive association between trait/state sexual arousal and sexual satisfaction.

A multiplexed real‐time PCR assay for simultaneous quantification of human immunodeficiency virus and Hepatitis B virus for low‐and‐middle‐ income countries

Due to shared routes of transmission, including sexual contact and vertical transmission, HIV-HBV co-infection is common, particularly in sub-Saharan Africa. Measurement of viral load (VL), for both HIV and HBV, plays a critical role for determining their infectious phase and monitoring response to antiviral therapy. Implementation of viral load testing in clinical settings is a significant challenge in resource-limited countries, notably because of cost and availability issues. We designed HIV and HBV primers for conserved regions of the HIV and HBV genomes that were specifically adapted to viral strains circulating in West Africa that are HIV-1 subtype CRF02AG and HBV genotype E. We first validated two monoplex qPCR assays for individual quantification and, then developed a multiplex qPCR for simultaneous quantification of both viruses. HIV RNA and HBV DNA amplification was performed in a single tube using a one-step reverse transcription-PCR reaction with primers and probes targeting both viruses. Performance characteristics such as the quantification range, sensitivity, and specificity of this multiplex qPCR assay were compared to reference qPCR tests for both HIV and HBV viral load quantification. The multiplex assay was validated using clinical samples from co- or mono-infected patients and gave comparable viral load quantification to the HIV and HBV reference test respectively. The multiplex qPCR demonstrated an overall sensitivity of 71.25 % [68.16–74.3] for HBV and 82 % [78.09–85.90] for HIV and an overall specificity of 100 % [94.95–100] for both viruses. Although the overall sensitivities of the HIV and HBV assays were lower than the commercial comparator assays, the sensitivity in the clinical decision range of >1000 copies/mL for HIV was 80 % [71.26–88.73] and >1000 IU/mL for HBV was 100 % [95.51–100] which indicates the test results can be used to guide treatment decisions. This in-house developed multiplex qPCR assay represents a useful diagnostic tool as it can be performed on affordable "open" real-time PCR platforms currently used for HIV or SARS-Cov-2 infection surveillance in Mali.

Self-Esteem among Men Who Have Sex with Men Living with HIV: A Qualitative Study

Background: HIV transmission in males, particularly in Indonesia, is increasing due to increased sexual activity among Men who have Sex with Men (MSM) groups. This is largely due to diminished self-esteem and reluctance to disclose their status, influenced by factors like power, virtue, relevance, and competence. Aims: The study investigates the self-esteem of MSM living with HIV and explores the factors that may influence their self-esteem. Methods: This study employs a descriptive qualitative study. The study used interviews and content analysis techniques to gather data on HIV individuals at the Public Health Center, specifically focusing on MSM. Results: The interview data revealed six themes: individualism, body image dissatisfaction, lack of motivation, lack of peer support, aspiration to be useful, and self-esteem needs. Conclusion: The study reveals that self-esteem in HIV-positive men is influenced by coping strategies, body image dissatisfaction, motivation, and peer support. It suggests helping others and enhancing library resources, regular investigations, and a specialized counseling program to improve self-esteem.

Psychological Problems and Postpartum Coitus Timeline for Dyspareunia

Problem statement. One of the basic needs after the puerperium is over is sexual. Often these needs are not properly met due to various factors. Excessive worry makes the mother feel not ready for this sexual activity. Not a few also when having sex mothers experience pain. Aim of the study. The purpose of this study was to analyze psychological problems and Coitus Postpartum Time Span are affect dyspareunia. Methodology. Non-experimental research design: cross-sectional analytic. The population is post-partum mothers as many as 86 people. Sampling technique nonprobability sampling by taking samples insdental sampling for 3 months at Clinic Pratama Anugrah Surabaya in 2023. Independent variables of psychological problems and coitus time span, dyspareunia dependent variable, questionnaire instrument, data were analyzed multiple linear regression test. Main findings. The results that the majority of mothers who did not have psychological problems (65.4%) experienced mild dyspareunia. Mothers who had sex for less than 40 days postpartum mostly (66.6%) experienced mild dyspareunia. Simultaneous results F (p=0.003) means that there is a significant effect of psychological problems and coitus time on the incidence of dyspareunia. Partially there was an effect (p=0.001) of psychological problems on dyspareunia, but for the time span of coitus it had no effect (p=0.855) on the incidence of dyspareunia. Conclusion. The more the mother has psychological problems related to sexual relations after childbirth, the more mother will experience dyspareunia. The time that is considered most appropriate for sexual intercourse after childbirth does not always affect the incidence of dyspareunia.

Primary Headache Associated with Sexual Activity Presenting with Persistent Genital Arousal Disorder: A Case Report

Primary Headache Associated with Sexual Activity Presenting with Persistent Genital Arousal Disorder: A Case Report

Unlocking the psycho-social-dermal axis: A double blinded randomized placebo controlled study unveiling the influence of a novel topical formulation on skin quality, attractiveness, quality of life, and sexual satisfaction.

Improved skin appearance is closely linked to higher self-esteem, favorable first impressions, and enhanced quality of life, with skincare products often being formulated with biostimulatory and regenerative ingredients to both enhance skin health and provide psychological benefits. Certain components, such as phospholipids and botanicals, may not only improve skin quality, but also impact mood, romantic bonding, and sexual attraction. To assess whether a novel topical skin care product formulated with a proprietary combination of proteins, lipids, and botanical derivatives, can potentially result in a robust psycho-social-dermatological benefit via modulation epidermal oxytocin and pheromonal pathways. In this single-center prospective, randomized, controlled, double-blinded study, 40 female subjects were randomly assigned to use of either active novel skincare products, or placebos, for 4-8 weeks. Skin assessments, standardized photography, first impression ratings, and questionnaires on confidence and sexual satisfaction were conducted. Thirty-nine subjects completed the study and demonstrated a statistically significant improvement in skin quality following 4 and 8 weeks of use, with improvements of greater magnitude demonstrated with a longer duration of use. Product users projected a better first impression and appeared on average 3 years younger than their actual age, with 86% of subjects reporting increased confidence. Product users found random people of the opposite sex to be more attractive 88% of the time and reported improvement in sexual satisfaction in 90% of the categories. The use of this novel topical product culminated in statistically significant improvements in skin quality, confidence, sexual relationship satisfaction, perceived attractiveness, and youthfulness, highlighting its potential in anti-aging and mood enhancement.

Sexual bother and sexual activity before and after kidney transplantation

Among patients awaiting kidney transplantation (KT), sexual dysfunction is common due to end-stage kidney disease (ESKD) but may improve post-KT. Leveraging a two-center prospective study, 2,422 adult KT candidates and 490 adult KT recipients (5/2014-12/2023) were identified. Using the Kidney Disease Quality of Life Scale Short Form (KDQOL-SF), participants reported on the negative impact of sexual dysfunction due to ESKD (i.e., sexual bother) at KT evaluation, admission, and post-KT follow-ups. Using mixed effect logistic regression models, we estimated odds and trajectories for odds of sexual bother. At evaluation, 46.1% of male and 29.6% of female candidates reported sexual bother; 39.0% and 34.5%, respectively, had been sexually active in the past 4 weeks. At admission, 53.8% male and 27.0% female recipients reported sexual bother; 41.6% and 41.8%, respectively, had been sexually active in the past 4 weeks. The estimated prevalence of sexual bother decreased during the first 3 years post-KT (OR per year: 0.39, 95%CI: 0.25-0.60). Sexual activity increased and peaked 1-year post-KT. 3 years post-KT, 48.9% of male and 50.0% of female recipients were sexually active. Sexual bother is common pre-KT and improves post-KT, and sexual activity increases post-KT. Sexual health is important and should be considered during KT management.

Association between the regular use of vaginal dilators and/or sexual activity and vaginal morbidity in locally advanced cervical cancer survivors – An EMBRACE-I study report

PurposeTo provide risk estimations for vaginal morbidity with regard to vaginal dilation (summarizing the use of dilators and/or sexual activity) in locally advanced cervical cancer patients (LACC) treated with definitive radiochemotherapy and image-guided adaptive brachytherapy (IGABT) within the prospective, multi-institutional EMBRACE-I study. Material/MethodsPhysician-assessed vaginal morbidity (CTCAEv3.0), use of vaginal dilators and patient-reported sexual activity (EORTC-CX24) were prospectively assessed at baseline and during regular follow-up.Frequency analysis for vaginal dilation was performed in a sub-cohort of patients with ≥3 follow-ups. Regular dilation was defined if reported in ≥50% of follow-ups, no/infrequent dilation if reported in <50%. Actuarial estimates were calculated with Kaplan-Meier method; comparisons evaluated with the log-rank test. Univariate and multivariable Cox proportional hazard regression were used to evaluate risk factors for vaginal stenosis G≥2. ResultsThe EMBRACE-I study included a total of 1416 patients (2008-2015); 882 were evaluated in the present report with a median follow-up of 60 months. Of those, 565 (64%) reported regular dilation. This was associated with a significantly lower 5-year risk of vaginal stenosis G≥2 compared to no/infrequent dilation (23% vs. 37%, p≤0.001). This univariate finding was confirmed by multivariable analysis, after adjusting for other risk factors (HR=0.630, p=0.001).Regular vaginal dilation was also associated with a significantly higher risk for vaginal dryness G≥1 (72% vs. 67%, p=0.028) and bleeding G≥1 (61% vs. 34%, p≤0.001). ConclusionVaginal stenosis represents irreversible fibrotic changes that can cause pain during gynecological examination and dyspareunia in LACC survivors. Regular vaginal dilation (defined as the use of dilators and/or sexual activity) is associated with a significantly lower risk for G≥2 vaginal stenosis, suggesting a potential improvement of vaginal patency. It is also associated with a significantly higher risk for mild G≥1 dryness and bleeding (no higher risk for G≥2), which both can be clinically managed.

Disease-Specific Patient-Reported Quality of Life after Fenestrated/Branched Endovascular Aortic Aneurysm Repair

ObjectivesFenestrated-branched endovascular technology (F/B-EVAR) is increasingly used to repair complex aortic aneurysms. While reintervention, morbidity and mortality after F/B-EVAR have been well-characterized, studies on patient-reported quality of life (QOL) after F/B-EVAR have been limited in their use of non-specific instruments and measures. We report on disease-specific QOL in patients that underwent F/B-EVAR using a validated QOL survey for aortic aneurysms. MethodsProspectively maintained databases were used to contact living patients that underwent F/B-EVAR for pararenal or thoracoabdominal aortic aneurysms at two institutions. Eligible patients (n=286) were asked to complete a disease-specific QOL survey previously validated in patients that underwent repair of an infrarenal abdominal aortic aneurysm. An emotional impact score (EIS) from 0-100 was derived from the survey with higher scores indicating more emotional impact and worse QOL. Respondent behavior change following F/B-EVAR was evaluated in four domains (strenuous activity, travel, heavy lifting, and sexual activity) previously identified by patients to be most impacted by an aortic aneurysm. ResultsIn total, 234 patients (82%) completed surveys. Mean post-operative interval to survey completion was 3.4±2.8 years. Mean EIS was 16 (range 0-91) for all patients surveyed, with higher mean EIS among those within the first year after F/B-EVAR (20 vs 14). Most respondents demonstrated limited adverse emotional impact after F/B-EVAR. However, the 4th quartile of EIS was broad (22-91), indicating that a subset of respondents had significantly worse QOL after repair. While most patients reported no post-procedure change in each of the activity domains, over 40% of patients did report decrease in strenuous activity and heavy lifting after F/B-EVAR. Those with decreased activity after repair had corresponding deficiencies in disease-specific knowledge for the domains of heavy lifting (p<0.001) and sexual activity (p=0.17). ConclusionsThe majority of patients who underwent F/B-EVAR in this cohort had low emotional impact on their QOL after repair. One-quarter of patients did report significant post-procedure anxiety about their aneurysm, with improvement observed beyond one year after repair. Most patients reported unchanged or decreased activity levels following F/B-EVAR, and less aneurysm-specific patient knowledge was associated with decreased activity after repair. These findings are similar to those seen in prior work using this survey instrument in patients that underwent infrarenal aneurysm repair. This work confirms the feasibility of using this survey to evaluate QOL in patients with complex aortic disease. Longitudinal evaluation in these patients may identify those at high-risk for worse QOL after F/B-EVAR.

Implantable Cardioverter-Defibrillator Therapies during Sexual Activities – Rare but Fearsome

Implantable Cardioverter-Defibrillator Therapies during Sexual Activities – Rare but Fearsome

Male sexual disorder in coronavirus disease 2019 pandemic

Background At the end of 2019, a new coronavirus infection disease, named COVID-19, emerged in China. In this context, couples’ sexual lives could have been significantly altered. Fear of the COVID-19 pandemic implications affects their lives, or the lives of friends and relatives might produce feelings of anxiety and panic. Sometimes, these feelings can degenerate into further negative psychological reactions, including adjustment disorder and depression. Aim To find the relation between COVID-19 pandemic and occurrence of male sexual disorders. Patients and methods In this retrospective study 300 cases with past history of COVID-19 virus infection were included in this study. They were recruited from the Dermatology Outpatient Clinic of Al-Azhar University (Assiut) Hospital. Results There was a statistically significant difference between the prepandemic and postpandemic erectile dysfunction scores (P=0.043). There was a statistically significant difference between prepandemic and postpandemic scores according to premature ejaculation (P=0.022). There was a significant difference among erectile dysfunction and both depression degree (χ 2=90.706, P&lt;0.001) and anxiety degree (χ 2=263.652, P&lt;0.001) likewise, it has been found that there was a significant difference among premature ejaculation and both depression degree (χ 2=109.542, P&lt;0.001) and anxiety degree (χ 2=165.382, P&lt;0.001). Conclusion Significant difference between prepandemic and postpandemic scores according to erectile dysfunction and premature ejaculation. Among erectile dysfunction and both depression degree and anxiety degree likewise, it has been found that there was a significant difference among premature ejaculation and both depression degree and anxiety degree.

Role of Direct Sexual Contact in Human Transmission of Monkeypox Virus, Italy.

The 2022 global mpox outbreak was driven by human-to-human transmission, but modes of transmission by sexual relationship versus sexual contact remain unclear. We evaluated sexual transmission of mpox by using monkeypox virus (MPXV) G2R-mRNA as a marker of ongoing viral replication through in vitro experiments. We analyzed clinical samples of 15 MPXV-positive patients in Italy from different biological regions by using the setup method. The presence of MPXV DNA, MPXV G2R-mRNA, or both in all analyzed lesion swab samples, independent of viral load, confirmed a higher infectivity risk from skin lesions. Positivity for MPXV G2R-mRNA in nasopharyngeal swabs was associated with high MPXV load, whereas positive results for MPXV G2R-mRNA were obtained only in the 2 semen samples with the lowest MPXV loads. Our results suggest that close or skin-to-skin contact during sexual intercourse is the main route of sexual transmission and that semen is a minor driver of infection, regardless of MPXV load.

Mpox Epidemiology and Risk Factors, Nigeria, 2022.

To investigate epidemiology of and risk factors for laboratory-confirmed mpox during the 2022 outbreak in Nigeria, we enrolled 265 persons with suspected mpox. A total of 163 (61.5%) were confirmed to have mpox; 137 (84.0%) were adults, 112 (68.7%) male, 143 (87.7%) urban/semi-urban dwellers, 12 (7.4%) self-reported gay men, and 3 (1.8%) female sex workers. Significant risk factors for adults were sexual and nonsexual contact with persons who had mpox, as well as risky sexual behavior. For children, risk factors were close contact with an mpox-positive person and prior animal exposure. Odds of being mpox positive were higher for adults with HIV and lower for those co-infected with varicella zoster virus (VZV). No children were HIV-seropositive; odds of being mpox positive were higher for children with VZV infection. Our findings indicate mpox affects primarily adults in Nigeria, partially driven by sexual activity; childhood cases were driven by close contact, animal exposure, and VZV co-infection.

Risky sexual behaviour and its determinants among undergraduate students residing in hostels of Kathmandu Metropolitan City, Nepal: a cross-sectional study

ObjectivesTo assess the prevalence of risky sexual behaviour (RSB) and its associated factors among Nepalese undergraduates residing in hostels of Kathmandu Metropolitan City, Nepal.DesignCross-sectional studySettingHostels operating inside Kathmandu Metropolitan City...