6,676 research outputs found

    Risky Behaviours Among Young People Living with HIV Attending Care and Treatment Clinics in Dar Es Salaam, Tanzania: Implications for Prevention with a Positive Approach.

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    Introduction: Prevention with a positive approach has been advocated as one of the main strategies to reduce new instances of HIV infection. Risky sexual behaviours among people living with HIV/AIDS are the cornerstone for this approach. Understanding the extent to which infected individuals practice risky behaviours is fundamental in designing appropriate population-specific interventions. With the HIV infection transmission rates remaining high among young people in sub-Saharan Africa, continued prevention among them remains a priority. This study therefore seeks to describe the magnitude and determinants of risky sexual behaviours among young people living with HIV. Methods: A cross-sectional study was conducted between June and July 2010 in selected Care and Treatment Clinics (CTCs) in Dar Es Salaam, Tanzania. A total of 282 HIV-positive patients aged 15-24 were interviewed about their sexual behaviours using a questionnaire. Results: Prevalence of unprotected sex was 40.0% among young males and 37.5% among young females (p<0.001). Multiple sexual partnerships were reported by 10.6% of males and 15.9% of females (p<0.005). More than 50% of the participants did not know about the HIV status of their sexual partners. A large proportion of participants had minimal knowledge of transmission (46.7% males vs. 60.4% females) and prevention (65.3% males vs. 73.4% females) of sexually transmitted infections (STIs). Independent predictors of condom use included non-use of alcohol [adjusted odds ratio (AOR), 0.40 95% confidence interval (CI); 0.17-0.84] and younger age (15-19 years) (AOR, 2.76, 95% CI: 1.05-7.27). Being on antiretroviral therapy (AOR, 0.38, 95% CI: 0.17-0.85) and not knowing partners' HIV sero-status (AOR, 2.62, 95% CI: 1.14-5.10) predicted the practice of multiple sexual partnership. Conclusions: Unprotected sex and multiple sexual partnerships were prevalent among young people living with HIV. Less knowledge on STI and lack of HIV disclosure increased the vulnerability and risk for HIV transmission among young people. Specific intervention measures addressing alcohol consumption, risky sexual behaviours, and STI transmission and prevention knowledge should be integrated in the routine HIV/AIDS care and treatment offered to this age group

    Not a galaxy: IRAS 04186+5143, a new young stellar cluster in the outer Galaxy

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    We report the discovery of a new young stellar cluster in the outer Galaxy located at the position of an IRAS PSC source that has been previously mis-identified as an external galaxy. The cluster is seen in our near-infrared imaging towards IRAS 04186+5143 and in archive Spitzer images confirming the young stellar nature of the sources detected. There is also evidence of sub-clustering seen in the spatial distributions of young stars and of gas and dust. Near- and mid-infrared photometry indicates that the stars exhibit colours compatible with reddening by interstellar and circumstellar dust and are likely to be low- and intermediate-mass YSOs with a large proportion of Class I YSOs. Ammonia and CO lines were detected, with the CO emission well centred near the position of the richest part of the cluster. The velocity of the CO and NH3_3 lines indicates that the gas is Galactic and located at a distance of about 5.5 kpc, in the outer Galaxy. Herschel data of this region characterise the dust environment of this molecular cloud core where the young cluster is embedded. We derive masses, luminosities and temperatures of the molecular clumps where the young stars reside and discuss their evolutionary stages.Comment: 14 pages, 15 figure
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