STD/HIV prevention in Turkey : planning a sequence of interventions.
This study was initiated to assess which mix of early STD/HIV prevention interventions would potentially be effective, cost-effective and sustainable in Turkey ; and to program an intervention sequence to maximize synergy among the interventions.
During rapid assessment we : 1) reviewed past issues of 3 leading newspapers ; 2) collected information on TV coverage ; 3) interviewed key informants including taxicab drivers, hotel employees, grocery store owners, academicians in public health and law, investigators of STD/HIV and reproductive tract infections, and officials in the ministry of health ; 4) reviewed available evidence on STD/HIV morbidity, sexual behavior patterns, migration patterns and same/opposite gender sex trade.
We found : 1) discrepancies between decision makers'perceptions and social realities with respect to the epidemiology of sexual behavior and STDs, and the state of public health programs ; 2) discrepancies between sexual practices and public expression regarding sexual practices ; 3) economic, demographic, and political pressures in Turkey and in surrounding countries for the expansion of prostitution ; 4) a sexual double standard and gender specific migration patterns which sustain a high demand for commercial sex ; 5) patterns of health care seeking behaviors and provision of STD clinical services which indicate other STDs may play a very important role in spread of HIV infection ; 6) an important mass media role in opinion forma...
Mots-clés Pascal : SIDA, Virose, Infection, Programme sanitaire, Comportement sexuel, Prostitution, Attitude, Maladie sexuellement transmissible, Prévention, Turquie, Asie, Planification, Homme, Immunopathologie, Immunodéficit, Organisation santé
Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Sanitary program, Sexual behavior, Prostitution, Attitude, Sexually transmitted disease, Prevention, Turkey, Asia, Planning, Human, Immunopathology, Immune deficiency, Public health organization
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0083404
Code Inist : 002B06D01. Création : 199608.