in Albania - Instituti i Shendetit Publik

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ALBANIAN MEDICAL JOURNAL SUPPLEMENTSexual disclosure and HIV-related risky behaviorsamong young men who have sex with men inAlbaniaElda Hallkaj 1 , Roland Bani 11Institute of Public Health, Tirana, Albania.Aim: Using data of Bio-BSS 2011, it is exploredthe link among the coming-out process, specificallyits dimension of self-disclosure of sexual identity toothers, with HIV-related risky behaviorsunprotected sexual behavior, multiple partners,injecting drug use among sexuallyactive young age(18-24 years old) men who have sex with men(MSM) in Albania.Methods: This quantitative study consisted ofrespondent driven sampling (RDS) for recruitmentof MSMs. Data were entered in SPSS, version 19.0.Double entry was performed for quality control.RDS Analysis Tool, version 6.0.1 was used for dataanalysis.Results: Participants under 24 years were dividedregarding self-disclosure component into: category1 MSM disclosed to MSM community only(71.8%); category 2 - MSM disclosed to family and/or friends (28.2%):· 80% of MSM who reported two or more partnersin the last six months, belonged to category 1.· 76.9% of MSM who had never used condombelonged to category 1, and all who had not usedcondom in the last sexual intercourse belonged againto category 1.· 87.5% of MSMs reporting to have injected drugsin the last month belonged to category 1.Conclusion: The MSM community in Tirana is aclosed group. This fact, based on the study results,has a negative impact on their involvement in HIVriskybehaviors. HIV preventive approaches in thecountry targeting MSMs need to include psychologicaland social components.Keywords: Bio-BSS, HIV , riskybehaviors, sexual disclosure.112 ALBANIAN MEDICAL JOURNAL SUPPLEMENT
INTERNATIONAL PUBLIC HEALTH CONFERENCE IN TIRANA, ALBANIARelationship of childhood abuse and householddysfunction with the leading causes of death inadultsRovena Daja 1 , Gentiana Qirjako 1,21Institute of Public Health, Tirana, Albania;2Faculty of Public Health, University of Medicine, Tirana, Albania.The relationship of risky behaviors and diseases inadulthood to the breadth of exposure to childhoodemotional, physical, or sexual abuse, and householddysfunction during childhood has not beenpreviously described in Albania.The current evidence pertains mainly to industrializedsocieties, USA in particular. Although studies ofclinical samples in USA have identified links betweenchildhood abuse, especially sexual abuse, and adultrisky behaviors, the generalizability of these findingsto the overall population and the relative importanceof different types of abuse in men and women arenot known. A questionnaire about adversechildhood experiences was mailed to 13,494 adultsby the Department of Preventive Medicine,Southern California (1998), who had completed astandardized medical evaluation at a large HMO;overall, 9,508 (70.5%) individuals responded. Sevencategories of adverse childhood experiences werestudied: psychological, physical, or sexual abuse;violence against mother; or living with householdmembers who were substance abusers, mentally illor suicidal, or ever imprisoned. The number ofcategories of these adverse childhood experienceswas then compared to measures of adult riskbehavior, health status, and disease. Logisticregression was used to adjust for effects ofdemographic factors on the association between thecumulative number of categories of childhoodexposures (range: 0-7) and risk factors for theKeywords: abuse, adverse childhood experiences, violence.leading causes of death in adult life.More than half of respondents reported at leastone, and one-fourth reported e 2 categories ofchildhood exposures. This study reported a gradedrelationship between the number of categories ofchildhood exposure and each of the adult healthrisk behaviors and diseases that were studied(P
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