Decriminalization – No criminal penalties for prostitution Legalization -prostitution legal and regulated Abolitionism – prostitution is legal, but organized activities such as brothels and pimping are illegal; prostitution is not regulated Neo-abolitionism – illegal to buy sex and for 3rd party involvement, legal to sell sex Prohibitionism – prostitution illegal Legality varies with local laws The legal status of prostitution in Africa varies widely. It is frequently common in practice, partially driven by the widespread poverty in many sub-Saharan African countries,  and is one of the drivers for the prevalence of AIDS in Africa. In other countries, prostitution may be legal, but brothels are not allowed to operate. In some countries where prostitution is illegal, the law is rarely enforced. Transactional sexual relationships are particularly common in sub-Saharan Africa, where they often involve relationships between older men and younger women or girls. In many cases, the woman in a transactional sexual relationship may remain faithful to her boyfriend, while he may have multiple sexual partners.
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Many species are infected by lentiviruses, which are characteristically responsible for long-duration illnesses with a long incubation period. Upon entry into the target cell, the viral RNA genome is converted reverse transcribed into double-stranded DNA by a virally encoded enzyme, reverse transcriptase , that is transported along with the viral genome in the virus particle. The resulting viral DNA is then imported into the cell nucleus and integrated into the cellular DNA by a virally encoded enzyme, integrase , and host co-factors.
Alternatively, the integrated viral DNA may be transcribed , producing new RNA genomes and viral proteins, using host cell resources, that are packaged and released from the cell as new virus particles that will begin the replication cycle anew. Two types of HIV have been characterized: A matrix composed of the viral protein p17 surrounds the capsid ensuring the integrity of the virion particle.
The viral envelope contains proteins from the host cell and relatively few copies of the HIV Envelope protein,  which consists of a cap made of three molecules known as glycoprotein gp , and a stem consisting of three gp41 molecules that anchor the structure into the viral envelope. The density is high as the glycans shield the underlying viral protein from neutralisation by antibodies.
This is one of the most densely glycosylated molecules known and the density is sufficiently high to prevent the normal maturation process of glycans during biogenesis in the endoplasmic and Golgi apparatus. Three of these genes, gag, pol, and env, contain information needed to make the structural proteins for new virus particles. The six remaining genes, tat, rev, nef, vif, vpr, and vpu or vpx in the case of HIV-2 , are regulatory genes for proteins that control the ability of HIV to infect cells, produce new copies of virus replicate , or cause disease.
The Vpu protein p16 influences the release of new virus particles from infected cells. Regions in the LTR act as switches to control production of new viruses and can be triggered by proteins from either HIV or the host cell. The Psi element is involved in viral genome packaging and recognized by Gag and Rev proteins.
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Like many other gay adolescents, he uses mobile apps to meet up for dates. But some of my friends just meet up for sex. Although new HIV infections are falling overall, they are rising among teenagers. In , there were at least , adolescents aged living with HIV in the region, with major cities like Bangkok and Hong Kong hubs of new infections.
About half of all new HIV infections worldwide, or approximately 6, per day, occur among young people. The United Nations General Assembly Special Session on HIV/AIDS (UNGASS) established the goal of reducing HIV prevalence among young men and women aged 15 to 24 by 25% in the most affected countries by , and by 25% globally by
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Rose smiles in a conversation with a counselor from Doctors Without Borders. Justin Lynch She had been living in the Kenyan capital of Nairobi, making a living as a hairdresser. She was beginning to go blind. She was the breadwinner and worked seven days a week, sometimes 15 hours a day. Rose went to the local hospital where she got tested for HIV. The test came back positive. The untreated HIV had made her blind and she could no longer work. At 46, she had no husband, no kids, and she contemplated suicide.
Her family in Nairobi disowned her, abandoning the daughter who supported them.
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Courtesy The first time Asunta Wagura, 51, decided to go against all odds and conceive was She was scorned and encouraged almost in equal measure because of her HIV status. She was also 41 years old, an age many considered too old for childbirth.
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Early adopters were more likely to be male, older, in a serodiscordant relationship or in a polygamous marriage. The authors suggest that understanding the characteristics of early adopters is important — they may be opinion leaders and PrEP champions who could promote further uptake in their communities.
At the same time, identifying people less likely to start PrEP is critical to developing programmes to support them. The researchers found that fewer than a third of community members identified as being at higher risk of acquiring HIV made the same assessment of their risk. Just one in ten of this group took up the offer of PrEP within 30 days. The intervention Until now, there have been very little data from African countries on the uptake of PrEP outside of clinical trials.
Moreover, studies have tended to concentrate on targeted populations, such as serodiscordant couples or sex workers. In rural communities, health campaigns offer testing for HIV, diabetes and hypertension, with linkage to care and antiretroviral therapy for anyone who needs it. It is based on demographic data that are easy to collect, with no need to ask questions about sexual behaviour or to test for sexually transmitted infections.
The risk score includes age, sex, marital status, polygamy, education, circumcision, occupation, and alcohol use. One month of community mobilisation activities on PrEP — including meetings with health workers, religious leaders, young people and workers in the fishing and transport sectors — preceded the testing campaign. Most people were tested as part of the health campaign at community sites. Individuals who did not come forward for testing were then approached at home, with a further opportunity for testing there.
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Links Introduction Many adolescents engage in sexual intercourse with multiple partners and without condoms. Among sexually experienced people, adolescents aged 15 to 19 years have some of the highest reported rates of STDs. In addition, particular groups of adolescents eg, males who have sex with males, injection drug users, and teens who have sex for drugs engage in even greater risk-taking behavior.
Some of these programs have been effective at changing behavior, while others have not. This chapter presents data on adolescent sexual risk-taking behavior, reviews the studies measuring the impact of adolescent prevention programs, and identifies common characteristics of programs that have been effective in reducing sexual risk-taking behavior. It recommends a that these effective school and community programs be implemented more broadly, b that promising clinic programs and comprehensive community-wide campaigns be replicated and evaluated, and c that additional programs focusing on high-risk youth be implemented and evaluated.
Adolescent Sexual Risk-Taking Behavior In many countries throughout the world, sexually transmitted disease and unplanned pregnancy have always occurred among adolescents. However, during the last century, and especially during the last few decades of that century, the onset of puberty and initiation of sexual intercourse occurred at decreasing ages in many industrialized countries, whereas the average age of marriage increased. Thus, many adolescents began having sexual intercourse with multiple sexual partners prior to marriage, and this, of course, facilitated STD and HIV transmission.