High levels of risk behavior among people living with HIV initiating and waiting to start antiretroviral therapy in Cape Town South Africa

被引：49

作者：

Eisele, Thomas P. ^{[1
]}

Mathews, Catherine ^{[2
,3
]}

Chopra, Mickey ^{[2
,4
]}

Brown, Lisanne ^{[1
]}

Silvestre, Eva ^{[1
]}

Daries, Vanessa ^{[2
,3
]}

Kendall, Carl ^{[1
,5
]}

机构：

[1] Tulane Univ, Sch Publ Hlth & Trop Med, Dept Int Hlth & Dev, New Orleans, LA 70112 USA

[2] MRC, Hlth Syst Res Unit, Tygerberg, South Africa

[3] Univ Cape Town, Sch Publ Hlth & Family Med, ZA-7925 Cape Town, South Africa

[4] Univ Western Cape, Sch Publ Hlth, Cape Town, South Africa

[5] New Mexico State Univ, Coll Hlth & Human Serv, Las Cruces, NM 88003 USA

来源：

AIDS AND BEHAVIOR | 2008年 / 12卷 / 04期

关键词：

HIV/AIDS; antiretroviral therapy; risk behavior; South Africa; people living with HIV/AIDS;

D O I：

10.1007/s10461-007-9279-7

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Baseline data were collected in Cape Town during 2006 to study if patients on combination antiretroviral therapy (ART) experience decreased inhibition to avoid risky sexual behavior. A total of 924 HIV-positive individuals were recruited; 520 who initiated ART within 3 months and 404 waiting for ART. Nearly half of men (40.1%) and women (46.3%) reported having unprotected sex their last time. Men and women who did not disclose their HIV status to their partner [Odds ration (OR) = 2.57 (95% CI: 1.22-5.50) and 2.84 (95% CI: 1.84-4.39), respectively], and those with ambivalent perception about the relationship between ART and HIV transmission [OR = 2.08 (95% CI: 1.00-4.30) and 2.39 (95% CI: 1.50-3.84), respectively], were twice as likely to have had unprotected sex their last time. Results suggest an urgent need to strengthen prevention interventions among HIV-positive individuals on and about to start ART in this setting.

引用

页码：570 / 577

页数：8

共 29 条

[1] Changes in sexual behavior and risk of HIV transmission after antiretroviral therapy and prevention interventions in rural Uganda [J].

Bunnell, R ;

Ekwaru, JP ;

Solberg, P ;

Wamai, N ;

Bikaako-Kajura, W ;

Were, W ;

Coutinho, A ;

Liechty, C ;

Madraa, E ;

Rutherford, G ;

Mermin, J .

AIDS, 2006, 20 (01) :85-92

[2]

*CDCP, 2003, MMWR-MORBID MORTAL W, V52, P1145

[3] Highly active antiretroviral therapy and sexual risk behavior - A meta-analytic review [J].

Crepaz, N ;

Hart, TA ;

Marks, G .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2004, 292 (02) :224-236

[4] Serostatus disclosure, sexual communication and safer sex in HIV-positive men [J].

Crepaz, N ;

Marks, G .

AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2003, 15 (03) :379-387

[5] Are advances in treatment changing views about high-risk sex? [J].

Dilley, JW ;

Woods, WJ ;

McFarland, W .

NEW ENGLAND JOURNAL OF MEDICINE, 1997, 337 (07) :501-502

[6] Increase in high risk sexual behaviour among homosexual men, London 1996-8: cross sectional, questionnaire study [J].

Dodds, JP ;

Nardone, L ;

Mercey, DE ;

Johnson, AM .

BRITISH MEDICAL JOURNAL, 2000, 320 (7248) :1510-1511

[7] Predictors of unprotected sexual contacts in HIV-infected persons in Switzerland [J].

Eich-Hochli, D ;

Niklowitz, MW ;

Clement, U ;

Luthy, R ;

Opravil, M .

ARCHIVES OF SEXUAL BEHAVIOR, 1998, 27 (01) :77-90

[8] Estimating wealth effects without expenditure data - Or tears: An application to educational enrollments in states of India [J].

Filmer, D ;

Pritchett, LH .

DEMOGRAPHY, 2001, 38 (01) :115-132

[9] An investigation into the health-related quality of life of individuals living with HIV who are receiving HAART [J].

Jelsma, J ;

Maclean, E ;

Hughes, J ;

Tinise, X ;

Darder, M .

AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2005, 17 (05) :579-588

[10]

Jelsma J, 2004, B WORLD HEALTH ORGAN, V82, P206

← 1 2 3 →