Change in Sexual Activity 12 Months After ART Initiation Among HIV-Positive Mozambicans

Details

• Alternative Title:
  AIDS Behav
• Personal Author:
  Pearson, Cynthia R. ; Cassels, Susan ; Kurth, Ann E. ; Montoya, Pablo ; Micek, Mark A. ; Gloyd, Stephen S.
• Description:
  We assessed sexual behaviors before and 12-months after ART initiation among 277 Mozambicans attending an HIV clinic. Measured behaviors included the number of sexual partners, condom use, concurrent relationships, disclosure of HIV status, alcohol use, and partners' serostatus. Compared to before ART initiation, increases were seen 12 months after ART in the proportion of participants who were sexually active (48% vs. 64% respondents, P < 0.001) and the proportion of participants with HIV-negative or unknown serostatus partners (45% vs. 80%, P < 0.001). Almost all (96%) concurrent partnerships reported at 12 months formed after ART initiation. Although reported correct and consist condom use increased, the number of unprotected sexual relationships remained the same (n = 45). Non-disclosure of HIV-serostatus to sexual partners was the only significant predictor of practicing unprotected sex with partners of HIV-negative or unknown serostatus. Sexual activity among HIV-positive persons on ART increased 12 months after ART initiation. Ongoing secondary transmission prevention programs addressing sexual activity with multiple partners, disclosure to partners and consistent condom use with serodisconcordant partners must be incorporated throughout HIV care programs.
• Subjects:
  Adult Anti-Retroviral Agents Female Follow-Up Studies HIV Infections Humans Logistic Models Male Middle Aged Mozambique Risk-Taking Sexual Behavior Sexual Partners Socioeconomic Factors Truth Disclosure Young Adult

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• Keywords:
  Africa Antiretroviral Therapy (ART) Concurrency HIV/AIDS Sexual Behavior Unprotected Sex
• Source:
  AIDS Behav. 2010; 15(4):778-787
• Pubmed ID:
  21082338
• Pubmed Central ID:
  PMC3357499
• Document Type:
  Journal Article
• Funding:
  K01 PS000066/PS/NCHHSTP CDC HHSUnited States/ ; P30 AI27757/AI/NIAID NIH HHSUnited States/ ; P30 AI027757/AI/NIAID NIH HHSUnited States/ ; R00 HD057553/HD/NICHD NIH HHSUnited States/ ; K99 HD057533/HD/NICHD NIH HHSUnited States/
• Volume:
  15
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:74420d25eb5a414b47155d3afb875b7428a0899f3974cb81c6ac5fd3b8a909b8
• Download URL:
  https://stacks.cdc.gov/view/cdc/41854/cdc_41854_DS1.pdf
• File Type:
  [PDF - 307.48 KB ]