Sexual Risk Behaviour Among HIV-Positive Persons in Kumasi, Ghana
Identifieur interne : 000701 ( Main/Exploration ); précédent : 000700; suivant : 000702Sexual Risk Behaviour Among HIV-Positive Persons in Kumasi, Ghana
Auteurs : Nm Ncube [États-Unis] ; J. Akunna [États-Unis] ; F. Babatunde [États-Unis] ; A. Nyarko [Ghana] ; N J Yatich [États-Unis] ; W. Ellis [Ghana] ; A. Turpin [Ghana] ; P E Jolly [États-Unis]Source :
- Ghana Medical Journal [ 0016-9560 ] ; 2012.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Antirétroviraux (usage thérapeutique), Comportement sexuel (), Connaissances, attitudes et pratiques en santé, Femelle, Ghana (épidémiologie), Humains, Infections à VIH (), Maladies sexuellement transmissibles (), Mâle, Partenaire sexuel, Prise de risque, Préservatifs masculins (utilisation), Prévalence, Syndrome d'immunodéficience acquise (), Séropositivité VIH (psychologie), Séropositivité VIH (traitement médicamenteux), Séropositivité VIH (épidémiologie), Études transversales.
- MESH :
- psychologie : Séropositivité VIH.
- traitement médicamenteux : Séropositivité VIH.
- usage thérapeutique : Antirétroviraux.
- utilisation : Préservatifs masculins.
- épidémiologie : Ghana, Séropositivité VIH.
- Adolescent, Adulte, Adulte d'âge moyen, Comportement sexuel, Connaissances, attitudes et pratiques en santé, Femelle, Humains, Infections à VIH, Maladies sexuellement transmissibles, Mâle, Partenaire sexuel, Prise de risque, Prévalence, Syndrome d'immunodéficience acquise, Études transversales.
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- Acquired Immunodeficiency Syndrome (prevention & control), Adolescent, Adult, Anti-Retroviral Agents (therapeutic use), Condoms (utilization), Cross-Sectional Studies, Female, Ghana (epidemiology), HIV Infections (prevention & control), HIV Seropositivity (drug therapy), HIV Seropositivity (epidemiology), HIV Seropositivity (psychology), Health Knowledge, Attitudes, Practice, Humans, Male, Middle Aged, Prevalence, Risk-Taking, Sexual Behavior (statistics & numerical data), Sexual Partners, Sexually Transmitted Diseases (prevention & control).
- MESH :
- chemical , therapeutic use : Anti-Retroviral Agents.
- geographic , epidemiology : Ghana.
- drug therapy : HIV Seropositivity.
- epidemiology : HIV Seropositivity.
- prevention & control : Acquired Immunodeficiency Syndrome, HIV Infections, Sexually Transmitted Diseases.
- psychology : HIV Seropositivity.
- statistics & numerical data : Sexual Behavior.
- utilization : Condoms.
- Adolescent, Adult, Cross-Sectional Studies, Female, Health Knowledge, Attitudes, Practice, Humans, Male, Middle Aged, Prevalence, Risk-Taking, Sexual Partners.
Abstract
To assess the prevalence and predictors of sexual risk behaviours among HIV-positive individuals in clinical care in Kumasi, Ghana.
Cross-sectional survey of 267 (43 males and 224 females) HIV-positive individuals attending Kumasi South Regional Hospital.
An interviewer-administered questionnaire was used to asses demographic and health characteristics, HIV/AIDS knowledge, attitudes, and beliefs and sexual risk behaviours.
Forty-four percent of the sample reported having sex after testing positive for HIV. Of the 175 participants with regular sex partners, 24% had HIV-positive partners. Majority (67%) had HIV-negative partners (serodiscordant couples) or partners of unknown status. More than half (51%) of the study population with regular sex partners reported that they had unprotected anal or vaginal sex. Participants who scored < 50% on the HIV/AIDS knowledge scale were 90% less likely to have used condoms during their last sexual intercourse. Disclosure of HIV status was associated with protective patterns of condom use (OR=2.2; 95% CI: 1.3–12.9). Participants on ARV were 80% less likely to have used condoms during the last sexual intercourse (OR=0.2; 95% CI: 0.04–0.6).
The high rates of sexual risk behaviour among HIV-positive individuals in this sample place others at risk of HIV infection. It also places these HIV positive individuals at risk for infection with sexually transmitted infections and super-infection with other HIV strains. These findings highlight the need to integrate HIV prevention in routine medical care in Ghana.
Url:
PubMed: 22605886
PubMed Central: 3353501
Affiliations:
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Babatunde</name><affiliation wicri:level="2"><nlm:aff id="A1">Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL, United States</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL</wicri:regionArea><placeName><region type="state">Alabama</region></placeName></affiliation></author><author><name sortKey="Nyarko, A" sort="Nyarko, A" uniqKey="Nyarko A" first="A" last="Nyarko">A. 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Ellis</name><affiliation wicri:level="1"><nlm:aff id="A3">Department of Biochemistry, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Biochemistry, Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Turpin, A" sort="Turpin, A" uniqKey="Turpin A" first="A" last="Turpin">A. 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type="ISSN">0016-9560</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acquired Immunodeficiency Syndrome (prevention & control)</term><term>Adolescent</term><term>Adult</term><term>Anti-Retroviral Agents (therapeutic use)</term><term>Condoms (utilization)</term><term>Cross-Sectional Studies</term><term>Female</term><term>Ghana (epidemiology)</term><term>HIV Infections (prevention & control)</term><term>HIV Seropositivity (drug therapy)</term><term>HIV Seropositivity (epidemiology)</term><term>HIV Seropositivity (psychology)</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Prevalence</term><term>Risk-Taking</term><term>Sexual Behavior (statistics & numerical data)</term><term>Sexual Partners</term><term>Sexually Transmitted Diseases (prevention & control)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Antirétroviraux (usage thérapeutique)</term><term>Comportement sexuel ()</term><term>Connaissances, attitudes et pratiques en santé</term><term>Femelle</term><term>Ghana (épidémiologie)</term><term>Humains</term><term>Infections à VIH ()</term><term>Maladies sexuellement transmissibles ()</term><term>Mâle</term><term>Partenaire sexuel</term><term>Prise de risque</term><term>Préservatifs masculins (utilisation)</term><term>Prévalence</term><term>Syndrome d'immunodéficience acquise ()</term><term>Séropositivité VIH (psychologie)</term><term>Séropositivité VIH (traitement médicamenteux)</term><term>Séropositivité VIH (épidémiologie)</term><term>Études transversales</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anti-Retroviral Agents</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Ghana</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>HIV Seropositivity</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>HIV Seropositivity</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Acquired Immunodeficiency Syndrome</term><term>HIV Infections</term><term>Sexually Transmitted Diseases</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Séropositivité VIH</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>HIV Seropositivity</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Sexual Behavior</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Séropositivité VIH</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Antirétroviraux</term></keywords><keywords scheme="MESH" qualifier="utilisation" xml:lang="fr"><term>Préservatifs masculins</term></keywords><keywords scheme="MESH" qualifier="utilization" xml:lang="en"><term>Condoms</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Ghana</term><term>Séropositivité VIH</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Cross-Sectional Studies</term><term>Female</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Prevalence</term><term>Risk-Taking</term><term>Sexual Partners</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Comportement sexuel</term><term>Connaissances, attitudes et pratiques en santé</term><term>Femelle</term><term>Humains</term><term>Infections à VIH</term><term>Maladies sexuellement transmissibles</term><term>Mâle</term><term>Partenaire sexuel</term><term>Prise de risque</term><term>Prévalence</term><term>Syndrome d'immunodéficience acquise</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ghana</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Summary</title><sec><title>Objectives</title><p>To assess the prevalence and predictors of sexual risk behaviours among HIV-positive individuals in clinical care in Kumasi, Ghana.</p></sec><sec><title>Design</title><p>Cross-sectional survey of 267 (43 males and 224 females) HIV-positive individuals attending Kumasi South Regional Hospital.</p></sec><sec sec-type="methods"><title>Methods</title><p>An interviewer-administered questionnaire was used to asses demographic and health characteristics, HIV/AIDS knowledge, attitudes, and beliefs and sexual risk behaviours.</p></sec><sec sec-type="results"><title>Results</title><p>Forty-four percent of the sample reported having sex after testing positive for HIV. Of the 175 participants with regular sex partners, 24% had HIV-positive partners. Majority (67%) had HIV-negative partners (serodiscordant couples) or partners of unknown status. More than half (51%) of the study population with regular sex partners reported that they had unprotected anal or vaginal sex. Participants who scored < 50% on the HIV/AIDS knowledge scale were 90% less likely to have used condoms during their last sexual intercourse. Disclosure of HIV status was associated with protective patterns of condom use (OR=2.2; 95% CI: 1.3–12.9). Participants on ARV were 80% less likely to have used condoms during the last sexual intercourse (OR=0.2; 95% CI: 0.04–0.6).</p></sec><sec sec-type="conclusions"><title>Conclusion</title><p>The high rates of sexual risk behaviour among HIV-positive individuals in this sample place others at risk of HIV infection. It also places these HIV positive individuals at risk for infection with sexually transmitted infections and super-infection with other HIV strains. These findings highlight the need to integrate HIV prevention in routine medical care in Ghana.</p></sec></div></front></TEI><affiliations><list><country><li>Ghana</li><li>États-Unis</li></country><region><li>Alabama</li></region></list><tree><country name="États-Unis"><region name="Alabama"><name sortKey="Ncube, Nm" sort="Ncube, Nm" uniqKey="Ncube N" first="Nm" last="Ncube">Nm Ncube</name></region><name sortKey="Akunna, J" sort="Akunna, J" uniqKey="Akunna J" first="J" last="Akunna">J. Akunna</name><name sortKey="Babatunde, F" sort="Babatunde, F" uniqKey="Babatunde F" first="F" last="Babatunde">F. Babatunde</name><name sortKey="Jolly, P E" sort="Jolly, P E" uniqKey="Jolly P" first="P E" last="Jolly">P E Jolly</name><name sortKey="Yatich, N J" sort="Yatich, N J" uniqKey="Yatich N" first="N J" last="Yatich">N J Yatich</name></country><country name="Ghana"><noRegion><name sortKey="Nyarko, A" sort="Nyarko, A" uniqKey="Nyarko A" first="A" last="Nyarko">A. Nyarko</name></noRegion><name sortKey="Ellis, W" sort="Ellis, W" uniqKey="Ellis W" first="W" last="Ellis">W. Ellis</name><name sortKey="Turpin, A" sort="Turpin, A" uniqKey="Turpin A" first="A" last="Turpin">A. Turpin</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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