Sexual Risk Behaviour Among HIV-Positive Persons in Kumasi, Ghana
Identifieur interne : 000702 ( Main/Merge ); précédent : 000701; suivant : 000703Sexual 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
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<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>
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<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>
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<term>Adulte d'âge moyen</term>
<term>Antirétroviraux (usage thérapeutique)</term>
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<term>Connaissances, attitudes et pratiques en santé</term>
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<term>Préservatifs masculins (utilisation)</term>
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<term>Syndrome d'immunodéficience acquise ()</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Comportement sexuel</term>
<term>Connaissances, attitudes et pratiques en santé</term>
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<term>Humains</term>
<term>Infections à VIH</term>
<term>Maladies sexuellement transmissibles</term>
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<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>
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