Sexual risk taking among patients on antiretroviral therapy in an urban informal settlement in Kenya: a cross-sectional survey
Identifieur interne : 003B73 ( Main/Exploration ); précédent : 003B72; suivant : 003B74Sexual risk taking among patients on antiretroviral therapy in an urban informal settlement in Kenya: a cross-sectional survey
Auteurs : Anders Ragnarsson [Suède] ; Anna Mia Ekström [Suède] ; Jane Carter [Kenya] ; Festus Ilako [Kenya] ; Abigail Lukhwaro [Kenya] ; Gaetano Marrone [Suède] ; Anna Thorson [Suède]Source :
- Journal of the International AIDS Society [ 1758-2652 ] ; 2011.
Abstract
Our intention was to analyze demographic and contextual factors associated with sexual risk taking among HIV-infected patients on antiretroviral treatment (ART) in Africa's largest informal urban settlement, Kibera in Nairobi, Kenya.
We used a cross-sectional survey in a resource-poor, urban informal settlement in Nairobi; 515 consecutive adult patients on ART attending the African Medical and Research Foundation clinic in Kibera in Nairobi were included in the study. Interviewers used structured questionnaires covering socio-demographic characteristics, time on ART, number of sexual partners during the previous six months and consistency of condom use.
Twenty-eight percent of patients reported inconsistent condom use. Female patients were significantly more likely than men to report inconsistent condom use (aOR 3.03; 95% CI 1.60-5.72). Shorter time on ART was significantly associated with inconsistent condom use. Multiple sexual partners were more common among married men than among married women (adjusted OR 4.38; 95% CI 1.82-10.51).
Inconsistent condom use was especially common among women and patients who had recently started ART, i.e., when the risk of HIV transmission is higher. Having multiple partners was quite common, especially among married men, with the potential of creating sexual networks and an increased risk of HIV transmission. ART needs to be accompanied by other preventive interventions to reduce the risk of new HIV infections among sero-discordant couples and to increase overall community effectiveness.
Url:
DOI: 10.1186/1758-2652-14-20
PubMed: 21496354
PubMed Central: 3090994
Affiliations:
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type="wicri:Area/Main/Exploration">003B73</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Sexual risk taking among patients on antiretroviral therapy in an urban informal settlement in Kenya: a cross-sectional survey</title><author><name sortKey="Ragnarsson, Anders" sort="Ragnarsson, Anders" uniqKey="Ragnarsson A" first="Anders" last="Ragnarsson">Anders Ragnarsson</name><affiliation wicri:level="3"><nlm:aff id="I1">Karolinska Institutet, Department of Public Health Sciences, Division of Global Health (IHCAR), Stockholm, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Karolinska Institutet, Department of Public Health Sciences, Division of Global Health (IHCAR), Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="Ekstrom, Anna Mia" sort="Ekstrom, Anna Mia" uniqKey="Ekstrom A" first="Anna Mia" last="Ekström">Anna Mia Ekström</name><affiliation wicri:level="3"><nlm:aff id="I1">Karolinska Institutet, Department of Public Health Sciences, Division of Global Health (IHCAR), Stockholm, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Karolinska Institutet, Department of Public Health Sciences, Division of Global Health (IHCAR), Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="Carter, Jane" sort="Carter, Jane" uniqKey="Carter J" first="Jane" last="Carter">Jane Carter</name><affiliation wicri:level="1"><nlm:aff id="I2">AMREF Kenya Country Programme, Nairobi, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>AMREF Kenya Country Programme, Nairobi</wicri:regionArea><wicri:noRegion>Nairobi</wicri:noRegion></affiliation></author><author><name sortKey="Ilako, Festus" sort="Ilako, Festus" uniqKey="Ilako F" first="Festus" last="Ilako">Festus Ilako</name><affiliation wicri:level="1"><nlm:aff id="I2">AMREF Kenya Country Programme, Nairobi, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>AMREF Kenya Country Programme, Nairobi</wicri:regionArea><wicri:noRegion>Nairobi</wicri:noRegion></affiliation></author><author><name sortKey="Lukhwaro, Abigail" sort="Lukhwaro, Abigail" uniqKey="Lukhwaro A" first="Abigail" last="Lukhwaro">Abigail Lukhwaro</name><affiliation wicri:level="1"><nlm:aff id="I2">AMREF Kenya Country Programme, Nairobi, Kenya</nlm:aff><country xml:lang="fr">Kenya</country><wicri:regionArea>AMREF Kenya Country Programme, Nairobi</wicri:regionArea><wicri:noRegion>Nairobi</wicri:noRegion></affiliation></author><author><name sortKey="Marrone, Gaetano" sort="Marrone, Gaetano" uniqKey="Marrone G" first="Gaetano" last="Marrone">Gaetano Marrone</name><affiliation wicri:level="3"><nlm:aff id="I1">Karolinska Institutet, Department of Public Health Sciences, Division of Global Health (IHCAR), Stockholm, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Karolinska Institutet, Department of Public Health Sciences, Division of Global Health (IHCAR), Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="Thorson, Anna" sort="Thorson, Anna" uniqKey="Thorson A" first="Anna" last="Thorson">Anna Thorson</name><affiliation wicri:level="3"><nlm:aff id="I1">Karolinska Institutet, Department of Public Health Sciences, Division of Global Health (IHCAR), Stockholm, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Karolinska Institutet, Department of Public Health Sciences, Division of Global Health (IHCAR), Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author></analytic><series><title level="j">Journal of the International AIDS Society</title><idno type="eISSN">1758-2652</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Our intention was to analyze demographic and contextual factors associated with sexual risk taking among HIV-infected patients on antiretroviral treatment (ART) in Africa's largest informal urban settlement, Kibera in Nairobi, Kenya.</p></sec><sec><title>Methods</title><p>We used a cross-sectional survey in a resource-poor, urban informal settlement in Nairobi; 515 consecutive adult patients on ART attending the African Medical and Research Foundation clinic in Kibera in Nairobi were included in the study. Interviewers used structured questionnaires covering socio-demographic characteristics, time on ART, number of sexual partners during the previous six months and consistency of condom use.</p></sec><sec><title>Results</title><p>Twenty-eight percent of patients reported inconsistent condom use. Female patients were significantly more likely than men to report inconsistent condom use (aOR 3.03; 95% CI 1.60-5.72). Shorter time on ART was significantly associated with inconsistent condom use. Multiple sexual partners were more common among married men than among married women (adjusted OR 4.38; 95% CI 1.82-10.51).</p></sec><sec><title>Conclusions</title><p>Inconsistent condom use was especially common among women and patients who had recently started ART, i.e., when the risk of HIV transmission is higher. Having multiple partners was quite common, especially among married men, with the potential of creating sexual networks and an increased risk of HIV transmission. ART needs to be accompanied by other preventive interventions to reduce the risk of new HIV infections among sero-discordant couples and to increase overall community effectiveness.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Moatti, Jp" uniqKey="Moatti J">JP Moatti</name></author><author><name sortKey="Spire, B" uniqKey="Spire B">B Spire</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cambiano, V" uniqKey="Cambiano V">V Cambiano</name></author><author><name sortKey="Rodger, Aj" uniqKey="Rodger A">AJ Rodger</name></author><author><name sortKey="Phillips, An" uniqKey="Phillips A">AN Phillips</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Abbas, Ul" uniqKey="Abbas U">UL Abbas</name></author><author><name sortKey="Anderson, Rm" uniqKey="Anderson R">RM Anderson</name></author><author><name sortKey="Mellors, Jw" uniqKey="Mellors 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sortKey="Solberg, P" uniqKey="Solberg P">P Solberg</name></author><author><name sortKey="Wamai, N" uniqKey="Wamai N">N Wamai</name></author><author><name sortKey="Bikaako Kajura, W" uniqKey="Bikaako Kajura W">W Bikaako-Kajura</name></author><author><name sortKey="Were, W" uniqKey="Were W">W Were</name></author><author><name sortKey="Coutinho, A" uniqKey="Coutinho A">A Coutinho</name></author><author><name sortKey="Liechty, C" uniqKey="Liechty C">C Liechty</name></author><author><name sortKey="Madraa, E" uniqKey="Madraa E">E Madraa</name></author><author><name sortKey="Rutherford, G" uniqKey="Rutherford G">G Rutherford</name></author><author><name sortKey="Mermin, J" uniqKey="Mermin J">J Mermin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Luchters, S" uniqKey="Luchters S">S Luchters</name></author><author><name sortKey="Sarna, A" uniqKey="Sarna A">A Sarna</name></author><author><name sortKey="Geibel, S" uniqKey="Geibel S">S Geibel</name></author><author><name sortKey="Chersich, Mf" uniqKey="Chersich M">MF Chersich</name></author><author><name sortKey="Munyao, P" uniqKey="Munyao P">P Munyao</name></author><author><name sortKey="Kaai, S" uniqKey="Kaai S">S Kaai</name></author><author><name sortKey="Mandaliya, Kn" uniqKey="Mandaliya K">KN Mandaliya</name></author><author><name sortKey="Shikely, Ks" uniqKey="Shikely K">KS Shikely</name></author><author><name sortKey="Rutenberg, N" uniqKey="Rutenberg N">N Rutenberg</name></author><author><name sortKey="Temmerman, M" uniqKey="Temmerman M">M Temmerman</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Kenya</li><li>Suède</li></country><region><li>Svealand</li></region><settlement><li>Stockholm</li></settlement></list><tree><country name="Suède"><region name="Svealand"><name sortKey="Ragnarsson, Anders" sort="Ragnarsson, Anders" uniqKey="Ragnarsson A" first="Anders" last="Ragnarsson">Anders Ragnarsson</name></region><name sortKey="Ekstrom, Anna Mia" sort="Ekstrom, Anna Mia" uniqKey="Ekstrom A" first="Anna Mia" last="Ekström">Anna Mia Ekström</name><name sortKey="Marrone, Gaetano" sort="Marrone, Gaetano" uniqKey="Marrone G" first="Gaetano" last="Marrone">Gaetano Marrone</name><name sortKey="Thorson, Anna" sort="Thorson, Anna" uniqKey="Thorson A" first="Anna" last="Thorson">Anna Thorson</name></country><country name="Kenya"><noRegion><name sortKey="Carter, Jane" sort="Carter, Jane" uniqKey="Carter J" first="Jane" last="Carter">Jane Carter</name></noRegion><name sortKey="Ilako, Festus" sort="Ilako, Festus" uniqKey="Ilako F" first="Festus" last="Ilako">Festus Ilako</name><name sortKey="Lukhwaro, Abigail" sort="Lukhwaro, Abigail" uniqKey="Lukhwaro A" first="Abigail" last="Lukhwaro">Abigail Lukhwaro</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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