Sexual Risk Behaviors Among HIV-Infected South African Men and Women with Their Partners in a Primary Care Program: Implications for Couples-Based Prevention
Identifieur interne : 001C58 ( Pmc/Checkpoint ); précédent : 001C57; suivant : 001C59Sexual Risk Behaviors Among HIV-Infected South African Men and Women with Their Partners in a Primary Care Program: Implications for Couples-Based Prevention
Auteurs : Kartik K. Venkatesh ; Guy De Bruyn ; Mark N. Lurie ; Tebogo Modisenyane ; Elizabeth W. Triche ; Glenda E. Gray ; Alex Welte ; Neil A. MartinsonSource :
- AIDS and Behavior [ 1090-7165 ] ; 2012.
Abstract
We studied 1163 sexually-active HIV-infected South African men and women in an urban primary care program to understand patterns of sexual behaviors and whether these behaviors differed by partner HIV status. Overall, 40% reported a HIV-positive partner and 60% a HIV-negative or status unknown partner; and 17.5% reported >2 sex acts in the last 2 weeks, 16.4% unprotected sex in the last 6 months, and 3.7% >1 sex partner in the last 6 months. Antiretroviral therapy (ART) was consistently associated with decreased sexual risk behaviors, as well as with reporting a HIV-negative or status unknown partner. The odds of sexual risk behaviors differed by sex; and were generally higher among participants reporting a HIV-positive partner, but continued among those with a HIV-negative or status unknown partner. These data support ART as a means of HIV prevention. Engaging in sexual risk behaviors primarily with HIV-positive partners was not widely practiced in this setting, emphasizing the need for couples-based prevention.
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DOI: 10.1007/s10461-011-9941-y
PubMed: 21476005
PubMed Central: 3184366
Affiliations:
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<front><div type="abstract" xml:lang="en"><p id="P1">We studied 1163 sexually-active HIV-infected South African men and women in an urban primary care program to understand patterns of sexual behaviors and whether these behaviors differed by partner HIV status. Overall, 40% reported a HIV-positive partner and 60% a HIV-negative or status unknown partner; and 17.5% reported >2 sex acts in the last 2 weeks, 16.4% unprotected sex in the last 6 months, and 3.7% >1 sex partner in the last 6 months. Antiretroviral therapy (ART) was consistently associated with decreased sexual risk behaviors, as well as with reporting a HIV-negative or status unknown partner. The odds of sexual risk behaviors differed by sex; and were generally higher among participants reporting a HIV-positive partner, but continued among those with a HIV-negative or status unknown partner. These data support ART as a means of HIV prevention. Engaging in sexual risk behaviors primarily with HIV-positive partners was not widely practiced in this setting, emphasizing the need for couples-based prevention.</p>
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<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9712133</journal-id>
<journal-id journal-id-type="pubmed-jr-id">21042</journal-id>
<journal-id journal-id-type="nlm-ta">AIDS Behav</journal-id>
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<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Sexual Risk Behaviors Among HIV-Infected South African Men and Women with Their Partners in a Primary Care Program: Implications for Couples-Based Prevention</article-title>
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<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Venkatesh</surname>
<given-names>Kartik K.</given-names>
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<aff id="A1">Department of Community Health, Alpert Medical School, Brown University, Providence, RI, USA</aff>
<email>kartik_venkatesh@brown.edu</email>
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<contrib contrib-type="author"><name><surname>de Bruyn</surname>
<given-names>Guy</given-names>
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<aff id="A2">Perinatal HIV Research Unit (PHRU), University of the Witwatersrand, Soweto, South Africa</aff>
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<contrib contrib-type="author"><name><surname>Lurie</surname>
<given-names>Mark N.</given-names>
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<aff id="A3">Department of Community Health, Alpert Medical School, Brown University, Providence, RI, USA</aff>
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<contrib contrib-type="author"><name><surname>Modisenyane</surname>
<given-names>Tebogo</given-names>
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<aff id="A4">Perinatal HIV Research Unit (PHRU), University of the Witwatersrand, Soweto, South Africa</aff>
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<contrib contrib-type="author"><name><surname>Triche</surname>
<given-names>Elizabeth W.</given-names>
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<aff id="A5">Department of Community Health, Alpert Medical School, Brown University, Providence, RI, USA</aff>
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<contrib contrib-type="author"><name><surname>Gray</surname>
<given-names>Glenda E.</given-names>
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<aff id="A6">Perinatal HIV Research Unit (PHRU), University of the Witwatersrand, Soweto, South Africa</aff>
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<contrib contrib-type="author"><name><surname>Welte</surname>
<given-names>Alex</given-names>
</name>
<aff id="A7">South African Centre for Epidemiological Modeling and Analysis, University of Stellenbosch, Stellenbosch, South Africa</aff>
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<contrib contrib-type="author"><name><surname>Martinson</surname>
<given-names>Neil A.</given-names>
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<aff id="A8">Perinatal HIV Research Unit (PHRU), University of the Witwatersrand, Soweto, South Africa</aff>
<aff id="A9">Johns Hopkins University School of Medicine, Baltimore, MD, USA</aff>
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<pub-date pub-type="nihms-submitted"><day>14</day>
<month>6</month>
<year>2011</year>
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<pub-date pub-type="ppub"><month>1</month>
<year>2012</year>
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<pub-date pub-type="pmc-release"><day>1</day>
<month>1</month>
<year>2013</year>
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<volume>16</volume>
<issue>1</issue>
<fpage>139</fpage>
<lpage>150</lpage>
<permissions><copyright-statement>© Springer Science+Business Media, LLC 2011</copyright-statement>
<copyright-year>2011</copyright-year>
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<abstract><p id="P1">We studied 1163 sexually-active HIV-infected South African men and women in an urban primary care program to understand patterns of sexual behaviors and whether these behaviors differed by partner HIV status. Overall, 40% reported a HIV-positive partner and 60% a HIV-negative or status unknown partner; and 17.5% reported >2 sex acts in the last 2 weeks, 16.4% unprotected sex in the last 6 months, and 3.7% >1 sex partner in the last 6 months. Antiretroviral therapy (ART) was consistently associated with decreased sexual risk behaviors, as well as with reporting a HIV-negative or status unknown partner. The odds of sexual risk behaviors differed by sex; and were generally higher among participants reporting a HIV-positive partner, but continued among those with a HIV-negative or status unknown partner. These data support ART as a means of HIV prevention. Engaging in sexual risk behaviors primarily with HIV-positive partners was not widely practiced in this setting, emphasizing the need for couples-based prevention.</p>
</abstract>
<kwd-group><kwd>HIV</kwd>
<kwd>AIDS</kwd>
<kwd>South Africa</kwd>
<kwd>Sexual risk behavior</kwd>
<kwd>ART</kwd>
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<name sortKey="Martinson, Neil A" sort="Martinson, Neil A" uniqKey="Martinson N" first="Neil A." last="Martinson">Neil A. Martinson</name>
<name sortKey="Modisenyane, Tebogo" sort="Modisenyane, Tebogo" uniqKey="Modisenyane T" first="Tebogo" last="Modisenyane">Tebogo Modisenyane</name>
<name sortKey="Triche, Elizabeth W" sort="Triche, Elizabeth W" uniqKey="Triche E" first="Elizabeth W." last="Triche">Elizabeth W. Triche</name>
<name sortKey="Venkatesh, Kartik K" sort="Venkatesh, Kartik K" uniqKey="Venkatesh K" first="Kartik K." last="Venkatesh">Kartik K. Venkatesh</name>
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