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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Change in Sexual Activity 12 Months After ART Initiation Among HIV-Positive Mozambicans</title>
<author><name sortKey="Pearson, Cynthia R" sort="Pearson, Cynthia R" uniqKey="Pearson C" first="Cynthia R." last="Pearson">Cynthia R. Pearson</name>
</author>
<author><name sortKey="Cassels, Susan" sort="Cassels, Susan" uniqKey="Cassels S" first="Susan" last="Cassels">Susan Cassels</name>
</author>
<author><name sortKey="Kurth, Ann E" sort="Kurth, Ann E" uniqKey="Kurth A" first="Ann E." last="Kurth">Ann E. Kurth</name>
</author>
<author><name sortKey="Montoya, Pablo" sort="Montoya, Pablo" uniqKey="Montoya P" first="Pablo" last="Montoya">Pablo Montoya</name>
</author>
<author><name sortKey="Micek, Mark A" sort="Micek, Mark A" uniqKey="Micek M" first="Mark A." last="Micek">Mark A. Micek</name>
</author>
<author><name sortKey="Gloyd, Stephen S" sort="Gloyd, Stephen S" uniqKey="Gloyd S" first="Stephen S." last="Gloyd">Stephen S. Gloyd</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">21082338</idno>
<idno type="pmc">3357499</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3357499</idno>
<idno type="RBID">PMC:3357499</idno>
<idno type="doi">10.1007/s10461-010-9852-3</idno>
<date when="2011">2011</date>
<idno type="wicri:Area/Pmc/Corpus">001F33</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001F33</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Change in Sexual Activity 12 Months After ART Initiation Among HIV-Positive Mozambicans</title>
<author><name sortKey="Pearson, Cynthia R" sort="Pearson, Cynthia R" uniqKey="Pearson C" first="Cynthia R." last="Pearson">Cynthia R. Pearson</name>
</author>
<author><name sortKey="Cassels, Susan" sort="Cassels, Susan" uniqKey="Cassels S" first="Susan" last="Cassels">Susan Cassels</name>
</author>
<author><name sortKey="Kurth, Ann E" sort="Kurth, Ann E" uniqKey="Kurth A" first="Ann E." last="Kurth">Ann E. Kurth</name>
</author>
<author><name sortKey="Montoya, Pablo" sort="Montoya, Pablo" uniqKey="Montoya P" first="Pablo" last="Montoya">Pablo Montoya</name>
</author>
<author><name sortKey="Micek, Mark A" sort="Micek, Mark A" uniqKey="Micek M" first="Mark A." last="Micek">Mark A. Micek</name>
</author>
<author><name sortKey="Gloyd, Stephen S" sort="Gloyd, Stephen S" uniqKey="Gloyd S" first="Stephen S." last="Gloyd">Stephen S. Gloyd</name>
</author>
</analytic>
<series><title level="j">AIDS and Behavior</title>
<idno type="ISSN">1090-7165</idno>
<idno type="eISSN">1573-3254</idno>
<imprint><date when="2011">2011</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p id="P1">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, <italic>P</italic>
< 0.001) and the proportion of participants with HIV-negative or unknown serostatus partners (45% vs. 80%, <italic>P</italic>
< 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 (<italic>n</italic>
= 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.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<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>
<journal-id journal-id-type="iso-abbrev">AIDS Behav</journal-id>
<journal-title-group><journal-title>AIDS and Behavior</journal-title>
</journal-title-group>
<issn pub-type="ppub">1090-7165</issn>
<issn pub-type="epub">1573-3254</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">21082338</article-id>
<article-id pub-id-type="pmc">3357499</article-id>
<article-id pub-id-type="doi">10.1007/s10461-010-9852-3</article-id>
<article-id pub-id-type="manuscript">NIHMS373509</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Change in Sexual Activity 12 Months After ART Initiation Among HIV-Positive Mozambicans</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Pearson</surname>
<given-names>Cynthia R.</given-names>
</name>
<email>pearsonc@u.washington.edu</email>
<aff id="A1">School of Social Work, Indigenous Wellness and Research Institute, University of Washington, Seattle, WA 98195-1525, USA</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Cassels</surname>
<given-names>Susan</given-names>
</name>
<aff id="A2">Center for AIDS Research, University of Washington, Seattle, WA, USA</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Kurth</surname>
<given-names>Ann E.</given-names>
</name>
<aff id="A3">Center for AIDS Research, University of Washington, Seattle, WA, USA</aff>
<aff id="A4">School of Nursing, University of Washington, Seattle, WA, USA</aff>
<aff id="A5">Department of Global Health, University of Washington, Seattle, WA, USA</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Montoya</surname>
<given-names>Pablo</given-names>
</name>
<aff id="A6">Department of Global Health, University of Washington, Seattle, WA, USA</aff>
<aff id="A7">Health Alliance International, Seattle, WA, USA</aff>
<aff id="A8">Health Alliance International, Beira, Mozambique</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Micek</surname>
<given-names>Mark A.</given-names>
</name>
<aff id="A9">Department of Global Health, University of Washington, Seattle, WA, USA</aff>
<aff id="A10">Health Alliance International, Seattle, WA, USA</aff>
<aff id="A11">Health Alliance International, Beira, Mozambique</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Gloyd</surname>
<given-names>Stephen S.</given-names>
</name>
<aff id="A12">Department of Global Health, University of Washington, Seattle, WA, USA</aff>
<aff id="A13">Health Alliance International, Seattle, WA, USA</aff>
<aff id="A14">Health Alliance International, Beira, Mozambique</aff>
</contrib>
</contrib-group>
<pub-date pub-type="nihms-submitted"><day>10</day>
<month>5</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="ppub"><month>5</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>22</day>
<month>5</month>
<year>2012</year>
</pub-date>
<volume>15</volume>
<issue>4</issue>
<fpage>778</fpage>
<lpage>787</lpage>
<permissions><copyright-statement>© Springer Science+Business Media, LLC 2010</copyright-statement>
<copyright-year>2010</copyright-year>
</permissions>
<abstract><p id="P1">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, <italic>P</italic>
< 0.001) and the proportion of participants with HIV-negative or unknown serostatus partners (45% vs. 80%, <italic>P</italic>
< 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 (<italic>n</italic>
= 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.</p>
</abstract>
<kwd-group><kwd>Antiretroviral therapy (ART)</kwd>
<kwd>HIV/AIDS</kwd>
<kwd>Africa</kwd>
<kwd>Sexual behavior</kwd>
<kwd>Concurrency</kwd>
<kwd>Unprotected sex</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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