Sexual behavior and risk practices of HIV positive and HIV negative Rwandan women
Identifieur interne : 002004 ( Pmc/Curation ); précédent : 002003; suivant : 002005Sexual behavior and risk practices of HIV positive and HIV negative Rwandan women
Auteurs : Adebola A. Adedimeji [États-Unis] ; Donald R. Hoover [États-Unis] ; Qiuhu Shi [États-Unis] ; Tracy Gard [États-Unis] ; Eugene Mutimura ; Jean D Mour Sinayobye ; Mardge H. Cohen [États-Unis] ; Kathryn Anastos [États-Unis]Source :
- AIDS and behavior [ 1090-7165 ] ; 2015.
Abstract
It is not well understood how infection with HIV and prior experience of sexual violence affects sexual behavior in African women. We describe factors influencing current sexual practices of Rwandan women living with or without HIV/AIDS. By design, 75% of participants were HIV positive and ~50% reported having experienced genocidal rape. Univariate and multivariate logistic regression models were fit to describe demographic and clinical characteristics that influenced sexual behavior in the previous 6 months, condom use, history of transactional sex, and prior infection with a non-HIV sexually transmitted disease. Respondents’ age, where they lived, whether or not they lived with a husband or partner, experience of sexual trauma, CD4 count, CES-D and PTSD scores were strongly associated with risky sexual behavior and infection with non-HIV STI. HIV positive women with a history of sexual violence in the contexts of war and conflict may be susceptible to some high-risk sexual behaviors.
Url:
DOI: 10.1007/s10461-014-0964-z
PubMed: 25488169
PubMed Central: 4461563
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Adebola A. Adedimeji<affiliation><nlm:aff id="A1">Centre for Public Health Sciences, Albert Einstein College of Medicine, Bronx New York</nlm:aff>
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</affiliation>
<affiliation><nlm:aff id="A6">Women’s Equity to Care and Treatment, WE ACTx for Hope, Dorona House, Avenue Kalisimbi, P.O Box 5141, Kigali-Rwanda</nlm:aff>
<wicri:noCountry code="subfield">Kigali-Rwanda</wicri:noCountry>
</affiliation>
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<wicri:noCountry code="subfield">Kigali-Rwanda</wicri:noCountry>
</affiliation>
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<front><div type="abstract" xml:lang="en"><p id="P1">It is not well understood how infection with HIV and prior experience of sexual violence affects sexual behavior in African women. We describe factors influencing current sexual practices of Rwandan women living with or without HIV/AIDS. By design, 75% of participants were HIV positive and ~50% reported having experienced genocidal rape. Univariate and multivariate logistic regression models were fit to describe demographic and clinical characteristics that influenced sexual behavior in the previous 6 months, condom use, history of transactional sex, and prior infection with a non-HIV sexually transmitted disease. Respondents’ age, where they lived, whether or not they lived with a husband or partner, experience of sexual trauma, CD4 count, CES-D and PTSD scores were strongly associated with risky sexual behavior and infection with non-HIV STI. HIV positive women with a history of sexual violence in the contexts of war and conflict may be susceptible to some high-risk sexual behaviors.</p>
</div>
</front>
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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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<title-group><article-title>Sexual behavior and risk practices of HIV positive and HIV negative Rwandan women</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>ADEDIMEJI</surname>
<given-names>Adebola A.</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
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<contrib contrib-type="author"><name><surname>HOOVER</surname>
<given-names>Donald R.</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A3">3</xref>
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<contrib contrib-type="author"><name><surname>SHI</surname>
<given-names>Qiuhu</given-names>
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<contrib contrib-type="author"><name><surname>GARD</surname>
<given-names>Tracy</given-names>
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<degrees>PhD</degrees>
<xref ref-type="aff" rid="A5">5</xref>
<xref ref-type="aff" rid="A8">8</xref>
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<contrib contrib-type="author"><name><surname>MUTIMURA</surname>
<given-names>Eugene</given-names>
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<contrib contrib-type="author"><name><surname>SINAYOBYE</surname>
<given-names>Jean d’Amour</given-names>
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<contrib contrib-type="author"><name><surname>COHEN</surname>
<given-names>Mardge H.</given-names>
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<contrib contrib-type="author"><name><surname>ANASTOS</surname>
<given-names>Kathryn</given-names>
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<xref ref-type="aff" rid="A8">8</xref>
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<aff id="A1"><label>1</label>
Centre for Public Health Sciences, Albert Einstein College of Medicine, Bronx New York</aff>
<aff id="A2"><label>2</label>
Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY 10461</aff>
<aff id="A3"><label>3</label>
Department of Statistics & Biostatistics and Institute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick NJ 08901, USA</aff>
<aff id="A4"><label>4</label>
New York Medical College, Valhalla, NY 10595 USA</aff>
<aff id="A5"><label>5</label>
Department of Psychiatry and Behavioral Sciences, Albert Einstein College of Medicine, Bronx NY 10461 USA</aff>
<aff id="A6"><label>6</label>
Women’s Equity to Care and Treatment, WE ACTx for Hope, Dorona House, Avenue Kalisimbi, P.O Box 5141, Kigali-Rwanda</aff>
<aff id="A7"><label>7</label>
Department of Medicine, Stroger (Cook County) Hospital and Rush University, Chicago, IL 60612, USA</aff>
<aff id="A8"><label>8</label>
Montefiore Medical Centre, Bronx, NY10467, USA</aff>
<author-notes><corresp id="FN1">Corresponding Author: Dr. Adebola Adedimeji, Centre for Public Health Sciences, Albert Einstein College of Medicine, Mazer 515, 1300 Morris Park Avenue, Bronx, New York 10461, Tel: +1 718 430 3260, <email>adebola.adedimeji@einstein.yu.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>11</day>
<month>12</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="ppub"><month>7</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>01</day>
<month>7</month>
<year>2016</year>
</pub-date>
<volume>19</volume>
<issue>7</issue>
<fpage>1366</fpage>
<lpage>1378</lpage>
<pmc-comment>elocation-id from pubmed: 10.1007/s10461-014-0964-z</pmc-comment>
<abstract><p id="P1">It is not well understood how infection with HIV and prior experience of sexual violence affects sexual behavior in African women. We describe factors influencing current sexual practices of Rwandan women living with or without HIV/AIDS. By design, 75% of participants were HIV positive and ~50% reported having experienced genocidal rape. Univariate and multivariate logistic regression models were fit to describe demographic and clinical characteristics that influenced sexual behavior in the previous 6 months, condom use, history of transactional sex, and prior infection with a non-HIV sexually transmitted disease. Respondents’ age, where they lived, whether or not they lived with a husband or partner, experience of sexual trauma, CD4 count, CES-D and PTSD scores were strongly associated with risky sexual behavior and infection with non-HIV STI. HIV positive women with a history of sexual violence in the contexts of war and conflict may be susceptible to some high-risk sexual behaviors.</p>
</abstract>
<kwd-group><kwd>HIV/AIDS</kwd>
<kwd>Sexual behavior</kwd>
<kwd>Sexual Trauma</kwd>
<kwd>Genocide</kwd>
<kwd>Rwanda</kwd>
</kwd-group>
</article-meta>
</front>
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