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Decreased sexual risk behavior in the era of HAART among HIV-infected urban and rural South Africans attending primary care clinics

In light of increasing access to HAART in sub-Saharan Africa, we conducted a longitudinal study to assess the impact of HAART on sexual risk behaviors among HIV-infected South Africans in urban and rural primary care clinics. Prospective observational cohort. We conducted a cohort study at rural and... Full description

Journal Title: AIDS (London) 2010, Vol.24 (17), p.2687-2696
Main Author: VENKATESH, Kartik K
Other Authors: DE BRUYN, Guy , LURIE, Mark N , MOHAPI, Lerato , PRONYK, Paul , MOSHABELA, Mosa , MARINDA, Edmore , GRAY, Glenda E , TRICHE, Elizabeth W , MARTINSON, Neil A
Format: Electronic Article Electronic Article
Language: English
Subjects:
HIV
Publisher: Hagerstown, MD: Lippincott Williams & Wilkins
ID: ISSN: 0269-9370
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title: Decreased sexual risk behavior in the era of HAART among HIV-infected urban and rural South Africans attending primary care clinics
format: Article
creator:
  • VENKATESH, Kartik K
  • DE BRUYN, Guy
  • LURIE, Mark N
  • MOHAPI, Lerato
  • PRONYK, Paul
  • MOSHABELA, Mosa
  • MARINDA, Edmore
  • GRAY, Glenda E
  • TRICHE, Elizabeth W
  • MARTINSON, Neil A
subjects:
  • Adult
  • AIDS
  • AIDS/HIV
  • Antibiotics. Antiinfectious agents. Antiparasitic agents
  • antiretroviral therapy
  • Antiretroviral Therapy, Highly Active
  • Antiviral agents
  • Article
  • Biological and medical sciences
  • CD4 Lymphocyte Count
  • Female
  • HAART
  • Health Knowledge, Attitudes, Practice
  • HIV
  • HIV Infections - drug therapy
  • HIV Infections - epidemiology
  • HIV Infections - psychology
  • HIV transmission
  • Human viral diseases
  • Humans
  • Immunodeficiencies
  • Immunodeficiencies. Immunoglobulinopathies
  • Immunopathology
  • Infectious diseases
  • Longitudinal Studies
  • Male
  • Medical sciences
  • Patient Acceptance of Health Care - psychology
  • Patient Acceptance of Health Care - statistics & numerical data
  • Pharmacology. Drug treatments
  • Primary Health Care - statistics & numerical data
  • Prospective Studies
  • Risk-Taking
  • sexual behavior
  • Sexual Behavior - psychology
  • South Africa
  • South Africa - epidemiology
  • Viral diseases
  • Viral diseases of the lymphoid tissue and the blood. Aids
  • Viral Load
ispartof: AIDS (London), 2010, Vol.24 (17), p.2687-2696
description: In light of increasing access to HAART in sub-Saharan Africa, we conducted a longitudinal study to assess the impact of HAART on sexual risk behaviors among HIV-infected South Africans in urban and rural primary care clinics. Prospective observational cohort. We conducted a cohort study at rural and urban primary care HIV clinics in South Africa consisting of 1544 men and 4719 women enrolled from 2003 to 2010, representing 19703 clinic visits. The primary outcomes were being sexually active, unprotected sex, and more than one sex partner and were evaluated at 6 monthly intervals. Generalized estimated equations assessed the impact of HAART on sexual risk behaviors. Among 6263 HIV-infected men and women, over a third (37.2%) initiated HAART during study follow-up. In comparison to pre-HAART follow-up, visits while receiving HAART were associated with a decrease in those reporting being sexually active [adjusted odds ratio: 0.86 (95% confidence interval: 0.78-0.95)]. Unprotected sex and having more than one sex partner were reduced at visits following HAART initiation compared to pre-HAART visits [adjusted odds ratio: 0.40 (95% confidence interval: 0.34-0.46) and adjusted odds ratio: 0.20 (95% confidence interval: 0.14-0.29), respectively]. Sexual risk behavior significantly decreased following HAART initiation among HIV-infected South African men and women in primary care programs. The further expansion of antiretroviral treatment programs could enhance HIV prevention efforts in Africa.
language: eng
source:
identifier: ISSN: 0269-9370
fulltext: no_fulltext
issn:
  • 0269-9370
  • 1473-5571
url: Link


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titleDecreased sexual risk behavior in the era of HAART among HIV-infected urban and rural South Africans attending primary care clinics
creatorVENKATESH, Kartik K ; DE BRUYN, Guy ; LURIE, Mark N ; MOHAPI, Lerato ; PRONYK, Paul ; MOSHABELA, Mosa ; MARINDA, Edmore ; GRAY, Glenda E ; TRICHE, Elizabeth W ; MARTINSON, Neil A
creatorcontribVENKATESH, Kartik K ; DE BRUYN, Guy ; LURIE, Mark N ; MOHAPI, Lerato ; PRONYK, Paul ; MOSHABELA, Mosa ; MARINDA, Edmore ; GRAY, Glenda E ; TRICHE, Elizabeth W ; MARTINSON, Neil A
descriptionIn light of increasing access to HAART in sub-Saharan Africa, we conducted a longitudinal study to assess the impact of HAART on sexual risk behaviors among HIV-infected South Africans in urban and rural primary care clinics. Prospective observational cohort. We conducted a cohort study at rural and urban primary care HIV clinics in South Africa consisting of 1544 men and 4719 women enrolled from 2003 to 2010, representing 19703 clinic visits. The primary outcomes were being sexually active, unprotected sex, and more than one sex partner and were evaluated at 6 monthly intervals. Generalized estimated equations assessed the impact of HAART on sexual risk behaviors. Among 6263 HIV-infected men and women, over a third (37.2%) initiated HAART during study follow-up. In comparison to pre-HAART follow-up, visits while receiving HAART were associated with a decrease in those reporting being sexually active [adjusted odds ratio: 0.86 (95% confidence interval: 0.78-0.95)]. Unprotected sex and having more than one sex partner were reduced at visits following HAART initiation compared to pre-HAART visits [adjusted odds ratio: 0.40 (95% confidence interval: 0.34-0.46) and adjusted odds ratio: 0.20 (95% confidence interval: 0.14-0.29), respectively]. Sexual risk behavior significantly decreased following HAART initiation among HIV-infected South African men and women in primary care programs. The further expansion of antiretroviral treatment programs could enhance HIV prevention efforts in Africa.
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subjectAdult ; AIDS ; AIDS/HIV ; Antibiotics. Antiinfectious agents. Antiparasitic agents ; antiretroviral therapy ; Antiretroviral Therapy, Highly Active ; Antiviral agents ; Article ; Biological and medical sciences ; CD4 Lymphocyte Count ; Female ; HAART ; Health Knowledge, Attitudes, Practice ; HIV ; HIV Infections - drug therapy ; HIV Infections - epidemiology ; HIV Infections - psychology ; HIV transmission ; Human viral diseases ; Humans ; Immunodeficiencies ; Immunodeficiencies. Immunoglobulinopathies ; Immunopathology ; Infectious diseases ; Longitudinal Studies ; Male ; Medical sciences ; Patient Acceptance of Health Care - psychology ; Patient Acceptance of Health Care - statistics & numerical data ; Pharmacology. Drug treatments ; Primary Health Care - statistics & numerical data ; Prospective Studies ; Risk-Taking ; sexual behavior ; Sexual Behavior - psychology ; South Africa ; South Africa - epidemiology ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. Aids ; Viral Load
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descriptionIn light of increasing access to HAART in sub-Saharan Africa, we conducted a longitudinal study to assess the impact of HAART on sexual risk behaviors among HIV-infected South Africans in urban and rural primary care clinics. Prospective observational cohort. We conducted a cohort study at rural and urban primary care HIV clinics in South Africa consisting of 1544 men and 4719 women enrolled from 2003 to 2010, representing 19703 clinic visits. The primary outcomes were being sexually active, unprotected sex, and more than one sex partner and were evaluated at 6 monthly intervals. Generalized estimated equations assessed the impact of HAART on sexual risk behaviors. Among 6263 HIV-infected men and women, over a third (37.2%) initiated HAART during study follow-up. In comparison to pre-HAART follow-up, visits while receiving HAART were associated with a decrease in those reporting being sexually active [adjusted odds ratio: 0.86 (95% confidence interval: 0.78-0.95)]. Unprotected sex and having more than one sex partner were reduced at visits following HAART initiation compared to pre-HAART visits [adjusted odds ratio: 0.40 (95% confidence interval: 0.34-0.46) and adjusted odds ratio: 0.20 (95% confidence interval: 0.14-0.29), respectively]. Sexual risk behavior significantly decreased following HAART initiation among HIV-infected South African men and women in primary care programs. The further expansion of antiretroviral treatment programs could enhance HIV prevention efforts in Africa.
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1AIDS
2AIDS/HIV
3Antibiotics. Antiinfectious agents. Antiparasitic agents
4antiretroviral therapy
5Antiretroviral Therapy, Highly Active
6Antiviral agents
7Article
8Biological and medical sciences
9CD4 Lymphocyte Count
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11HAART
12Health Knowledge, Attitudes, Practice
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14HIV Infections - drug therapy
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16HIV Infections - psychology
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37Viral diseases
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39Viral Load
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titleDecreased sexual risk behavior in the era of HAART among HIV-infected urban and rural South Africans attending primary care clinics
authorVENKATESH, Kartik K ; DE BRUYN, Guy ; LURIE, Mark N ; MOHAPI, Lerato ; PRONYK, Paul ; MOSHABELA, Mosa ; MARINDA, Edmore ; GRAY, Glenda E ; TRICHE, Elizabeth W ; MARTINSON, Neil A
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20Immunodeficiencies
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jtitleAIDS (London)
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volume24
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pages2687-2696
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eissn1473-5571
abstractIn light of increasing access to HAART in sub-Saharan Africa, we conducted a longitudinal study to assess the impact of HAART on sexual risk behaviors among HIV-infected South Africans in urban and rural primary care clinics. Prospective observational cohort. We conducted a cohort study at rural and urban primary care HIV clinics in South Africa consisting of 1544 men and 4719 women enrolled from 2003 to 2010, representing 19703 clinic visits. The primary outcomes were being sexually active, unprotected sex, and more than one sex partner and were evaluated at 6 monthly intervals. Generalized estimated equations assessed the impact of HAART on sexual risk behaviors. Among 6263 HIV-infected men and women, over a third (37.2%) initiated HAART during study follow-up. In comparison to pre-HAART follow-up, visits while receiving HAART were associated with a decrease in those reporting being sexually active [adjusted odds ratio: 0.86 (95% confidence interval: 0.78-0.95)]. Unprotected sex and having more than one sex partner were reduced at visits following HAART initiation compared to pre-HAART visits [adjusted odds ratio: 0.40 (95% confidence interval: 0.34-0.46) and adjusted odds ratio: 0.20 (95% confidence interval: 0.14-0.29), respectively]. Sexual risk behavior significantly decreased following HAART initiation among HIV-infected South African men and women in primary care programs. The further expansion of antiretroviral treatment programs could enhance HIV prevention efforts in Africa.
copHagerstown, MD
pubLippincott Williams & Wilkins
pmid20808202
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