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Sexual Risk Behaviors Among HIV-Infected South African Men and Women with Their Partners in a Primary Care Program: Implications for Couples-Based Prevention

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 partn... Full description

Journal Title: AIDS and behavior 2011, Vol.16 (1), p.139-150
Main Author: Venkatesh, Kartik K
Other Authors: de Bruyn, Guy , Lurie, Mark N , Modisenyane, Tebogo , Triche, Elizabeth W , Gray, Glenda E , Welte, Alex , Martinson, Neil A
Format: Electronic Article Electronic Article
Language: English
Subjects:
ART
HIV
Publisher: Boston: Springer US
ID: ISSN: 1090-7165
Link: https://www.ncbi.nlm.nih.gov/pubmed/21476005
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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
format: Article
creator:
  • Venkatesh, Kartik K
  • de Bruyn, Guy
  • Lurie, Mark N
  • Modisenyane, Tebogo
  • Triche, Elizabeth W
  • Gray, Glenda E
  • Welte, Alex
  • Martinson, Neil A
subjects:
  • Acquired Immune Deficiency Syndrome
  • Adult
  • African Continental Ancestry Group
  • AIDS
  • Anti-Retroviral Agents - therapeutic use
  • Antiretroviral drugs
  • Antiviral agents
  • ART
  • Article
  • CD4 Lymphocyte Count
  • Cross-Sectional Studies
  • Domestic partners
  • Drug therapy
  • Family Characteristics
  • Female
  • Health aspects
  • Health Psychology
  • HIV
  • HIV infection
  • HIV Infections - drug therapy
  • HIV Infections - epidemiology
  • HIV Infections - prevention & control
  • HIV Infections - psychology
  • Human immunodeficiency virus
  • Humans
  • Infectious Diseases
  • Male
  • Medications
  • Medicine
  • Medicine & Public Health
  • Methodology (Data Collection)
  • Middle Aged
  • Original Paper
  • Prevalence
  • Prevention
  • Primary Health Care
  • Primary Health Care - statistics & numerical data
  • Public Health
  • Risk
  • Risk factors
  • Risk-Taking
  • Self Disclosure
  • Sexual Behavior
  • Sexual Behavior - psychology
  • Sexual Partners - psychology
  • Sexual risk behavior
  • Socioeconomic Factors
  • South Africa
  • South Africa - epidemiology
  • Surveys and Questionnaires
  • Urban Areas
  • Urban Population
  • virus diseases
  • Young Adult
ispartof: AIDS and behavior, 2011, Vol.16 (1), p.139-150
description: 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.
language: eng
source:
identifier: ISSN: 1090-7165
fulltext: no_fulltext
issn:
  • 1090-7165
  • 1573-3254
url: Link


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creatorVenkatesh, Kartik K ; de Bruyn, Guy ; Lurie, Mark N ; Modisenyane, Tebogo ; Triche, Elizabeth W ; Gray, Glenda E ; Welte, Alex ; Martinson, Neil A
creatorcontribVenkatesh, Kartik K ; de Bruyn, Guy ; Lurie, Mark N ; Modisenyane, Tebogo ; Triche, Elizabeth W ; Gray, Glenda E ; Welte, Alex ; Martinson, Neil A
descriptionWe 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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subjectAcquired Immune Deficiency Syndrome ; Adult ; African Continental Ancestry Group ; AIDS ; Anti-Retroviral Agents - therapeutic use ; Antiretroviral drugs ; Antiviral agents ; ART ; Article ; CD4 Lymphocyte Count ; Cross-Sectional Studies ; Domestic partners ; Drug therapy ; Family Characteristics ; Female ; Health aspects ; Health Psychology ; HIV ; HIV infection ; HIV Infections - drug therapy ; HIV Infections - epidemiology ; HIV Infections - prevention & control ; HIV Infections - psychology ; Human immunodeficiency virus ; Humans ; Infectious Diseases ; Male ; Medications ; Medicine ; Medicine & Public Health ; Methodology (Data Collection) ; Middle Aged ; Original Paper ; Prevalence ; Prevention ; Primary Health Care ; Primary Health Care - statistics & numerical data ; Public Health ; Risk ; Risk factors ; Risk-Taking ; Self Disclosure ; Sexual Behavior ; Sexual Behavior - psychology ; Sexual Partners - psychology ; Sexual risk behavior ; Socioeconomic Factors ; South Africa ; South Africa - epidemiology ; Surveys and Questionnaires ; Urban Areas ; Urban Population ; virus diseases ; Young Adult
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descriptionWe 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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titleSexual Risk Behaviors Among HIV-Infected South African Men and Women with Their Partners in a Primary Care Program: Implications for Couples-Based Prevention
authorVenkatesh, Kartik K ; de Bruyn, Guy ; Lurie, Mark N ; Modisenyane, Tebogo ; Triche, Elizabeth W ; Gray, Glenda E ; Welte, Alex ; Martinson, Neil A
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abstractWe 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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