Disclosure, Multiple Sex Partners, and Consistent Condom Use among HIV Positive Adults on Antiretroviral Therapy in Johannesburg, South AfricaReportar como inadecuado




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Inconsistent condom useamong persons on antiretroviral treatment ART is a major public healthconcern because of the risk of HIV transmission. This study examined theassociation between socio-demographic variables and knowing partners’ HIVstatus, multiple sex partners, and consistent condom use among 400 HIV-infectedadults who had received ART for at least six months in Johannesburg, SouthAfrica. The study used a cross-sectional survey and a structured intervieweradministered questionnaire. Over half n = 225, 56.3% of participants were onART for more than two years. Two thirds n = 234, 63.2% were aware ofpartner’s HIV status. Over a third n = 136, 34.0% reported having more thanone sex partners. Three quarters n = 279, 75.8% reported consistent condomuse with regular partner. Discussing HIV testing aOR = 2.28, CI: 1.31 -3.95,awareness of partner’s HIV status aOR = 2.59, CI: 1.50 -4.46, level ofeducation aOR = 0.64, CI: 0.42 -0.98, and duration on ART aOR = 0.71, CI:1.31 -3.95 were predictors for consistent condom use. Awareness of partner’sHIV status was associated with multiple partnership aOR = 0.38, CI: 0.21 -0.66,living with partner aOR = 4.75, CI: 2.86 -7.91, discussing HIV testing aOR =2.43, CI: 1.48 -3.99, and duration on ART aOR = 2.04, CI: 1.43 -2.92.While gender aOR = 5.68, CI: 3.46 -9.34, marital status aOR = 0.44, CI:0.25 -0.77, and awareness of partner’s HIV status aOR = 0.52, CI: 0.30 -0.89 were associated with multiple partnerships. Risky sexual behavioursoccurred in all types of partners and knowing partner’s HIV status was apredictor for consistent condom use with all types of partners. It is essentialthat HIV prevention strategies create an enabling environment for disclosureand reductions of risky sexual behaviours by HIV-infected persons on ART.

KEYWORDS

Sexual Risk Behaviour; Condom Use; ART; South Africa; Partner’s Status; Multiple Partnerships; HIV Testing

Cite this paper

Madiba, S. and Letsoalo, B. 2014 Disclosure, Multiple Sex Partners, and Consistent Condom Use among HIV Positive Adults on Antiretroviral Therapy in Johannesburg, South Africa. World Journal of AIDS, 4, 62-73. doi: 10.4236-wja.2014.41008.





Autor: Sphiwe Madiba, Beverley Letsoalo

Fuente: http://www.scirp.org/



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