Abstract
Abstract 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 HIVpositive partner, but continued among those with a HIVnegative 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.
Original language | English (US) |
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Pages (from-to) | 139-150 |
Number of pages | 12 |
Journal | AIDS and Behavior |
Volume | 16 |
Issue number | 1 |
DOIs | |
State | Published - Jan 2012 |
Keywords
- AIDS
- ART
- HIV
- Sexual risk behavior
- South Africa
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
- Infectious Diseases
- Social Psychology