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Significant rates of risky sexual behaviours among HIV-infected patients failing first-line ART: a sub-study of the Europe-Africa Research Network for the Evaluation of Second-line Therapy trial

Tijdschriftbijdrage - Tijdschriftartikel

There are limited data on the prevalence of risky sexual behaviours in individuals failing first-line antiretroviral therapy (ART) and changes in sexual behaviour after switch to second-line ART. We undertook a sexual behaviour sub-study of Ugandan adults enrolled in the Europe-Africa Research Network for the Evaluation of Second-line Therapy trial. A standardized questionnaire was used to collect sexual behaviour data and, in particular, risky sexual behaviours (defined as additional sexual partners to main sexual partner, inconsistent use of condoms, non-disclosure to sexual partners, and exchange of money for sex). Of the 79 participants enrolled in the sub-study, 62% were female, median age (IQR) was 37 (32-42) years, median CD4 cell count (IQR) was 79 (50-153) cells/mu l, and median HIV viral load log was 4.9 copies/ml (IQR: 4.5-5.3) at enrolment. The majority were in long-term stable relationships; 69.6% had a main sexual partner and 87.3% of these had been sexually active in the preceding six months. At enrolment, around 20% reported other sexual partners, but this was higher among men than women (36% versus 6.7 %, p

Tijdschrift: International Journal of STD & AIDS
ISSN: 0956-4624
Issue: 3
Volume: 29
Pagina's: 287-297
Jaar van publicatie:2018
Trefwoorden:Africa, antiretroviral therapy, high-risk behaviour, HIV, sexual behaviour, ANTIRETROVIRAL THERAPY, SOUTH-AFRICA, RURAL UGANDA, CAPE-TOWN, PREVENTION INTERVENTIONS, PROSPECTIVE COHORT, SAHARAN AFRICA, POSITIVE WOMEN, URBAN, IMPACT