ArticleJournal of acquired immune deficiency syndromes (1999)2011
Sexual behaviors over a 3-year period among individuals with advanced HIV/AIDS receiving antiretroviral therapy in an urban HIV clinic in Kampala, Uganda.
Article in Journal of acquired immune deficiency syndromes (1999), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Decrease in sexual risk behaviours after early initiation of antiretroviral therapy: a 24-month prospective study in Côte d'Ivoire.Journal of the International AIDS Society · 2014Trial
- Trial
- Article
- Does sexual behaviour of people with HIV reflect antiretroviral therapy as a preventive strategy? A cross-sectional study among outpatients in Kenya.BMC public health · 2019Article
- HIV-positive clients of female sex workers in Hunan Province, China: a mixed methods study assessing sexual relationships and risk behavior by type of partner.BMC public health · 2019Article
- Risky sexual behavior among patients on long-term antiretroviral therapy: a prospective cohort study in urban and rural Uganda.AIDS research and therapy · 2018Article
- Sexual behaviours of HIV positive adults receiving HAART in Botswana: a cross sectional study.African health sciences · 2018Article
- Article
- Antiretroviral Treatment and Sexual Risk Behavior in South Africa.AIDS and behavior · 2016Article
- Sexual risk related behaviour among youth living with HIV in central Uganda: implications for HIV prevention.The Pan African medical journal · 2016Article
- Alcohol Consumption among HIV-Infected Persons in a Large Urban HIV Clinic in Kampala Uganda: A Constellation of Harmful Behaviors.PloS one · 2015Article
- Sexual behavior among persons living with HIV in Uganda: implications for policy and practice.PloS one · 2014Article
- Sexual risk behaviour, marriage and ART: a study of HIV-positive people in Papua New Guinea.AIDS research and therapy · 2013Article
- Alcohol use and HIV serostatus of partner predict high-risk sexual behavior among patients receiving antiretroviral therapy in South Western Uganda.BMC public health · 2013Article
- Changes in sexual and drug-related risk behavior following antiretroviral therapy initiation among HIV-infected injection drug users.AIDS (London, England) · 2012Article
- Is the Sexual Behaviour of HIV Patients on Antiretroviral therapy safe or risky in Sub-Saharan Africa? Meta-Analysis and Meta-Regression.AIDS research and therapy · 2012Article
- Sexual behavior of HIV-positive adults not accessing HIV treatment in Mombasa, Kenya: Defining their prevention needs.AIDS research and therapy · 2012Article
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8 authors.
Funding
Abstract
backgroundFew studies have prospectively examined sexual behaviors of HIV-infected person on antiretroviral therapy (ART) in sub-Saharan Africa.
methodsBetween 2004 and 2005, 559 HIV-infected, ART-naïve individuals initiating ART at an HIV clinic in Kampala, Uganda, were enrolled into a prospective study and followed to 2008. Clinical and sexual behavior information was assessed at enrollment and semiannually for 3 years after ART initiation. Using log-binomial regression models, we estimated prevalence ratios (PRs) to determine factors associated with being sexually active and having unprotected sex over 3 years after initiating ART.
resultsFive hundred fifty-nine adults contributed 2594 person-visits of follow-up. At the time of ART initiation, 323 (57.9%) were sexually active of which 176 (54.5%) had unprotected sex at last sexual intercourse. The majority (63.4%) of married individuals were unaware of their partner's HIV status. Female gender (PR, 2.97; 95% confidence interval, 1.85-4.79), being married (PR, 1.48; 95% confidence interval, 1.06-2.06), and reporting unprotected sex before ART (PR, 1.68; 95% confidence interval, 1.16-2.42) were among the factors independently associated with unprotected sex while on ART. Overall, 7.3% of visit intervals of unprotected sex, 1.0% of intervals of sexual activity, occurred when plasma viral load greater than 1500 copies/mL, representing periods of greater HIV transmission risk.
conclusionsAlthough unprotected sex reduced over time, women reported unprotected sex more often than men. Disclosure of HIV status was low. Integration of comprehensive prevention programs into HIV care is needed, particularly ones specific for women.
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