ArticleAIDS (London, England)2013
Sexual behaviour in a rural high HIV prevalence South African community: time trends in the antiretroviral treatment era.
Article in AIDS (London, England), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 30 citations in OpenAlex.
- The impact of self-interviews on response patterns for sensitive topics: a randomized trial of electronic delivery methods for a sexual behaviour questionnaire in rural South Africa.BMC medical research methodology · 2017Trial
- Sex Differences in HIV Prevalence Persist over Time: Evidence from 18 Countries in Sub-Saharan Africa.PloS one · 2016Trial
- Characteristics of sexually experienced HIV testers aged 18 to 32 in rural South Africa: baseline results from a community-based trial, NIMH Project Accept (HPTN 043).BMC public health · 2014Trial
- Trial
- 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
- Cohort Profile Update: Africa Centre Demographic Information System (ACDIS) and population-based HIV survey.International journal of epidemiology · 2021Article
- Clusters of HIV Risk and Protective Sexual Behaviors in Agincourt, Rural South Africa: Findings from the Ha Nakekela Population-Based Study of Ages 15 and Older.Archives of sexual behavior · 2020Article
- HIV seroconcordance among heterosexual couples in rural KwaZulu-Natal, South Africa: a population-based analysis.Journal of the International AIDS Society · 2020Article
- No effect of test and treat on sexual behaviours at population level in rural South Africa.AIDS (London, England) · 2019Article
- Progress towards the UNAIDS 90-90-90 goals by age and gender in a rural area of KwaZulu-Natal, South Africa: a household-based community cross-sectional survey.BMC public health · 2018Article
- Sources of social support and sexual behaviour advice for young adults in rural South Africa.BMJ global health · 2018Article
- The HIV Care Continuum among Female Sex Workers: A Key Population in Lilongwe, Malawi.PloS one · 2016Article
- The Art of HIV Elimination: Past and Present Science.Journal of AIDS & clinical research · 2015Article
- Implementation of couples' voluntary HIV counseling and testing services in Durban, South Africa.BMC public health · 2015Article
- Migration, sexual behaviour, and HIV risk: a general population cohort in rural South Africa.The lancet. HIV · 2015Article
- Addressing social issues in a universal HIV test and treat intervention trial (ANRS 12249 TasP) in South Africa: methods for appraisal.BMC public health · 2015Article
- The impact of gender norms on condom use among HIV-positive adults in KwaZulu-Natal, South Africa.PloS one · 2015Article
- The HIV epidemic in Southern Africa - Is an AIDS-free generation possible?Current HIV/AIDS reports · 2014Review
- Health benefits, costs, and cost-effectiveness of earlier eligibility for adult antiretroviral therapy and expanded treatment coverage: a combined analysis of 12 mathematical models.The Lancet. Global health · 2013Article
- Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
Abstract
objectivesData from generalized epidemic settings have consistently found that patients on antiretroviral therapy (ART) reduce sexual risk behaviours, but how sexual behaviour changes in the general population in response to ART availability, including amongst HIV-uninfected and undiagnosed adults, has not been characterized in these settings.
designGeneral population open cohort.
methodsWe report trends in sexual behaviour indicators for men aged 17-54 years and women aged 17-49 years in rural KwaZulu-Natal province, based on annual sexual behaviour surveys during ART scale-up from 2005 to 2011. Estimates are adjusted for survey nonparticipation and nonresponse to individual survey items using inverse probability weighting and multiple imputation. Trends are presented by HIV status, knowledge of status, age and marital status.
resultsReports of condom use at last sex with a regular partner increased by 2.6% points per year [95% confidence interval (CI) 1.5%, 3.7%] for men and 4.1% per year (3.0%, 5.3%) for women. Condom use at last sex with a casual partner was high and did not change significantly over the period for both sexes. There were statistically significant declines in the percentage reporting multiple partnerships in the last year and the point prevalence of concurrency. Trends within subgroups were generally consistent with overall estimates.
conclusionWe find no evidence of increased sexual risk-taking following ART availability and protective changes in some behaviours, suggesting that general trends in sexual behaviour are not counter-acting preventive effects of HIV treatment. Continued monitoring of population-level sexual behaviour indicators will be essential to interpret the success of combination-prevention programmes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.