Changes in sexual behaviour among HIV-infected women in west and east Africa in the first 24 months after delivery

AIDS
Eunice IrunguKesho Bora Study Group

Abstract

Describe changes in sexual behaviour and determinants of unsafe sex among HIV-infected women in the 24 months after delivery. Cohort analysis nested within a prevention of mother-to-child transmission trial in Burkina Faso (n = 339) and Kenya (n = 432). Women were followed during pregnancy and until 12-24 months after delivery. At each visit, structured questionnaires were administered about sexual activity and condom use, and risk-reduction counselling and condoms were provided. At study entry, a median 2 months after HIV testing (interquartile range =1-4), 411/770 (53.4%) of women reported partner disclosure, increasing to 284/392 (71.9%) at the final visit. Although most partners were supportive following disclosure, between 5 and 10% of disclosed women experienced hostile or unsupportive partner responses during follow-up visits. At each visit, about a third of sexually active women reported unsafe sex (unprotected sex with HIV-uninfected or unknown status partner). In multivariable logistic regression, unsafe sex was 1.70-fold more likely in Kenyan than in Burkinabe women [95% confidence interval (95% CI) = 1.14-2.54], and in those with less advanced HIV disease or aged 16-24 years. Compared with women who disclosed their ...Continue Reading

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Citations

May 28, 2013·Asian Journal of Andrology·Hong-Lv XuLin Lu
May 17, 2013·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Sten H VermundCarolyn M Audet
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Dec 18, 2018·Journal of Psychology in Africa (south of the Sahara, the Caribbean, and Afro-Latin America)·Karl PeltzerDeborah Jones
Jun 25, 2021·Journal of Biosocial Science·Ejemai Amaize EboreimeEchezona Edozie Ezeanolue
Oct 29, 2021·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Helen ReesSinead Delany-Moretlwe

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