Condomless Sex Among Virally Suppressed Women With HIV With Regular HIV-Serodiscordant Sexual Partners in the Era of Treatment as Prevention

Journal of Acquired Immune Deficiency Syndromes : JAIDS
Sophie PattersonAngela Kaida

Abstract

Sexual HIV transmission does not occur with sustained undetectable viral load (VL) on antiretroviral therapy (ART). Awareness of ART prevention benefits and its influence on condom use among women with HIV (WWH) remain unexplored. We estimated prevalence and correlates of condomless sex with regular HIV-serodiscordant partners among WWH with undetectable VL on ART. We used baseline questionnaire data from the community-based longitudinal Canadian HIV Women's Sexual and Reproductive Health Cohort Study (CHIWOS). We included WWH self-reporting vaginal/anal sex with ≥1 HIV-negative/unknown status regular partner within 6 months, and undetectable VL (<50 copies/mL) on ART. We excluded participants exclusively reporting female partners or missing condom-use data. Condomless sex was defined as <100% condom use within 6 months. The primary explanatory variable was awareness of ART prevention benefits. Logistic regression identified factors independently associated with condomless sex. Of 271 participants (19% of the CHIWOS cohort), median age was 41 (interquartile range: 34-47), 51% were in a relationship, 55% reported condomless sex, and 75% were aware of ART prevention benefits. Among women aware, 63% reported condomless sex compare...Continue Reading

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Citations

Jul 5, 2018·International Journal of Qualitative Studies on Health and Well-being·Ewa Carlsson-LallooMarie Rusner
Jul 25, 2019·HIV Research & Clinical Practice·Emilie R ElliotMarta Boffito
Jan 10, 2020·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Rob StephensonPatrick S Sullivan
Nov 25, 2020·Archives of Sexual Behavior·Allison CarterAngela Kaida
Mar 5, 2021·The Lancet. HIV·Sarah K CalabreseJulia L Marcus

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