Intimacy versus isolation: a qualitative study of sexual practices among sexually active HIV-infected patients in HIV care in Brazil, Thailand, and Zambia

PloS One
Elizabeth F ClossonHPTN063 study team

Abstract

The success of global treatment as prevention (TasP) efforts for individuals living with HIV/AIDS (PLWHA) is dependent on successful implementation, and therefore the appropriate contribution of social and behavioral science to these efforts. Understanding the psychosocial context of condomless sex among PLWHA could shed light on effective points of intervention. HPTN 063 was an observational mixed-methods study of sexually active, in-care PLWHA in Thailand, Zambia, and Brazil as a foundation for integrating secondary HIV prevention into HIV treatment. From 2010-2012, 80 qualitative interviews were conducted with PLWHA receiving HIV care and reported recent sexual risk. Thirty men who have sex with women (MSW) and 30 women who have sex with men (WSM) participated in equal numbers across the sites. Thailand and Brazil also enrolled 20 biologically-born men who have sex with men (MSM). Part of the interview focused on the impact of HIV on sexual practices and relationships. Interviews were recorded, transcribed, translated into English and examined using qualitative descriptive analysis. The mean age was 25 (SD = 3.2). There were numerous similarities in experiences and attitudes between MSM, MSW and WSM across the three settings...Continue Reading

References

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Citations

Dec 3, 2015·Revista brasileira de epidemiologia = Brazilian journal of epidemiology·Alexandre GrangeiroXimena Pamela Díaz-Bermúdez
Feb 23, 2018·Archives of Sexual Behavior·Adriana de Araujo PinhoSimone Souza Monteiro
Mar 21, 2019·Archives of Sexual Behavior·Allison CarterUNKNOWN CHIWOS Research Team
Jan 1, 2015·Journal of the International AIDS Society·Manjulaa NarasimhanMarlène Bras
May 29, 2020·Culture, Health & Sexuality·Suchada Thaweesit, Rosalia Sciortino
Mar 13, 2020·BMC International Health and Human Rights·Dyah JuliastutiLisa Fitzgerald
Nov 25, 2020·Archives of Sexual Behavior·Allison CarterAngela Kaida
Oct 8, 2021·BMC Women's Health·Lashanda SkerrittAlexandra de Pokomandy
Oct 10, 2021·BMC Public Health·Peter A NewmanPakorn Akkakanjanasupar

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