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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Changes in sexual risk behavior before and after hiv seroconversion in Southern African women enrolled in a HIV prevention trial
Journal of Acquired Immune Deficiency Syndromes, Volume 57, No. 5, Year 2011
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Description
Background: We examine changes in sexual risk behaviors before and after HIV seroconversion in southern African women enrolled in the Methods for Improving Reproductive Health in Africa trial. Methods: HIV testing and counseling, and assessment of sexual behaviors by audio computer-assisted self-interviewing were performed approximately every 3 months. We compared the following sexual behaviors: being sexually active, coital frequency, consistent male condom use, use of any female condoms, anal sex, and >1 sex partner, at study visits before and after HIV seroconversion. RESULTS:: During the trial, 327 women seroconverted to HIV, contributing 718 pre-HIV and 1110 post-HIV study visits. Women were significantly more likely to report consistent condom use at visits after HIV seroconversion compared with visits before HIV infection [adjusted odds ratio, (AOR): 1.36 (95% confidence interval (CI): 1.11 to 1.67)] and were less likely to have >1 male sex partner after serconversion [AOR: 0.66 (95% CI: 0.48 to 0.91)]. Women reported less frequently being sexually active [AOR: 0.63 (95% CI: 0.39 to 1.02)], fewer episodes of sex [>4 sex acts over the past week AOR: 0.74 (95% CI: 0.60 to 0.91)], and a reduction in anal sex [AOR: 0.58 (95% CI: 0.36 to 0.95)] at visits after HIV seroconversion. The observed reductions in sexual risk behaviors persisted over time. Conclusions: Women significantly decreased their sexual risk behaviors after HIV seroconversion, but these changes were relatively modest, suggesting the need for further secondary prevention. Timely notification of HIV status coupled with prevention messages can contribute to reductions in sexual risk behaviors. © 2011 2011 by Lippincott Williams & Wilkins.
Authors & Co-Authors
Venkatesh, Kartik Kailas
United States, Providence
The Warren Alpert Medical School
De Bruyn, Guy
South Africa, Johannesburg
University of the Witwatersrand
Mayer, Kenneth H.
United States, Providence
The Warren Alpert Medical School
Cheng, Helen Y.
Zambia, Harare
University of Zimbabwe
Blanchard, Kelly
United States, Cambridge
Ibis Reproductive Health
Ramjee, Gita A.
South Africa, Tygerberg
South African Medical Research Council
Chipato, Tsungai
United States, Research Triangle Park
Rti International
Triche, Elizabeth Westerlund
United States, Providence
The Warren Alpert Medical School
Padian, Nancy S.
Zambia, Harare
University of Zimbabwe
van der Straten, Ariane
Zambia, Harare
University of Zimbabwe
United States, San Francisco
Ucsf School of Medicine
Statistics
Citations: 15
Authors: 10
Affiliations: 7
Identifiers
Doi:
10.1097/QAI.0b013e318220379b
ISSN:
15254135
Research Areas
Infectious Diseases
Sexual And Reproductive Health
Study Design
Case-Control Study
Participants Gender
Male
Female