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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
The relationship between HAART use and sexual activity among HIV-positive women of reproductive age in Brazil, South Africa, and Uganda
AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Volume 20, No. 1, Year 2008
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Description
The purpose of this study was to determine whether current HAART use is associated with recent sexual intercourse among HIV-infected women (18-49 years) from Brazil, South Africa and Uganda. We conducted an analysis of survey data from a cross-sectional study, which enrolled 179 HIV-infected women receiving regular care from the Mbarara Hospital HIV Clinic in Uganda (n=85); the Perinatal HIV Research Unit in Soweto, South Africa (n=50); and the IPEC-Fiocruz cohort in Rio de Janeiro, Brazil (n=44). The primary outcome was sexual intercourse in the previous month. Secondary outcomes were protected sex and contraceptive use. We found that overall, 46% reported recent sexual intercourse. After adjusting for covariates, recent sexual intercourse was not associated with HAART use (AOR: 0.76; 95%CI: 0.34-1.72); however, it was significantly associated with being currently married, wanting to have more children and having higher HAART optimism. Among women reporting recent sexual intercourse (n=83), HAART users were significantly more likely to practice protected sex (crude OR: 3.64; 95%CI: 1.41-9.38) and non-significantly more likely to use contraceptive methods (crude OR: 2.15; 95%CI: 0.77-5.99). In summary, self-reported recent sexual intercourse is not more likely among women on HAART. Moreover, sexually active HAART users may be more likely to practice protected sex and use contraceptives. © 2008 Taylor & Francis.
Authors & Co-Authors
Kaida, Angela
Canada, Vancouver
The University of British Columbia
Canada, Vancouver
British Columbia Centre for Excellence in Hiv-aids
Gray, Glenda E.
South Africa, Johannesburg
University of the Witwatersrand
Bastos, Francisco I.
Brazil, Rio de Janeiro
Fundacao Oswaldo Cruz
Andia, Irene
Uganda, Mbarara
Mbarara University of Science and Technology
Maier, Marissa
United States, San Francisco
University of California, San Francisco
McIntyre, James Alasdair
South Africa, Johannesburg
University of the Witwatersrand
Grinsztejn, Beatriz Gilda Jegerhorn
Brazil, Rio de Janeiro
Fundacao Oswaldo Cruz
Strathdee, Steffanie Anne
United States, La Jolla
University of California, San Diego
Bangsberg, David R.
United States, San Francisco
University of California, San Francisco
Hogg, Robert S.
Canada, Vancouver
British Columbia Centre for Excellence in Hiv-aids
Canada, Burnaby
Simon Fraser University
Statistics
Citations: 55
Authors: 10
Affiliations: 8
Identifiers
Doi:
10.1080/09540120701426540
ISSN:
09540121
e-ISSN:
13600451
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Cohort Study
Study Approach
Quantitative
Study Locations
South Africa
Uganda
Participants Gender
Female