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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Sexual behaviour and HIV sero-discordance among HIV patients receiving HAART in rural Uganda
Journal of Obstetrics and Gynaecology, Volume 31, No. 5, Year 2011
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Description
Globally, HIV sero-discordance is a major public health problem, due to increased risk of HIV transmission to HIV-negative partners. From January to August 2009, we assessed the sexual behaviour of HIV-infected patients attending an HIV treatment centre in Uganda and analysed characteristics associated with HIV sero-discordance. Of the 278 respondents, 256 (92.1%) were female, 218 (78.1%) were on antiretroviral drugs and 107 (38.7%) belonged to a sero-discordant couple. In the prior 3 months, 238 (88.5%) had more than one sexual partner and 98 (35.8%) had acquired new sexual partners. Only 171 (61.5%) had ever disclosed sero-status to main sexual partners. Participants who had changed sexual partners in the previous 3 months were more likely to be sero-discordant (OR 1.87, 95% CI 1.13, 3.11). Respondents who used condoms during their last sexual intercourse and those currently on ARVs were significantly less likely to be sero-discordant (OR 0.52 95% CI 0.28, 0.96 and OR 0.52 95% CI 0.30, 0.94, respectively). Only disclosure of sero-status was independently though inversely associated with discordance (adjusted OR 0.41, 95% CI 0.20, 0.64). Our findings indicate that HIV patients continue exhibiting high risk behaviour characterised by changing sexual partners, having multiple sexual partners and non-use of condoms. © 2011 Informa UK, Ltd.
Authors & Co-Authors
Osinde, Michael Odongo
Uganda
Kabale Regional Hospital
Kaye, Dan Kabonge
Uganda, Kampala
Makerere University
Uganda, Kampala
School of Medicine, Makerere University College of Health Sciences
Kakaire, Othman
Uganda, Kampala
Makerere University
Statistics
Citations: 30
Authors: 3
Affiliations: 3
Identifiers
Doi:
10.3109/01443615.2011.578228
ISSN:
01443615
e-ISSN:
13646893
Research Areas
Infectious Diseases
Sexual And Reproductive Health
Study Locations
Uganda
Participants Gender
Female