Sexual risk behaviour and HAART: A comparative study of HIV-infected persons on HAART and on preventive therapy in Kenya

Avina Sarna; S. M.F. Luchters; S. Geibel; S. Kaai; P. Munyao; K. S. Shikely; K. Mandaliya; J. Van Dam; M. Temmerman

doi:10.1258/ijsa.2007.007097

Sexual risk behaviour and HAART: A comparative study of HIV-infected persons on HAART and on preventive therapy in Kenya

Avina Sarna
, S. M.F. Luchters
, S. Geibel
, S. Kaai
, P. Munyao
, K. S. Shikely
, K. Mandaliya
, J. Van Dam
, M. Temmerman

Research output: Contribution to journal › Article › peer-review

38 Citations (Scopus)

Abstract

Unprotected sex (UPS) among persons receiving highly active antiretroviral therapy (HAART) remains a concern because of the risk of HIV-transmission. A cross-sectional study comparing the sexual risk behaviour of 179 people living with HIV/AIDS (PLHA) receiving HAART with that of 143 PLHA receiving preventive therapy (PT) with cotrimoxazole/isoniazid was conducted in Mombasa, Kenya. Forty-five percent of all participants were sexually active in the last six months. Participants receiving PT were more likely to report ≥2 partners (13% vs.1%; P = 0.006). Participants receiving PT reported more UPS with regular partners (odds ratio [OR]: 3.9; 95% confidence interval [CI]: 1.8-8.4) and also more sexually transmitted infections (STI) symptoms (OR: 1.7; 95% CI: 1.0-2.8; P = 0.059). More than 40% of all participants did not know the HIV-status of regular partners. Therefore, HAART was not associated with increased sexual risk behaviours though considerable risk of HIV-transmission remains. HIV-care services need to emphasize partner testing and consistent condom use with all partners.

Original language	English (UK)
Pages (from-to)	85-89
Number of pages	5
Journal	International Journal of STD and AIDS
Volume	19
Issue number	2
DOIs	https://doi.org/10.1258/ijsa.2007.007097
Publication status	Published - Feb 2008
Externally published	Yes

Keywords

Antiretroviral treatment
HIV
Sexual behaviour
Sexually transmitted infections

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1258/ijsa.2007.007097

Cite this

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title = "Sexual risk behaviour and HAART: A comparative study of HIV-infected persons on HAART and on preventive therapy in Kenya",

abstract = "Unprotected sex (UPS) among persons receiving highly active antiretroviral therapy (HAART) remains a concern because of the risk of HIV-transmission. A cross-sectional study comparing the sexual risk behaviour of 179 people living with HIV/AIDS (PLHA) receiving HAART with that of 143 PLHA receiving preventive therapy (PT) with cotrimoxazole/isoniazid was conducted in Mombasa, Kenya. Forty-five percent of all participants were sexually active in the last six months. Participants receiving PT were more likely to report ≥2 partners (13\% vs.1\%; P = 0.006). Participants receiving PT reported more UPS with regular partners (odds ratio [OR]: 3.9; 95\% confidence interval [CI]: 1.8-8.4) and also more sexually transmitted infections (STI) symptoms (OR: 1.7; 95\% CI: 1.0-2.8; P = 0.059). More than 40\% of all participants did not know the HIV-status of regular partners. Therefore, HAART was not associated with increased sexual risk behaviours though considerable risk of HIV-transmission remains. HIV-care services need to emphasize partner testing and consistent condom use with all partners.",

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AU - Geibel, S.

AU - Kaai, S.

AU - Munyao, P.

AU - Shikely, K. S.

AU - Mandaliya, K.

AU - Van Dam, J.

AU - Temmerman, M.

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N2 - Unprotected sex (UPS) among persons receiving highly active antiretroviral therapy (HAART) remains a concern because of the risk of HIV-transmission. A cross-sectional study comparing the sexual risk behaviour of 179 people living with HIV/AIDS (PLHA) receiving HAART with that of 143 PLHA receiving preventive therapy (PT) with cotrimoxazole/isoniazid was conducted in Mombasa, Kenya. Forty-five percent of all participants were sexually active in the last six months. Participants receiving PT were more likely to report ≥2 partners (13% vs.1%; P = 0.006). Participants receiving PT reported more UPS with regular partners (odds ratio [OR]: 3.9; 95% confidence interval [CI]: 1.8-8.4) and also more sexually transmitted infections (STI) symptoms (OR: 1.7; 95% CI: 1.0-2.8; P = 0.059). More than 40% of all participants did not know the HIV-status of regular partners. Therefore, HAART was not associated with increased sexual risk behaviours though considerable risk of HIV-transmission remains. HIV-care services need to emphasize partner testing and consistent condom use with all partners.

AB - Unprotected sex (UPS) among persons receiving highly active antiretroviral therapy (HAART) remains a concern because of the risk of HIV-transmission. A cross-sectional study comparing the sexual risk behaviour of 179 people living with HIV/AIDS (PLHA) receiving HAART with that of 143 PLHA receiving preventive therapy (PT) with cotrimoxazole/isoniazid was conducted in Mombasa, Kenya. Forty-five percent of all participants were sexually active in the last six months. Participants receiving PT were more likely to report ≥2 partners (13% vs.1%; P = 0.006). Participants receiving PT reported more UPS with regular partners (odds ratio [OR]: 3.9; 95% confidence interval [CI]: 1.8-8.4) and also more sexually transmitted infections (STI) symptoms (OR: 1.7; 95% CI: 1.0-2.8; P = 0.059). More than 40% of all participants did not know the HIV-status of regular partners. Therefore, HAART was not associated with increased sexual risk behaviours though considerable risk of HIV-transmission remains. HIV-care services need to emphasize partner testing and consistent condom use with all partners.

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KW - HIV

KW - Sexual behaviour

KW - Sexually transmitted infections

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Sexual risk behaviour and HAART: A comparative study of HIV-infected persons on HAART and on preventive therapy in Kenya

Abstract

Keywords

UN SDGs

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