Sexual risk behaviors among HIV-infected South African men and women with their partners in a primary care program: Implications for couples-based prevention

Kartik K. Venkatesh, Guy De Bruyn, Mark N. Lurie, Tebogo Modisenyane, Elizabeth W. Triche, Glenda E. Gray, Alex Welte, Neil A. Martinson

Research output: Contribution to journalArticle

Abstract

Abstract We studied 1163 sexually-active HIV-infected South African men and women in an urban primary care program to understand patterns of sexual behaviors and whether these behaviors differed by partner HIV status. Overall, 40% reported a HIV-positive partner and 60% a HIV-negative or status unknown partner; and 17.5% reported[2 sex acts in the last 2 weeks, 16.4% unprotected sex in the last 6 months, and 3.7%[1 sex partner in the last 6 months. Antiretroviral therapy (ART) was consistently associated with decreased sexual risk behaviors, as well as with reporting a HIV-negative or status unknown partner. The odds of sexual risk behaviors differed by sex; and were generally higher among participants reporting a HIVpositive partner, but continued among those with a HIVnegative or status unknown partner. These data support ART as a means of HIV prevention. Engaging in sexual risk behaviors primarily with HIV-positive partners was not widely practiced in this setting, emphasizing the need for couples-based prevention.

Original languageEnglish (US)
Pages (from-to)139-150
Number of pages12
JournalAIDS and Behavior
Volume16
Issue number1
DOIs
StatePublished - Jan 2012

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Keywords

  • AIDS
  • ART
  • HIV
  • Sexual risk behavior
  • South Africa

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases
  • Social Psychology

Cite this

Venkatesh, K. K., De Bruyn, G., Lurie, M. N., Modisenyane, T., Triche, E. W., Gray, G. E., Welte, A., & Martinson, N. A. (2012). Sexual risk behaviors among HIV-infected South African men and women with their partners in a primary care program: Implications for couples-based prevention. AIDS and Behavior, 16(1), 139-150. https://doi.org/10.1007/s10461-011-9941-y