NDLI: Sexual behavior and reproductive health among HIV-infected patients in urban and rural South Africa.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Lurie, Mark Pronyk, Paul de Moor, Emily Heyer, Adele de Bruyn, Guy Struthers, Helen McIntyre, James Gray, Glenda Marinda, Edmore Klipstein-Grobusch, Kerstin Martinson, Neil
Spatial Coverage	South Africa
Description	Country affiliation: United States Author Affiliation: Lurie M ( Department of Community Health, International Health Institute, Warren Alpert Medical School of Brown University, Providence RI 02912, USA. mark_lurie@brown.edu)
Abstract	BACKGROUND: With the rollout of antiretroviral therapy in South Africa and its potential to prolong the lives of HIV-infected individuals, understanding the sexual behavior of HIV-positive people is essential to curbing secondary HIV transmission. METHODS: We surveyed 3,819 HIV-positive patients during their first visit to an urban wellness clinic and a rural wellness clinic. RESULTS: Urban residents were more likely than rural residents to have current regular sex partners (75.1% vs. 46.0%; chi2 odds ratio [OR] = 3.531; P < 0.001), to have any current sexual partners (75.3% vs. 51.2%; chi2 OR = 2.908; P < 0.001), and to report consistent condom use with regular partners (78.4% vs. 48.3%; chi2 OR = 3.886; P < 0.001) and with casual partners (68.6% vs. 48.3%; chi2 OR = 2.337; P < 0.001). In multivariate analysis, independent predictors of consistent condom use with regular partners included across gender, urban residence, and higher education levels; for women, disclosure and younger age; and for men only, no history of alcohol consumption. Male and female participants with a casual sexual partner were less likely to use a condom consistently with regular partners. Additionally, urban residence and a CD4 count greater than 200 cells/mm as well as (for women only) a higher household income and a history of alcohol consumption were predictors of having a regular sexual partner. CONCLUSIONS: HIV prevention programs in South Africa that emphasize the importance of condom use and disclosure and are tailored to the needs of their attending populations are critical given the potential for HIV-infected individuals to resume risky sexual behavior with improving health.
File Format	HTM / HTML
ISSN	15254135
e-ISSN	10779450
DOI	10.1097/QAI.0b013e3181648de8
Journal	JAIDS Journal of Acquired Immune Deficiency Syndromes
Issue Number	4
Volume Number	47
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2008-04-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline AIDS Hiv Infections Transmission Reproductive Medicine Statistics & Numerical Data Rural Population Sexual Behavior Urban Population Prevention & Control Multivariate Analysis Sexual Partners Questionnaires Research Support, N.i.h., Extramural Research Support, U.s. Gov't, Non-p.h.s.
Content Type	Text
Resource Type	Article
Subject	Infectious Diseases Pharmacology (medical)

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