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Rates and Predictors of Consistent Condom-use by People Living with HIV/AIDS on Antiretroviral Treatment in Uganda

Antiretroviral treatment (ART) has been recognized as one of the methods for reducing the risk of HIV transmission, and access to this is being rapidly expanded. However, in a generalized HIV epidemic, ART could increase unprotected sex by people living with HIV/AIDS (PHAs). This paper assessed the...

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Published in:Journal of health, population and nutrition population and nutrition, 2012-09, Vol.30 (3), p.270-280
Main Author: Ayiga, Natal
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description Antiretroviral treatment (ART) has been recognized as one of the methods for reducing the risk of HIV transmission, and access to this is being rapidly expanded. However, in a generalized HIV epidemic, ART could increase unprotected sex by people living with HIV/AIDS (PHAs). This paper assessed the rates and predictors of consistent condom-use by sexually-active PHAs after initiating ART. The study used cross-sectional data on sexual behaviour of 269 sexually-active ART-experienced individuals (95 males and 174 females) aged 18 years and above. The results revealed that 65% (70% of men and 61% of women) used condom consistently after initiating ART. Consistent use of condom was more likely if PHAs had secondary- or tertiary-level education and had more than one sex partner in the 12 months preceding the study. However, PHAs were less likely to have used condom consistently if they worked in the informal and formal sectors, belonged to the medium- and high-income groups, and were married. PHAs, who were on ART for less than 1 year and 1-2 year(s), had a good self-perception of health, had a sexual partner who was HIV-negative or a partner with unknown HIV status, and desired to bear children, were also less likely to have used condom consistently. The paper concluded that, although the majority of PHAs consistently used condom, there was potential for unprotected sex by PHAs on ART.
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However, in a generalized HIV epidemic, ART could increase unprotected sex by people living with HIV/AIDS (PHAs). This paper assessed the rates and predictors of consistent condom-use by sexually-active PHAs after initiating ART. The study used cross-sectional data on sexual behaviour of 269 sexually-active ART-experienced individuals (95 males and 174 females) aged 18 years and above. The results revealed that 65% (70% of men and 61% of women) used condom consistently after initiating ART. Consistent use of condom was more likely if PHAs had secondary- or tertiary-level education and had more than one sex partner in the 12 months preceding the study. However, PHAs were less likely to have used condom consistently if they worked in the informal and formal sectors, belonged to the medium- and high-income groups, and were married. PHAs, who were on ART for less than 1 year and 1-2 year(s), had a good self-perception of health, had a sexual partner who was HIV-negative or a partner with unknown HIV status, and desired to bear children, were also less likely to have used condom consistently. The paper concluded that, although the majority of PHAs consistently used condom, there was potential for unprotected sex by PHAs on ART.</abstract><cop>Bangladesh</cop><pub>ICDDR,B: Centre for Health and Population Research</pub><pmid>23082629</pmid><doi>10.3329/jhpn.v30i3.12290</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record>
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subjects Acquired Immunodeficiency Syndrome - drug therapy
Acquired Immunodeficiency Syndrome - ethnology
Adult
AIDS
AIDS (Disease)
Anti-Retroviral Agents - therapeutic use
Antiretroviral drugs
Antiretroviral therapy
Antiretrovirals
Arts
Assisted reproductive techniques
Children
Condoms
Condoms - statistics & numerical data
Cross-Sectional Studies
Developed countries
Epidemics
Female
Health aspects
HIV
HIV Infections - drug therapy
HIV Infections - ethnology
HIV patients
Human immunodeficiency virus
Humans
Male
Medical treatment
Men
Original Papers
Prevention
Retrospective Studies
Safe Sex - ethnology
Safe sexual practices
Sexual behavior
Sexual behaviour
Uganda
Unsafe sex
Unsafe Sex - ethnology
title Rates and Predictors of Consistent Condom-use by People Living with HIV/AIDS on Antiretroviral Treatment in Uganda
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