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AIDS and Behavior
Published in: AIDS and Behavior 8/2014

01-08-2014 | Original Paper

HIV Transmission Risk Behavior Among HIV-Positive Patients Receiving Antiretroviral Therapy in KwaZulu-Natal, South Africa

Authors: Paul A. Shuper, Susan M. Kiene, Gethwana Mahlase, Susan MacDonald, Sarah Christie, Deborah H. Cornman, William A. Fisher, Ross Greener, Umesh G. Lalloo, Sandy Pillay, Francois van Loggerenberg, Jeffrey D. Fisher

Published in: AIDS and Behavior | Issue 8/2014

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Abstract

The aim of this investigation was to identify factors associated with HIV transmission risk behavior among HIV-positive women and men receiving antiretroviral therapy (ART) in KwaZulu-Natal, South Africa. Across 16 clinics, 1,890 HIV+ patients on ART completed a risk-focused audio computer-assisted self-interview upon enrolling in a prevention-with-positives intervention trial. Results demonstrated that 62 % of HIV-positive patients’ recent unprotected sexual acts involved HIV-negative or HIV status unknown partners. For HIV-positive women, multivariable correlates of unprotected sex with HIV-negative or HIV status unknown partners were indicative of poor HIV prevention-related information and of sexual partnership-associated behavioral skills barriers. For HIV-positive men, multivariable correlates represented motivational barriers, characterized by negative condom attitudes and the experience of depressive symptomatology, as well as possible underlying information deficits. Findings suggest that interventions addressing gender-specific and culturally-relevant information, motivation, and behavioral skills barriers could help reduce HIV transmission risk behavior among HIV-positive South Africans.
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Metadata
Title
HIV Transmission Risk Behavior Among HIV-Positive Patients Receiving Antiretroviral Therapy in KwaZulu-Natal, South Africa
Authors
Paul A. Shuper
Susan M. Kiene
Gethwana Mahlase
Susan MacDonald
Sarah Christie
Deborah H. Cornman
William A. Fisher
Ross Greener
Umesh G. Lalloo
Sandy Pillay
Francois van Loggerenberg
Jeffrey D. Fisher
Publication date
01-08-2014
Publisher
Springer US
Published in
AIDS and Behavior / Issue 8/2014
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-013-0647-1

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