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Published in: AIDS and Behavior 1/2012

01-01-2012 | Original Paper

Sexual Risk Behaviors Among HIV-Infected South African Men and Women with Their Partners in a Primary Care Program: Implications for Couples-Based Prevention

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

Published in: AIDS and Behavior | Issue 1/2012

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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 HIV-positive partner, but continued among those with a HIV-negative 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.
Literature
1.
go back to reference Dukers N, Goudsmit J, de Wit JB, Prins M, Weverling GJ, Coutinho RA. Sexual risk behaviour relates to the virological and immunological improvements during highly active antiretroviral therapy in HIV-1 infection. AIDS. 2001;15(3):369–78.PubMedCrossRef Dukers N, Goudsmit J, de Wit JB, Prins M, Weverling GJ, Coutinho RA. Sexual risk behaviour relates to the virological and immunological improvements during highly active antiretroviral therapy in HIV-1 infection. AIDS. 2001;15(3):369–78.PubMedCrossRef
2.
go back to reference Kelly J, Otto-Salaj LL, Sikkema KJ, Pinkerton SD, Bloom FR. Implications of HIV treatment advances for behavioral research on AIDS: protease inhibitors and new challenges in HIV secondary prevention. Health Psychol. 1998;17(4):310–9.PubMedCrossRef Kelly J, Otto-Salaj LL, Sikkema KJ, Pinkerton SD, Bloom FR. Implications of HIV treatment advances for behavioral research on AIDS: protease inhibitors and new challenges in HIV secondary prevention. Health Psychol. 1998;17(4):310–9.PubMedCrossRef
3.
go back to reference Stolte I, Dukers NH, Geskus RB, Coutinho RA, de Wit JB. Homosexual men change to risky sex when perceiving less threat of HIV/AIDS since availability of highly active antiretroviral therapy: a longitudinal study. AIDS. 2004;18(2):303–9.PubMedCrossRef Stolte I, Dukers NH, Geskus RB, Coutinho RA, de Wit JB. Homosexual men change to risky sex when perceiving less threat of HIV/AIDS since availability of highly active antiretroviral therapy: a longitudinal study. AIDS. 2004;18(2):303–9.PubMedCrossRef
4.
go back to reference Ostrow D, Fox KJ, Chmiel JS, Silvestre A, Visscher BR, Vanable PA, Jacobson LP, et al. Attitudes towards highly active antiretroviral therapy are associated with sexual risk taking among HIV-infected and uninfected homosexual men. AIDS. 2002;16(5):775–80.PubMedCrossRef Ostrow D, Fox KJ, Chmiel JS, Silvestre A, Visscher BR, Vanable PA, Jacobson LP, et al. Attitudes towards highly active antiretroviral therapy are associated with sexual risk taking among HIV-infected and uninfected homosexual men. AIDS. 2002;16(5):775–80.PubMedCrossRef
5.
go back to reference Granich R, Gilks CF, Dye C, De Cock KM, Williams BG. Universal voluntary HIV testing with immediate antiretroviral therapy as a strategy for elimination of HIV transmission: a mathematical model. Lancet. 2009;373(9657):48–57.PubMedCrossRef Granich R, Gilks CF, Dye C, De Cock KM, Williams BG. Universal voluntary HIV testing with immediate antiretroviral therapy as a strategy for elimination of HIV transmission: a mathematical model. Lancet. 2009;373(9657):48–57.PubMedCrossRef
6.
go back to reference Dodd P, Garnett GP, Hallett TB. Examining the promise of HIV elimination by ‘test and treat’ in hyperendemic settings. AIDS. 2010;24(5):729–35.PubMedCrossRef Dodd P, Garnett GP, Hallett TB. Examining the promise of HIV elimination by ‘test and treat’ in hyperendemic settings. AIDS. 2010;24(5):729–35.PubMedCrossRef
7.
go back to reference Mayer K, Venkatesh KK. Antiretroviral therapy for HIV prevention: current status and future prospects. Am J Public Health. 2010;100(10):1867–76.PubMedCrossRef Mayer K, Venkatesh KK. Antiretroviral therapy for HIV prevention: current status and future prospects. Am J Public Health. 2010;100(10):1867–76.PubMedCrossRef
9.
go back to reference Rehle T, Hallett TB, Shisana O, Pillay-van Wyk V, Zuma K, Carrara H, et al. A decline in new HIV infections in South Africa: estimating HIV incidence from three national HIV surveys in 2002, 2005 and 2008. PLos ONE. 2010;5(6):e11094. Rehle T, Hallett TB, Shisana O, Pillay-van Wyk V, Zuma K, Carrara H, et al. A decline in new HIV infections in South Africa: estimating HIV incidence from three national HIV surveys in 2002, 2005 and 2008. PLos ONE. 2010;5(6):e11094.
10.
go back to reference Pettifor A, Kleinschmidt I, Levin J, Rees HV, MacPhail C, Madikizela-Hlongwa L, et al. A community-based study to examine the effect of a youth HIV prevention intervention on young people aged 15–24 in South Africa: results of the baseline survey. Trop Med Int Health. 2005;10(10):971–80.PubMedCrossRef Pettifor A, Kleinschmidt I, Levin J, Rees HV, MacPhail C, Madikizela-Hlongwa L, et al. A community-based study to examine the effect of a youth HIV prevention intervention on young people aged 15–24 in South Africa: results of the baseline survey. Trop Med Int Health. 2005;10(10):971–80.PubMedCrossRef
11.
go back to reference Eaton L, Flisher AJ, Aarø LE. Unsafe sexual behaviour in South African youth. Soc Sci Med. 2003;56(1):149–65.PubMedCrossRef Eaton L, Flisher AJ, Aarø LE. Unsafe sexual behaviour in South African youth. Soc Sci Med. 2003;56(1):149–65.PubMedCrossRef
12.
go back to reference Hargreaves J, Bonell CP, Morison LA, Kim JC, Phetla G, Porter JD, et al. Explaining continued high HIV prevalence in South Africa: socioeconomic factors, HIV incidence and sexual behaviour change among a rural cohort, 2001–2004. AIDS. 2007;21(Supplement 7):S39–48.PubMedCrossRef Hargreaves J, Bonell CP, Morison LA, Kim JC, Phetla G, Porter JD, et al. Explaining continued high HIV prevalence in South Africa: socioeconomic factors, HIV incidence and sexual behaviour change among a rural cohort, 2001–2004. AIDS. 2007;21(Supplement 7):S39–48.PubMedCrossRef
13.
go back to reference Lurie M, Williams BG, Zuma K, Mkaya-Mwamburi D, Garnett GP, Sweat MD, et al. Who infects whom? HIV-1 concordance and discordance among migrant and non-migrant couples in South Africa. AIDS. 2003;17(15):2245–52.PubMedCrossRef Lurie M, Williams BG, Zuma K, Mkaya-Mwamburi D, Garnett GP, Sweat MD, et al. Who infects whom? HIV-1 concordance and discordance among migrant and non-migrant couples in South Africa. AIDS. 2003;17(15):2245–52.PubMedCrossRef
14.
go back to reference Grabbe K, Bunnell R. Reframing HIV prevention in sub-Saharan Africa using couple-centered approaches. J Am Med Assoc. 2010;304(3):346–7.CrossRef Grabbe K, Bunnell R. Reframing HIV prevention in sub-Saharan Africa using couple-centered approaches. J Am Med Assoc. 2010;304(3):346–7.CrossRef
15.
go back to reference Dunkle K, Stephenson R, Karita E, Chomba E, Kayitenkore K, Vwalika C, et al. New heterosexually transmitted HIV infections in married or cohabiting couples in urban Zambia and Rwanda: an analysis of survey and clinical data. Lancet. 2008;371(9631):2183–91.PubMedCrossRef Dunkle K, Stephenson R, Karita E, Chomba E, Kayitenkore K, Vwalika C, et al. New heterosexually transmitted HIV infections in married or cohabiting couples in urban Zambia and Rwanda: an analysis of survey and clinical data. Lancet. 2008;371(9631):2183–91.PubMedCrossRef
16.
go back to reference Hugonnet S, Mosha F, Todd J, Mugeye K, Klokke A, Ndeki L, et al. Incidence of HIV infection in stable sexual partnerships: a retrospective cohort study of 1802 couples in Mwanza Region, Tanzania. J Acquir Immune Defic Syndr. 2002;30(1):73–80.PubMed Hugonnet S, Mosha F, Todd J, Mugeye K, Klokke A, Ndeki L, et al. Incidence of HIV infection in stable sexual partnerships: a retrospective cohort study of 1802 couples in Mwanza Region, Tanzania. J Acquir Immune Defic Syndr. 2002;30(1):73–80.PubMed
17.
go back to reference Eyawo O, de Walque D, Ford N, Gakii G, Lester RT, Mills EJ. HIV status in discordant couples in sub-Saharan Africa: a systematic review and meta-analysis. Lancet Infect Dis. 2010;10(11):770–7.PubMedCrossRef Eyawo O, de Walque D, Ford N, Gakii G, Lester RT, Mills EJ. HIV status in discordant couples in sub-Saharan Africa: a systematic review and meta-analysis. Lancet Infect Dis. 2010;10(11):770–7.PubMedCrossRef
18.
go back to reference Foss A, Hossain M, Vickerman PT, Watts CH. A systematic review of published evidence on intervention impact on condom use in sub-Saharan Africa and Asia. Sex Transm Infect. 2007;83(7):510–6.PubMedCrossRef Foss A, Hossain M, Vickerman PT, Watts CH. A systematic review of published evidence on intervention impact on condom use in sub-Saharan Africa and Asia. Sex Transm Infect. 2007;83(7):510–6.PubMedCrossRef
19.
go back to reference Guthrie B, de Bruyn G, Farquhar C. HIV-1-discordant couples in sub-Saharan Africa: explanations and implications for high rates of discordancy. Curr HIV Res. 2007;5(4):416–29.PubMedCrossRef Guthrie B, de Bruyn G, Farquhar C. HIV-1-discordant couples in sub-Saharan Africa: explanations and implications for high rates of discordancy. Curr HIV Res. 2007;5(4):416–29.PubMedCrossRef
20.
go back to reference Sarna A, Luchters SM, Geibel S, Kaai S, Munyao P, Shikely KS, et al. Sexual risk behaviour and HAART: a comparative study of HIV-infected persons on HAART and on preventive therapy in Kenya. Int J STD AIDS. 2008;19(2):85–9.PubMedCrossRef Sarna A, Luchters SM, Geibel S, Kaai S, Munyao P, Shikely KS, et al. Sexual risk behaviour and HAART: a comparative study of HIV-infected persons on HAART and on preventive therapy in Kenya. Int J STD AIDS. 2008;19(2):85–9.PubMedCrossRef
21.
go back to reference Kennedy C, O’Reilly K, Medley A, Sweat M. The impact of HIV treatment on risk behaviour in developing countries: a systematic review. AIDS Care. 2007;19(6):707–20.PubMedCrossRef Kennedy C, O’Reilly K, Medley A, Sweat M. The impact of HIV treatment on risk behaviour in developing countries: a systematic review. AIDS Care. 2007;19(6):707–20.PubMedCrossRef
22.
go back to reference Moatti J, Prudhomme J, Traore DC, Juillet-Amari A, Akribi HA, Msellati P, Côte d’Ivoire HIV Drug Access Initiative Socio-Behavioural Evaluation Group. Access to antiretroviral treatment and sexual behaviours of HIV-infected patients aware of their serostatus in Côte d’Ivoire. AIDS. 2003;17(Supplement 3):S69–77.PubMedCrossRef Moatti J, Prudhomme J, Traore DC, Juillet-Amari A, Akribi HA, Msellati P, Côte d’Ivoire HIV Drug Access Initiative Socio-Behavioural Evaluation Group. Access to antiretroviral treatment and sexual behaviours of HIV-infected patients aware of their serostatus in Côte d’Ivoire. AIDS. 2003;17(Supplement 3):S69–77.PubMedCrossRef
23.
go back to reference Bateganya M, Colfax G, Shafer LA, Kityo C, Mugyenyi P, Serwadda D, et al. Antiretroviral therapy and sexual behavior: a comparative study between antiretroviral- naive and -experienced patients at an urban HIV/AIDS care and research center in Kampala, Uganda. AIDS Patient Care STDs. 2005;19(11):760–8.PubMedCrossRef Bateganya M, Colfax G, Shafer LA, Kityo C, Mugyenyi P, Serwadda D, et al. Antiretroviral therapy and sexual behavior: a comparative study between antiretroviral- naive and -experienced patients at an urban HIV/AIDS care and research center in Kampala, Uganda. AIDS Patient Care STDs. 2005;19(11):760–8.PubMedCrossRef
24.
go back to reference Bunnell R, Ekwaru JP, Solberg P, Wamai N, Bikaako-Kajura W, Were W, et al. Changes in sexual behavior and risk of HIV transmission after antiretroviral therapy and prevention interventions in rural Uganda. AIDS. 2006;20(1):85–92.PubMedCrossRef Bunnell R, Ekwaru JP, Solberg P, Wamai N, Bikaako-Kajura W, Were W, et al. Changes in sexual behavior and risk of HIV transmission after antiretroviral therapy and prevention interventions in rural Uganda. AIDS. 2006;20(1):85–92.PubMedCrossRef
25.
go back to reference McClelland R, Graham SM, Richardson BA, Peshu N, Masese LN, Wanje GH, et al. Treatment with antiretroviral therapy is not associated with increased sexual risk behavior in Kenyan female sex workers. AIDS. 2010;24:891–7.PubMedCrossRef McClelland R, Graham SM, Richardson BA, Peshu N, Masese LN, Wanje GH, et al. Treatment with antiretroviral therapy is not associated with increased sexual risk behavior in Kenyan female sex workers. AIDS. 2010;24:891–7.PubMedCrossRef
26.
go back to reference Marcellin F, Bonono CR, Blache J, Carrieri MP, Spire B, Koulla-Shiro S. EVAL Study Group Higher risk of unsafe sex and impaired quality of life among patients not receiving antiretroviral therapy in Cameroon: results from the EVAL survey (ANRS 12-116). AIDS. 2010;24(Supplement 1):S17–25.PubMedCrossRef Marcellin F, Bonono CR, Blache J, Carrieri MP, Spire B, Koulla-Shiro S. EVAL Study Group Higher risk of unsafe sex and impaired quality of life among patients not receiving antiretroviral therapy in Cameroon: results from the EVAL survey (ANRS 12-116). AIDS. 2010;24(Supplement 1):S17–25.PubMedCrossRef
27.
go back to reference Dia A, Marcellin F, Bonono R-C, Boyer S, Bouhnik A-D, Protopopescu C, et al. Prevalence of unsafe sex with one’s steady partner either HIV-negative or of unknown HIV status and associated determinants in Cameroon (EVAL ANRS12-16 survey). Sex Transm Infect. 2010;86:148–54.PubMedCrossRef Dia A, Marcellin F, Bonono R-C, Boyer S, Bouhnik A-D, Protopopescu C, et al. Prevalence of unsafe sex with one’s steady partner either HIV-negative or of unknown HIV status and associated determinants in Cameroon (EVAL ANRS12-16 survey). Sex Transm Infect. 2010;86:148–54.PubMedCrossRef
28.
go back to reference Eaton L, Kalichman SC, O’Connell DA, Karchner WD. A strategy for selecting sexual partners believed to pose little/no risks for HIV: serosorting and its implications for HIV transmission. AIDS Care. 2009;21(10):1279–88.PubMedCrossRef Eaton L, Kalichman SC, O’Connell DA, Karchner WD. A strategy for selecting sexual partners believed to pose little/no risks for HIV: serosorting and its implications for HIV transmission. AIDS Care. 2009;21(10):1279–88.PubMedCrossRef
29.
go back to reference Suarez T, Kelly JA, Pinkerton SD, Stevenson YL, Hayat M, Smith MD, et al. Influence of a partner’s HIV serostatus, use of highly active antireretroviral therapy, and viral load on perceptions of sexual risk behavior in a community sample of men who have sex with men. J Acquir Immune Defic Syndr. 2001;28(5):471–7.PubMed Suarez T, Kelly JA, Pinkerton SD, Stevenson YL, Hayat M, Smith MD, et al. Influence of a partner’s HIV serostatus, use of highly active antireretroviral therapy, and viral load on perceptions of sexual risk behavior in a community sample of men who have sex with men. J Acquir Immune Defic Syndr. 2001;28(5):471–7.PubMed
30.
go back to reference Human Sciences Research Council. South African national HIV prevalence, incidence, behavior, and communication survey, 2008: a turning tide among teenagers? Cape Town: HSRC Press; 2008. Human Sciences Research Council. South African national HIV prevalence, incidence, behavior, and communication survey, 2008: a turning tide among teenagers? Cape Town: HSRC Press; 2008.
31.
go back to reference Lurie M, Pronyk P, de Moor E, Heyer A, de Bruyn G, Struthers H, et al. Sexual behavior and reproductive health among HIV-infected patients in urban and rural South Africa. J Acquir Immune Defic Syndr. 2008;47(4):484–93.PubMedCrossRef Lurie M, Pronyk P, de Moor E, Heyer A, de Bruyn G, Struthers H, et al. Sexual behavior and reproductive health among HIV-infected patients in urban and rural South Africa. J Acquir Immune Defic Syndr. 2008;47(4):484–93.PubMedCrossRef
32.
go back to reference Venkatesh K, de Bruyn G, Lurie MN, Mohapi L, Pronyk P, Moshabela M. Decreased sexual risk behavior in the era of HAART among HIV-infected urban and rural South Africans attending primary care clinics. AIDS. 2010;24(17):2687–96.PubMedCrossRef Venkatesh K, de Bruyn G, Lurie MN, Mohapi L, Pronyk P, Moshabela M. Decreased sexual risk behavior in the era of HAART among HIV-infected urban and rural South Africans attending primary care clinics. AIDS. 2010;24(17):2687–96.PubMedCrossRef
33.
go back to reference Omar TSS, Tshabangu N, Golub J, Hanrahan C, Gray G, Struthers H, et al. Progression and regression of pre-malignant cervical lesions in HIV-infected women from Soweto: a prospective cohort 17th conference on retroviruses and opportunistic infections; 2010. San Francisco; 2010. Omar TSS, Tshabangu N, Golub J, Hanrahan C, Gray G, Struthers H, et al. Progression and regression of pre-malignant cervical lesions in HIV-infected women from Soweto: a prospective cohort 17th conference on retroviruses and opportunistic infections; 2010. San Francisco; 2010.
34.
go back to reference South African Clinicians Society Guidelines. Antiretroviral therapy in adults. South Afr J HIV Med. 2008;29:18–31. South African Clinicians Society Guidelines. Antiretroviral therapy in adults. South Afr J HIV Med. 2008;29:18–31.
35.
go back to reference Jonesm CY, Hogan JW, Snyder B, Klein RS, Rompalo A, Schuman P, Carpenter CC, HIV Epidemiology Research Study Group. Overweight and human immunodeficiency virus (HIV) progression in women: associations HIV disease progression and changes in body mass index in women in the HIV epidemiology research study cohort. Clin Infect Dis. 2003;37(Supplement 2):S69–80.CrossRef Jonesm CY, Hogan JW, Snyder B, Klein RS, Rompalo A, Schuman P, Carpenter CC, HIV Epidemiology Research Study Group. Overweight and human immunodeficiency virus (HIV) progression in women: associations HIV disease progression and changes in body mass index in women in the HIV epidemiology research study cohort. Clin Infect Dis. 2003;37(Supplement 2):S69–80.CrossRef
36.
go back to reference Malvy E, Thiébaut R, Marimoutou C, Dabis F, Groupe d’Epidemiologie Clinique du Sida en Aquitaine. Weight loss and body mass index as predictors of HIV disease progression to AIDS in adults. Aquitaine cohort, France, 1985–1997. J Am Coll Nutr. 2001;20(6):609–15.PubMed Malvy E, Thiébaut R, Marimoutou C, Dabis F, Groupe d’Epidemiologie Clinique du Sida en Aquitaine. Weight loss and body mass index as predictors of HIV disease progression to AIDS in adults. Aquitaine cohort, France, 1985–1997. J Am Coll Nutr. 2001;20(6):609–15.PubMed
37.
go back to reference World Health Organization. Physical status: the use and interpretation of anthropometry. Report of WHO Expert Committee. 1995. World Health Organization. Physical status: the use and interpretation of anthropometry. Report of WHO Expert Committee. 1995.
38.
go back to reference Kakinami L, de Bruyn G, Pronyk P, Mohapi L, Tshabangu N, Moshabela M, et al. The impact of highly active antiretroviral therapy on activities of daily living in HIV-infected adults in South Africa. AIDS Behav. 2010. doi:10.1007/s10461-010-9776-y. Kakinami L, de Bruyn G, Pronyk P, Mohapi L, Tshabangu N, Moshabela M, et al. The impact of highly active antiretroviral therapy on activities of daily living in HIV-infected adults in South Africa. AIDS Behav. 2010. doi:10.​1007/​s10461-010-9776-y.
39.
go back to reference Szklo M, Nieto FJ. Epidemiology beyond the basics. 2nd ed. Sudbury: Jones and Bartlett Publishers; 2006. Szklo M, Nieto FJ. Epidemiology beyond the basics. 2nd ed. Sudbury: Jones and Bartlett Publishers; 2006.
40.
go back to reference Rothman K, Greenland S, Lash TL. Modern epidmiology. 3rd ed. Philadelphia: Walters Kluwer; 2008. Rothman K, Greenland S, Lash TL. Modern epidmiology. 3rd ed. Philadelphia: Walters Kluwer; 2008.
41.
go back to reference Mizuno Y, Purcell DW, Latka MH, Metsch LR, Ding H, Gomez CA, et al. Is sexual serosorting occurring among HIV-positive injection drug users? Comparison between those with HIV-positive partners only, HIV-negative partners only, and those with any partners of unknown status. AIDS Behav. 2010;14(1):92–102.PubMedCrossRef Mizuno Y, Purcell DW, Latka MH, Metsch LR, Ding H, Gomez CA, et al. Is sexual serosorting occurring among HIV-positive injection drug users? Comparison between those with HIV-positive partners only, HIV-negative partners only, and those with any partners of unknown status. AIDS Behav. 2010;14(1):92–102.PubMedCrossRef
42.
go back to reference Hernando V, del Romero J, García S, Rodríguez C, del Amo J, Castilla J. Reducing sexual risk behavior among steady heterosexual serodiscordant couples in a testing and counseling program. Sex Transm Dis. 2009;36(10):621–8.PubMedCrossRef Hernando V, del Romero J, García S, Rodríguez C, del Amo J, Castilla J. Reducing sexual risk behavior among steady heterosexual serodiscordant couples in a testing and counseling program. Sex Transm Dis. 2009;36(10):621–8.PubMedCrossRef
43.
go back to reference Allen S, Meinzen-Derr J, Kautzman M, Zulu I, Trask S, Fideli U, et al. Sexual behavior of HIV discordant couples after HIV counseling and testing. AIDS. 2003;17(5):733–40.PubMedCrossRef Allen S, Meinzen-Derr J, Kautzman M, Zulu I, Trask S, Fideli U, et al. Sexual behavior of HIV discordant couples after HIV counseling and testing. AIDS. 2003;17(5):733–40.PubMedCrossRef
44.
go back to reference Burton J, Darbes LA, Operario D. Couples-focused behavioral interventions for prevention of HIV: systematic review of the state of evidence. AIDS Behav. 2010;14(1):1–10.PubMedCrossRef Burton J, Darbes LA, Operario D. Couples-focused behavioral interventions for prevention of HIV: systematic review of the state of evidence. AIDS Behav. 2010;14(1):1–10.PubMedCrossRef
45.
go back to reference Roth D, Stewart KE, Clay OJ, van Der Straten A, Karita E, Allen S. Sexual practices of HIV discordant and concordant couples in Rwanda: effects of a testing and counselling programme for men. Int J STD AIDS. 2001;12(3):181–8.PubMedCrossRef Roth D, Stewart KE, Clay OJ, van Der Straten A, Karita E, Allen S. Sexual practices of HIV discordant and concordant couples in Rwanda: effects of a testing and counselling programme for men. Int J STD AIDS. 2001;12(3):181–8.PubMedCrossRef
46.
go back to reference Bunnell R, Nassozi J, Marum E, Mubangizi J, Malamba S, Dillon B, et al. Living with discordance: knowledge, challenges, and prevention strategies of HIV-discordant couples in Uganda. AIDS Care. 2005;17(8):999–1012.PubMedCrossRef Bunnell R, Nassozi J, Marum E, Mubangizi J, Malamba S, Dillon B, et al. Living with discordance: knowledge, challenges, and prevention strategies of HIV-discordant couples in Uganda. AIDS Care. 2005;17(8):999–1012.PubMedCrossRef
47.
go back to reference Desgrées-du-Loû A, Orne-Gliemann J. Couple-centred testing and counselling for HIV serodiscordant heterosexual couples in sub-Saharan Africa. Reprod Health Matters. 2008;32:151–61.CrossRef Desgrées-du-Loû A, Orne-Gliemann J. Couple-centred testing and counselling for HIV serodiscordant heterosexual couples in sub-Saharan Africa. Reprod Health Matters. 2008;32:151–61.CrossRef
48.
go back to reference Cohen M, Gay C, Kashuba AD, Blower S, Paxton L. Narrative review: antiretroviral therapy to prevent the sexual transmission of HIV-1. Ann Intern Med. 2007;146(8):591–601.PubMed Cohen M, Gay C, Kashuba AD, Blower S, Paxton L. Narrative review: antiretroviral therapy to prevent the sexual transmission of HIV-1. Ann Intern Med. 2007;146(8):591–601.PubMed
49.
go back to reference Donnell D, Kiarie J, Thomas K, Baeten J, Lingappa J, Cohen C, et al. ART and risk of heterosexual HIV-1 transmission in HIV-1 serodiscordant African couples: a multinational prospective study. In: 17th Conference on retroviruses and opportunistic infections, 2010. San Francisco; 2010. Donnell D, Kiarie J, Thomas K, Baeten J, Lingappa J, Cohen C, et al. ART and risk of heterosexual HIV-1 transmission in HIV-1 serodiscordant African couples: a multinational prospective study. In: 17th Conference on retroviruses and opportunistic infections, 2010. San Francisco; 2010.
50.
go back to reference Nattabi B, Li J, Thompson SC, Orach CG, Earnest J. A systematic review of factors influencing fertility desires and intentions among people living with HIV/AIDS: implications for policy and service delivery. AIDS Behav. 2009;13(5):949–68.PubMedCrossRef Nattabi B, Li J, Thompson SC, Orach CG, Earnest J. A systematic review of factors influencing fertility desires and intentions among people living with HIV/AIDS: implications for policy and service delivery. AIDS Behav. 2009;13(5):949–68.PubMedCrossRef
51.
go back to reference Jewkes R, Dunkle K, Nduna M, Shai N. Intimate partner violence, relationship power inequity, and incidence of HIV infection in young women in South Africa: a cohort study. Lancet. 2010;376(9734):41–8.PubMedCrossRef Jewkes R, Dunkle K, Nduna M, Shai N. Intimate partner violence, relationship power inequity, and incidence of HIV infection in young women in South Africa: a cohort study. Lancet. 2010;376(9734):41–8.PubMedCrossRef
52.
go back to reference Jewkes R, Levin JB, Penn-Kekana LA. Gender inequalities, intimate partner violence and HIV preventive practices: findings of a South African cross-sectional study. Soc Sci Med. 2003;56(1):125–34.PubMedCrossRef Jewkes R, Levin JB, Penn-Kekana LA. Gender inequalities, intimate partner violence and HIV preventive practices: findings of a South African cross-sectional study. Soc Sci Med. 2003;56(1):125–34.PubMedCrossRef
53.
go back to reference Zablotska I, Imrie J, Prestage G, Crawford J, Rawstorne P, Grulich A, et al. Gay men’s current practice of HIV seroconcordant unprotected anal intercourse: serosorting or seroguessing? AIDS Care. 2009;21(4):501–10.PubMedCrossRef Zablotska I, Imrie J, Prestage G, Crawford J, Rawstorne P, Grulich A, et al. Gay men’s current practice of HIV seroconcordant unprotected anal intercourse: serosorting or seroguessing? AIDS Care. 2009;21(4):501–10.PubMedCrossRef
54.
go back to reference Schroder K, Carey MP, Vanable PA. Methodological challenges in research on sexual risk behavior: II. Accuracy of self-reports. Annals of. Behav Med. 2003;26(2):104–23.CrossRef Schroder K, Carey MP, Vanable PA. Methodological challenges in research on sexual risk behavior: II. Accuracy of self-reports. Annals of. Behav Med. 2003;26(2):104–23.CrossRef
55.
go back to reference Langhaug L, Sherr L, Cowan FM. How to improve the validity of sexual behaviour reporting: systematic review of questionnaire delivery modes in developing countries. Trop Med Int Health. 2010;15(3):362–81.PubMedCrossRef Langhaug L, Sherr L, Cowan FM. How to improve the validity of sexual behaviour reporting: systematic review of questionnaire delivery modes in developing countries. Trop Med Int Health. 2010;15(3):362–81.PubMedCrossRef
56.
go back to reference Langhaug L, Cheung YB, Pascoe SJ, Chirawu P, Woelk G, Hayes RJ, et al. How you ask really matters: randomised comparison of four sexual behaviour questionnaire delivery modes in Zimbabwean youth. Sex Transm Infect. 2011;87(2):165–73.PubMedCrossRef Langhaug L, Cheung YB, Pascoe SJ, Chirawu P, Woelk G, Hayes RJ, et al. How you ask really matters: randomised comparison of four sexual behaviour questionnaire delivery modes in Zimbabwean youth. Sex Transm Infect. 2011;87(2):165–73.PubMedCrossRef
Metadata
Title
Sexual Risk Behaviors Among HIV-Infected South African Men and Women with Their Partners in a Primary Care Program: Implications for Couples-Based Prevention
Authors
Kartik K. Venkatesh
Guy de Bruyn
Mark N. Lurie
Tebogo Modisenyane
Elizabeth W. Triche
Glenda E. Gray
Alex Welte
Neil A. Martinson
Publication date
01-01-2012
Publisher
Springer US
Published in
AIDS and Behavior / Issue 1/2012
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-011-9941-y

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