Original Paper

AIDS and Behavior

, Volume 12, Issue 4, pp 570-577

High Levels of Risk Behavior Among People Living with HIV Initiating and Waiting to Start Antiretroviral Therapy in Cape Town South Africa

  • Thomas P. EiseleAffiliated withDepartment of International Health and Development, Tulane University School of Public Health and Tropical Medicine Email author 
  • , Catherine MathewsAffiliated withHealth Systems Research Unit, Medical Research CouncilSchool of Public Health and Family Medicine, University of Cape Town
  • , Mickey ChopraAffiliated withHealth Systems Research Unit, Medical Research CouncilSchool of Public Health, University of the Western Cape
  • , Lisanne BrownAffiliated withDepartment of International Health and Development, Tulane University School of Public Health and Tropical Medicine
  • , Eva SilvestreAffiliated withDepartment of International Health and Development, Tulane University School of Public Health and Tropical Medicine
  • , Vanessa DariesAffiliated withHealth Systems Research Unit, Medical Research CouncilSchool of Public Health and Family Medicine, University of Cape Town
  • , Carl KendallAffiliated withDepartment of International Health and Development, Tulane University School of Public Health and Tropical MedicineCollege of Health and Human Services, New Mexico State University

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Abstract

Baseline data were collected in Cape Town during 2006 to study if patients on combination antiretroviral therapy (ART) experience decreased inhibition to avoid risky sexual behavior. A total of 924 HIV-positive individuals were recruited; 520 who initiated ART within 3 months and 404 waiting for ART. Nearly half of men (40.1%) and women (46.3%) reported having unprotected sex their last time. Men and women who did not disclose their HIV status to their partner [Odds ration (OR) = 2.57 (95% CI: 1.22–5.50) and 2.84 (95% CI: 1.84–4.39), respectively], and those with ambivalent perception about the relationship between ART and HIV transmission [OR = 2.08 (95% CI: 1.00–4.30) and 2.39 (95% CI: 1.50–3.84), respectively], were twice as likely to have had unprotected sex their last time. Results suggest an urgent need to strengthen prevention interventions among HIV-positive individuals on and about to start ART in this setting.

Keywords

HIV/AIDS Antiretroviral therapy Risk behavior South Africa People living with HIV/AIDS