AIDS and Behavior

, Volume 14, Issue 4, pp 816–823

Two-Year Follow-Up of Sexual Behavior Among HIV-Uninfected Household Members of Adults Taking Antiretroviral Therapy in Uganda: No Evidence of Disinhibition

  • Stevens Bechange
  • Rebecca Bunnell
  • Anna Awor
  • David Moore
  • Rachel King
  • Jonathan Mermin
  • Jordan Tappero
  • Kenneth Khana
  • Bradford Bartholow
Original Paper

DOI: 10.1007/s10461-008-9481-2

Cite this article as:
Bechange, S., Bunnell, R., Awor, A. et al. AIDS Behav (2010) 14: 816. doi:10.1007/s10461-008-9481-2

Abstract

This paper examines HIV risk behavior among HIV-uninfected adults living with people taking antiretroviral therapy (ART) in Uganda. A prospective cohort of 455 HIV-uninfected non-spousal household members of ART patients receiving home-based AIDS care was enrolled. Sexual behavior, HIV risk perceptions, AIDS-related anxiety, and the perception that AIDS is curable were assessed at baseline, 6, 12 and 24 months. Generalized linear mixture models were used to model risk behavior over time and to identify behavioral correlates. Overall, risky sex decreased from 29% at baseline to 15% at 24-months. Among women, risky sex decreased from 31% at baseline to 10% at 6 months and 15% at 24 months. Among men, risky sex decreased from 30% at baseline to 8% at 6 months and 13% at 24 months. Perceiving HIV/AIDS as curable and lower AIDS-related anxiety were independently associated with risky sex. No evidence of behavioral disinhibition was observed. Concerns regarding behavioral disinhibition should not slow down efforts to increase ART access in Africa.

Keywords

AfricaSexual behaviorAntiretroviral therapyDisinhibitionHIV-uninfectedUganda

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Stevens Bechange
    • 1
    • 2
  • Rebecca Bunnell
    • 1
    • 3
  • Anna Awor
    • 1
  • David Moore
    • 1
    • 4
  • Rachel King
    • 1
  • Jonathan Mermin
    • 1
    • 3
  • Jordan Tappero
    • 1
  • Kenneth Khana
    • 1
  • Bradford Bartholow
    • 1
  1. 1.CDC-Uganda, Global AIDS Program, National Center for HIV, Viral Hepatitis, STD and TB Prevention, Uganda Virus Research InstituteCenters for Disease Control and Prevention (CDC)EntebbeUganda
  2. 2.School of Development StudiesUniversity of East AngliaNorwichUK
  3. 3.CDC-KenyaNairobiKenya
  4. 4.British Columbia Centre for Excellence in HIV/AIDSUniversity of British ColumbiaVancouverCanada