AIDS and Behavior

, Volume 12, Issue 4, pp 570–577 | Cite as

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

  • Thomas P. Eisele
  • Catherine Mathews
  • Mickey Chopra
  • Lisanne Brown
  • Eva Silvestre
  • Vanessa Daries
  • Carl Kendall
Original Paper

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 

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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Thomas P. Eisele
    • 1
  • Catherine Mathews
    • 2
    • 3
  • Mickey Chopra
    • 2
    • 4
  • Lisanne Brown
    • 1
  • Eva Silvestre
    • 1
  • Vanessa Daries
    • 2
    • 3
  • Carl Kendall
    • 1
    • 5
  1. 1.Department of International Health and DevelopmentTulane University School of Public Health and Tropical MedicineNew OrleansUSA
  2. 2.Health Systems Research UnitMedical Research CouncilTygerbergSouth Africa
  3. 3.School of Public Health and Family MedicineUniversity of Cape TownCape TownSouth Africa
  4. 4.School of Public HealthUniversity of the Western CapeCape TownSouth Africa
  5. 5.College of Health and Human ServicesNew Mexico State UniversityLas CrucesUSA

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