Abstract
We assessed unsafe sexual behaviors of the Nepalese HIV-positive men and their knowledge about the consequences of unsafe sex. We interviewed 167 participants recruited conveniently in the Kathmandu Valley, Nepal. Of total, 125 participants (75%) had sex in the past 6 months, 47% of whom with multiple partners. Fifty-seven (46%) of 123 participants who had sex did not always use condoms; unsafe sex was common in seroconcordant or serodiscordant relationships or in sero-unknown relationships. Only 41% (50/123) participants knew about the possibility of HIV superinfection. Our results suggest the urgent need of HIV prevention interventions for the Nepalese HIV-positive men.
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Beine, D. (2002). HIV/AIDS in Nepal: The making of a cultural model. Contributions to Nepalese Studies, 29, 275–310.
Buchacz, K., Patel, P., Taylor, M., Kerndt, P. R., Byers, R. H., Holmberg, S. D., et al. (2004). Syphilis increases HIV viral load and decreases CD4 cell counts in HIV-infected patients with new syphilis infections. AIDS, 18, 2075–2079. doi:10.1097/00002030-200410210-00012. (London, England).
Cohen, M. S., Hoffman, I. F., Royce, R. A., Kazembe, P., Dyer, J. R., Daly, C. C., et al. (1997). Reduction of concentration of HIV-1 in semen after treatment of urethritis: implications for prevention of sexual transmission of HIV-1. Lancet, 349, 1868–1873. doi:10.1016/S0140-6736(97)02190-9.
Colfax, G. N., Guzman, R., Wheeler, S., Mansergh, G., Marks, G., Rader, M., et al. (2004). Beliefs about HIV reinfection (superinfection) and sexual behavior among a diverse sample of HIV-positive men who have sex with men. Journal of Acquired Immune Deficiency Syndromes, 36, 990–992. doi:10.1097/00126334-200408010-00017.
Kalichman, S. C. (2005). Positive prevention: reducing HIV transmission among people living with HIV/AIDS. New York: Kluwer/Plenum Publishing.
National Center for AIDS and STD Control. (2003). National HIV/AIDS strategy (2002–2006) Nepal. Kathmandu: National Center for AIDS and STD Control.
Poudel, K. C., Nakahara, S., Poudel-Tandukar, K., & Jimba, M. (2007). Perception towards preventive behaviors against HIV transmission among people living with HIV/AIDS in Kathmandu, Nepal. Public Health, 121, 958–961. doi:10.1016/j.puhe.2007.03.006.
Richardson, J. L., Milam, J., McCutchan, A., Stoyanoff, S., Bolan, R., Weiss, J., et al. (2004). Effect of brief safer-sex counseling by medical providers to HIV-1 seropositive patients: A multi-clinic assessment. AIDS, 18, 1179–1186. doi:10.1097/00002030-200405210-00011. (London, England).
Smith, D. M., Richman, D. D., & Little, S. J. (2005). HIV superinfection. The Journal of Infectious Diseases, 192, 438–444. doi:10.1086/431682.
UNAIDS/UNICEF/WHO. (2006). Nepal: epidemiological fact sheets on HIV/AIDS and sexually transmitted infections, December 2006. Geneva: UNAIDS.
Wingood, G. M., DiClemente, R. J., Mikhail, I., Lang, D. L., McCree, D. H., Davies, S. L., et al. (2004). A randomized controlled trial to reduce HIV transmission risk behaviors and sexually transmitted diseases among women living with HIV. Journal of Acquired Immune Deficiency Syndromes, 37, S58–S67. doi:10.1097/01.qai.0000140603.57478.a9.
World Health Organization. (2007). HIV/AIDS in the South-East Asia region. New Delhi: WHO Regional Office for South-East Asia.
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The authors gratefully acknowledge all the participants of this study for their participation. We thank several other people who supported us in recruiting the participants and managing the appropriate places for interviews.
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Poudel, K.C., Nakahara, S., Poudel-Tandukar, K. et al. Unsafe Sexual Behaviors among HIV-positive Men in Kathmandu Valley, Nepal. AIDS Behav 13, 1143–1150 (2009). https://doi.org/10.1007/s10461-008-9454-5
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DOI: https://doi.org/10.1007/s10461-008-9454-5


