Changes in sexual risk taking with antiretroviral treatment
Influence of context and gender norms in Mombasa, Kenya
Bibliographic Data
| ID | 15098040 |
|---|---|
| Authors | Avina Sarna (0000-0003-1713-426X, Population Council, corresponding author), Matthew Chersich (0000-0002-4320-9168, International Centre for Reproductive Health), Jerry Okal (0000-0002-5130-1642, International Centre for Reproductive Health), Luchter (0000-0001-5235-5629, Ghent University), Stanley M F Luchters (International Centre for Reproductive Health, Ghent University), Kishorchandra Mandaliya (Gold Coast Hospital), Kishorchandra N Mandaliya (Coast Provincial General Hospital), Naomi Rutenberg (Population Council), Marleen Temmerman (0000-0003-2069-8752, International Centre for Reproductive Health, Ghent University) |
| Year | 2009 |
| Volume | 11 |
| Issue | 8 |
| Pages | 783-797 |
| Publication date | 2009-11-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Culture Health & Sexuality (JOURNAL) |
| Journal identifiers | ISSN: 1369-1058 • E-ISSN: 1464-5351 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/13691050903033423 |
| PMID | 19557584 |
| OpenAlex | W2088594732 |
| Language | EN |
| Citations received | 10 |
| References cited | 24 |
In-depth interviews were conducted with 23 sexually-active adults receiving antiretroviral treatment (ART) in Mombasa Kenya to understand changes in sexual behaviour after treatment initiation and factors influencing condom use. Advanced HIV disease had previously led to marked decreases in sexual desire and function. After HIV testing, numbers of partners reduced and monogamous relationships began to predominate. Receipt of ART strengthened these changes, while improving sexual health. However, concurrent sexual partnerships continue within polygamous marriage and unprotected sex occurs with regular partners, even those who are HIV-negative. Those who used condoms inconsistently prior to ART often remained inconsistent users thereafter. While disclosure of HIV status appeared to support condom use, this does not always predict protected sex. In addition to classic perceptions about condom's effect on intimacy and trust, traditional gender roles, misconceptions about potential harm from condoms and fertility desires hinder condom use
Antiretroviral therapy · Condom · Context (archaeology · Family medicine · Geography · Gynecology · Human immunodeficiency virus (HIV · Sexual behavior · Sociology · Viral load · Adolescent Sexual and Reproductive Health · Clinical Psychology · Demography · HIV/AIDS Research and Interventions · Medicine · Psychology · Sex work and related issues
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| Unique citing works | 10 |
|---|---|
| Citations per year | 0,59 |
| Citation span | 2009 - 2012 (4) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 7 |