Sexual risk-reduction strategies among HIV-infected men receiving ART in Kibera, Nairobi
Bibliographic Data
| ID | 19442568 |
|---|---|
| Authors | Anders Ragnarsson (Karolinska Institutet, corresponding author), Anna Thorson (0000-0002-8703-6561, Karolinska Institutet), Paul M Dover, Paul Dover (b Swedish/Norwegian Regional HIV/AIDS Team for Africa Embassy of Sweden , Lusaka , Zambia), Jane Carter (0000-0001-6304-1027, c AMREF Kenya Country Programme , Nairobi , Kenya), Jane Y Carter (0000-0003-4671-3519, Amref Health Africa), Festus Ilako (c AMREF Kenya Country Programme , Nairobi , Kenya), Dorcas Indalo (c AMREF Kenya Country Programme , Nairobi , Kenya), Anna Mia Ekström (0000-0002-3912-1171, Karolinska Institutet) |
| Year | 2011 |
| Volume | 23 |
| Issue | 3 |
| Pages | 315-321 |
| Publication date | 2011-03-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | AIDS Care (JOURNAL) |
| Journal identifiers | ISSN: 0954-0121 • E-ISSN: 1360-0451 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/09540121.2010.507753 |
| PMID | 21347894 |
| OpenAlex | W1965902148 |
| Language | EN |
| References cited | 38 |
This paper explores motivational factors and barriers to sexual behaviour change among men receiving antiretroviral treatment (ART). Twenty in-depth interviews were undertaken with male patients enrolled at the African Medical and Research Foundation clinic in Africa's largest urban informal settlement, Kibera in Nairobi, Kenya. All participants experienced prolonged and severe illness prior to the initiation of ART. Fear of symptom relapse was the main trigger for sexual behaviour change. Partner reduction was reported as a first option for behaviour change since this decision could be made by the individual. Condom use was perceived as more difficult as it had to be negotiated with female partners. Cultural norms regarding expectations for reproduction and marriage were not supportive of sexual risk-reduction strategies. Thus, local sociocultural contexts of HIV-infected people must be incorporated into the contextual adaptation and design of ART programmes and services as they have an over-riding influence on sexual behaviour and programme effectiveness. Also, HIV-prevention interventions need to address both personal, micro- and macro-level factors of behaviour to encourage individuals to take on sexual risk-reduction strategies. In order to achieve the anticipated preventive effect of ART, these issues are important for the donor community and policy-makers, who are the major providers of ART programme support within weak health systems in sub-Saharan Africa
Behaviour change · Condom · Environmental health · Family medicine · Political science · Population · Psychiatry · Psychological intervention · Reproductive health · Sociocultural evolution · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · Medicine · Psychology · Sex work and related issues
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Structural approaches to HIV prevention
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The Past, Present, and Future of HIV Prevention
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Do People Really Know Their Sex Partners?
Squaring the Circle
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Changing patterns of sexual behaviour in the era of highly active antiretroviral therapy
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The impact of HIV treatment on risk behaviour in developing countries
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Structural Interventions
The Cultural Construction of Sexuality
Young Males' Gendered Sexuality in the Era of HIV and Aids in Limpopo Province, South Africa
Unsafe sexual behaviour in South African youth
Sexual risk-taking in the slums of Nairobi, Kenya, 1993-98
| Citation velocity | historical |
|---|---|
| Highly cited | No |