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Changes in sexual risk taking with antiretroviral treatment

Influence of context and gender norms in Mombasa, Kenya

Datos Bibliográficos

ID15098040
AutoresAvina Sarna (0000-0003-1713-426X, Population Council, autor de correspondencia), 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)
Año2009
Volumen11
Número8
Páginas783-797
Fecha de publicación2009-11-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaCulture Health & Sexuality (JOURNAL)
Identificadores de la revistaISSN: 1369-1058 • E-ISSN: 1464-5351
EditorialInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691050903033423
PMID19557584
OpenAlexW2088594732
IdiomaEN
Citas recibidas10
Referencias citadas24

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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    Open Access•Matthew Chersich, Matthew F Chersich et al.•Globalization and Health•2009

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    Caroline Allen, Martin Mbonye et al.•Culture Health & Sexuality•2011

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  • A qualitative study of barriers to consistent condom use among HIV-1 serodiscordant couples in Kenya

    Kenneth Ngure, Nelly Mugo et al.•AIDS Care•2012

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    Open Access•Anna Strebel, Mary Crawford et al.•SAHARA-J Journal of Social…•2006

Obras citantes distintas10
Citas por año0,59
Intervalo de citas2009 - 2012 (4)
Velocidad de citaciónhistorical
Altamente citadoNo
Tipos de citaNeutras: 7
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