Exploring HIV risk perception and behaviour in the context of antiretroviral treatment

The objective of this cross-sectional household survey was to assess factors influencing HIV risk perception, behaviour and intervention uptake in a community characterised by high HIV prevalence and availability of antiretroviral therapy (ART). The survey was conducted in Khayelitsha, South Africa and involved two-stage sampling with self-weighting clusters and random selection of households within clusters. One man and woman between 14 and 49 years old was interviewed in each household; 696 men and 879 women were interviewed for a response rate of 84% and 92% respectively. Ninety-three percent and 94% were sexually active with median age of sexual debut 15.3 and 16.5 years. Eighty-three percent and 82% reported a partner at the time of interview and 29% and 8% had additional partner(s). Forty-one percent and 33% reported condom use during the last sexual encounter. Thirty-seven percent of men not using condoms did not as they believed their partner to be faithful, whilst 27% of women did not as their partner refused. Twenty-eight percent and 53% had been tested for HIV. Having undergone HIV testing was not associated with condom usage, whilst current relationship status was the strongest association with condom usage for both men and women. In spite of a relatively high uptake of condoms and testing as well as ART availability, the HIV epidemic has continued unabated in Khayelitsha. Even greater coverage of preventive interventions is required, together with a national social and political environment that builds on the availability of both preventive and treatment services

Condom · Environmental health · Family medicine · Geography · Perception · Psychiatry · Psychological intervention · Risk perception · Adolescent Sexual and Reproductive Health · Demography · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology · Gerontology

• Determinants of knowledge of HIV status in South Africa

  Open Access•Karl Peltzer, Gladys Matseke et al.•BMC Public Health•2009

  Incluir item

• HIV/Aids misconceptions may be associated with condom use among black South Africans

  Laura M Bogart, Donald G Skinner et al.•African Journal of AIDS Research•2011

  Incluir item

• A network-level explanation for the differences in HIV prevalence in South Africa's racial groups

  Chris Kenyon, Sipho Dlamini et al.•African Journal of AIDS Research•2009

  Incluir item

• The influence of antiretroviral treatment on willingness to test

  Zipho Phakathi, Heidi Van Rooyen et al.•African Journal of AIDS Research•2011

  Incluir item

• Correlates of HIV Testing Among Men Who have Sex with Men in Three Urban Areas of Mozambique

  Open Access•Roberta Horth, Roberta Z Horth et al.•AIDS and Behavior•2015

  Incluir item

• Prevalence of Inconsistent Condom Use and Associated Factors Among HIV Discordant Couples in a Rural County in China

  Open Access•Joseph T F Lau, Nancy Xiaonan Yu et al.•AIDS and Behavior•2012

  Incluir item

• Being naturalised, being left behind

  Open Access•Corinne Squire•Critical Public Health•2010

  Incluir item

• Secular trends in HIV knowledge and attitudes among Vietnamese women based on the Multiple Indicator Cluster Surveys, 2000, 2006, and 2011

  Open Access•Nguyễn Văn Huy, Hwa-Young Lee et al.•Global Health Action•2016

  Incluir item

• When to start antiretroviral therapy in resource-limited settings

  Open Access•Nathan Ford, Alexandra Calmy et al.•BMC International Health and…•2010

  Incluir item

• HIV testing of construction workers in the Western Cape, South Africa

  Paul Bowen, Rajen Govender et al.•AIDS Care•2015

  Incluir item

• Factors related to past HIV testing among South African non-injection drug users

  Lauren R Ropelewski, Alicia Hulbert et al.•AIDS Care•2011

  Incluir item

• The impact of education on sexual behavior in sub-Saharan Africa

  Stephanie S Zuilkowski, Matthew C H Jukes•AIDS Care•2012

  Incluir item

• Randomized, Controlled Intervention Trial of Male Circumcision for Reduction of HIV Infection Risk

  Open Access•Bertran Auvert, Dirk Taljaard et al.•PLoS Medicine•2005

  Incluir item

• Why do young women have a much higher prevalence of HIV than young men? A study in Kisumu, Kenya and Ndola, Zambia

  Judith R Glynn, Michel Caraël et al.•AIDS•2001

  Incluir item

• Sexual mixing patterns and sex-differentials in teenage exposure to HIV infection in rural Zimbabwe

  Open Access•Sarah Gregson, Simon Gregson et al.•The Lancet•2002

  Incluir item

• Sexual behavior of HIV discordant couples after HIV counseling and testing

  Susan Allen, Jareen Meinzen‐Derr et al.•AIDS•2003

  Incluir item

• Young people's sexual health in South Africa

  Audrey Pettifor, Audrey E Pettifor et al.•AIDS•2005

  Incluir item

• Confronting Global Aids

  Alan Berkman•American Journal of Public Health•2001

  Incluir item

• Unsafe sexual behaviour in South African youth

  Open Access•Liberty Eaton, Alan J Flisher et al.•Social Science & Medicine•2003

  Incluir item