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Attitudes and beliefs about anti-retroviral therapy are associated with high risk sexual behaviors among the general population of Kisumu, Kenya

Bibliographic Data

ID19440654
AuthorsRachel M Smith (0000-0002-8256-5456, University of California, San Francisco, corresponding author), Adam W Carrico (0000-0002-8146-5701, University of California, San Francisco), Michele Montandon (0000-0003-0064-7237, University of California, San Francisco), Zachary Kwena (0000-0002-5117-5084, Kenya Medical Research Institute), Robert C Bailey (0000-0002-9202-1794, University of Illinois Chicago), Robert Bailey (0000-0001-8840-2386), Elizabeth A Bukusi (0000-0002-2031-2808, Kenya Medical Research Institute), Craig R Cohen (0000-0001-8654-6634, University of California, San Francisco)
Year2011
Volume23
Issue12
Pages1668-1675
Publication date2011-12-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2011.579947
PMID22050441
PMCIDPMC3682819
OpenAlexW2084595968
LanguageEN
Citations received1
References cited21

Attitudes and beliefs about antiretroviral therapy (ART) may affect sexual risk behaviors among the general population in sub-Saharan Africa. We performed a cross-sectional population-based study in Kisumu, Kenya to test this hypothesis in October 2006. A total of 1655 participants were interviewed regarding attitudes and beliefs about ART and their sexual risk behaviors. The majority of participants, (71%) men and (70%) women, had heard of ART. Of these, 20% of men and 29% of women believed ART cures HIV. Among women, an attitude that "HIV is more controllable now that ART is available" was associated with sex with a non-spousal partner, increased lifetime number of sexual partners as well as a younger age at sexual debut. No significant associations with this factor were found among men. The belief that "ART cures HIV" was associated with younger age of sexual debut among women. The same belief was associated with an increased likelihood of exchanging sex for money/gifts and decreased likelihood of condom use at last sex among men. These findings were most significant for people aged 15-29 years. In high HIV seroprevalence populations with expanding access to ART, prevention programs must ensure their content counteracts misconceptions of ART in order to reduce high risk sexual behaviors, especially among youth

Antiretroviral medication · Antiretroviral therapy · Environmental health · Family medicine · Population · Risky sexual behavior · Sexually active · Sociology · Viral load · Adolescent Sexual and Reproductive Health · Clinical Psychology · Demography · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology

  • Sexual behaviour after antiretroviral therapy initiation in female sex workers and HIV-positive patients from the general population, Cotonou, Benin

    Souleymane Diabaté, Annie Chamberland et al.•AIDS Care•2013

  • HIV Decline Associated with Behavior Change in Eastern Zimbabwe

    Open Access•Sarah Gregson, Simon Gregson et al.•Science•2006

  • Changes in sexual behavior and risk of HIV transmission after antiretroviral therapy and prevention interventions in rural Uganda

    Rebecca Bunnell, John Paul Ekwaru et al.•AIDS•2006

  • Attitudes towards highly active antiretroviral therapy are associated with sexual risk taking among HIV-infected and uninfected homosexual men

    David Ostrow, David E Ostrow et al.•AIDS•2002

  • Highly Active Antiretroviral Therapy and Sexual Risk Behavior

    Nicole Crepaz, Trevor A Hart et al.•JAMA•2004

  • Early age of first sex

    Audrey Pettifor, Audrey E Pettifor et al.•AIDS•2004

Unique citing works1
Citations per year0,08
Citation span2013 - 2013 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1
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