We assessed the incidence and predictors of unprotected sex among 152 HIV-positive patients in clinical care in KwaZulu-Natal, South Africa. Nearly 50% were sexually active; 30% of those reported unprotected sex. Alcohol use during sex, reporting forced sex, sex with a perceived HIV-positive partner, and sex with a casual partner predicted more unprotected sex, whereas HIV status disclosure was related to less unprotected sex. These findings highlight the need for linking HIV prevention and care in Africa.
aCenter for Health/HIV Intervention and Prevention, Department of Psychology, University of Connecticut, Storrs, Connecticut, USA
bDepartments of Psychology and Obstetrics and Gynaecology, University of Western Ontario, London, Ontario, Canada
cAIDS Clinical Trials Group, Nelson Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa
dAIDS Program, Yale University School of Medicine, Yale New Haven Hospital, New Haven, Connecticut, USA.
Received 26 January, 2006
Accepted 15 June, 2006