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Sexual risk behaviour among HIV-positive individuals in clinical care in urban KwaZulu-Natal, South Africa

Kiene, Susan Ma; Christie, Saraha; Cornman, Deborah Ha; Fisher, William Aa,b; Shuper, Paul Aa; Pillay, Sandyc; Friedland, Gerald Hd; Fisher, Jeffrey Da

doi: 10.1097/01.aids.0000242827.05120.55
Research Letters

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

© 2006 Lippincott Williams & Wilkins, Inc.