Sexual behaviour among persons living with HIV/AIDS in Kampala, Uganda.
East Afr Med J
; 87(3): 91-9, 2010 Mar.
Article
em En
| MEDLINE
| ID: mdl-23057304
ABSTRACT
OBJECTIVE:
To identify sexual behaviour and reproductive health needs of people living with HIV/AIDS (PLWHAs).DESIGN:
A cross sectional study.SETTING:
Joint Clinical Research Centre, Kampala Uganda.PARTICIPANTS:
Three hundred and eighty PLWHAs, 50% of whom had initiated anti-retro viral therapy (ART). MAIN OUTCOMEMEASURES:
PLWHAs answered questions regarding sexual behaviour, number and type of sexual partners, symptoms of sexually transmitted infections, having been pregnant or causing a pregnancy, social demographic characteristics, consumption of alcohol, having biological children, desire for more children and use of condoms.RESULTS:
In the past 12 months 227 (60%) of the PLWHAs were sexually active. Of the sexually active 42 (19%) never used a condom, and 92 (40%) used condoms inconsistently, thus 134 (35%) of PLWHAs engaged in high risk sex. Two hundred and sixty five (70%) said that PLWHAs can have healthy children and 115 (30%) desired more children with 21 (10%) of the women in the reproductive age group reporting a pregnancy and 22 (17%) of the men reporting having caused a pregnancy. Only three (7%) of the pregnancies were unplanned. Desire for more children was a strong independent predictor of engaging in high risk sex (Adjusted Odds Ratio 2.44, 95% CI 1.35-4.42).CONCLUSIONS:
This study demonstrates that abstinence and use of condoms on their own may not be enough for HIV prevention among PLWHAs who desire children. Additional methods such as use of ART to reduce HIV infectiousness and sperm washing are needed.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Comportamento Sexual
/
Infecções por HIV
/
Conhecimentos, Atitudes e Prática em Saúde
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Africa
Idioma:
En
Revista:
East Afr Med J
Ano de publicação:
2010
Tipo de documento:
Article
País de afiliação:
Uganda