Access to antiretroviral treatment and sexual behaviours of HIV-infected patients aware of their serostatus in Cote d'Ivoire
Access to antiretroviral treatment and sexual behaviours of HIV-infected patients aware of their serostatus in Cote d'Ivoire
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DOI：
10.1097/00002030-200317003-00010
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发表时间：
2003-07-01
期刊：
影响因子：
3.8
通讯作者：
Msellati, P
中科院分区：
文献类型：
--
作者：
Moatti, JP;Prudhomme, J;Msellati, P
目的：比较科特迪瓦艾滋病毒感染者的性行为，无论他们是否接受抗逆转录病毒治疗（ARV）。 设计和方法：对在阿比让和布瓦凯负责艾滋病毒护理的八个卫生中心就诊的所有患者进行面对面访谈的横断面调查，了解他们的艾滋病毒血清状况。对 164 名接受抗逆转录病毒治疗的受访者和 547 名未接受抗逆转录病毒治疗的受访者在过去 6 个月内公开的性行为进行单变量比较。我们进行了多元逻辑回归，以识别与总样本中的禁欲以及同一时期性活跃受访者子样本中无保护性交有关的因素。结果：711名受访者中，超过一半（53.0%）声称在过去6个月内没有性活动，其中女性（60.6%）的这一比例明显更高，居住在马厩中的男性（85.7%）和女性（92.4%）的比例更高。关系。在 334 名性活跃的患者中，49.7% 的人声称性交频率较低（“每月一次或更少”），43.7% 的人声称至少有过一次无保护性交。在多变量分析中，近期诊断出 HIV 感染（< 9 个月）、只有一名性伴侣且不知道她/他的血清状态、大量饮酒、未发生急性发病、不参与家庭支出以及未接受抗逆转录病毒治疗与 HIV 相关危险性行为的可能性较高显着相关。结论：对于大多数了解其血清状态并咨询的 HIV 感染者来说，禁欲是首选的预防策略科特迪瓦的护理。在这些患者中，获得抗逆转录病毒药物与艾滋病毒相关危险性行为的增加无关。 (C) 2003 年利平科特·威廉姆斯·威尔金斯。
Objective: To compare sexual behaviours of HIV-infected patients in Cote d'Ivoire whether or not they had access to antiretroviral treatment (ARV).Design and methods: Cross-sectional survey using face-to-face interviews among all patients, informed of their HIV serostatus, attending the eight health centers in charge of HIV care in Abidjan and Bouake. Univariate comparisons of declared sexual behaviours during the prior 6 months between the 164 ARV-treated and the 547 non-ARV-treated respondents. Multiple logistic regressions to identify factors related to sexual abstinence in the total sample and to unprotected sexual intercourse in the subsample of sexually active respondents during the same period were performed.Results: More than half of the 711 respondents (53.0%) declared an absence of sexual activity during the previous 6 months, with this proportion being significantly higher among women (60.6%), and among both men (85.7%) and women (92.4%) who were not living in a stable relationship. Among the 334 sexually active patients, 49.7% declared a low frequency of sexual intercourse ('once a month or less'), and 43.7% declared at least one episode of unprotected sexual intercourse. In multivariate analysis, recent diagnosis of HIV infection (< 9 months), having only one sexual partner and not knowing her/his serostatus, high alcohol consumption, absence of episodes of acute morbidity, not participating in household's expenditures and not being ARV-treated were significantly related to a higher likelihood of HIV-related risky sexual behaviours.Conclusion: Sexual abstinence is the preventive strategy of choice for a majority of HIV-infected patients aware of their serostatus and consulting for care in Cote d'Ivoire. In these patients, access to ARV is not associated with an increase in HIV-related risky sexual behaviours. (C) 2003 Lippincott Williams Wilkins.