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Continued High Risk Sexual Behavior Following Diagnosis wiht Acute HIV Infection in South Africa and Malawi: Implications for Prevention


A Pettifor, C MacPhail, A Corneli, et al.

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Journal Name

AIDS Behavior

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PubMed Search


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Understanding sexual behavior following diagnosis
of acute HIV infection (AHI) is key to developing
prevention programs targeting individuals diagnosed
with AHI. We conducted separate qualitative and quantitative
interviews with individuals newly diagnosed
(n = 19) with AHI at 1-, 4- and 12-weeks post-diagnosis
and one qualitative interview with individuals who had
previously been diagnosed with AHI (n = 18) in Lilongwe,
Malawi and Johannesburg, South Africa between October
2007 and June 2008. The majority of participants reported
engaging in sexual activity following diagnosis with AHI
with a significant minority reporting unprotected sex during
this time. Most participants perceived to have changed
their behavior following diagnosis. However, participants
reported barriers to condom use and abstinence, in particular,
long term relationships and the need for disclosure of
sero-status. Understanding of increased infectiousness
during AHI was limited. Participants reported a desire for a
behavioral intervention at the time of AHI diagnosis,
however, there were differences by country in the types of
interventions participants found acceptable. Studies are
underway to determine the feasibility, acceptability and
potential effectiveness of interventions designed for individuals
with AHI.









Created at 9/13/2011 1:36 PM by Davis, Gregory P
Last modified at 9/13/2011 1:36 PM by Davis, Gregory P