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Title

Does ART initiation increase sexual risk taking in Kenyan female sex workers? A retrospective case-control study

Authors

E. Mawji, L. McKinnon, C. Wachihi

Network Affiliation

Other

Organization

 

Journal Name

BMJ Open

Publication Date

4/1/2012

PubMed Search

http://www.ncbi.nlm.nih.gov/pubmed/22466157

Link to full-text

 

PMID

22466157

Abstract

OBJECTIVES:

Although antiretroviral therapy (ART) prolongs life and reduces infectiousness, in some contexts, it has been associated with increased sexual risk taking.

DESIGN:

Retrospective case-control study.

SETTING:

Nairobi-based dedicated female sex worker (FSW) clinic.

PARTICIPANTS:

HIV-infected FSWs before and after ART initiation (n=62); HIV-infected and -uninfected control FSWs not starting ART during the same follow-up period (n=40).

INTERVENTION:

Initiation of ART.

PRIMARY OUTCOME MEASURES:

Self-reported condom use, client numbers and sexually transmitted infection incidence over the study period (before and after ART initiation in cases).

RESULTS:

Sexual risk-taking behaviour with casual clients did not increase after ART initiation; condom use increased and sexually transmitted infection incidence decreased in both cases and controls, likely due to successful cohort-wide HIV prevention efforts.

CONCLUSIONS:

ART provision was not associated with increases in unsafe sex in this FSW population.

Keywords

 

Topic

Adherence; Behavior; Women

Attachments

Created at 4/20/2012 10:01 AM by Davis, Gregory P
Last modified at 4/20/2012 10:01 AM by Davis, Gregory P