Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học đề tài : Sexual risk taking among patients on antiretroviral therapy in an urban informal settlement in Kenya: a cross-sectional survey | Ragnarsson et al. Journal of the International AIDS Society 2011 14 20 http content 14 1 20 JOURNALOF THE INTERNATIONAL AIDS SOCIETY RESEARCH Open Access Sexual risk taking among patients on antiretroviral therapy in an urban informal settlement in Kenya a cross-sectional survey 1 12 2 2 1 Anders Ragnarsson Anna Mia Ekstrom Jane Carter Festus Ilako Abigail Lukhwaro Gaetano Marrone and Anna Thorson1 Abstract Background Our intention was to analyze demographic and contextual factors associated with sexual risk taking among HIV-infected patients on antiretroviral treatment ART in Africa s largest informal urban settlement Kibera in Nairobi Kenya. Methods We used a cross-sectional survey in a resource-poor urban informal settlement in Nairobi 515 consecutive adult patients on ART attending the African Medical and Research Foundation clinic in Kibera in Nairobi were included in the study. Interviewers used structured questionnaires covering socio-demographic characteristics time on ART number of sexual partners during the previous six months and consistency of condom use. Results Twenty-eight percent of patients reported inconsistent condom use. Female patients were significantly more likely than men to report inconsistent condom use aOR 95 CI . Shorter time on ART was significantly associated with inconsistent condom use. Multiple sexual partners were more common among married men than among married women adjusted OR 95 CI . Conclusions Inconsistent condom use was especially common among women and patients who had recently started ART . when the risk of HIV transmission is higher. Having multiple partners was quite common especially among married men with the potential of creating sexual networks and an increased risk of HIV transmission. ART needs to be accompanied by other preventive interventions to reduce the risk of new HIV infections among sero-discordant couples and to increase overall community effectiveness.
