Sexual Risk Behavior and Its Change among HIV-Positive Persons after Notifying their HIV Infection Status: A Retrospective Survey

Zhou, Ying; Liu, Yi; Zhang, Yanhui; Bao, Yugang; Xu, Xiaoxiang; Dou, Qianru; Lai, Zhi-Wei; Tian, Zhengwen; Tan, Hongzhuan

doi:10.21767/2572-5483.100006

Cited by 3 publications

(5 citation statements)

References 18 publications

(15 reference statements)

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“…The high proportions of participants with past STI and past TB who never tested for HIV and who did not know where to test indicate that considerable opportunities have been missed for early HIV detection and treatment during contacts with health services, and that integrated care of infectious diseases should be strengthened. Also, as it has been acknowledged, HIV early diagnosis can help prevent onward HIV transmission and acquisition of other STI through the adoption of protective behaviors after notification of HIV infection [39]. In fact, our findings show that HIV-positive participants were more likely to report consistent condom use, reflecting the potential benefits of HIV testing and counselling, as well as follow-up provided at health services in terms of secondary prevention.…”

Section: Discussionmentioning

confidence: 51%

Are Opportunities Being Missed? Burden of HIV, STI and TB, and Unawareness of HIV among African Migrants

Dias

Gama²,

Tavares

et al. 2019

IJERPH

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Sub-Saharan African migrants (SSAMs) have been disproportionately affected by infectious disease burden. We aimed to identify correlates of HIV, past sexually transmitted infection (STI) and past Tuberculosis infection (TB), as well as examine HIV seropositivity unawareness and testing history among SSAMs. A venue-based sample of 790 SSAMs completed a cross-sectional biobehavioral survey on sexual practices, HIV testing and self-reported infectious diseases; an HIV rapid test was offered. Overall, 5.4% of participants were HIV-positive and 16.7% reported a past STI. Odds of being HIV positive or having a past STI were higher among participants with low socioeconomic status and who experienced violence from a partner. Increased odds of having a past STI were also found among long-term migrants and those who reported sexual risk behaviors. In total, 4.1% of participants had TB in the past; these were more likely male and HIV positive. Unawareness of HIV-positive status was notably high (35%). Half of the participants had never been tested for HIV before, including over a third of those who had STI or TB in the past. Efforts are needed to reduce missed opportunities for HIV/STIs prevention and uptake of HIV testing among SSAMs through more integrated care, while addressing social determinants of infectious diseases.

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Section: Discussionmentioning

confidence: 51%

Are Opportunities Being Missed? Burden of HIV, STI and TB, and Unawareness of HIV among African Migrants

Dias

Gama²,

Tavares

et al. 2019

IJERPH

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Section: Number Of Sexual Partnersmentioning

confidence: 99%

“…A retrospective survey conducted among PLWHA, who had been notified their HIV-positive status for more than 6 months in Hunan, China showed that among those who had risky sex, about 50% subjects had more than 1 sexual partner before notification 21 . After notification, the proportions of subjects who had more than 1 sexual partner decreased by 36.9% 21 . Anonymous surveys in South Africa completed by 413 HIV-positive men and 641 HIV-positive women sampled from HIV/AIDS services revealed that, people who had not disclosed their HIV status to partners reported more sex partners and reported more unprotected vaginal and anal intercourse than people who had disclosed 17 .…”

Section: Number Of Sexual Partnersmentioning

confidence: 99%

“…In a Nigerian study, researchers noted that more than half of the respondents who reported involvement in casual sex had not disclosed their positive HIV status to their sexual partners 22 . A study conducted in Hunan, China among PLWHA, within those who had risky sex, the proportions of those who had temporary sexual partners decreased by 48.4% after notification of them being HIV-positive 21 .…”

Section: Type Of Sexual Partnersmentioning

confidence: 99%

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Effects of Positive HIV Status Disclosure on Sexual Behaviour Change

2020

IJONE

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Introduction: Disclosure of HIV serostatus is critical to controlling the spread of HIV, and understanding the experience for disclosure enhances the development of prevention interventions and ultimately leads to better control of the spread of the disease. The present narrative review aimed to synthesize literature on the effects of positive HIV status disclosure on sexual behaviour change.Method: Anarrative review design was utilized. Literature search of articles was from the following databases; Scopus, Science Direct, PUBMED, OVID and Google scholar. The searches were conducted from August 2019 to June 2020. The qualitative analysis was used to presented data into themes. Results:The main findings were discussed under four thematic domains: 1) disclosure, 2) number of sexual partners, 3) type of sexual partners and 4) use condoms. Conclusion:The narrative review presents evidence on; how patients revealing their HIV positive status to their sexual partner(s), family members, or others in their social circle are associated to better, less risky sexual behaviors. This finding implies that when people living with HIV disclose their status, they are most likely to; 1) have less sexual partners, 2) use condoms and 3) minimize casual/temporary sex. The behavior change brought by the positive HIV status disclosure can significantly reduce the transmission of HIV within the society.

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“…Literature showed that heterosexual PLHIV tend to adopt safer sex behaviors after HIV diagnosis (Bernier et al, 2016;Lin et al, 2013;Venkatesh et al, 2011;Zhou et al, 2016). Despite emerging data showing gender differences in sexual behavior changes after HIV diagnosis (Bernier et al, 2016;Lin et al, 2013;Weinhardt, 2005), few have explored gender specific correlates of such changes.…”

Section: Introductionmentioning

confidence: 99%

Changes in sexual behaviors following diagnosis with HIV: patterns and correlates among people living with HIV (PLHIV) in China

Qiao

et al. 2018

AIDS Care

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Effective secondary prevention of HIV infections requires knowledge about changes in sexual behaviors after diagnosis among people living with HIV (PLHIV), yet there is a dearth of literature assessing gender-specific patterns and correlates of such changes among heterosexual PLHIV in China. Data used in the current study were derived from a cross-sectional survey conducted from 2012 to 2013 among 1212 heterosexual sexually active PLHIV in Guangxi, China. Most participants reduced sexual frequency (71.2%), reduced or maintained the same number of sexual partners (96.6%), and increased or maintained same frequencies of condom use (80.6%). Gender difference was found in changes in sexual frequency, but not in the number of sexual partners or condom use. For males, decrease in sexual frequency was associated with having no desire to have children (OR = 2.03, 95% CI 1.20, 3.44), being virally suppressed (OR = 0.27, 95% CI 0.079, 0.94), and social support (OR = 1.44, 95% CI 1.06, 1.96). Health promoting behaviors in condom use (i.e., increased or maintained same frequencies of condom use) for males was associated with being 45 years of age or older (OR = 0.35, 95% CI 0.21, 0.61), having an HIV-negative main partner (OR = 1.80, 95% CI 1.11, 2.92), and physical health-related quality of life (OR = 1.02, 95% CI 1.00, 1.04). For females, decrease in sexual frequency was associated with having no desire to have children (OR = 1.58, 95% CI 1.01, 2.47). Health promoting behaviors in condom use for females was associated with having an HIV-negative main partner (OR = 3.24, 95% CI 1.63, 6.45) and social support (OR = 0.75, 95% CI 0.57, 0.99). Future intervention efforts need to target PLHIV who need extra support in making health-improvement efforts and to facilitate gender-specific behavioral changes in sexual risk reduction after HIV diagnosis.

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Sexual Risk Behavior and Its Change among HIV-Positive Persons after Notifying their HIV Infection Status: A Retrospective Survey

Cited by 3 publications

References 18 publications

Are Opportunities Being Missed? Burden of HIV, STI and TB, and Unawareness of HIV among African Migrants

Are Opportunities Being Missed? Burden of HIV, STI and TB, and Unawareness of HIV among African Migrants

Effects of Positive HIV Status Disclosure on Sexual Behaviour Change

Changes in sexual behaviors following diagnosis with HIV: patterns and correlates among people living with HIV (PLHIV) in China

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