Sexual risk behaviors among HIV-infected South Indian couples in the HAART era: Implications for reproductive health and HIV care delivery

Kartik K. Venkatesh, A. K. Srikrishnan, Steven Safren, Elizabeth W. Triche, E. Thamburaj, Lakshmi Prasad, Mark N. Lurie, M. Suresh Kumar, N. Kumarasamy, Suniti Solomon, Kenneth H. Mayer

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

The current study examines sexual behaviors among HIV-infected Indians in primary care, where access to highly active antiretroviral therapy (HAART) has recently increased. Between January and April 2008, we assessed the sexual behaviors of 247 HIV-infected South Indians in care. Multivariable logistic regression models were used to determine predictors of being in a HIV-seroconcordant primary relationship, being sexually active, and reporting unprotected sex. Over three-fourths (80%) of participants were HAART-experienced. Among the 58% of participants who were currently in a seroconcordant relationship, one-third were serodiscordant when enrolling into care. Approximately two-thirds (63.2%) of participants were sexually active; 9.0% reported unprotected sex. In the multivariable analyses, participants who were in a seroconcordant primary relationship were more likely to have children, use alcohol, report unprotected sex, and have been enrolled in care for > 12 months. Sexually active participants were more likely to be on HAART, have a prior tuberculosis diagnosis, test Herpes simplex type 2 antibody seropositive, and have low general health perceptions. Participants who reported unprotected sex were more likely to be in a seroconcordant relationship, be childless, want to have a child, and use alcohol. We did not document an association between HAART and unprotected sex. Among HIV-infected Indians in primary care, predictors of unprotected sex included alcohol use and desire for children. Prevention interventions for Indian couples should integrate reproductive health and alcohol use counseling at entry into care.

Original languageEnglish (US)
Pages (from-to)722-733
Number of pages12
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume23
Issue number6
DOIs
StatePublished - Jun 2011
Externally publishedYes

Fingerprint

Unsafe Sex
Reproductive Health
Highly Active Antiretroviral Therapy
Risk-Taking
risk behavior
Sexual Behavior
HIV
Delivery of Health Care
health
alcohol
Alcohols
Primary Health Care
Logistic Models
desire for children
Herpes Simplex
contagious disease
Counseling
counseling
Tuberculosis
logistics

Keywords

  • AIDS
  • HAART
  • HIV
  • India
  • sexual behavior

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Social Psychology

Cite this

Sexual risk behaviors among HIV-infected South Indian couples in the HAART era : Implications for reproductive health and HIV care delivery. / Venkatesh, Kartik K.; Srikrishnan, A. K.; Safren, Steven; Triche, Elizabeth W.; Thamburaj, E.; Prasad, Lakshmi; Lurie, Mark N.; Kumar, M. Suresh; Kumarasamy, N.; Solomon, Suniti; Mayer, Kenneth H.

In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Vol. 23, No. 6, 06.2011, p. 722-733.

Research output: Contribution to journalArticle

Venkatesh, Kartik K. ; Srikrishnan, A. K. ; Safren, Steven ; Triche, Elizabeth W. ; Thamburaj, E. ; Prasad, Lakshmi ; Lurie, Mark N. ; Kumar, M. Suresh ; Kumarasamy, N. ; Solomon, Suniti ; Mayer, Kenneth H. / Sexual risk behaviors among HIV-infected South Indian couples in the HAART era : Implications for reproductive health and HIV care delivery. In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV. 2011 ; Vol. 23, No. 6. pp. 722-733.
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