Analysis of the influence of therapy and viral suppression on high-risk sexual behaviour and sexually transmitted infections among patients infected with human immunodeficiency virus in Taiwan.

Publisher: Elsevier Country of Publication: England NLM ID: 9516420 Publication Model: Print Cited Medium: Print ISSN: 1198-743X (Print) Linking ISSN: 1198743X NLM ISO Abbreviation: Clin Microbiol Infect Subsets: MEDLINE

Publication: 2015- : London : Elsevier
Original Publication: Paris : Decker Europe, c1995-

HIV-1*; HIV Infections/*transmission ; Unsafe Sex/*psychology; Adult ; Aged ; Antiretroviral Therapy, Highly Active/psychology ; Chi-Square Distribution ; Female ; HIV Infections/diagnosis ; HIV Infections/drug therapy ; HIV Seropositivity/psychology ; Humans ; Male ; Middle Aged ; Risk Factors ; Sexual Behavior ; Sexually Transmitted Diseases/diagnosis ; Sexually Transmitted Diseases/epidemiology ; Substance Abuse, Intravenous/virology ; Taiwan/epidemiology ; Viral Load

This study examined the effects of certain characteristics of human immunodeficiency virus (HIV)-infected patients related to the risks of practising unprotected sex (UPS) among 919 HIV-infected patients who attended the sexually transmitted disease (STD) clinic of the Taipei City STD Control Center, Taiwan, during the period January-July 2004. After learning that they were HIV-positive, 517 (56%) subjects had practised UPS, 476 (52%) had a new STD diagnosis, and 106 (12%) had used some form of injected drug. UPS was reported by 76% of homosexual/bisexual males, 19% of heterosexual males and 5% of females, and was reported more often by those individuals with casual sexual partners (p < 0.001). According to multivariate logistic regression analyses, UPS was associated with male-to-male sexual intercourse (OR 2.46; 95% CI 1.26-4.86, p < 0.001), with casual sexual partners (OR 2.82; 95% CI 1.62-4.88, p < 0.001), and with an individual's knowledge of his/her HIV status for > 11 years (OR 2.06; 95% CI 1.02-4.18, p < 0.05). Although using anti-retroviral therapy to prevent sexual transmission of HIV is rational, the avoidance of at-risk sexual behaviour should also be a priority among HIV-seropositive individuals. Ongoing risk-reduction counselling related to HIV transmission is needed to reduce certain sexual behaviours associated with HIV transmission.

Date Created: 20060616 Date Completed: 20060803 Latest Revision: 20061107

20221213

10.1111/j.1469-0691.2006.01473.x

16774563