Is unsafe sexual behaviour increasing among HIV-infected individuals?

Détails

ID Serval
serval:BIB_9067282F61A8
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Is unsafe sexual behaviour increasing among HIV-infected individuals?
Périodique
AIDS
Auteur(s)
Glass  T. R., Young  J., Vernazza  P. L., Rickenbach  M., Weber  R., Cavassini  M., Hirschel  B., Battegay  M., Bucher  H. C.
ISSN
0269-9370 (Print)
Statut éditorial
Publié
Date de publication
08/2004
Volume
18
Numéro
12
Pages
1707-14
Notes
Journal Article
Research Support, Non-U.S. Gov't --- Old month value: Aug 20
Résumé
BACKGROUND: The number of new diagnoses of HIV infection is rising in the northwestern hemisphere and it is becoming increasingly important to understand the mechanisms behind this trend. OBJECTIVE: To evaluate whether reported unsafe sexual behaviour among HIV- infected individuals is changing over time. DESIGN: Participants in the Swiss HIV Cohort Study were asked about their sexual practices every 6 months for 3 years during regular follow-up of the cohort beginning on 1 April 2000. METHODS:: Logistic regression models were fit using generalized estimating equations assuming a constant correlation between responses from the same individual. RESULTS: At least one sexual behaviour questionnaire was obtained for 6545 HIV-infected individuals and the median number of questionnaires completed per individual was five. There was no evidence of an increase in reported unsafe sex over time in this population [odds ratio (OR), 1.0; 95% confidence interval (CI), 0.96-1.05]. Females (OR, 1.38; 95% CI, 1.19-1.60), 15-30 year olds (OR, 1.26; 95% CI, 1.09-1.47), those with HIV-positive partners (OR, 12.58; 95% CI, 10.84-14.07) and those with occasional partners (OR, 3.25; 95% CI, 2.87-3.67) were more likely to report unsafe sex. There was no evidence of a response bias over time, but individuals were less willing to leave questions about their sexual behaviour unanswered or ambiguous (OR, 0.93; 95% CI, 0.90-0.97). CONCLUSIONS: There was no evidence of a trend in unsafe sex behaviour over time. However, several subgroups were identified as being more likely to report unsafe sex and should be targeted for specific interventions.
Mots-clé
Adolescent Adult Age Factors Female HIV Infections/complications/*psychology HIV Seropositivity/psychology Humans Longitudinal Studies Male Risk Factors *Risk-Taking Sex Factors Sexual Behavior/*psychology Sexual Partners Substance-Related Disorders/complications/psychology
Pubmed
Web of science
Création de la notice
29/01/2008 9:52
Dernière modification de la notice
03/03/2018 19:25
Données d'usage