Sexual risk behaviour, marriage and ART: a study of HIV-positive people in Papua New Guinea

AIDS Research and Therapy

Wing Young Nicola Man³  Angela Kelly²  Heather Worth¹  Andrew Frankland¹  Patti Shih¹  Martha Kupul²  Thiri Lwin¹  Agnes Mek²  Barbara Kepa²  Rebecca Emori²  Frances Akuani²  Brenda Cangah²  Lucy Walizopa²  Lawrencia Pirpir²  Somu Nosi²  Peter M Siba² 

[1] School of Public Health and Community Medicine, UNSW Medicine, University of New South Wales, Sydney, Australia

[2] Sexual & Reproductive Health Unit, Papua New Guinea Institute of Medical Research, Goroka, Papua New Guinea

[3] Faculty of Health Sciences, University of Sydney, Sydney, New South Wales, Australia

关键词: Antiretroviral Therapy;    Sexual Behaviour;    Papua New Guinea;    HIV;   

Others  :  789587
DOI  :  10.1186/1742-6405-10-17

 received in 2012-06-08, accepted in 2013-06-19,  发布年份 2013

【 摘 要 】

Background

The prevention of intimate partner transmission of HIV remains an important component of comprehensive HIV prevention strategies. In this paper we examine the sexual practices of people living with HIV on antiretroviral therapy (ART) in Papua New Guinea (PNG).

Method

In 2008, a total of 374 HIV-positive people over the age of 16 and on ART for more than two weeks were recruited using a non-probability, convenience sampling methodology. This accounted for around 18% of adults on ART at the time. A further 36 people participated in semi-structured interviews. All interviews were thematically analysed using NVivo qualitative data analysis software.

Results

Less than forty per cent (38%) of participants reported having had sexual intercourse in the six months prior to the survey. Marital status was by far the most important factor in determining sexual activity, but consistent condom use during vaginal intercourse with a regular partner was low. Only 46% reported consistent condom use during vaginal intercourse with a regular partner in the last six months, despite 77% of all participants reporting that consistent condom use can prevent HIV transmission. Consistent condom use was lowest amongst married couples and those in seroconcordant relationships. The vast majority (91.8%) of all participants with a regular heterosexual partner had disclosed their status to their partner. Qualitative data reinforced low rates of sexual activity and provided important insights into sexual abstinence and condom use.

Conclusions

Considering the importance of intimate partner transmission of HIV, these results on the sexual practices of people with HIV on ART in PNG suggest that one-dimensional HIV prevention messages focussing solely on condom use fail to account for the current practices and needs of HIV-positive people, especially those who are married and know their partners’ HIV status.

【 授权许可】

   
2013 Man et al.; licensee BioMed Central Ltd.

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