Psychosocial Factors, Condomless Sex, and Detectable Viral Load in HIV-Positive Women in Serodiscordant Couples in Nairobi, Kenya
| Autor: | Michela Blain, Walter Jaoko, Danielle N. Poole, Anne Kaggiah, Barbra A. Richardson, Carey Farquhar, John Kinuthia, Jane M. Simoni, Kate Wilson, R. Scott McClelland |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Social Psychology Sexual Behavior HIV Infections Article 03 medical and health sciences 0302 clinical medicine HIV Seropositivity medicine Humans Prospective Studies 030212 general & internal medicine Prospective cohort study Depression (differential diagnoses) 030505 public health business.industry Public health Public Health Environmental and Occupational Health Viral Load Kenya Prostate-specific antigen Sexual Partners Infectious Diseases Serodiscordant Domestic violence Female Contraceptive Devices 0305 other medical science business Psychosocial Viral load Demography |
| Zdroj: | AIDS Behav |
| ISSN: | 1573-3254 1090-7165 |
| DOI: | 10.1007/s10461-020-02907-0 |
| Popis: | This prospective study of HIV-positive Kenyan women in serodiscordant couples examined relationships between psychosocial factors, viral suppression, and condomless sex. Participants were screened for alcohol use disorders and intimate partner violence (IPV) annually and depressive symptoms every 6 months. Prostate specific antigen (PSA) detection was used as a marker for condomless sex. A total of 151 participants contributed 349 person-years of follow-up. Hazardous/harmful alcohol use was associated with increased risk of detecting PSA in vaginal secretions (aRR 1.99, 95%CI 1.08–3.66, χ(2) = 4.85 (1)), while IPV and depression were not. Events representing HIV transmission potential, where there was biological evidence of condomless sex at a visit with a detectable plasma viral load, were observed at 2% of visits. The high prevalence of IPV and association between alcohol use and sexual risk suggest the need for monitoring and support for these conditions as part of comprehensive HIV care for women. |
| Databáze: | OpenAIRE |
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