Psychosocial Factors, Condomless Sex, and Detectable Viral Load in HIV-Positive Women in Serodiscordant Couples in Nairobi, Kenya
Date
2020Author
Blain, Michela
Richardson, Barbra A.
Kinuthia, John
Poole, Danielle N.
Jaoko, Walter
Wilson, Kate S.
Kaggiah, Anne
Simoni, Jane M.
Carey, Farquhar
McClelland, R. Scott
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
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, χ2 = 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.
URI
https://link.springer.com/article/10.1007%2Fs10461-020-02907-0#citeashttp://erepository.uonbi.ac.ke/handle/11295/153438
Citation
Blain, M., Richardson, B.A., Kinuthia, J. et al. Psychosocial Factors, Condomless Sex, and Detectable Viral Load in HIV-Positive Women in Serodiscordant Couples in Nairobi, Kenya. AIDS Behav 24, 3346–3358 (2020). https://doi.org/10.1007/s10461-020-02907-0Publisher
University of Nairobi
Rights
Attribution-NonCommercial-NoDerivs 3.0 United StatesUsage Rights
http://creativecommons.org/licenses/by-nc-nd/3.0/us/Collections
- Faculty of Health Sciences (FHS) [10378]
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