Does antiretroviral therapy initiation increase sexual risk taking in Kenyan female sex workers? A retrospective case–control study
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Date
2012Author
Mawji, Elysha
McKinnon, Lyle
Wachihi, Charles
Chege, Duncan
Thottingal, Paul
Kariri, Anthony
Plummer, Francis
Ball, Blake T
Jaoko Walter G.
Ngugi, Elizabeth N
Kimani, Joshua
Gelmon, Lawrence
Nagelkerke, Nico
Kaul, Rupert
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
Although antiretroviral therapy (ART) prolongs life and reduces infectiousness, in some contexts, it has been associated with increased sexual risk taking.
Design
Retrospective case–control study.
Setting
Nairobi-based dedicated female sex worker (FSW) clinic.
Participants
HIV-infected FSWs before and after ART initiation (n=62); HIV-infected and -uninfected control FSWs not starting ART during the same follow-up period (n=40).
Intervention
Initiation of ART.
Primary outcome measures
Self-reported condom use, client numbers and sexually transmitted infection incidence over the study period (before and after ART initiation in cases).
Results
Sexual risk-taking behaviour with casual clients did not increase after ART initiation; condom use increased and sexually transmitted infection incidence decreased in both cases and controls, likely due to successful cohort-wide HIV prevention efforts.
Conclusions
ART provision was not associated with increases in unsafe sex in this FSW population.
URI
http://www.ncbi.nlm.nih.gov/pubmed/22466157http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/15372
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3323809/
Citation
BMJ Open. 2012; 2(2): e000565.Publisher
Department of Community Health Department of Medical Microbiology
Description
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- Faculty of Health Sciences (FHS) [10378]