Does antiretroviral therapy initiation increase sexual risk taking in Kenyan female sex workers? A retrospective case–control study

نویسندگان

  • Elysha Mawji
  • Lyle McKinnon
  • Charles Wachihi
  • Duncan Chege
  • Paul Thottingal
  • Anthony Kariri
  • Francis Plummer
  • T Blake Ball
  • Walter Jaoko
  • Elizabeth Ngugi
  • Joshua Kimani
  • Lawrence Gelmon
  • Nico Nagelkerke
  • Rupert Kaul
چکیده

OBJECTIVES 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.

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عنوان ژورنال:

دوره 2  شماره 

صفحات  -

تاریخ انتشار 2012