Significant rates of risky sexual behaviours among HIV-infected patients failing first-line ART: A sub-study of the Europe–Africa Research Network for the Evaluation of Second-line Therapy trial

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dc.contributor.authorWanyama, Jane N.
dc.contributor.authorNabaggala, Maria S.
dc.contributor.authorWandera, Bonnie
dc.contributor.authorKiragga, Agnes N.
dc.contributor.authorCastelnuovo, Barbara
dc.contributor.authorMambule, Ivan K.
dc.contributor.authorNakajubi, Josephine
dc.contributor.authorKambugu, Andrew D.
dc.contributor.authorPaton, Nicholas I.
dc.contributor.authorColebunders, Robert
dc.contributor.authorWanyenze, Rhoda K.
dc.contributor.authorEasterbrook, Philippa
dc.date.accessioned2022-03-21T09:23:24Z
dc.date.available2022-03-21T09:23:24Z
dc.date.issued2018
dc.description.abstractThere are limited data on the prevalence of risky sexual behaviours in individuals failing first-line antiretroviral therapy (ART) and changes in sexual behaviour after switch to second-line ART. We undertook a sexual behaviour sub-study of Ugandan adults enrolled in the Europe–Africa Research Network for the Evaluation of Second-line Therapy trial. A standardized questionnaire was used to collect sexual behaviour data and, in particular, risky sexual behaviours (defined as additional sexual partners to main sexual partner, inconsistent use of condoms, non-disclosure to sexual partners, and exchange of money for sex). Of the 79 participants enrolled in the sub-study, 62% were female, median age (IQR) was 37 (32–42) years, median CD4 cell count (IQR) was 79 (50–153) cells/ml, and median HIV viral load log was 4.9 copies/ml (IQR: 4.5–5.3) at enrolment. The majority were in long-term stable relationships; 69.6% had a main sexual partner and 87.3% of these had been sexually active in the preceding six months. At enrolment, around 20% reported other sexual partners, but this was higher among men than women (36% versus 6.7 %, p<0.001). In 50% there was inconsistent condom use with their main sexual partner and a similar proportion with other sexual partners, both at baseline and follow-up. Forty-three per cent of participants had not disclosed their HIV status to their main sexual partner (73% with other sexual partners) at enrolment, which was similar in men and women. Overall, there was no significant change in these sexual behaviours over the 96 weeks following switch to second-line ART, but rate of non-disclosure of HIV status declined significantly (43.6% versus 19.6%, p<0.05). Among persons failing first-line ART, risky sexual behaviours were prevalent, which has implications for potential onward transmission of drug-resistant virus. There is need to intensify sexual risk reduction counselling and promotion of partner testing and disclosure, especially at diagnosis of treatment failure and following switch to second- or third-line ART.en_US
dc.identifier.citationWanyama, J. N., Nabaggala, M. S., Wandera, B., Kiragga, A. N., Castelnuovo, B., Mambule, I. K., ... & Easterbrook, P. (2018). Significant rates of risky sexual behaviours among HIV-infected patients failing first-line ART: A sub-study of the Europe–Africa Research Network for the Evaluation of Second-line Therapy trial. International journal of STD & AIDS, 29(3), 287-297.10.1177/0956462417724707en_US
dc.identifier.otherDOI: 10.1177/0956462417724707
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/2862
dc.language.isoenen_US
dc.publisherInternational journal of STD & AIDSen_US
dc.subjectAfricaen_US
dc.subjectantiretroviral therapyen_US
dc.subjecthigh-risk behaviouren_US
dc.subjectHIVen_US
dc.subjectsexual behaviouren_US
dc.titleSignificant rates of risky sexual behaviours among HIV-infected patients failing first-line ART: A sub-study of the Europe–Africa Research Network for the Evaluation of Second-line Therapy trialen_US
dc.typeArticleen_US
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