Sexual behavior and perceived HIV risk among HIV-negative members of serodiscordant couples in East Africa

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dc.contributor.authorWanga, Valentine
dc.contributor.authorBaeten, Jared M.
dc.contributor.authorBukusi, Elizabeth A.
dc.contributor.authorMugo, Nelly R.
dc.contributor.authorAsiimwe, Stephen
dc.contributor.authorNgure, Kenneth
dc.contributor.authorMujugira, Andrew
dc.contributor.authorMuwonge, Timothy
dc.contributor.authorOdoyo, Josephine B.
dc.contributor.authorHaberer, Jessica E.
dc.contributor.authorCelum, Connie
dc.contributor.authorHeffron, Renee
dc.date.accessioned2023-02-08T17:32:54Z
dc.date.available2023-02-08T17:32:54Z
dc.date.issued2020
dc.description.abstractHIV risk perception may influence the use of HIV prevention interventions. Using data from HIV-negative adults enrolled in a study of pre-exposure prophylaxis (PrEP) and antiretroviral therapy for HIV-serodiscordant couples in Kenya and Uganda, we examined associations between: 1) condom use and risk perception and 2) risk perception and PrEP adherence. Two-thirds of HIV-negative partners reported condomless sex with their HIV-positive partner or another partner in the month prior to study enrollment. Compared to those who reported no condomless sex, participants who reported condomless sex during the month prior to study visit had 5-fold higher odds of reporting “high risk” vs “no risk” perception (36.3 versus 10.9%: aOR=4.9, 95% CI: 3.4–6.9). Reporting condomless sex in the most recent sex act was associated with increased odds of perceiving some HIV risk (aOR for high risk=7.3, 95% CI 4.9–10.8; aOR for moderate risk=4.8, 95% CI 3.5–6.7; aOR for low risk=3.5, 95% CI 2.7–4.6). We found no significant association between risk perception and PrEP adherence. Sexual behavior aligned with perceived HIV risk, which can facilitate an HIV-negative individual’s decisions about PrEP use.en_US
dc.identifier.citationWanga, V., Baeten, J. M., Bukusi, E. A., Mugo, N. R., Asiimwe, S., Ngure, K., ... & Partners Demonstration Project Team Deborah Donnell Harald Haugen Craig Hendrix Lara Kidoguchi Mark Marzinke Susan Morrison Norma Ware Monique Wyatt. (2020). Sexual behavior and perceived HIV risk among HIV-negative members of serodiscordant couples in East Africa. AIDS and Behavior, 24, 2082-2090. doi:10.1007/s10461-019-02773-5.en_US
dc.identifier.other10.1007/s10461-019-02773-5.
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/7652
dc.language.isoenen_US
dc.publisherAIDS and Behavioren_US
dc.subjectHIVen_US
dc.subjectRisk perceptionen_US
dc.subjectSerodiscordanten_US
dc.subjectCondomless sexen_US
dc.subjectPrEPen_US
dc.titleSexual behavior and perceived HIV risk among HIV-negative members of serodiscordant couples in East Africaen_US
dc.typeArticleen_US
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