title: Sexual risk behaviour among HIV-positive individuals in clinical care in urban KwaZulu-Natal, South Africa.
abstract: We assessed the incidence and predictors of unprotected sex among 152 HIV-positive patients in clinical care in KwaZulu-Natal, South Africa. Nearly 50% were sexually active; 30% of those reported unprotected sex. Alcohol use during sex, reporting forced sex, sex with a perceived HIV-positive partner, and sex with a casual partner predicted more unprotected sex, whereas HIV status disclosure was related to less unprotected sex. These findings highlight the need for linking HIV prevention and care in Africa.
authors.affiliation: Center for Health/HIV Intervention and Prevention, Department of Psychology, University of Connecticut, Storrs, CT, USA.
authors.forename: Susan M
authors.initials: SM
authors.lastname: Kiene
authors.forename: Sarah
authors.initials: S
authors.lastname: Christie
authors.forename: Deborah H
authors.initials: DH
authors.lastname: Cornman
authors.forename: William A
authors.initials: WA
authors.lastname: Fisher
authors.forename: Paul A
authors.initials: PA
authors.lastname: Shuper
authors.forename: Sandy
authors.initials: S
authors.lastname: Pillay
authors.forename: Gerald H
authors.initials: GH
authors.lastname: Friedland
authors.forename: Jeffrey D
authors.initials: JD
authors.lastname: Fisher
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006679:HIV Seropositivity / Q000453:epidemiology / Q000523:psychology*; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D012747:Sexual Partners; D013019:South Africa / Q000453:epidemiology; D047568:Unsafe Sex / Q000523:psychology* / Q000706:statistics & numerical data; D014504:Urban Health