title: Changes in sexual risk taking with antiretroviral treatment: influence of context and gender norms in Mombasa, Kenya.
abstract: In-depth interviews were conducted with 23 sexually-active adults receiving antiretroviral treatment (ART) in Mombasa Kenya to understand changes in sexual behaviour after treatment initiation and factors influencing condom use. Advanced HIV disease had previously led to marked decreases in sexual desire and function. After HIV testing, numbers of partners reduced and monogamous relationships began to predominate. Receipt of ART strengthened these changes, while improving sexual health. However, concurrent sexual partnerships continue within polygamous marriage and unprotected sex occurs with regular partners, even those who are HIV-negative. Those who used condoms inconsistently prior to ART often remained inconsistent users thereafter. While disclosure of HIV status appeared to support condom use, this does not always predict protected sex. In addition to classic perceptions about condom's effect on intimacy and trust, traditional gender roles, misconceptions about potential harm from condoms and fertility desires hinder condom use.
authors: Population Council, New Delhi, India. asarna@popcouncil.org
authors: Avina
authors: A
authors: Sarna
authors: Matthew
authors: M
authors: Chersich
authors: Jerry
authors: J
authors: Okal
authors: Stanley M F
authors: SM
authors: Luchters
authors: Kishorchandra N
authors: KN
authors: Mandaliya
authors: Naomi
authors: N
authors: Rutenberg
authors: Marleen
authors: M
authors: Temmerman
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000188:drug therapy* / Q000453:epidemiology*; D000293:Adolescent; D044966:Anti-Retroviral Agents / Q000627:therapeutic use*; D002391:Catchment Area, Health; D017280:Condoms / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007630:Kenya / Q000453:epidemiology; D008297:Male; D012309:Risk-Taking; D012725:Sexual Behavior; D047568:Unsafe Sex / Q000706:statistics & numerical data; D055815:Young Adult
chemical_list: D044966:Anti-Retroviral Agents