title: Sexual Behavior and Risk Practices of HIV Positive and HIV Negative Rwandan Women.
abstract: It is not well understood how infection with HIV and prior experience of sexual violence affects sexual behavior in African women. We describe factors influencing current sexual practices of Rwandan women living with or without HIV/AIDS. By design, 75 % of participants were HIV positive and ~50 % reported having experienced genocidal rape. Univariate and multivariate logistic regression models were fit to describe demographic and clinical characteristics that influenced sexual behavior in the previous 6 months, condom use, history of transactional sex, and prior infection with a non-HIV sexually transmitted disease. Respondents' age, where they lived, whether or not they lived with a husband or partner, experience of sexual trauma, CD4 count, CES-D and PTSD scores were strongly associated with risky sexual behavior and infection with non-HIV STI. HIV positive women with a history of sexual violence in the contexts of war and conflict may be susceptible to some high-risk sexual behaviors.
authors.affiliation: Centre for Public Health Sciences, Albert Einstein College of Medicine, Mazer 515, 1300 Morris Park Avenue, Bronx, NY, 10461, USA, adebola.adedimeji@einstein.yu.edu.
authors.forename: Adebola A
authors.initials: AA
authors.lastname: Adedimeji
authors.forename: Donald R
authors.initials: DR
authors.lastname: Hoover
authors.forename: Qiuhu
authors.initials: Q
authors.lastname: Shi
authors.forename: Tracy
authors.initials: T
authors.lastname: Gard
authors.forename: Eugene
authors.initials: E
authors.lastname: Mutimura
authors.forename: Jean d'Amour
authors.initials: Jd
authors.lastname: Sinayobye
authors.forename: Mardge H
authors.initials: MH
authors.lastname: Cohen
authors.forename: Kathryn
authors.initials: K
authors.lastname: Anastos
mesh_terms: D000293:Adolescent; D000328:Adult; D044383:Black People / Q000523:psychology* / Q000706:statistics & numerical data; D017280:Condoms / Q000706:statistics & numerical data; D005260:Female; D018023:HIV Seronegativity; D006679:HIV Seropositivity / Q000453:epidemiology* / Q000523:psychology; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D012307:Risk Factors; D012309:Risk-Taking; D021841:Safe Sex / Q000706:statistics & numerical data; D012725:Sexual Behavior; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000517:prevention & control; D012959:Socioeconomic Factors; D014505:Urban Population; D055815:Young Adult