title: [Impact of antiretroviral therapy on drug-using and high risk sexual behaviors among HIV-positive methadone maintenance treatment clients: a qualitative study].
abstract: OBJECTIVE
  To understand that whether initiation of antiretroviral therapy (ART) would impact on the change and its reasons regarding the HIV-related high risk behaviors among HIV-positive clients who attending the methadone maintenance treatment (MMT).
  
  
  METHODS
  In-depth interviews were conducted among 34 MMT clients in Yunnan province who were under ART. The related contents would include information on general demographic charicteristics, HIV infection,MMT, number of sexual partners before and after ART, sexual behavior and frequency of condom use, drug use, needle sharing, changes in risk behaviors before and after the ART, reasons for high-risk behavior, of the clients.
  
  
  RESULTS
  The average age of the interviewees was 38.5 years, and most of them were male (70.6%). The clients under this study all admitted that the frequencies of unsafe sex and needle sharing did not increase after the ART initiation, with the main reasons as increasing HIV related awareness, the use of methadone, high accessibility of free condoms and access to clean needles etc. However, 12 of 34 reported being relapsed and 3 reported inconsistent condom use. The interaction of ART and dosage of methadone were connected to the episodes of relapsing and the ART optimism would result in inconsistent condom use.
  
  
  CONCLUSIONS
  No evidence supported that the ART initiation would increase the risk behaviors among the HIV-infected MMT clients. However, attention needs to be paid to the new challenges caused by high expectation of ART.
authors: School of Public Health, Anhui Medical University, Hefei 230032, China; National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention.
authors: Xiaoai
authors: X
authors: Qian
authors: National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention.
authors: Xiaobin
authors: X
authors: Cao
authors: National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention.
authors: Yan
authors: Y
authors: Zhao
authors: School of Public Health, Anhui Medical University, Hefei 230032, China; National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention.
authors: Yingying
authors: Y
authors: Jin
authors: National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention.
authors: Dong
authors: D
authors: Willa
authors: National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention.
authors: Wei
authors: W
authors: Luo
authors: National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention.
authors: Changhe
authors: C
authors: Wang
authors: National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention.
authors: Keming
authors: K
authors: Rou
authors: Yunnan Institute for Drug Abuse.
authors: Bo
authors: B
authors: Zhang
authors: Dehong Prefecture Center for Disease Control and Prevention.
authors: Song
authors: S
authors: Duan
authors: Dehong Prefecture Center for Disease Control and Prevention.
authors: Renhai
authors: R
authors: Tang
authors: School of Public Health, Anhui Medical University, Hefei 230032, China; National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention. Email: wuzy@263.net.
authors: Zunyou
authors: Z
authors: Wu
mesh_terms: D000328:Adult; D002681:China / Q000453:epidemiology; D017280:Condoms; D005260:Female; D015658:HIV Infections / Q000453:epidemiology*; D006801:Humans; D008297:Male; D008691:Methadone / Q000627:therapeutic use*; D016485:Needle Sharing; D058850:Opiate Substitution Treatment; D036301:Qualitative Research; D012309:Risk-Taking; D021841:Safe Sex; D012725:Sexual Behavior; D012747:Sexual Partners; D019966:Substance-Related Disorders / Q000188:drug therapy; D047568:Unsafe Sex
chemical_list: D008691:Methadone