Is there risk compensation among HIV infected youth and adults 15 years and older on antiretroviral treatment in South Africa? findings from the 2017 national HIV prevalence, incidence, behaviour and communication survey

dc.contributor.authorZungu, Nompumelelo Precious
dc.contributor.authorMabaso, Musawenkosi
dc.contributor.authorRamlagan, Shandir
dc.contributor.authorSimbayi, Leickness
dc.contributor.authorMoyo, Sizulu
dc.contributor.authorShisana, Olive
dc.contributor.authorMurangandi, Pelagia
dc.contributor.authorIgumbor, Ehimario
dc.contributor.authorSigida, Salome
dc.contributor.authorJooste, Sean
dc.contributor.authorMarinda, Edmore
dc.contributor.authorAyalew, Kassahun
dc.contributor.authorZuma, Khangelani
dc.date.accessioned2022-12-13T06:33:34Z
dc.date.available2022-12-13T06:33:34Z
dc.date.issued2022-05-18
dc.descriptionDATA AVAILABILITY STATEMENT : The data for this manuscript are openly available on the Human Sciences Research Council institutional repository available at https://repository.hsrc.ac.za/handle/20.500.119 10/15468, Archive number: SABSSM 2017 Combined, URI: http://doi.org/10.14749/1585345902.en_US
dc.description.abstractIn this paper, risk compensation among individuals on antiretroviral therapy (ART), using the 2017 South African national survey on HIV, is explored. A multi-stage stratified cluster random sampling approach was used to realize 11,130 participants 15 years and older. Logistic regression analysis assessed the association between multiple sexual partners, condom use at last sexual encounter, consistency of condom usage and potential explanatory variables using HIV status and ART exposure as a mediator variable. HIV positive participants who were aware and on ART were less likely to have multiple sexual partners, and less likely not to use a condom at last sex compared to HIV positive participants who were aware but not on ART. The odds of reporting multiple sexual partners were significantly lower among older age groups, females, non-Black Africans, and rural settings, and higher among those with tertiary level education, and risky alcohol users. The odds of no condom use at last sexual encounter were more likely among older age groups, females, other race groups, and less likely among those with secondary level education. The odds of inconsistent condom use were more likely among older age groups, females, and other race groups, and less likely among those with tertiary level education, high risk and hazardous alcohol users. Risk compensation is not apparent among HIV infected adults who are on ART. Risk groups that should receive tailored interventions to reduced risky sexual behaviours were identified.en_US
dc.description.departmentPsychologyen_US
dc.description.sponsorshipPresident’s Emergency Plan for AIDS Relief (PEPFAR) through the Centers for Disease Control and Prevention (CDC) Cooperative Agreement.en_US
dc.description.urihttps://www.mdpi.com/journal/ijerphen_US
dc.identifier.citationZungu, N.; Mabaso, M.; Ramlagan, S.; Simbayi, L.; Moyo, S.; Shisana, O.; Murangandi, P.; Igumbor, E.; Sigida, S.; Jooste, S.; et al. Is There Risk Compensation among HIV Infected Youth and Adults 15 Years and Older on Antiretroviral Treatment in South Africa? Findings from the 2017 National HIV Prevalence, Incidence, Behaviour and Communication Survey. International Journal of Environmental Research and Public Health 2022, 19, 6156. https://doi.org/10.3390/ijerph19106156.en_US
dc.identifier.issn1660-4601 (online)
dc.identifier.issn1661-7827 (print)
dc.identifier.other10.3390/ijerph19106156
dc.identifier.urihttps://repository.up.ac.za/handle/2263/88745
dc.language.isoenen_US
dc.publisherMDPIen_US
dc.rights© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/)en_US
dc.subjectRisk compensationen_US
dc.subjectSexual behaviouren_US
dc.subjectHuman immunodeficiency virus (HIV)en_US
dc.subjectAntiretroviral therapy (ART)en_US
dc.subjectSouth Africa (SA)en_US
dc.titleIs there risk compensation among HIV infected youth and adults 15 years and older on antiretroviral treatment in South Africa? findings from the 2017 national HIV prevalence, incidence, behaviour and communication surveyen_US
dc.typeArticleen_US

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