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|Title:||Sexual risk behaviors of patients with HIV/AIDS over the course of antiretroviral treatment in Northern Vietnam||Authors:||Vu T.M.T.
|Keywords:||Antiretroviral treatment; HIV; Risk; Sexual behaviors; Vietnam||Issue Date:||2018||Publisher:||MDPI AG||Citation:||Vu T.M.T., Boggiano V.L., Tran B.X., Nguyen L.H., Tran T.T., Latkin C.A., Ho C.S.H., Ho R.C.M. (2018). Sexual risk behaviors of patients with HIV/AIDS over the course of antiretroviral treatment in Northern Vietnam. International Journal of Environmental Research and Public Health 15 (6) : 1-11. ScholarBank@NUS Repository. https://doi.org/10.3390/ijerph15061106||Abstract:||Antiretroviral therapy (ART) improves the health and well-being of people living with the human immunodeficiency virus (HIV, PLWH), and reduces their risk of transmitting the virus to sexual partners. However, patterns of sexual risk behavior among HIV-positive patients taking ART in Vietnam remain largely unknown. In this study, we sought to examine sexual risk behaviors and their associated factors among HIV-positive patients receiving ART in northern Vietnam. The socio-demographic characteristics, ART use, health status, and sexual behaviors of 1133 patients taking ART in the Hanoi and Nam Dinh provinces were explored through face-to-face interviews. There were 63.5% of patients who had one sex partner, while 3.6% and 5.6% of patients had sexual intercourse with casual partners or sex workers, respectively, in the previous 12 months. Most participants tended to use condoms more often with commercial sex partners (90.2%) and intimate partners (79.7%), and less often with casual partners (60.9%). Higher age (odds ratio, OR = 1.0; 95% CIs = 1.0, 1.1) or suffering pain/discomfort (OR = 1.7; 95% CIs = 1.2, 2.4) were factors more likely to be associated with multiple sex partners. Patients who were self-employed were more likely to have sexual intercourse with casual partners/sex workers (OR = 2.1; 95% CIs = 1.1, 4.0). Meanwhile, a higher score on the EuroQol visual analog scale (EQ-VAS), an unknown HIV stage, and a longer duration of ART were adversely associated with not using condoms with casual partners/sex workers. Patients with longer durations of ART had a lower likelihood of not using a condom with casual partners/sex workers (OR = 0.5; 95% CIs = 0.3, 0.8). Our study underscored a relatively high rate of unsafe sexual behaviors among HIV-positive patients. Continuing to improve the physical and psychological well-being of HIV-positive patients in Vietnam is important in reducing the spread of HIV via risky sexual behaviors. In addition, safe-sex education should be provided to older people, and to those who are self-employed. © 2018 by the authors. Licensee MDPI, Basel, Switzerland.||Source Title:||International Journal of Environmental Research and Public Health||URI:||http://scholarbank.nus.edu.sg/handle/10635/152508||ISSN:||16617827||DOI:||10.3390/ijerph15061106|
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