Understanding the Context of HIV Risk Behavior Among HIV-Positive and HIV-Negative Female Sex Workers and Male Bar Clients Following Antiretroviral Therapy Rollout in Mombasa, Kenya  

Oleh:

McClelland, Lauren ; Wanje, George ; Kashonga, Frances ; Kibe, Lydiah ; McClelland, R. Scott ; Kiarie, James ; Mandaliya, Kishorchandra ; Peshu, Norbert ; Kurth, Ann

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Aids Education and Prevention: An Interdisciplinary Journal vol. 23 no. 04 (Aug. 2011), page 299-312.
Topik: Antiretroviral Therapy; HIV
Fulltext: a94 v23 n4 Aug11 p299,win.pdf (123.71KB)

Ketersediaan

Perpustakaan PKPM Nomor Panggil: A94 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

This study explored perceptions of HIV following local introduction of antiretroviral therapy (ART), among 30 HIV-positive and -negative female sex workers (FSWs) and 10 male bar patrons in Mombasa, Kenya. Semi-structured interviews were analyzed qualitatively to identify determinants of sexual risk behaviors. ART was not perceived as a barrier to safer sex and in some cases led to decreased high-risk behaviors. Barriers to safer sex included economic pressure and sexual partnership types. Many women reported that negotiating condom use is more difficult in long-term partnerships. These women favored short-term partnerships to minimize risk through consistent condom use. For women living with HIV, concern about maintaining health and avoiding HIV superinfection was a strong motivator of protective behaviors. For HIV-negative women, a negative HIV test was a powerful motivator. Incorporation of context- and serostatus-specific factors (e.g., self-protection for HIV-positive women) into tailored prevention counseling may support high-risk women to reduce risk behaviors.

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