Vulnerability, Unsafe Sex and Non Adherence to HAART : Evidence from a Large Sample of French HIV / AIDS Outpatients  

Oleh:

Peretti-Watel, Patrick ; Spire, B. ; Schiltz, M. A. ; Bouhnik, A. D. ; Heard, I. ; Lert, F. ; Obadia, Y.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 10 (May 2006), page 2420-2433.
Topik: AIDS/HIV; HIV / AIDS; HAART; adherence; unsafe sex; france

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.4 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

Current socio behavioral research in HIV infected people has tried to identify patients with high risk profiles i.e. who simultaneously exhibit non adherence to highly active anti retroviral therapy (HAART) and unsafe sex with serofiscordant partners. We challenged this approach by investigating the correlates of both behaviors, for homosexual men, heterosexual men and heterosexual women separately, among a representative sample of 4963 HIV infected people in france. Variables introduced in the analysis deal with patients' background and daily life, with a focus on situations of economic, social and personal vulnerability. Overall, 2932 patients agreed to participate, an 1809 were both receiving HAART and sexually active. Among heterosexual women, non adherence and unsafe sex appeared as joint outcomes of predictors related to situations of vulnerability. Among heterosexual men, these behaviours were weakly correlated and shared some predictors related to stuations of vulnerability. Among heterosexual men, non adherence and unsafe sex were not correlated and had distinct determinants. Situations of vulnerability, the context and the motives of unsafe sex, as well as factors associated with non adherence and unsafe sex varied greatly with gender and sexual preference. Theoretical models used for designing behavioural interventions should take into accounts this diversity.

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