Sexual HIV risk behaviour and associated factors among pregnant women in Mpumalanga, South Africa
SOURCE: BMC Pregnancy and Childbirth
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2013
TITLE AUTHOR(S): K.Peltzer, G.Mlambo
KEYWORDS: CONDOM USE, HIV/AIDS, MPUMALANGA PROVINCE, PREGNANCY, RISK BEHAVIOUR, SEXUAL BEHAVIOUR, WOMEN
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 7590
HANDLE: 20.500.11910/3097
URI: http://hdl.handle.net/20.500.11910/3097
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2013
TITLE AUTHOR(S): K.Peltzer, G.Mlambo
KEYWORDS: CONDOM USE, HIV/AIDS, MPUMALANGA PROVINCE, PREGNANCY, RISK BEHAVIOUR, SEXUAL BEHAVIOUR, WOMEN
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 7590
HANDLE: 20.500.11910/3097
URI: http://hdl.handle.net/20.500.11910/3097
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
The HIV risk increases during pregnancy. The elevated risk of HIV acquisition in pregnant women may be explained by behavioural and other factors. The aim of this study was to assess sexual HIV risk behaviour and its associated factors among pregnant women in Mpumalanga, South Africa. A cross-sectional study was conducted among 1 502 pregnant women (age range 18-47 years, mean age 26.6 years, standard deviation (SD) 6.1, and the mean gestational age was 6.5 months (SD 1.6). Antenatal women were selected, using systematic sampling from 63 primary care clinics and community health centres in Nkangala District. Data were collected by using a structured questionnaire and multivariate logistic regression analysis was used. The majority (63%) of the participants had never used a condom with their primary sexual partner in the past 3 months, 60% were not aware of the HIV status of their sexual partner, 7.6% had a casual sexual partner in the past 3 months, 20% had two or more sexual partners in the past 12 months and 17.3% reported to have been diagnosed with a sexually transmitted infection (STI) (other than HIV) in the past 12 months. The various HIV risk behaviours were predicted, by being single and alcohol use for multiple sexual partners; by fewer antenatal visits, being HIV negative and not having used alcohol for lack of condom use; by being HIV positive, having experienced physical partner violence and psychological distress for having been diagnosed with a sexually transmitted infection (other than HIV); and by lower education, unplanned pregnancy, non-antenatal care attendance by expectant father, the belief that antiretrovirals can cure HIV and being HIV positive for having a partner with HIV positive or unknown status. High levels of sexual HIV risk behaviour were found during pregnancy. Pregnant women need to be informed of their increased risk of HIV and the importance of sexual HIV risk reduction including the use of condoms throughout pregnancy.-
Related Research Outputs:
- Psychosocial correlates of condom use consistency among isixhosa-speaking women living with HIV in the Western Cape province of South Africa
- Psychological distress and associated factors among a sample of pregnant women in South Africa
- The use of dual or two methods for pregnancy and HIV prevention amongst 18-24-year-olds in a cross-sectional study conducted in South Africa
- Condom negotiation, HIV testing, and HIV risks among women from alcohol serving venues in Cape Town, South Africa
- HIV knowledge and sexual risk behavior among pregnant couples in South Africa: the PartnerPlus project
- HIV knowledge, disclosure and sexual risk among pregnant women and their partners in rural South Africa
- Prevalence of knowledge and use of the female condom in South Africa
- The female condom: problematic plastic or choice protection?
- Age-disparate and intergenerational sex in southern Africa: the dynamics of hypervulnerability
- Intimate partner violence and HIV risk among women in primary health care delivery services in a South African setting
- Condom failure among men receiving sexually transmissible infection clinic services, Cape Town, South Africa
- Safer sexual behaviours after 1 year of antiretroviral treatment in KwaZulu-Natal, South Africa: a prospective cohort study
- Factors influencing pregnancy desires among HIV positive women in Gert Sibande district in Mpumalanga, South Africa
- Lay counsellor-based risk reduction intervention with HIV positive diagnosed patients at public HIV counselling and testing sites in Mpumalanga, South Africa
- Community norms for HIV risk behaviors among men in a South African township
- Comparing STI risk and sexual behaviour profiles of pregnant versus non-pregnant, HIV negative black South African women
- Barriers to recruitment and retention of HIV negative black South African women into behavioural HIV prevention programs
- Are HIV positive women who have sex with women (WSW) an unrecognized and neglected HIV risk group in South Africa?
- Looking to the future: South African men and women negotiating HIV risk and relationship intimacy
- HIV knowledge, risk perception and risk behaviour among male ex-offenders in Mpumalanga, South Africa