Risk behaviour of HIV positive individuals who are aware of their serostatus: evidence from the 2012 HIV Population-based Household Survey in South Africa
SOURCE: Journal of AIDS & Clinical Research
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2016
TITLE AUTHOR(S): M.L.H.Mabaso, L.C.Simbayi, V.Maduna, T.Ramaliba, Y.Naidoo
KEYWORDS: HIV/AIDS, HIV/AIDS STATUS, RISK BEHAVIOUR
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 9209
HANDLE: 20.500.11910/9704
URI: http://hdl.handle.net/20.500.11910/9704
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2016
TITLE AUTHOR(S): M.L.H.Mabaso, L.C.Simbayi, V.Maduna, T.Ramaliba, Y.Naidoo
KEYWORDS: HIV/AIDS, HIV/AIDS STATUS, RISK BEHAVIOUR
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 9209
HANDLE: 20.500.11910/9704
URI: http://hdl.handle.net/20.500.11910/9704
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
HIV positive people are the main source of new infections, which occur mainly through risk behaviours with a high-risk partner. Awareness of HIV status has been proposed as a key factor underlying sexual and HIV risk behaviour. This study sought to determine whether awareness of one's HIV positive status translates to reduced sexual risk behaviour among HIV positive individuals. The analysis was based on the 2012 South African National HIV Prevalence, Incidence and Behaviour Survey, which included socio-demographic characteristics, age at sexual debut, age disparate partnerships, multiple sexual partners, condom use at last sex, self-perceived risk of HIV infection and alcohol use. Bivariate and multivariate logistic regression was used to assess sexual and HIV risk behavioural factors associated with awareness of HIV status. Of 2565 HIV positive individuals, 48.3% reported that they were aware of their HIV status while the remainder indicated they were aware not aware of their HIV status. HIV positive females were more likely to report that they knew their status than their male counterparts [OR=1.6 (95% CI: 1.0-2.7), p=0.049]. Knowing that one was HIV positive was associated with increased likelihood of condom at last sex [OR=1.5 (95% CI: 1.1-2.0), p=0.010], low risk perception of HIV infection ([OR=0.7 (95% CI: 0.5-0.9), p=0.011], and reduced likelihood of risky/hazardous drinking of alcohol among males [OR=0.3 (95% CI: 0.2-0.6), p<0.001]. The current findings confirm that gaining knowledge of one's own HIV status is key to adopting HIV prevention behaviours. Given the large number of people living with HIV/AIDS in South Africa more efforts should be made to promote positive prevention programmes.-
Related Research Outputs:
- HIV testing and self-reported HIV status in South African men who have sex with men: results from a community-based survey
- Innovative mobilization strategies for attracting at risk youth and young adults to participate in community-based voluntary counselling and testing in rural Kwa-Zulu Natal, South Africa (Project Accept - HPTN 043)
- Sexual behaviour, HIV status, and HIV risk among older South Africans
- Leveraging community and peer-based approaches to enhance the HIV care continumm from awareness of HIV status to viral suppression for HIV + MSM in South Africa
- Abstract: Determinants of the use of voluntary counselling and testing services among the sexually active adult population of South Africa
- Universal HIV testing of infants at immunization clinics: an acceptable and feasible approach for early infant diagnosis in high HIV prevalence settings
- Intimate partner violence as a factor associated with risky sexual behaviours and alcohol misuse among men
- Methamphetamine use and sexual risks for HIV infection in Cape Town, South Africa
- Sexual assault, sexual risks and gender attitudes in a community sample of South African men
- HIV/AIDS risk reduction counseling for alcohol using sexually transmitted infections clinic patients in Cape Town, South Africa
- Disclosure of HIV status to sex partners and sexual risk behaviours amongh HIV-positive men and women, Cape Town, South Africa
- Alcohol use and sexual risks for HIV/AIDS in sub-Saharan Africa: systematic review of empirical findings
- Associations of poverty, substance use, and HIV transmission risk behaviors in three South African communities
- Behaviourial risks and HIV sero-status household survey in the Klerksdorp district of South Africa: a baseline study
- Alcohol expectations and risky drinking among men and women at high-risk for HIV infection in Cape Town, South Africa
- Recent multiple sexual partners and HIV transmission risks among people living with HIV/AIDS in Botswana
- Rapid appraisal of substance abuse and HIV awareness messages in poster communication to disadvantaged youth in South Africa
- Household survey of behavioural risks and HIV sero-status in two districts in Botswana: a baseline study
- Youth voices about sex and AIDS: implications for life skills education through the 'Learning Together' project in KwaZulu-Natal, South Africa
- HIV/AIDS risks among men and women who drink at informal alcohol serving establishments (shebeens) in Cape Town, South Africa