ABC for people with HIV: responses to sexual behaviour recommendations among people receiving antiretroviral therapy in Jinja, Uganda


Allen, C; Mbonye, M; Seeley, J; Birungi, J; Wolff, B; Coutinho, A; Jaffar, S; (2011) ABC for people with HIV: responses to sexual behaviour recommendations among people receiving antiretroviral therapy in Jinja, Uganda. Culture, health & sexuality, 13 (5). pp. 529-543. ISSN 1369-1058 DOI: https://doi.org/10.1080/13691058.2011.558593

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Abstract

People living with HIV who are taking antiretroviral therapy (ART) are increasingly involved in 'positive prevention' initiatives. These are generally oriented to promoting abstinence, 'being faithful' (partner reduction) and condom use (ABC). We conducted a longitudinal qualitative study with people living with HIV using ART, who were provided with adherence education and counselling support by a Ugandan non-governmental organisation, The AIDS Support Organisation (TASO). Forty people were selected sequentially as they started ART, stratified by sex, ART delivery mode (clinic- or home-based) and HIV progression stage (early or advanced) and interviewed at enrolment and at 3, 6, 18 and 30 months. At initiation of ART, participants agreed to follow TASO's positive-living recommendations. Initially poor health prevented sexual activity. As health improved, participants prioritised resuming economic production and support for their children. With further improvements, sexual desire resurfaced and people in relationships cemented these via sex. The findings highlight the limitations of HIV prevention based on medical care/personal counselling. As ART leads to health improvements, social norms, economic needs and sexual desires increasingly influence sexual behaviour. Positive prevention interventions need to seek to modify normative and economic influences on sexual behaviour, as well as to provide alternatives to condoms.

Item Type: Article
Keywords: HIV, AIDS, anti-retroviral therapy, sexual behaviour, Uganda, VIRUS TYPE-1 SUPERINFECTION, POSITIVE PREVENTION, DEVELOPING-COUNTRIES, RISK, INTERVENTIONS, CHALLENGES, HIV/AIDS, REDUCTION, ADHERENCE, TANZANIA
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
Faculty of Public Health and Policy > Dept of Global Health and Development
Research Centre: Tropical Epidemiology Group
PubMed ID: 21390948
Web of Science ID: 288956800003
URI: http://researchonline.lshtm.ac.uk/id/eprint/817

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