Abstract
Objectives: Although antiretroviral therapy (ART) prolongs life and reduces infectiousness, in some contexts, it has been associated with increased sexual risk taking. Design: Retrospective case-control study. Setting: Nairobi-based dedicated female sex worker (FSW) clinic. Participants: HIV-infected FSWs before and after ART initiation (n=62); HIV-infected and -uninfected control FSWs not starting ART during the same follow-up period (n=40). Intervention: Initiation of ART. Primary outcome measures: Self-reported condom use, client numbers and sexually transmitted infection incidence over the study period (before and after ART initiation in cases). Results: Sexual risk-taking behaviour with casual clients did not increase after ART initiation; condom use increased and sexually transmitted infection incidence decreased in both cases and controls, likely due to successful cohort-wide HIV prevention efforts. Conclusions: ART provision was not associated with increases in unsafe sex in this FSW population.
Original language | English |
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Article number | e000565 |
Journal | BMJ Open |
Volume | 2 |
Issue number | 2 |
DOIs | |
Publication status | Published - 2012 |
ASJC Scopus subject areas
- Medicine(all)