People with HIV not diagnosed e com load viral are less likely to use condoms
People with HIV who do not use condoms consistently are more likely to be unaware that they are HIV positive or have a detectable viral load when their HIV infection has been diagnosed.
This, according to surveys carried out in South Africa and published inNature Scientific Reports.
"We found thatthose unaware of their HIV positivity were more likely to report higher risk behavior than those aware"Write the authors.
"A novel finding of this study was that the increased risk behavior was associated with higher viral loads in those who were aware of their HIV positivity."
Seven out of one hundred and sixty five people with more than one HIV sexual partner had used condoms consistently
The researchers found that only 7 of 165 people with HIV who reported more than one sexual partner in the previous period of one year had consistently used condoms, leading them to define multiple sexual partners as high-risk behavior.
The researchers believe that these findings have implications for the reliability of the study model showing the potential for test expansion and antiretroviral treatment to control the HIV epidemic in South Africa.
The cross-sectional study was conducted in KwaZulu Natal, which has one of the highest adult HIV prevalence rates in the world (28%)
They also highlight the fact that likely sexual behavior that leads to future HIV transmission was associated with poor behavioral health seeking:
Or lack of awareness of HIV status or lack of involvement in HIV treatment.
Understanding the reasons why people choose not to seek diagnosis or care is essential not only for treatment expansion,but also to reduce HIV transmission.
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The cross-sectional study was conducted in KwaZulu Natal, which has one of the highest adult HIV prevalence rates in the world (28%).
And this is where the incidence of HIV remains high (2,6 infections per 100 person-year).
The researchers hypothesized that people with higher risk sexual behavior were less likely to know their HIV status and be virally suppressed. (This thesis ...)
Individuals were tested for HIV and they did not know they were people with HIV
They therefore designed a survey involving adults aged between 15 and 59 years.
Participants were interviewed about their sexual behavior.
The subjects were tested for HIV and they did not know they were positive.
Blood samples were obtained to check the viral load and the presence of antiretroviral drugs.
The study was conducted between July and October of 2013.
The total population studied consisted of 5649 individuals, of whom 1423 were HIV positive and therefore included in the present analysis. The average age was 34 years.
A quarter of people with HIV were unaware of their infection status and 43% had a viral load above 1000 copies / ml.
Thirty-five percent of people with HIV reported inconsistent condom use with a single partner in the previous year.
11,6% reported having multiple sexual partners and only 7 of 165 reported consistent condom use.
Simultaneous intercourse was reported by 12% of subjects and 4% reported occasional cases and / or transactional sex.
Men were more likely than women to have more than one sexual partner, a concurrent casual relationship or transactional sex.
Serological unawareness was strongly associated with having multiple sexual partners
A quarter of people with HIV were unaware of their infection status and 43% of all those with HIV had a viral load above 1000 copies / ml.
Unconsciousness and a high viral load were more common among men than women. (no treatment […])
Serological unawareness was strongly associated with having multiple sexual partners during the period of the previous year.
Among people reporting more than one sexual partner in the previous year, 45% were unaware that they were HIV positive, compared to 22% reporting a single partner.
Inconsistent condom use in the previous year was strongly associated with having more than one sexual partner (women, aOR = 9,6, IC 95%, 3,4-26,9, men, aOR = 23,6, IC 95%, 7,1-78,4) HIV positive (women, OR, 3,4, IC 95%, 2,2-5,2, men, aOR, 4,1, IC 95%, 2,0-8,7).
True damn butchers
Overall, 29% of men had more than one sexual partner; 96% of these reported individuals used inconsistent condoms.
Fifty-two percent had viral load above 1000 copies / ml and 35% viral load above 100.000 copies / ml.
The proportion of men virally without suppressed viral load increased with increased risk sexual behavior of approximately 30% for men with minimal risky sexual behavior (no sex in the preceding year).
The increase was more than 70% for those with the highest level of behavioral risk (inconsistent condom use and more than one partner in the previous year).
They further found that men with high viral load were in the group in which most would likely report risk behavior (21% lower risk vs. 56% higher risk). Editor's note (True damn butchers)
The risk of HIV transmission was mainly linked to viral load among women
In women, the risk of HIV transmission was primarily linked to viral load.
Overall, 9% of women reported more than one sexual partner; 94% of these women reported inconsistent condom use and 40% had viral load above 1000 copies / ml, with 24% with viral load above 100.000 copies / ml.
The proportion with high viral load increased with behavior, 32% risk for those with lower risk and for 56% for those reported with more risky sex patrica.
Analysis of women who were aware that they were HIV positive showed that only 4% of these reported more than one partner and had a viral load above 1000 copies / ml.
"There is a clear need to target HIV prevention interventions, including HIV testing, campaigns and treatment programs, across different groups of people based on the risk factors associated with their sexual behavior, as well as exploring retention alternatives and strategies of adhesion, "conclude the researchers.
"However, such relationships are not likely to be diverted by a purely health sector-oriented approach and innovative strategies, driven by epidemiological and anthropological evidence, need to be developed to allow for more comprehensive approaches to HIV prevention."
Translated by Claudio Souza's original People with HIV who are undiagnosed and those with detectable viral load less likely to use condoms, South African study finds written by
Posted: 07 from December of 2017 on Aidsmap in English and in 11 of December in Soropositivo.Org
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Huerga H et al.O behavior sexual more risk is associate à lack de consciousness da positivity to HIV and from lack de suppression viral – implications for treatment as prevention. Scientific Reports, 7: 16117, DOI: 10.1038 / 41598-017-16382-6 (2017)