Sexual prevention of HIV within the couple after prenatal HIV-testing in West Africa. - Archive ouverte HAL Access content directly
Journal Articles AIDS Care Year : 2008

Sexual prevention of HIV within the couple after prenatal HIV-testing in West Africa.

(1, 2) , (2) , (3, 4) , (2) , (2) , (2) , (3, 4) , (1)
1
2
3
4

Abstract

The resumption of sexual activity after delivery is a key moment in the management of the risk of sexual HIV transmission within the couple for women who have been prenatally tested for HIV. In this study, we have investigated consistent condom use during the resumption of sexual activity and its evolution over time among women tested for HIV infection during pregnancy. We tested for HIV during pregnancy 546 HIV-infected and 393 HIV-negative women within the Ditrame Plus ANRS project in Abidjan; these women were followed-up for two years after delivery. Most HIV-negative women (96.7%) disclosed their HIV-test result to their partners, whereas only 45.6% of HIV-infected women did so (p<0.001). Partners of HIV-infected women were more likely to be tested for HIV before resuming sexual activity than partners of HIV-negative women (11.7% vs. 7.4%, p=0.054). Less than one third of both HIV-infected and HIV-negative women reported having systematically used condoms during the resumption of sexual activity. The proportions of HIV-infected and HIV-negative women having consistently used condoms were respectively 26.2% and 19.8% (p=0.193) at 3 months post-partum, 12.1% and 15.9% (p=0.139) at 12 months post-partum, and 8.4% and 10.6% (p=0.302) at 18 months post-partum. In our study, although women had been prenatally tested for HIV and properly counselled on the sexual risk of HIV transmission, male partners were not tested for HIV before the resumption of sexual activity after delivery, very few couples were using condoms systematically and condom use was decreasing over time.
Fichier principal
Vignette du fichier
BROU_AIDS_Care_08.pdf (138.44 Ko) Télécharger le fichier
Vignette du fichier
inserm-00277331_edited.pdf (271.09 Ko) Télécharger le fichier

Dates and versions

inserm-00277331 , version 1 (15-05-2008)

Identifiers

Cite

Hermann Brou, Gérard Djohan, Renaud Becquet, Gérard Allou, Didier K. Ekouevi, et al.. Sexual prevention of HIV within the couple after prenatal HIV-testing in West Africa.. AIDS Care, 2008, 20 (4), pp.413-8. ⟨10.1080/09540120701867065⟩. ⟨inserm-00277331⟩
89 View
560 Download

Altmetric

Share

Gmail Facebook Twitter LinkedIn More