Sexual risk behaviour among HIV-infected women in the first twelve months after delivery in South Africa

SOURCE: Journal of Psychology in Africa
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2018
TITLE AUTHOR(S): K.Peltzer, G.Setswe, G.Matseke, S.Ramlagan, S.M.Weiss, V.J.Rodriquez, S.Sifunda, R.Cook, T.K.Lee, D.Jones
KEYWORDS: HIV/AIDS, POSTNATAL WOMEN, RISK BEHAVIOUR, SEXUAL BEHAVIOUR
DEPARTMENT: Social Aspects of Public Health (SAPH)
Print: HSRC Library: shelf number 10430

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Abstract

This study aimed to assess sexual risk behaviour and its social correlates in HIV-infected women living in rural South Africa at six and twelve months post-partum. Participants were 699 HIV-positive women recruited prenatally by systematic sampling from twelve community health centres in Mpumalanga province, South Africa (mean age = 28.4 years, SD = 5.7; married =41.1%; serodiscordant or unknown partner status = 74.9%). They self-reported on their sexual activity six to twelve months after delivery; including use of condoms and partner involvement. Generalised linear mixed models were utilised to estimate unsafe sex outcomes from a prevention of mother to child transmission (PMTCT) intervention, socio-demographic factors, disclosure, and male involvement. About 20% of sexually active women in the past week had used condoms inconsistently at six and twelve months after delivery. Moreover, 16% and 18% of the women had not used a condom at last sex and 11% and 13% had unprotected sex with HIV-uninfected or unknown-status partners following delivery at six and twelve months, respectively. Higher inconsistent condom use was likely with lower male involvement. Promotion of condom use post-partum, as well as male involvement in sexual decisions, are important for safer sex post-partum by seropositive women.