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AIDS Care
Psychological and Socio-medical Aspects of AIDS/HIV
Volume 27, 2015 - Issue 5
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Original Articles

Who is not using condoms among HIV-positive patients in treatment in the largest city in Brazil?

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Pages 629-636 | Received 06 Mar 2014, Accepted 29 Oct 2014, Published online: 13 Dec 2014
 

Abstract

Data on risky sexual behaviors in people living with HIV/AIDS (PLWHA) is still scarce in some populations around the world. The purpose of this study was to assess the factors associated with the use of condoms in a representative sample of PLWHA in outpatient treatment in the city of São Paulo. Six hundred and sixty-seven HIV-positive patients (383 men and 284 women) who were being treated at eight centers participated in this study. Data were collected using a sociodemographic survey, the Beck depression and anxiety inventories, a survey of alcohol and other drugs use, the Alcohol Use Disorders Identification Test, a sexual behavior survey, and the Sexual Risk Behavior Assessment Schedule. The majority of study participants were sexually active (almost 62% of the sample had at least one sexual partner in the last three months), and at least one-fourth engaged in unsafe sex (25.3% did not use condoms during at least one instance of anal and/or vaginal intercourse in the past three months). Multivariate logistic regression showed that engaging in unprotected sex was more likely among females (p < .001), persons with an HIV-positive partner (p < .001), and people using cannabis before sex (p = .002). These findings should stimulate health-care workers to create specific groups for women, seroconcordant couples, and cannabis users to discuss condom use, as they seem to be vulnerable groups.

Additional information

Funding

Luciana Cardoso was awarded a doctoral fellowship by CAPES (Brazilian Coordination for the Improvement of Higher Education Personnel). Part of the project received financial aid from SENAD (Brazilian National Secretariat for Drug Policies) under [grant number 11/2009, SICONV 722934/2009].

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