Sexual Risk Behaviors of Patients with HIV/AIDS over the Course of Antiretroviral Treatment in Northern Vietnam

Thuc Minh Thi Vu, Victoria L. Boggiano, Bach Xuan Tran, Long Hoang Nguyen, Tung Thanh Tran, Carl A. Latkin, Cyrus S. H. Ho and Roger C. M. Ho
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Thuc Minh Thi Vu: Center for Research and Training, Tam Anh Hospital, 108 Hoang Nhu Tiep, Hanoi 100000, Vietnam
Victoria L. Boggiano: Berkeley School of Public Health, University of California, Berkeley, CA 94720, USA
Bach Xuan Tran: Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam
Long Hoang Nguyen: School of Medicine and Pharmacy, Vietnam National University, Hanoi 100000, Vietnam
Tung Thanh Tran: Institute for Global Health Innovations, Duy Tan University, Da Nang 550000, Vietnam
Carl A. Latkin: Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA
Cyrus S. H. Ho: Department of Psychological Medicine, National University Hospital, Singapore 119074, Singapore
Roger C. M. Ho: Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore

IJERPH, 2018, vol. 15, issue 6, 1-11

Abstract: Antiretroviral therapy (ART) improves the health and well-being of people living with the human immunodeficiency virus (HIV, PLWH), and reduces their risk of transmitting the virus to sexual partners. However, patterns of sexual risk behavior among HIV-positive patients taking ART in Vietnam remain largely unknown. In this study, we sought to examine sexual risk behaviors and their associated factors among HIV-positive patients receiving ART in northern Vietnam. The socio-demographic characteristics, ART use, health status, and sexual behaviors of 1133 patients taking ART in the Hanoi and Nam Dinh provinces were explored through face-to-face interviews. There were 63.5% of patients who had one sex partner, while 3.6% and 5.6% of patients had sexual intercourse with casual partners or sex workers, respectively, in the previous 12 months. Most participants tended to use condoms more often with commercial sex partners (90.2%) and intimate partners (79.7%), and less often with casual partners (60.9%). Higher age (odds ratio, OR = 1.0; 95% CIs = 1.0, 1.1) or suffering pain/discomfort (OR = 1.7; 95% CIs = 1.2, 2.4) were factors more likely to be associated with multiple sex partners. Patients who were self-employed were more likely to have sexual intercourse with casual partners/sex workers (OR = 2.1; 95% CIs = 1.1, 4.0). Meanwhile, a higher score on the EuroQol visual analog scale (EQ-VAS), an unknown HIV stage, and a longer duration of ART were adversely associated with not using condoms with casual partners/sex workers. Patients with longer durations of ART had a lower likelihood of not using a condom with casual partners/sex workers (OR = 0.5; 95% CIs = 0.3, 0.8). Our study underscored a relatively high rate of unsafe sexual behaviors among HIV-positive patients. Continuing to improve the physical and psychological well-being of HIV-positive patients in Vietnam is important in reducing the spread of HIV via risky sexual behaviors. In addition, safe-sex education should be provided to older people, and to those who are self-employed.

Keywords: sexual behaviors; risk; HIV; antiretroviral treatment; Vietnam (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2018
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (4)

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