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Sex Transm Infect doi:10.1136/sti.2008.035147
  • Original Article

Prevalence of unsafe sex with one’s steady partner either HIV-negative or of unknown HIV status and associated determinants in Cameroon (EVAL ANRS12-116 survey)

  1. Aïssata Dia1,
  2. Fabienne Marcellin1,*,
  3. Renée-Cécile Bonono2,
  4. Sylvie Boyer1,
  5. Anne-Déborah Bouhnik1,
  6. Camelia Protopopescu1,
  7. Sinata Koulla-Shiro3,
  8. Maria Patrizia Carrieri1,
  9. Claude Abé2,
  10. Bruno Spire1
  1. 1 INSERM, U912 (SE4S), France;
  2. 2 Socio-anthropological Research Institute (IRSA), Cameroon;
  3. 3 Ministry of Public Health - Central Hospital, France
  1. Correspondence to: Fabienne Marcellin, INSERM U912, 23 rue Stanislas Torrents, Marseille, 13006, France; fabienne.marcellin{at}inserm.fr
  • Received 26 November 2008
  • Accepted 4 September 2009
  • Published Online First 16 October 2009

Abstract

Objective: Our study aimed at estimating the prevalence of inconsistent condom use and at identifying its determinants in steady partnerships among people living with HIV/AIDS (PLWHA) in Cameroon.

Methods: Analyses were based on data collected during the national cross-sectional multicenter survey EVAL (ANRS 12-116), which was conducted in Cameroon between September 2006 and March 2007 among 3,151 adult PLWHA diagnosed HIV-positive for at least 3 months. The study population consisted of the 907 survey participants who reported sexual activity during the previous 3 months, with a steady partner either HIV-negative or of unknown HIV status. Logistic regression was used to identify factors associated with individuals' report of inconsistent condom use during the previous 3 months.

Results: Inconsistent condom use was reported by 35.3% of sexually active PLWHA. In a multivariate analysis adjusted for socio-demographic characteristics, not receiving antiretroviral therapy (ART) (OR[95%CI]: 2.28[1.64-3.18]) was independently associated with inconsistent condom use.

Conclusions: The prevalence of unsafe sex remains high among sexually active PLWHA in Cameroon. Treatment with ART is identified as a factor associated with safer sex, which further encourages the continuation of the national policy for increasing access to HIV treatment and care, and underlines the need to develop counseling strategies for all patients.

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