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.
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By:
- 1 Medical School , University of São Paulo , São Paulo , Brazil.
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