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首页> 外文期刊>AIDS care. >The relationship between HAART use and sexual activity among HIV-positive women of reproductive age in Brazil, South Africa, and Uganda.
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The relationship between HAART use and sexual activity among HIV-positive women of reproductive age in Brazil, South Africa, and Uganda.

机译：巴西，南非和乌干达育龄期HIV阳性女性中HAART使用与性活动之间的关系。

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The purpose of this study was to determine whether current HAART use is associated with recent sexual intercourse among HIV-infected women (18-49 years) from Brazil, South Africa and Uganda. We conducted an analysis of survey data from a cross-sectional study, which enrolled 179 HIV-infected women receiving regular care from the Mbarara Hospital HIV Clinic in Uganda (n=85); the Perinatal HIV Research Unit in Soweto, South Africa (n=50); and the IPEC-Fiocruz cohort in Rio de Janeiro, Brazil (n=44). The primary outcome was sexual intercourse in the previous month. Secondary outcomes were protected sex and contraceptive use. We found that overall, 46% reported recent sexual intercourse. After adjusting for covariates, recent sexual intercourse was not associated with HAART use (AOR: 0.76; 95%CI: 0.34-1.72); however, it was significantly associated with being currently married, wanting to have more children and having higher HAART optimism. Among women reporting recent sexual intercourse (n=83), HAART users were significantly more likely to practice protected sex (crude OR: 3.64; 95%CI: 1.41-9.38) and non-significantly more likely to use contraceptive methods (crude OR: 2.15; 95%CI: 0.77-5.99). In summary, self-reported recent sexual intercourse is not more likely among women on HAART. Moreover, sexually active HAART users may be more likely to practice protected sex and use contraceptives.
机译：这项研究的目的是确定当前的HAART使用是否与来自巴西，南非和乌干达的HIV感染妇女（18-49岁）最近的性行为有关。我们对一项横断面研究的调查数据进行了分析，该研究招募了179名在乌干达Mbarara医院HIV诊所接受定期护理的HIV感染妇女（n = 85）;南非索韦托的围产期艾滋病毒研究股（n = 50）;以及巴西里约热内卢的IPEC-Fiocruz队列（n = 44）。主要结局是上个月的性交。次要结果是保护性行为和使用避孕药具。我们发现，总体而言，有46％的人报告了最近的性行为。调整协变量后，近期性交与使用HAART无关（AOR：0.76; 95％CI：0.34-1.72）;但是，这与当前结婚，想要有更多的孩子以及对HAART的乐观程度显着相关。在报告最近发生性行为的女性中（n = 83），HAART使用者使用受保护的性行为的可能性明显更高（粗制OR：3.64; 95％CI：1.41-9.38），而使用避孕方法的可能性明显较小（粗制OR： 2.15; 95％CI：0.77-5.99）。总之，在接受HAART治疗的女性中，自我报告的近期性交可能性不大。此外，性活跃的HAART使用者可能更有可能进行受保护的性行为并使用避孕药具。

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