Behavioral Surveillance Study: Sexual Risk Taking Behaviour in UK HIV Outpatient Attendees

Harding, Richard; Clucas, Claudine; Lampe, Fiona; Norwood, Sally; Date, Heather Leake; Fisher, Martin; Johnson, Margaret; Edwards, Simon; Anderson, Jane; Sherr, Lorraine

doi:10.1007/s10461-011-0023-y

Cited by 23 publications

(23 citation statements)

References 27 publications

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“…The data from this sample support previous findings that greater psychological symptom burden is associated with risk taking Harding, Clucas et al, 2011). A prior study from HIV outpatients in Buenos Aires found an association between depressive symptoms and risk (Segura et al, 2007), and our data reveal that the self-reported burden of psychological symptoms, which is a person-centred measure different from a measure of prevalence or diagnosis, is also relevant in managing risk behaviours.…”

Section: Discussionsupporting

confidence: 87%

“…As the Global Distress Index includes items from both the Physical and Psychological Distress Indices, the Global Distress Index was not entered into the multivariable model. The Psychological Distress Index was forced into the model as a prior correlate of risk with items present in the Global Distress Index (Harding, Clucas et al, 2011;Valverde et al, 2009). Cases with missing data were excluded from the multivariable models.…”

Section: Discussionmentioning

confidence: 99%

“…divided into three groups at the 33rd and 66th centile. The MSAS-SF has been widely used in HIV populations (Harding, Clucas et al, 2011;Harding et al, 2006;Wakeham et al, 2010). For those on ART, adherence was measured as a count of missed doses in the previous seven days.…”

Section: Data Collectionmentioning

confidence: 99%

“…Despite new treatments, a high psychological and physical symptom burden persists among HIV-diagnosed individuals (Harding, Molloy, Easterbrook, Frame, & Higginson, 2006;Lee et al, 2009;Sherr, 1995;Spire et al, 2009). Patient-reported symptoms may be important predictors of clinical and virological outcomes (de Boer-van der Kolk et al, 2010;Lampe et al, 2010), and evidence suggests that risk behaviour is associated with higher psychological symptom burden (Harding, Clucas et al, 2011). This association has not been tested in the Americas.…”

Section: Introductionmentioning

confidence: 99%

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Sexual risk-taking behaviour among HIV outpatients in Argentina

et al. 2013

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HIV prevention strategies must be based on evidence of risk behaviours among people with HIV infection. This study aimed to determine the demographic, behavioural and self-reported disease/treatment variables that predict sexual risk behaviour, defined as unprotected intercourse with a partner of unknown or negative HIV status, among HIV-infected outpatients in Buenos Aires, Argentina. Two hundred consecutive outpatients (response rate 76.5%) participated in a self-complete cross sectional survey. The majority (49.5%) identified as heterosexual, and most were on antiretroviral therapy (ART) (75.5%). Undetectable viral load was currently achieved by 63%. Unprotected intercourse with a person of unknown or discordant status in the previous three months was reported by 20%. In multivariate analysis, risk was associated with lower distress from physical symptoms (p=0.012), greater distress from psychological symptoms (p=0.038) and being on treatment had borderline association with risk (p=0.058). The data reveal an important link between self-reported experience of disease, and treatment, with risk. Secondary prevention, care and treatment should not be conducted in isolation from each other if outcomes are to be optimised.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Data Collectionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Sexual risk-taking behaviour among HIV outpatients in Argentina

et al. 2013

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“…Unsafe sexual practices among MSM have been on the rise in several European countries 14,15,16,17 but the related contexts and associated factors remain largely understudied in Portugal. The Internet has become a popular way for MSM to meet sexual partners throughout the continent, which in turn has been associated with risk behaviors 18,19,20 .…”

Section: Introductionmentioning

confidence: 99%

HIV knowledge and related sexual practices among Portuguese men who have sex with men

2014

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Pain and Risk Behaviors Among HIV-Infected Persons in St. Petersburg, Russia

et al. 2016

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We analyzed baseline data from an observational cohort of HIV-infected ART-naïve patients in St. Petersburg, Russia to explore whether pain was associated with HIV risk behaviors. The primary outcomes were (1) unprotected vaginal or anal sex in the past 90 days and (2) sharing of needles or equipment in the past month. Secondary outcomes included: use of alcohol prior to sex, current injection drug use, number of unprotected sex and sharing episodes, and days injected in the past month. The main independent variable was any past week pain. Multivariable regression models were fit for outcomes. After adjustment, the association with unprotected sex was of borderline significance (AOR = 2.06; 95 % CI 0.98–4.36, p = 0.058); there was no significant association between any past week pain and sharing of needles/equipment (AOR = 1.52; 95 % CI 0.65–3.59, p = 0.33). Participants with pain had higher odds of reporting alcohol use prior to sex (AOR = 2.42; 95 % CI 1.10–5.28, p = 0.03).

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Behavioral Surveillance Study: Sexual Risk Taking Behaviour in UK HIV Outpatient Attendees

Cited by 23 publications

References 27 publications

Sexual risk-taking behaviour among HIV outpatients in Argentina

Sexual risk-taking behaviour among HIV outpatients in Argentina

HIV knowledge and related sexual practices among Portuguese men who have sex with men

Pain and Risk Behaviors Among HIV-Infected Persons in St. Petersburg, Russia

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