Horizon / Plein textes La base de ressources documentaires de l'IRD

IRD

 

Publications des scientifiques de l'IRD

Rolland M., McGrath N., Tiendrebeogo T., Larmarange Joseph, Pillay D., Dabis F., Orne-Gliemann J., ANRS TasP Study Group. (2019). No effect of test and treat on sexual behaviours at population level in rural South Africa. AIDS, 33 (4), 709-722. ISSN 0269-9370

Lien direct chez l'éditeur doi:10.1097/qad.0000000000002104

Titre
No effect of test and treat on sexual behaviours at population level in rural South Africa
Année de publication2019
Type de documentArticle référencé dans le Web of Science WOS:000480690900014
AuteursRolland M., McGrath N., Tiendrebeogo T., Larmarange Joseph, Pillay D., Dabis F., Orne-Gliemann J., ANRS TasP Study Group.
SourceAIDS, 2019, 33 (4), p. 709-722. ISSN 0269-9370
RésuméContext: Within the community-randomized ANRS 12249 Treatment-as-Prevention trial conducted in rural South Africa, we analysed sexual behaviours stratified by sex over time, comparing immediate antiretroviral therapy irrespective of CD4(+) cell count vs. CD4(+)-guided antiretroviral therapy (start at CD4(+) cell count >350 cells/mu l then >500 cells/mu l) arms. Methods: As part of the 6-monthly home-based trial rounds, a sexual behaviour individual questionnaire was administered to all residents at least 16 years. We considered seven indicators: sexual intercourse in the past month; at least one regular sexual partner in the past 6 months; at least one casual sexual partner in the past 6 months and more than one sexual partner in the past 6 months; condom use at last sex (CLS) with regular partner, CLS with casual partner, and point prevalence estimate of concurrency. We conducted repeated cross-sectional analyses, stratified by sex. Generalized Estimating Equations models were used, including trial arm, trial time, calendar time and interaction between trial arm and trial time. Results: CLS with regular partner varied between 29-51% and 23-46% for men and women, respectively, with significantly lower odds among women in the control vs. intervention arm by trial end (P<0.001). CLS with casual partner among men showed a significant interaction between arm and trial round, with no consistent pattern. Women declared more than one partner in the past 6 months in less than 1% of individual questionnaires; among men, rates varied between 5-12%, and odds significantly and continuously declined between calendar rounds 1 and 7 [odds ratio = 4.2 (3.24-5.45)]. Conclusion: Universal Test and Treat was not associated with increased sexual risk behaviours.
Plan de classementEntomologie médicale / Parasitologie / Virologie [052] ; Santé : aspects socioculturels, économiques et politiques [056]
Descr. géo.AFRIQUE DU SUD
LocalisationFonds IRD
Identifiant IRDPAR00019640
Lien permanenthttp://www.documentation.ird.fr/hor/PAR00019640

Export des données

Disponibilité des documents

Télechargment fichier PDF téléchargeable

Lien sur le Web lien chez l'éditeur

Accès réservé en accès réservé

HAL en libre accès sur HAL


Accès aux documents originaux :

Le FDI est labellisé CollEx

Accès direct

Bureau du chercheur

Site de la documentation

Espace intranet IST (accès réservé)

Suivi des publications IRD (accès réservé)

Mentions légales

Services Horizon

Poser une question

Consulter l'aide en ligne

Déposer une publication (accès réservé)

S'abonner au flux RSS

Voir les tableaux chronologiques et thématiques

Centres de documentation

Bondy

Montpellier (centre IRD)

Montpellier (MSE)

Cayenne

Nouméa

Papeete

Abidjan

Dakar

Niamey

Ouagadougou

Tunis

La Paz

Quito