@article{fdi:010055976,
  title = {{A}dherence as a predictor of sexual behaviors in people living with {HIV}/{AIDS} during the first year of antiretroviral therapy in rural {C}ameroon : data from stratall {ANRS} 12110/{ESTHER} trial},
  author = {{N}dziessi, {G}. and {B}oyer, {S}. and {K}ouanfack, {C}. and {C}ohen, {J}. and {M}arcellin, {F}. and {M}oatti, {J}ean-{P}aul and {D}elaporte, {E}ric and {S}pire, {B}. and {L}aurent, {C}hristian and {C}arrieri, {M}. {P}.},
  editor = {},
  language = {{ENG}},
  abstract = {{O}bjective: {T}his study aims to investigate the time pattern of inconsistence condom use ({ICU}) during the first year of antiretroviral therapy ({ART}) and its relationship with treatment adherence in naive {HIV}-infected adult patients. ' {M}ethods: {D}ata collection was nested within a longitudinal trial on {HIV} treatment. {ICU} was defined as reporting to have "never", "sometimes" or "nearly always" used condoms with one's main or casual partner(s) - either {HIV}-negative or of unknown {HIV} status in the three previous months. {A}dherence was defined as taking 100% of their {ART} prescribed doses in the 4 days before the visit and "not having interrupted treatment", even once, for more than two consecutive days during the 4 previous weeks. {M}ixed logistic regression was used to study the relationship between adherence and {ICU}. {R}esults: {A}mong the 459 patients enrolled, 212 (46%) during 334 visits reported to have had sexual intercourse at least once with their partner(s) - either {HIV}-negative or of unknown {HIV} status-during the first 12 months of {ART}. {T}he proportion of {ICU} was 76%, 50% and 59% at month 0 ({M}0), month 6 ({M}6) and month 12 ({M}12), while 60% and 66% of patients were {ART}-adherent at {M}6 and {M}12, respectively. {A}fter adjustment for the frequency of sexual activity, type of sexual partner(s), perceived social class and desire for a child, patients adherent to {ART} were less likely to report {ICU} when compared with baseline ({AOR} [95% {CI}]: 0.38 [0.19-0.76]; {P} = 0.006). {C}onclusions: {A}dherence to {ART} is associated with a lower risk of {ICU} but this result needs to be interpreted carefully. {A}s adherence behaviors are not only determined by problems with the healthcare systems but also by social barriers encountered by patients in their daily life, counseling should not only be {ART} adherence-centered but also patient-centered, including sexual risk minimization and psychosocial support.},
  keywords = {{CAMEROUN}},
  booktitle = {},
  journal = {{P}los {O}ne},
  volume = {7},
  numero = {6},
  pages = {e36118},
  ISSN = {1932-6203},
  year = {2012},
  DOI = {10.1371/journal.pone.0036118},
  URL = {https://www.documentation.ird.fr/hor/fdi:010055976},
}