PMID- 30555271 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200929 IS - 1433-0237 (Print) IS - 1815-5626 (Electronic) IS - 1433-0237 (Linking) VI - 28 IP - 4 DP - 2018 TI - Sexual risk behaviour among HIV-infected women in the first twelve months after delivery in South Africa. PG - 330-335 LID - 10.1080/14330237.2018.1435048 [doi] AB - This study aimed to assess sexual risk behaviour and its social correlates in HIV-infected women living in rural South Africa at six and twelve months post-partum. Participants were 699 HIV-positive women recruited prenatally by systematic sampling from twelve community health centres in Mpumalanga province, South Africa (mean age = 28.4 years, SD = 5.7; married =41.1%; serodiscordant or unknown partner status = 74.9%). They self-reported on their sexual activity six to twelve months after delivery; including use of condoms and partner involvement. Generalised linear mixed models were utilised to estimate unsafe sex outcomes from a prevention of mother to child transmission (PMTCT) intervention, socio-demographic factors, disclosure, and male involvement. About 20% of sexually active women in the past week had used condoms inconsistently at six and twelve months after delivery. Moreover, 16% and 18% of the women had not used a condom at last sex and 11% and 13% had unprotected sex with HIV-uninfected or unknown-status partners following delivery at six and twelve months, respectively. Higher inconsistent condom use was likely with lower male involvement. Promotion of condom use post-partum, as well as male involvement in sexual decisions, are important for safer sex post-partum by seropositive women. FAU - Peltzer, Karl AU - Peltzer K AD - HIV/AIDS/STIs and TB (HAST) Research Programme, Human Sciences Research Council, Pretoria, South Africa. AD - Department of Research & Innovation, University of Limpopo, Sovenga, South Africa. FAU - Setswe, Geoffrey AU - Setswe G AD - HIV/AIDS Management, University of Stellenbosch, Stellenbosch, South Africa. AD - Public Health, University of Venda, Thohoyandou, South Africa. FAU - Matseke, Gladys AU - Matseke G AD - HIV/AIDS/STIs and TB (HAST) Research Programme, Human Sciences Research Council, Pretoria, South Africa. FAU - Ramlagan, Shandir AU - Ramlagan S AD - HIV/AIDS/STIs and TB (HAST) Research Programme, Human Sciences Research Council, Pretoria, South Africa. FAU - Weiss, Stephen M AU - Weiss SM AD - Department of Psychiatry and Behavioural Sciences, University of Miami Miller School of Medicine, Miami, USA. FAU - Rodriguez, Violeta J AU - Rodriguez VJ AD - Department of Psychiatry and Behavioural Sciences, University of Miami Miller School of Medicine, Miami, USA. AD - Department of Psychology, University of Georgia, Athens, USA. FAU - Sifunda, Sibusiso AU - Sifunda S AD - HIV/AIDS/STIs and TB (HAST) Research Programme, Human Sciences Research Council, Pretoria, South Africa. FAU - Cook, Ryan AU - Cook R AD - Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles, USA. FAU - Lee, Tae Kyoung AU - Lee TK AD - Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, USA. FAU - Jones, Deborah AU - Jones D AD - Department of Psychiatry and Behavioural Sciences, University of Miami Miller School of Medicine, Miami, USA. LA - eng GR - R01 HD078187/HD/NICHD NIH HHS/United States PT - Journal Article DEP - 20180603 PL - United States TA - J Psychol Afr JT - Journal of psychology in Africa (south of the Sahara, the Caribbean, and Afro-Latin America) JID - 9888575 PMC - PMC6291218 MID - NIHMS974961 OTO - NOTNLM OT - HIV-infected women OT - South Africa OT - postnatal period OT - sexual risk behaviour EDAT- 2018/12/18 06:00 MHDA- 2018/12/18 06:01 PMCR- 2019/06/03 CRDT- 2018/12/18 06:00 PHST- 2018/12/18 06:00 [entrez] PHST- 2018/12/18 06:00 [pubmed] PHST- 2018/12/18 06:01 [medline] PHST- 2019/06/03 00:00 [pmc-release] AID - 10.1080/14330237.2018.1435048 [doi] PST - ppublish SO - J Psychol Afr. 2018;28(4):330-335. doi: 10.1080/14330237.2018.1435048. Epub 2018 Jun 3.