Moatti Jean-Paul, Prudhomme Joanne, Traore Djénéba Coulibaly, Juillet-Amari Anne, Akribi Hortense Aka-Dago, Msellati Philippe
INSERM U 379, University of the Mediterranean, Marseille France.
AIDS. 2003 Jul;17 Suppl 3:S69-77. doi: 10.1097/00002030-200317003-00010.
To compare sexual behaviours of HIV-infected patients in Côte d'Ivoire whether or not they had access to antiretroviral treatment (ARV).
Cross-sectional survey using face-to-face interviews among all patients, informed of their HIV serostatus, attending the eight health centers in charge of HIV care in Abidjan and Bouaké. Univariate comparisons of declared sexual behaviours during the prior 6 months between the 164 ARV-treated and the 547 non-ARV-treated respondents. Multiple logistic regressions to identify factors related to sexual abstinence in the total sample and to unprotected sexual intercourse in the subsample of sexually active respondents during the same period were performed.
More than half of the 711 respondents (53.0%) declared an absence of sexual activity during the previous 6 months, with this proportion being significantly higher among women (60.6%), and among both men (85.7%) and women (92.4%) who were not living in a stable relationship. Among the 334 sexually active patients, 49.7% declared a low frequency of sexual intercourse ('once a month or less'), and 43.7% declared at least one episode of unprotected sexual intercourse. In multivariate analysis, recent diagnosis of HIV infection (< 9 months), having only one sexual partner and not knowing her/his serostatus, high alcohol consumption, absence of episodes of acute morbidity, not participating in household's expenditures and not being ARV-treated were significantly related to a higher likelihood of HIV-related risky sexual behaviours.
Sexual abstinence is the preventive strategy of choice for a majority of HIV-infected patients aware of their serostatus and consulting for care in Côte d'Ivoire. In these patients, access to ARV is not associated with an increase in HIV-related risky sexual behaviours.
比较科特迪瓦感染艾滋病毒患者（无论是否接受抗逆转录病毒治疗）的性行为。
采用面对面访谈进行横断面调查，调查对象为阿比让和布瓦凯负责艾滋病毒护理的八家健康中心中所有知晓自身艾滋病毒血清学状态的患者。对164名接受抗逆转录病毒治疗的受访者和547名未接受抗逆转录病毒治疗的受访者在过去6个月内所宣称的性行为进行单变量比较。进行多因素逻辑回归分析，以确定在整个样本中与性禁欲相关的因素，以及在同一时期性活跃受访者子样本中与无保护性行为相关的因素。
711名受访者中超过一半（53.0%）宣称在过去6个月内没有性行为，这一比例在女性中（60.6%）显著更高，在未处于稳定关系的男性（85.7%）和女性（92.4%）中也更高。在334名性活跃患者中，49.7%宣称性行为频率较低（“每月一次或更少”），43.7%宣称至少有一次性行为未采取保护措施。在多变量分析中，艾滋病毒感染近期诊断（<9个月）、只有一个性伴侣且不知其血清学状态、大量饮酒、无急性发病情况、不参与家庭支出以及未接受抗逆转录病毒治疗，均与艾滋病毒相关危险行为的较高可能性显著相关。
对于大多数知晓自身血清学状态并在科特迪瓦寻求护理的艾滋病毒感染患者而言，性禁欲是首选的预防策略。在这些患者中，获得抗逆转录病毒治疗与艾滋病毒相关危险行为的增加无关。
