No Evidence of Sexual Risk Compensation Following PrEP Initiation Among Heterosexual HIV Serodiscordant Couples in Kenya and Uganda
AbstractRecent studies among men who have sex with men suggest that sexual behaviors associated with risk of sexually transmitted infections increase following initiation of pre-exposure prophylaxis (PrEP) for HIV prevention. We used longitudinal data from HIV-uninfected participants (n = 1013) enrolled in an open-label study of PrEP delivered to Ugandan and Kenyan heterosexual HIV serodiscordant couples to understand the association between PrEP initiation and HIV risk-related sexual behaviors among these couples. In the month following PrEP initiation, the mean number of mon thly sex acts within couples decreased from 7.9 to 6.9 (mean difference: − 1.1; 95% CI − 1.5, − 0.7) and the proportion of couples having condomless sex decreased from 65% to 32% (percentage point change: − 33%; 95% CI − 37%, − 30%); these behaviors then remained relatively constant over 2 years. We found no evidence of sexual risk compensation following PrEP initiation within African serodiscordant couples. However, roughly a third of couples continued to engage in condomless sex during follow up, emphasizing the importance of continued PrEP use to sustain HIV protection.
[New Times] The United Nations Programme for HIV/AIDS (UNAIDS) target of ending the AIDS epidemic by 2030 will remain a mirage if children and young people are not given access to Anti-retro viral treatment, medics have said.
[New Times] We are just a few days away to the year 2020, where the world will have to have achieved the 90-90-90 target that stipulates; 90 per cent of all people living with HIV will know their HIV status, 90 per cent of all people with diagnosed HIV infection will receive sustained antiretroviral therapy and 90 per cent of all people receiving antiretroviral therapy will have viral suppression.
[New Times] The 20th International Conference on AIDS and STIs in Africa (ICASA) 2019 will conclude its seven-day activities on Saturday, December 7.
[UNFPA] KIGALI, Rwanda, International Conference on AIDS and STIs in Africa (ICASA)--As the pillars of our communities, girls have the agency to bring about change for themselves and those around them, said Jeannette Kagame, Rwanda's First Lady.
[Malawi News Agency] Salima -As government and its partners commit resources to support people infected with HIV and AIDS, communities need to avoid engaging in risky behaviours which can make them contract the virus, says Chief Director of Health Services in the Ministry of Health,Dr Charles Mwansambo.
[Daily News] TREATMENT to HIV patients has recorded a tremendous milestone, with the new Anti-Retroviral (ARV) drug proving to be able to suppress viral load within six months, with fewer or no side effects at all.
[WHO] Growing resistance to HIV drugs in Africa is threatening the significant progress made in the global fight against the virus. In an effort to reinforce the gains and end the AIDS epidemic by 2030, the World Health Organization (WHO) and partners today are unveiling a five-year plan to monitor, prevent and respond to drug resistance.
[WHO] From 2- 7 December 2029, Kigali is hosting the 20th International Conference on AIDs and STIs in Africa. The theme for this year is "AIDS free Africa. Innovation, Community and Political Leadership".
[Daily Maverick] In the shadow of HIV many things are hidden. Do a quick Google search ('in the shadow of HIV') and a torrent of disease and social ills will blast across your browser. You'll find gender-based violence and stigma, sugar-daddies, obesity and hypertension, patriarchy, cancer and diabetes, denial, guilt, and the opioid crisis. Also hiding, deep in the shadows, are adolescent boys and young men.
[This Day] As part of efforts to involve private sector in Nigeria's healthcare, the United States Agency for International Development (USAID) has accepted contributions from a leading telecommunications infrastructure firm, IHS Nigeria, to support its activities in eradicating HIV/AIDS in Bayelsa State.