IJCRR - 5(4), February, 2013
SEXUAL BEHAVIORS AMONG HIV PATIENTS ATTENDING ART CENTRE, TERTIARY CARE HOSPITAL, KARNATAKA, INDIA
Author: Ramesh K., Sangeetha Gandhi, Vishwas Rao
Introduction: AIDS is a pandemic now. It has multiple risk factors and of all the risk factors, sexual behaviour acts as a double edged sword. On one hand, the risk of HIV acquisition is known to be closely associated with unprotected sexual intercourse and on the other, diagnosis of AIDS is shown to have a paramount importance on the sexual behaviour of the person. Research shows that there are HIV infected people who do engage in unprotected sex, just as there are HIV negative people or people with unknown serostatus who do so. Sex is an integral part of one’s living. As we extend our vision to the effects of sexual behaviour following diagnosis of AIDS from conventional view of sexual behaviour as a risk factor, other curious questions take wings. How exactly does diagnosis of AIDS have its influence on sexual behaviour of the diseased? Does the diagnosis of HIV positive help in reducing the risky sexual behaviour or do people still opt to continue the same way? In this study we have tried to discover answers to some of these questions. Materials and Methods: A case-series study was conducted among HIV positive patients coming to the ART centre for seeking treatment at ART Centre,Vijayanagara Institute of Medical Sciences Bellary, Karnataka from Novmber 2011 to April 2012. The sample size of the study is 400 and non probability sampling technique was used. Permission from respective authorities and written consent from study participants was obtained. Data was collected using a pre tested semi structured questionnaire. Data was analyzed using SPSS 15.0 and McNemar test was used to compare qualitative variables before and after diagnosis of AIDS. Results: The study subjects included both males (54%) and females (46%). The educational status is less than primary schooling in 88% of study subjects and 90% are married. Among patients, 48% were diagnosed on routine blood investigation and 40% on voluntary. There is no much difference in use of contraceptives before (16%) and after (18%) diagnosis but there is a significant difference in Condom use (before- 20% and after-37%). Sex with multiple partners was found in 34% of patients before diagnosis but it reduced to 13% after the diagnosis. There is no change in alcoholic behaviour. Even after diagnosis, 33% patients continued have unprotected sex with their partners and 25% of patients lost interest in sex after diagnosis. Conclusion: Even after the diagnosis, many sexual risk behaviours remain unchanged among HIV positive patients.
Keywords: Hiv, ART, Mode of transmission
Ramesh K., Sangeetha Gandhi, Vishwas Rao. SEXUAL BEHAVIORS AMONG HIV PATIENTS ATTENDING ART CENTRE, TERTIARY CARE HOSPITAL, KARNATAKA, INDIA International Journal of Current Research and Review. 5(4), February, 103-113
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