{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T16:01:27Z","timestamp":1773244887472,"version":"3.50.1"},"reference-count":47,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2011,4,18]],"date-time":"2011-04-18T00:00:00Z","timestamp":1303084800000},"content-version":"vor","delay-in-days":107,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"funder":[{"DOI":"10.13039\/100004441","name":"Swedish International Development Cooperation Agency","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100004441","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of the International AIDS Society"],"published-print":{"date-parts":[[2011,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Our intention was to analyze demographic and contextual factors associated with sexual risk taking among HIV\u2010infected patients on antiretroviral treatment (ART) in Africa's largest informal urban settlement, Kibera in Nairobi, Kenya.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We used a cross\u2010sectional survey in a resource\u2010poor, urban informal settlement in Nairobi; 515 consecutive adult patients on ART attending the African Medical and Research Foundation clinic in Kibera in Nairobi were included in the study. Interviewers used structured questionnaires covering socio\u2010demographic characteristics, time on ART, number of sexual partners during the previous six months and consistency of condom use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010eight percent of patients reported inconsistent condom use. Female patients were significantly more likely than men to report inconsistent condom use (aOR 3.03; 95% CI 1.60\u20105.72). Shorter time on ART was significantly associated with inconsistent condom use. Multiple sexual partners were more common among married men than among married women (adjusted OR 4.38; 95% CI 1.82\u201010.51).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Inconsistent condom use was especially common among women and patients who had recently started ART, i.e., when the risk of HIV transmission is higher. Having multiple partners was quite common, especially among married men, with the potential of creating sexual networks and an increased risk of HIV transmission. ART needs to be accompanied by other preventive interventions to reduce the risk of new HIV infections among sero\u2010discordant couples and to increase overall community effectiveness.<\/jats:p><\/jats:sec>","DOI":"10.1186\/1758-2652-14-20","type":"journal-article","created":{"date-parts":[[2011,5,10]],"date-time":"2011-05-10T18:20:21Z","timestamp":1305051621000},"page":"20-20","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Sexual risk taking among patients on antiretroviral therapy in an urban informal settlement in Kenya: a cross\u2010sectional survey"],"prefix":"10.1002","volume":"14","author":[{"given":"Anders","family":"Ragnarsson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna Mia","family":"Ekstr\u00f6m","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Carter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Festus","family":"Ilako","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abigail","family":"Lukhwaro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gaetano","family":"Marrone","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Thorson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,4,18]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"WHO:More developing countries show universal access to HIV\/AIDS services is possible. accessed 20110411.2010[http:\/\/www.who.int\/mediacentre\/news\/releases\/2010\/hiv_universal_access_20100928\/en\/index.html]."},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540120801942776"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/QCO.0b013e3283422c8c"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.qai.0000194234.31078.bf"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-200309050-00013"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1086\/425280"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-199705000-00012"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.328.7444.891"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e318194618e"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-199705000-00017"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.OLQ.0000129949.30114.37"},{"key":"e_1_2_9_13_1","first-page":"10","volume-title":"The cultural construction of sexuality","author":"Caplan P","year":"1987"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.328.7444.848"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)16606-3"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200003303421303"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mehy.2005.03.017"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.qco.0000199018.50451.e1"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-200409240-00010"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(02)00483-X"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.OLQ.0000118082.45312.1F"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-200411050-00011"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.292.2.224"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540120701203261"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2008.01.043"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.aids.0000216364.44409.b1"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2010.507753"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1080\/13691050903033423"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)61115-0"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-008-9473-2"},{"key":"e_1_2_9_31_1","unstructured":"UNAIDS:AIDS epidemic update: November 2009. UNAIDS: Geneva;2009."},{"key":"e_1_2_9_32_1","unstructured":"AMREF:Personal communication. Nairobi.2008."},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-007-9279-7"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540120701513677"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0013613"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1080\/00324720215933"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/0025-5564(95)00093-3"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-007-9219-6"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2008.137232"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.aids.0000298099.48990.99"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540120701808812"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.aids.0000298101.56614.af"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-010-9673-4"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(99)00390-1"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1080\/09540120902814361"},{"key":"e_1_2_9_46_1","doi-asserted-by":"crossref","unstructured":"EiseleTP MathewsC ChopraM LurieMN BrownL DewingS KendallC:Changes in Risk Behavior Among HIV\u2010Positive Patients During Their First Year of Antiretroviral Therapy in Cape Town South Africa.AIDS Behav2008.","DOI":"10.1007\/s10461-008-9473-2"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.aids.0000196566.40702.28"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2007.0247"}],"container-title":["Journal of the International AIDS Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1186%2F1758-2652-14-20","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1186\/1758-2652-14-20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T12:00:53Z","timestamp":1696161653000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1186\/1758-2652-14-20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,1]]},"references-count":47,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2011,1]]}},"alternative-id":["10.1186\/1758-2652-14-20"],"URL":"https:\/\/doi.org\/10.1186\/1758-2652-14-20","archive":["Portico"],"relation":{},"ISSN":["1758-2652","1758-2652"],"issn-type":[{"value":"1758-2652","type":"print"},{"value":"1758-2652","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,1]]},"assertion":[{"value":"2010-07-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2011-04-18","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2011-04-18","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}