Sexual exposure to blood and behavioural risks among STI clinic patients in Cape Town, South Africa.

Abstract:

BACKGROUND:Exposure to blood during sexual intercourse is potentially important and yet understudied in HIV transmission. METHODS:The study included 415 men and 127 women receiving diagnostic and treatment services at a sexually transmitted infections (STI) clinic in Cape Town, South Africa, who completed anonymous sexual health behaviour surveys. RESULTS:More than 30% of both men and women reported engaging in sexual intercourse involving genital bleeding in the previous 3 months. Individuals who had engaged in sexual intercourse involving blood had significantly greater numbers of sex partners in the previous 3 months (OR = 1.6, 95%, CI = 1.1-2.3), engaged in higher rates of unprotected vaginal intercourse (OR = 1.2, 95%, CI = 1.1-1.2), were significantly more likely to have exchanged sex for money or materials (OR = 3.1, 95%, CI = 1.7-5.5) and were significantly more likely to have experienced condom breaks during intercourse (OR = 1.7, 95%, CI = 1.2-2.4). CONCLUSIONS:These findings suggest that exposure to blood during vaginal intercourse is prevalent among STI clinic patients in Cape Town and may be an important contributing factor to the rapid spread of HIV in South Africa.

journal_name

Sex Health

journal_title

Sexual health

authors

Kalichman SC,Simbayi LC

doi

10.1071/sh04041

keywords:

subject

Has Abstract

pub_date

2005-01-01 00:00:00

pages

85-8

issue

2

eissn

1448-5028

issn

1449-8987

journal_volume

2

pub_type

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