Imperial College London
Alternate

DrMichaelPickles

Faculty of Medicine, School of Public Health

Advanced Research Fellow
 
 
 
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m.pickles

 
 
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Location

 

School of Public HealthWhite City Campus

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Summary

 

Publications

Citation

BibTex format

@article{Ramachandran:2016:10.1136/sextrans-2015-052354,
author = {Ramachandran, S and Mishra, S and Condie, N and Pickles, MREH},
doi = {10.1136/sextrans-2015-052354},
journal = {Sexually Transmitted Infections},
pages = {571--578},
title = {How do HIV-negative individuals in sub-Saharan Africa change their sexual risk behaviour upon learning their serostatus? A systematic review},
url = {http://dx.doi.org/10.1136/sextrans-2015-052354},
volume = {92},
year = {2016}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Objective: To determine whether, and how, sexual behaviour of HIV-negative individuals in Sub-Saharan Africa (SSA) changes upon learning their serostatus.Methods: We systematically reviewed the published literature using EMBASE and Medline to search for publications between 2004 and 2014. We included studies that quantified behaviour change (condom use, number of sexual partners or sex acts) following an HIV test in HIV-negative adults in SSA, and extracted relevant data including study characteristics and measurement type.Results: From 2185 unique citations, n=14 studies representing 22,390 participants met our inclusion criteria. We did not pool data due to marked heterogeneity in study outcome measures. The proportion of participants reporting consistent condom use (n=6) post-testing ranged from 7.6% greater, to 10.6% fewer, while “no condom use” (n=5) ranged from 40.0% less, to 0.7% more. Condom use in serodiscordant couples increased (n=3). Five studies measured the proportion reporting abstinence, finding an increase of 10.9% to a decrease of 5.3% post-testing. The post-testing change in the mean number of sex acts (n=3) ranged from a relative decrease of 15.7% to a relative increase of 9.4%. Two studies reported relative decreases in the mean number of sexual partners of 35.2% and 14.0%. Three studies examining serodiscordant primary relationships specifically all showed increases in extra-relational sex.Conclusions: With the exception of serodiscordant couples, there is variable evidence that awareness of one’s serostatus leads to substantial changes in risk behaviour among HIV-negative individuals. Further research is needed to estimate the behavioural impact of learning one’s serostatus in SSA.
AU  - Ramachandran,S
AU  - Mishra,S
AU  - Condie,N
AU  - Pickles,MREH
DO  - 10.1136/sextrans-2015-052354
EP  - 578
PY  - 2016///
SN  - 1472-3263
SP  - 571
TI  - How do HIV-negative individuals in sub-Saharan Africa change their sexual risk behaviour upon learning their serostatus? A systematic review
T2  - Sexually Transmitted Infections
UR  - http://dx.doi.org/10.1136/sextrans-2015-052354
UR  - http://hdl.handle.net/10044/1/32978
VL  - 92
ER  -
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