Please use this identifier to cite or link to this item: https://cris.library.msu.ac.zw//handle/11408/6536
Title: Comparison of risky sexual behavior: Evidence from Zimbabwe Population-Based HIV Impact Assessment 2020
Authors: Mukwenha Solomon
Mapingure Munyaradzi
Dzinamarira Tafadzwa
Moyo Enos
Mbunge Elliot
Makota Rutendo Birri
Dhliwayo Tapiwa
Chingombe Innocent
Mpofu Amon
Mugurungi Owen
Musuka Godfrey
Innovative Public Health and Development Solutions, Harare, Zimbabwe
Strategic Information Department, ICAP in Zimbabwe, Harare, Zimbabwe
Strategic Information Department, ICAP in Zimbabwe, Harare, Zimbabwe; ICAP in Zambia, Lusaka, Zambia
University of Zimbabwe, Harare, Zimbabwe
University of Eswatini, Kwaluseni, Eswatini
Department of Biological Sciences, University of Zimbabwe, Harare, Zimbabwe
Midlands State University, Gweru, Zimbabwe
Strategic Information Department, ICAP in Zimbabwe, Harare, Zimbabwe
National AIDS Council, Harare, Zimbabwe
AIDS and TB Programmes, Ministry of Health and Child Care, Harare, Zimbabwe
International Initiative for Impact Evaluation, Harare, Zimbabwe
Keywords: Sexual behavior
Viral load suppression
Population-Based HIV Impact
Assessment (ZIMPHIA) 2020
Zimbabwe
Issue Date: Mar-2025
Publisher: Elsevier
Abstract: Objectives: Risky sexual behaviors are associated with the acquisition of sexually transmitted infections, including HIV/AIDS. Understanding the intricate dynamics of sexual behavior is pivotal in the relentless pursuit of curtailing the HIV epidemic. To compare risky sexual behaviors based on knowledge of HIV status and viral suppression. Methods: Data from 2958 people living with HIV who participated in a Zimbabwe Population-Based HIV Impact. Assessment were used to determine the association between risky sexual behaviors, awareness of HIV status, and viral load suppression. Results: The number of partners in the last 12 months was associated with the first 90 of the 90-90-90, with those who were unaware of their HIV status having more partners than those who were aware, adjusted odds ratio (aOR) = 1.18, 95% (confidence interval [CI]: 1.03-1.35). Those who did not use a condom during the last sexual encounter with a non-regular partner in the last 12 months were more likely to be unaware of their status, aOR = 2.11, (95% CI: 1.28-3.50). Those who did not use a condom at their last sexual encounter were more likely to be virally unsuppressed (aOR 2.25, 95% CI: 1.78-2.85). Women were less likely to be virally unsuppressed than men. Conclusions: Our findings suggest that gaps in HIV knowledge and viral suppression are critical factors in ongoing HIV transmission. To effectively curb HIV transmission, preventive interventions should prioritize individuals who are unaware of their HIV status or those who are virally unsuppressed, addressing these gaps to reduce risky sexual behaviour and the potential for further transmission.
URI: https://cris.library.msu.ac.zw//handle/11408/6536
Appears in Collections:Research Papers

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