association of attitudes and beliefs towards antiretroviral therapy with hiv-seroprevalence in the general population of kisumu, kenya协会的态度和信念对抗逆转录病毒疗法与hiv-seroprevalence基苏姆的普通人群,肯尼亚.pdf

Association of Attitudes and Beliefs towards Antiretroviral Therapy with HIV-Seroprevalence in the General Population of Kisumu, Kenya 1 1 2 3 3 Craig R. Cohen *, Michele Montandon , Adam W. Carrico , Stephen Shiboski , Alan Bostrom , Alfredo 4 4 5 6 1,4 Obure , Zachary Kwena , Robert C. Bailey , Rosemary Nguti , Elizabeth A. Bukusi 1 Departments of Obstetrics, Gynecology and Reproductive Sciences, University of California San Francisco, San Francisco, California, United States of America, 2 Center for AIDS Prevention Studies, University of California San Francisco, San Francisco, California, United States of America, 3 Center for Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California, United States of America, 4 Center for Microbiology Research, Kenya Medical Research Institute, Kisumu, Kenya, 5 Division of Epidemiology and Biostatistics, University of Illinois at Chicago, Chicago, Illinois, United States of America, 6 Department of Statistics, University of Nairobi, Nairobi, Kenya Abstract Background: Since antiretroviral therapy (ART) became available in the developed world, the prevalence of unprotected sex and the incidence of sexually transmitted infections (STIs) and HIV have increased. We hypothesized that a similar phenomenon may be occurring in sub-Saharan Africa concomitant with the scale-up of HIV treatment. Methods: We conducted a general population-based survey in Kisumu, Kenya. Participants completed an interview that included demographics as well as ART-related attitudes and beliefs (AB) and then underwent HIV serolog