Yale University

Sexual risk behaviour of the first cohort undergoing screening for enrollment into Phase I/II HIV vaccine trials in South Africa.

TitleSexual risk behaviour of the first cohort undergoing screening for enrollment into Phase I/II HIV vaccine trials in South Africa.
Publication TypeJournal Article
Year of Publication2009
AuthorsAndersson, K. M., R. M. Van Niekerk, L. M. Niccolai, O. N. Mlungwana, I. M. Holdsworth, M. Bogoshi, J. A. McIntyre, G. E. Gray, and E. Vardas
JournalInternational journal of STD & AIDS
Volume20
Issue2
Pagination95-101
Date Published2009 Feb
ISSN0956-4624
KeywordsAdolescent, Adult, AIDS Vaccines, Clinical Trials, Phase I as Topic, Clinical Trials, Phase II as Topic, Cohort Studies, Female, Heterosexuality, HIV Infections, Humans, Male, Middle Aged, Patient Selection, Risk-Taking, Sexual Behavior, South Africa, Young Adult
AbstractWe assessed risk behaviour in a heterosexual cohort undergoing prescreening for the first Phase I/II HIV vaccine trials in Soweto. We developed a survey and collected self-reported data from HIV-negative potential volunteers. Of 488 participants, most were single and approximately half were from households with incomes below the poverty level. Males reported higher rates of heavy alcohol use (P < 0.001), marijuana use (P < 0.001) and other recreational drug use (P < 0.01). Males reported more sex partners than females in the previous six months (P < 0.001), as well as more casual/anonymous partners (P < 0.001) and one-night stands (P < 0.001). Multivariate analyses revealed substance use and male gender predicted higher risk behaviours, including <100% condom use with known/suspected HIV-positive partners, having casual/anonymous partners and having more than two partners. For this population, male volunteers may need increased risk-reduction counselling during Phase I/II trials and additional recruitment methods may be necessary to identify high-risk female volunteers for Phase III efficacy trials.
DOI10.1258/ijsa.2008.008207
Alternate JournalInt J STD AIDS

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