AIDS Care Vol. 23; No. 12: P. 1637-1643 (12..11) - Thursday,
In the Dominican Republic, more than 1 percent of adults are
HIV-infected; most transmissions of the virus occur sexually.
The current study examines risk behaviors in a group of HIV-
positive individuals receiving treatment in Santiago.
The researchers interviewed 129 patients seen in May 2006 in
one of the nation's largest public hospital HIV clinics. The
interviews collected information including demographics,
sexual history, and condom use, and they focused on the
patients' last sexual encounter.
The majority of patients (72.4 percent) reported they had been
sexually active since being diagnosed with HIV. After their
diagnosis, 72.8 percent of patients who were sexually active
used condoms more frequently; 21.7 percent used condoms with
the same frequency; and 5.4 percent used condoms less often.
The most common reason for not using condoms after being
diagnosed with HIV differed by gender: Men cited decreased
sexual pleasure (70 percent), while women reported their
partner had refused to wear a condom (71.8 percent). Patients
who were sexually active and believed their partner was HIV-
negative were much more likely to report condom use during
last sex than patients who did not know their partner's HIV
status (odds ratio=16.9).
"HIV-positive patients reported using condoms more frequently
following their HIV diagnosis and were more likely to use a
condom if they believed their partner did not have HIV," the