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Sexual Exposure to Blood and Increased Risks for Heterosexual HIV Transmission in Cape Town, South Africa

Seth C. Kalichman and Leickness C. Simbayi
African Journal of Reproductive Health / La Revue Africaine de la Santé Reproductive
Vol. 8, No. 2 (Aug., 2004), pp. 55-58
DOI: 10.2307/3583177
Stable URL: http://www.jstor.org/stable/3583177
Page Count: 4
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Sexual Exposure to Blood and Increased Risks for Heterosexual HIV Transmission in Cape Town, South Africa
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Abstract

A total of 224 men and 276 women living in a Black township in Cape Town, South Africa, were interviewed using a structured questionnaire. Information was elicited on demographic characteristics and sexual behaviours over the three months preceding the interview including engaging in sexual contact that involved blood, lifetime history of STI diagnoses and STI symptoms, and HIV prevention knowledge. Thirty six per cent of the men and 28% of women experienced sexual contact involving blood in the past three months. Sexual blood contact was associated with the number of sex partners, unprotected intercourse and sexually transmitted infections. Sexual exposure to blood is prevalent and may be a facilitating factor for HIV transmission in South Africa. Modern medical care providers as well as traditional healers should be encouraged to advise their clients to refrain from sexual intercourse during menstruation and other types of genital bleeding. /// Au total, 224 hommes et 276 femmes domiciliés dans un quartier noir à Cape Town, Afrique du Sud, ont été interviewés à l'aide d'un questionnaire structuré. Nous avons recueilli des renseignements sur des caractéristiques et des attitudes sexuelles au cours de trois mois précédant l'interview y compris l'engagement à l'acte sexuel qui implique le sang, des antécédents des diagnostics et des symptômes des MSTs et la connaissance de la prévention du VIH. Trente-six pourcent des hommes et 28% des femmes ont eu au cours des trois mois, des contacts sexuels qui impliquaient le sang. Le contact sexuel sanguin a été lié au nombre de partenaires sexuels, des rapports sexuels non-protégés et les infections sexuellement transmissibles. L'exposition sexuelle au sang est prévalente et peut être un facteur qui rend facile la transmission du VIH en Afrique du Sud. Les prestateurs du soin médical moderne aussi bien que les médecins traditionnels doivent être encouragés de conseiller à leurs clients d'éviter les rapports sexuels pendant la menstruation et d'autres types d'hémorragie génitale.

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