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Mabeo is a member of Positive Connection, the only Internet dating forum geared to people with HIV in South Africa, the country with more infections – over 5 million and counting – than any other. I still haven’t found anyone I’ve gotten romantically involved with, but I’m carefully going through the list. AIDS is no longer an automatic killer here. As in the United States, it has become a chronic illness for those with access to antiretroviral drugs.
Up to , South Africans are on treatment, well below the half-million deemed in urgent need of care but far more than a few years ago. Life insurance is an option for some with HIV, and medical advances make it easier to bear healthy children. Yet romance remains a fraught pursuit. Despite an adult HIV prevalence rate of about 20 percent, the stigma attached to the disease remains harsh. HIV-negative people, not surprisingly, want to stay virus-free, site members say, and are likely to bolt if a partner discloses positive status.
Members are gay and straight, white and black, secretaries and bankers, with one other tie: access to the Internet. But some AIDS experts say that while they understand the appeal, they worry it could hinder efforts to bring carriers of the virus further into mainstream society. If you start having dating Web sites specifically for them, it will ghettoize them and make them a separate segment,” says Debbie Mathew, who directs the AIDS Foundation of South Africa.
Olive Shisana, author of a recent AIDS study conducted by the Human Sciences Research Council, says nearly half of South Africans surveyed think there is nothing wrong with marrying someone with HIV, even though that would always require protected sex. Several site members say they turned to Positive Connection after HIV-negative partners walked out the door.
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Keywords: condom negotiation, condom use, HIV risk, sex workers, sexual The Women’s Health CoOp (WHC)–Pretoria is a randomized community trial of a he has HIV, whether he had sex with someone else while dating/together with the.
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This article presents the results of a randomized trial in South Africa of an adapted evidence-based Woman-Focused intervention on condom use with primary sex partners. The preliminary findings show that regardless of HIV status, condom negotiation was significantly associated with condom use at the 3- and 6-month follow-ups. By intervention group, significant intervention effects were found at 6-month follow-up for HIV-positive and HIV-unknown status women in the Woman-Focused intervention who were more likely than women in the Standard intervention to report condom use with a primary male partner.
Among HIV-positive women, those in the Woman-Focused group and those with greater sexual control were more likely to report condom use at the 6-month follow-up. The findings indicate that gender-based interventions for women may result in increased condom negotiation skills. In , data from extensive antenatal clinic surveillance systems, national surveys with HIV testing, and mortality records from civil registration systems indicated that approximately 5. Additionally, in , HIV prevalence among women aged 20 to 29 was estimated to be six times higher than among men of the same age group 5.
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