Original Research

HIV risk behaviour among public primary healthcare patients with tuberculosis in South Africa

Karl Peltzer
Southern African Journal of HIV Medicine | Vol 14, No 3 | a65 | DOI: https://doi.org/10.4102/sajhivmed.v14i3.65 | © 2013 Karl Peltzer | This work is licensed under CC Attribution 4.0
Submitted: 12 December 2013 | Published: 17 September 2013

About the author(s)

Karl Peltzer, HIV/AIDS/STI and TB (HAST), Human Sciences Research Council, Pretoria, South Africa; Department of Psychology, University of Limpopo, Turfloop, South Africa; ASEAN Institute for Health Development, Mahidol University, Salaya, Thailand

Abstract

Objective. To identify factors associated with HIV in tuberculosis (TB) patients in a public primary healthcare (PHC) setting in South Africa (SA).

Method. Among 4 900 consecutively selected TB patients (54.5% men; women 45.5%) from 42 public PHC clinics in 3 districts in SA, a cross-sectional survey was performed to assess new TB and new TB retreatment patients within one month of anti-TB treatment.

Results. The sample comprised 76.6% new TB patients and 23.4% TB retreatment patients. Of those who had tested for HIV, 59.9% were HIV-positive; 9.6% had never tested for HIV. In multivariate analysis, older age (odds ratio (OR) 5.86; confidence interval (CI) 4.07 - 8.44), female gender (OR 0.47; CI 0.37 - 0.59), residing in an informal settlement (OR 1.55; CI 1.13 - 2.12), being a TB retreatment patient (OR 0.55; CI 0.42 - 0.72), occasions of sexual intercourse with condom use (OR 1.07; CI 1.02 - 1.13) and having a sexual partner receiving antiretroviral treatment (ART) (OR 7.09, CI 4.35 - 11.57) were associated with an HIV-positive status in TB patients.

Conclusion. This study revealed high HIV risk behaviour (e.g. unprotected last sexual intercourse and alcohol and drug use in the context of sexual intercourse) among TB patients in SA. Various factors were associated with HIV risk behaviour. Condom use and substance use risk reduction need to be considered as HIV-prevention measures when planning such strategies for TB patients.


Keywords

Tuberculosis; HIV status; risk behaviour; South Africa

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Crossref Citations

1. Longitudinal analysis of HIV risk behaviour patterns and their predictors among public primary care patients with tuberculosis in South Africa
Karl Peltzer
SAHARA-J: Journal of Social Aspects of HIV/AIDS  vol: 15  issue: 1  first page: 1  year: 2018  
doi: 10.1080/17290376.2018.1433057