Sexual risk behaviour among hiv-infected women in the first twelve months after delivery in south africa

Karl Peltzer, Geoffrey Setswe, Gladys Matseke, Shandir Ramlagan, Stephen M. Weiss, Violeta J. Rodriguez, Sibusiso Sifunda, Ryan Cook, Tae Kyoung Lee, Deborah Jones

Research output: Contribution to journalArticlepeer-review


This study aimed to assess sexual risk behaviour and its social correlates in HIV-infected women living in rural South Africa at six and twelve months post-partum Participants were 699 HIV-positive women recruited prenatally by systematic sampling from twelve community health centres in Mpumalanga province, South Africa (mean age = 28 4 years, SD = 5 7; married =41 1%; serodiscordant or unknown partner status = 74 9%) They self-reported on their sexual activity six to twelve months after delivery; including use of condoms and partner involvement Generalised linear mixed models were utilised to estimate unsafe sex outcomes from a prevention of mother to child transmission (PMTCT) intervention, socio-demographic factors, disclosure, and male involvement About 20% of sexually active women in the past week had used condoms inconsistently at six and twelve months after delivery Moreover, 16% and 18% of the women had not used a condom at last sex and 11% and 13% had unprotected sex with HIV-uninfected or unknown-status partners following delivery at six and twelve months, respectively Higher inconsistent condom use was likely with lower male involvement Promotion of condom use post-partum, as well as male involvement in sexual decisions, are important for safer sex post-partum by seropositive women.

Original languageEnglish (US)
Pages (from-to)330-335
Number of pages6
JournalJournal of Psychology in Africa
Issue number4
StatePublished - 2018
Externally publishedYes


  • HIV-infected women
  • Postnatal period
  • Sexual risk behaviour
  • South Africa

ASJC Scopus subject areas

  • General Psychology


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