Main Article Content




The establishment of a positive HIV serologic status of an individual could have been an inhibitory factor to prevent risk behaviours in people living with HIV/AIDS. We conducted a cross-sectional study in order to assess the prevalence and predictors of risk behaviors among HIV-positive people in Douala-Cameroon.


We used pre-checked questionnaires to systematically collect data from four HIV Treatment centers inDouala. This was done to some of them during the distribution of drugs, and to others during their classical rendezvous, between the months of May and July 2012.

The Chi-Square and Student t-test were used forcross tabulation of variables; multiple regression analysis was performed to identify predictors of risky sexual behaviours.


Of the 330 persons interviewed. Sixty percent were reported to have had sexual intercourse after the diagnosis of HIV. We obtained 37% HIV-positive partners and 63% had HIV-negative partners or partners with unknown status. Among our patients, 45% of the subjects with regular partners reported to have had anal or vaginal sex. Those, whose score on the knowledge about HIV / AIDS was < 50% and where 90% of them were less susceptible to the condom during intercourse (p: 0.01). About 74% of patient on ARV were less susceptible to the use of condom during sexual inter course (p: 0.03).




Risk sexual behaviours among people living with HIV/AIDS are common and potentially expose their partners. For HIV-positive partners these habits pose a real risk of suprainfection by other strains of HIV. The need to increase awareness and education among people living with HIV is therefore highly recommended.

Article Details

How to Cite
Essomba, N. E. (2013). Sexual risk behaviours among patients living with HIV/AIDS in Douala in 2012. HEALTH SCIENCES AND DISEASE, 14(1).


  1. .United Nation Joint Program on HIV/AIDS, World Report no AIDS epidemic, Geneva: 2010.
  2. . National program to fight against AIDS, Impact of HIV/AIDS in Cameroon horizon 2020, Yaoundé: 2010.
  3. National program to fight against AIDS, Rapport de Progress on Declaration on Engagements on HIV/AIDS, UNGASS, Yaoundé: 2009.
  4. ..United Nation Joint Program on HIV/AIDS, World Report no AIDS epidemic
  5. . Comité National de Lutte contre le SIDA, Rapport annuel 2011 des activités de lutte contre le VIH, le SIDA et les IST au Cameroun, Yaoundé : 2012.
  6. Dia A, Marcellin F, Bonono RC, et al. Prevalence of unsafe sex with one’s steady partner either HIV negative or of unknown HIV status and associated determinants in Cameroon. STI. 2009; 1-16.
  7. Myer L, Morroni C, Rebe K. Prevalence and determinants of fertility intentions of HIV-infected women and men receiving antiretroviral therapy in South Africa. AIDS Patient Care and STD’s. 2007; 21(4):278-285.
  8. Kiene MS, Christie S, Corman DH, et al. Sexual risk behaviour among HIV-positive individuals in clinical care in urban KwaZulu-Natal, South Africa. AIDS. 2006; 20:1781-1784.
  9. Groupe Technique Régional de Lutte contre le Sida du Littoral. Rapport d’activités de prise en charge deuxième trimestre 2012. GTRL : Douala ; 60
  10. King-Spooner S. HIV prevention and the positive population. Int J STD & AIDS. 1999; 10:141-150.
  11. Berhan A, Berhan Y. Is the Sexual Behaviour of HIV Patients on Antiretroviral therapy safe or risky in Sub-Saharan Africa? Meta-Analysis and Meta-Regression. AIDS Res Ther. 2012 May 14; 9(1):14.
  12. Lertpiriyasuwat C, Plipat T, Jenkins RA. A survey of sexual risk behavior for HIV infection in Nakhonsawan, Thailand, 2001. AIDS. 2003 Sep 5; 17(13):1969-76.
  13. Kalichman SC, Benotsch E, Suarez T, et al. Healthliteracy and health-related knowledge among personsliving with HIV/AIDS. Am J Prev Med. 2000;18(4):325-331.
  14. Kalichman SC, Ramachandran B, Catz S. Adherenceto combination antiretroviral therapies in HIVpatients of low health literacy. J Gen Int Med.1999; 14:267-273.
  15. Bateganya M, Colfax G, Shafer LA, et al. Antiretroviral therapy and sexual behaviour: A comparative study between antiretroviral-naïve and –experienced patients at an urban HIV/AIDS care and research center in Kampala, Uganda. AIDS Patient Care and STD’s. 2005; 19(11):760-768.
  16. Ukwuani FA, Tsui AO, Suchindran CM. Condom use for preventing HIV infection/AIDS in Sub-Saharan Africa. J Acquir Immune DeficSyndr, 2003; 34(2):203-213.
  17. Ncube NM, Akunna J, Babatunde F et al. Sexual behaviour among HIV- positive persons in Kumasi, Ghana. Ghana Med Jour; 46(1):33-27.
  18. Volk JE, Koopman C. Factors associated with condom use in Kenya: A test of the Health BeliefModel. AIDS Edu&Prev, 2001; 13(6):495-508.
  19. Benefo KD. Determinants of condom use in Zambia:A Multilevel Analysis. Study in Fam Plann, 2010; 41(1):19-30.
  20. Simbayi LC, Kalichman SC, Strebel A, Cloete A, Henda N, Mqeketo A. Disclosure of HIV status to sex partners and sexual risk behaviours among HIV-positive men and women, Cape Town, South Africa. Sex Transm Infec. 2007; 83:29-34.
  21. Deribe K, Woldemichael K, Wondafrash M, HaileA, Amberbir A. High-risk behaviours and associated factors among HIV-positive individuals in clinical care in southwest Ethiopia. Trop Doctor.2008; 38:237-239.25.
  22. Stolte IG, Dukers NH, Geskus RB, Coutinho RA, de Wit JB. Homosexual men change to risky sexwhen perceiving less threat of HIV/AIDS since availability of highly active antiretroviral therapy: a longitudinal study. AIDS. 2004; 18:303-309.
  23. Rice E, Batterham P, Rotheram-Borus MJ. Unprotected sex among youth living with HIV beforeand after the advent of highly active antiretroviral therapy. Perspect Sex Reprod Health.2006; 38:162-167.
  24. Kiene MS, Christie S, Corman DH, et al. Sexual risk behaviour among HIV-positive individuals in clinical care in urban KwaZulu-Natal, South Africa AIDS. 2006; 20:1781-1784.
  25. Sarna A, Luchters SMF, Geibel S, et al. Sexual risk behaviour and HARRT: a comparative study of HIV-infected persons on HAART and on preventive therapy in Kenya. Int J STD & AIDS. 2008; 19:85-89.
  26. Kennedy C, O’Reilly KO, Medley A, Sweat M. The impact of HIV treatment on risk behaviour in developing countries: A systematic review. AIDS Care.2007; 19(6):707-720
  27. Crepaz N, Marks G. Towards an understanding of sexual risk behaviour in people living with HIV: are view of social, psychological, and medical findings AIDS. 2002; 16:135-149.
  28. Kalichman SC. HIV transmission risk behaviours of men and women living with HIV-AIDS: prevalence, predictors, and emerging clinical interventions. Clin Psychology Sci Practice. 2000.

Most read articles by the same author(s)