This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Related articles  • Similar articles in JAMA  Topic Collections  • HIV/AIDS  • Sexually Transmitted Diseases  • Infectious Diseases  • Alert me on articles by topic  Social Bookmarking   What's this?

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

To the Editor: Dr Crepaz and colleagues conclude that human immunodeficiency virus (HIV)–infected patients taking highly active antiretroviral therapy (HAART) did not exhibit increased sexual risk behavior, even when therapy achieved an undetectable viral load.¹ In their discussion, the authors state that medical factors, such as duration of HAART or disease stage, might elucidate their findings because patients initiating HAART may have symptomatic illness that decreases their interest in sex.

In a recent study, my colleagues and I examined the relationship between unprotected sex (defined as anal or vaginal sex without a condom within the past 3 months) and antiretroviral use in a cross-sectional survey conducted in 874 randomly selected, sexually active patients at 6 public HIV clinics in California in 1998-1999.² We found a decreased odds ratio (OR) for unprotected sex with both antiretroviral use (OR, 0.5; 95% confidence interval [CI], 0.4-0.7) and self-reported undetectable HIV RNA level (OR, . . . [Full Text of this Article]

Catherine Diamond, MD, MPH
diamondc@uci.edu
Department of Medicine
Divisions of Infectious Diseases and Epidemiology
University of California
Irvine

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

RELATED ARTICLES

HAART and Sexual Risk Behavior
Carla Makhlouf Obermeyer and Rahul Rajkumar
JAMA. 2004;292(19):2335.
EXTRACT | FULL TEXT  

HAART and Sexual Risk Behavior—Reply
Nicole Crepaz, Gary Marks, and Trevor A. Hart
JAMA. 2004;292(19):2336.
EXTRACT | FULL TEXT  

Highly Active Antiretroviral Therapy and Sexual Risk Behavior: A Meta-analytic Review
Nicole Crepaz, Trevor A. Hart, and Gary Marks
JAMA. 2004;292(2):224-236.
ABSTRACT | FULL TEXT