Open Access Highly Accessed Research article

Sexual risk behavior among people living with HIV and AIDS on antiretroviral therapy at the regional hospital of Sokodé, Togo

Issifou Yaya1, Bayaki Saka2, Dadja Essoya Landoh3*, P'Niwè Massoubayo Patchali4, Makawa-Sy Makawa5, Sékandé Senanou4, Daoudou Idrissou6, Bassan Lamboni7 and Palokinam Pitche28

Author Affiliations

1 Laboratoire de Santé Publique (EA 3279), Aix-Marseille Université, Marseille, France

2 Service de dermatologie et IST, CHU Sylvanus Olympio, Université de Lomé, Lomé, Togo

3 Division de l’épidémiologie, Ministère de la santé, BP: 1396 Lomé, Togo

4 Centre Hospitalier Régional (CHR) de Sokodé, Service de dispensation d’antirétroviraux (ARV), Sokodé, Togo

5 Ministère de la Santé, Direction Préfectorale de la Santé de Tône, Dapaong, Togo

6 Centre Hospitalier Régional (CHR) de Kara-Tomdè, Service de Médecine générale, Kara, Togo

7 Programme National de lutte contre les maladies non transmissibles, Ministère de la Santé, Lomé, Togo

8 Conseil National de Lutte contre les IST/VIH/Sida, Lomé, Togo

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BMC Public Health 2014, 14:636  doi:10.1186/1471-2458-14-636

Published: 22 June 2014



Several studies on the sexual risk behaviors in sub-Saharan Africa have reported that the initiation of antiretroviral therapy leads to safer sexual behaviors. There is however a persistence of risky sexual behavior which is evidenced by a high prevalence of sexually transmitted infections among people living with HIV and AIDS (PLWHA). We sought to determine the factors associated with risky sex among PLWHA on antiretroviral therapy in Togo.


An analytical cross-sectional survey was conducted from May to July 2013 at regional hospital of Sokodé, Togo, and targeted 291 PLWHA on antiretroviral therapy for at least three months.


From May to July 2013, 291 PLWHA on antiretroviral treatment were surveyed. The mean age of PLWHA was 37.3 years and the sex ratio (male/female) was 0.4. Overall, 217 (74.6%) PLWHA were sexually active since initiation of antiretroviral treatment, of which, 74 (34.6%) had risky sexual relations. In multivariate analysis, the factors associated with risky sex were: the duration of antiretroviral treatment (1 to 3 years: aOR = 27.08; p = 0.003; more than 3 years: aOR = 10.87; p = 0.028), adherence of antiretroviral therapy (aOR = 2.56; p = 0.014), alcohol consumption before sex (aOR = 3.59; p = 0.013) and level of education (primary school: aOR = 0.34 p = 0.011; secondary school: aOR = 0.23 p = 0.003; high school: aOR = 0.10; p = 0.006).


There was a high prevalence of unsafe sex among PLWHA receiving ART at the hospital of Sokodé. Factors associated with sexual risk behaviors were: low education level, non-adherence to ART, alcohol consumption before sex and the duration of ART. It is important to strengthen the implementation of secondary prevention strategies among this population group.

Sexual risk behavior; Antiretroviral therapy; People living with HIV and AIDS; Togo