RESEARCH ARTICLE n d

an At the end of 2012, an estimated 35.3 million persons provision and health promotion) is associated with a de-Yaya et al. BMC Public Health 2014, 14:636 http://www.biomedcentral.com/1471-2458/14/636ten were on ART. Most studies were carried out in East3Division de l’épidémiologie, Ministère de la santé, BP: 1396 Lomé, Togo Full list of author information is available at the end of the articlewere living with HIV and AIDS (PLWHA) globally; 71% lived in sub-Saharan Africa where three quarters of all deaths due to AIDS in 2012 had occurred [1]. In Togo, the prevalence of HIV infection in the general popu-lation was estimated at 3.2 % in the same year [2]. Al-though this prevalence is relatively low in comparison to other sub-Saharan Africa countries, it masks many dis-parities that may exist between population groups, re-gions and by gender. Antiretroviral therapy (ART) with cline in the HIV-related morbidity and mortality among PLWHA, improved life expectancy and quality of life [3]. As such, new issues have emerged including those concerning patients ’ adherence to ART and their sexual behaviors [4]. Sexual risk behavior among people receiving ART is a major public health concern not only because of risks of HIV transmission, but also the potential risk of trans-mission of resistant strains [4]. In sub-Saharan Africa, several studies on sexual risk behavior were conducted in cohorts of PLWHA, who of- * Correspondence