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Results of a couples-based randomized controlled trial aimed to increase testing for HIV

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dc.date.accessioned 2019-09-02T10:15:28Z
dc.date.available 2019-09-02T10:15:28Z
dc.date.issued 2019-09-02 en
dc.identifier.uri http://hdl.handle.net/20.500.11910/14408
dc.description.abstract Although couples HIV testing and counseling (CHTC) is effective for facilitating mutual disclosure and linkage to HIV care, uptake remains low. Using a randomized controlled design, we tested the efficacy of a behavioral couples-based intervention aimed to increase CHTC. The Vulindlela district of KwaZulu-Natal, South Africa. Couples were recruited from the community (eg, markets and community events). Couples were excluded if mutual HIV serostatus disclosure had occurred. Both partners had to report being each others primary partner and relationship length was at least 6 months. Assessments occurred at baseline, and 3, 6, and 9 months after intervention. Eligible couples attended a group session (3/4 hours) after which randomization occurred. Intervention couples additionally received: one couples-based group session followed by 4 couples counseling sessions (1/2 hours). Intervention topics included communication skills, intimate partner violence, and HIV prevention. Our primary outcomes were CHTC and sexual risk behavior. Overall, 334 couples were enrolled. Intervention couples were significantly more likely to have participated in CHTC [42% vs. 12% (P # 0.001)]. In addition, their time to participate in CHTC was significantly shorter (logrank P # 0.0001) (N = 332 couples). By group, 59% of those who tested HIV-positive in intervention and 40% of those who tested in control were new HIV diagnoses (P = 0.18). There were no group differences in unprotected sex. Our intervention improved CHTC uptake a vehicle for mutual serostatus disclosure and entre into HIV treatment, both of which exert a significant public health impact on communities substantially burdened by HIV. en
dc.format.medium Print en
dc.publisher Earthscan en
dc.subject HIV/AIDS en
dc.subject RISK BEHAVIOUR en
dc.subject COUPLES en
dc.subject HIV TESTING AND COUNSELLING (HTC) en
dc.title Results of a couples-based randomized controlled trial aimed to increase testing for HIV en
dc.type Journal Article en
dc.description.version Y en
dc.ProjectNumber N/A en
dc.Volume 80(4) en
dc.BudgetYear 2019/20 en
dc.ResearchGroup Human and Social Development en
dc.SourceTitle Journal of Acquired Immune Deficiency Syndromes en
dc.ArchiveNumber 10957 en
dc.URL http://ktree.hsrc.ac.za/doc_read_all.php?docid=21605 en
dc.PageNumber 404-413 en
dc.outputnumber 9940 en
dc.bibliographictitle Darbes, L.A., McGrath, N.M., Hosegood, V., Johnson, M.O., Fritz, K., Ngubane, T. & Van Rooyen, H. (2019) Results of a couples-based randomized controlled trial aimed to increase testing for HIV. <i>Journal of Acquired Immune Deficiency Syndromes</i>. 80(4):404-413. en
dc.publicationyear 2019 en
dc.contributor.author1 Darbes, L.A. en
dc.contributor.author2 McGrath, N.M. en
dc.contributor.author3 Hosegood, V. en
dc.contributor.author4 Johnson, M.O. en
dc.contributor.author5 Fritz, K. en
dc.contributor.author6 Ngubane, T. en
dc.contributor.author7 Van Rooyen, H. en


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