A Longitudinal Analysis of the Impact of Health Behavior Campaigns on HIV-Risk Behaviors and HIV Incidence in Eswatini.

A Longitudinal Analysis of the Impact of Health Behavior Campaigns on HIV-Risk Behaviors and HIV Incidence in Eswatini.
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健康行为运动对斯威士兰HIV风险行为和HIV发病率影响的纵向分析

DOI:
10.1007/s10461-021-03316-7
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发表时间:
2021-09
期刊:
影响因子:
4.4
通讯作者:
Justman J
Justman J
中科院分区:
医学2区
文献类型:
--
作者:
Mushamiri I;Mnisi Z;Nkambule M;Justman J

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2010年至2015年期间,斯威士兰开展了旨在避免新的艾滋病毒感染的大众媒体健康行为运动。使用2011年全国代表性斯威士兰艾滋病毒发病率测量调查的纵向数据,我们描述了暴露于HBCs对性活跃的艾滋病毒阴性成年人(n = 11,232)中选定的艾滋病毒风险行为和艾滋病毒发病率的影响。暴露于伴侣减少HBCs与报告较少显著相关(即,女性在基线时的前6个月性伴侣(1 vs 2,或2 vs ≥3)(aOR = 3.02; 95% CI 1.38,6.62);男性在基线和6个月随访时(分别为aOR = 2.26; 95% CI 1.49,3.44; aOR = 1.95,95% CI [1.26-3.00])。尽管报告了这些伴侣减少,但HBC暴露与前瞻性观察到的HIV血清转换之间没有关联(n = 121)。这一分析进一步证明,在人口一级预防艾滋病毒需要综合战略。
Between 2010–2015, Eswatini conducted mass media health behavior campaigns (HBCs) designed to avert new HIV infections. Using longitudinal data from the nationally representative Swaziland HIV Incidence Measurement Survey of 2011, we describe the impact of exposure to HBCs on selected HIV risk behaviors and HIV incidence among sexually active, HIV-negative adults (n = 11,232). Exposure to partner reduction HBCs was significantly associated with reporting fewer (i.e., 1 versus 2, or 2 versus ≥3) sexual partners in the prior six months at baseline among women (aOR = 3.02; 95% CI 1.38, 6.62); and at both baseline and at six-months follow-up for men (aOR = 2.26; 95% CI 1.49, 3.44; aOR = 1.95, 95% CI [1.26–3.00], respectively). Despite these reported partner reductions, there was no association between HBC exposure and prospectively observed HIV seroconversions (n = 121). This analysis strengthens the evidence that HIV prevention at the population level requires integrated strategies.
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