Couple-centred testing and counselling for HIV serodiscordant heterosexual couples in sub-Saharan Africa
Couple-centred testing and counselling for HIV serodiscordant heterosexual couples in sub-Saharan Africa
复制标题
DOI：
10.1016/s0968-8080(08)32407-0
复制
发表时间：
2008-11-01
影响因子：
--
通讯作者：
Orne-Gliemann, Joanna
中科院分区：
文献类型：
--
作者：
Desgrees-du-Lou, Annabel;Orne-Gliemann, Joanna
在非洲，很大一部分艾滋病毒感染发生在稳定的关系中，或者是因为其中一方先前感染，或者是因为不忠。在一半的人中，女性是艾滋病毒阳性的伴侣，因此，迫切需要确定预防艾滋病毒在夫妻关系中传播的战略。艾滋病毒咨询和检测主要是在个人和性别的基础上组织的，在预防艾滋病毒母婴传播方案中为孕妇提供，在性传播感染咨询中为男子提供，最近还为男子提供了痣环切术。以夫妇为中心的艾滋病毒咨询和检测方法将有助于夫妇之间就艾滋病毒状况进行沟通，并采取预防行为。本文回顾了撒哈拉以南非洲地区异性恋夫妇的艾滋病毒血清不一致性，以及自20世纪90年代初以来以夫妇为中心的艾滋病毒咨询和检测举措。尽管取得了积极成果，但面向夫妇的方案尚未大规模实施。为了激励和加强艾滋病毒预防工作，需要更加重视促进对关系稳定的夫妇的预防、检测和咨询。(C)2008年生殖健康问题。All rights reserved.
In Africa, a large proportion of HIV infections occur within stable relationships, either because of prior infection of one of the partners or because of infidelity In five African countries at least two-thirds of couples with at least one HIV-positive partner were HIV serodiscordant; in half of them, the woman was the HIV-positive partner Hence, there is an urgent need to define strategies to prevent HIV transmission within couple relationships. HIV counselling and testing have largely been organised on an individual and sex-specific basis, for pregnant women in programmes for prevention of mother-to-child transmission of HIV and in STI consultations and recently mole circumcision for men. A couple-centred approach to HIV counselling and testing would facilitate communication about HIV status and adoption of preventive behaviours within couples. This paper reviews what is known about HIV serodiscordance in heterosexual couples in sub-Saharan Africa and what has been published about couple-centred initiatives for HIV counselling and testing since the early 1990s. Despite positive outcomes, couple-oriented programmes have not been implemented on a large scale. In order to stimulate and strengthen HIV prevention efforts, increased attention is required to promote prevention and testing and counselling for couples in Stable relationships. (C) 2008 Reproductive Health Matters. All rights reserved.