Repeat voluntary HIV counseling and testing (VCT), sexual risk behavior and HIV incidence in Rakai, Uganda
Repeat voluntary HIV counseling and testing (VCT), sexual risk behavior and HIV incidence in Rakai, Uganda
复制标题
DOI：
10.1007/s10461-006-9170-y
复制
发表时间：
2007-01-01
影响因子：
4.4
通讯作者：
Wawer, Maria J.
中科院分区：
文献类型：
--
作者：
Matovu, Joseph K. B.;Gray, Ronald H.;Wawer, Maria J.
我们研究了重复自愿艾滋病咨询和检测（VCT）对性风险行为和艾滋病发病率的影响，在乌干达西南部Rakai农村地区参加了一项前瞻性性病控制艾滋病预防试验的6，377名最初艾滋病病毒阴性受试者。64%的人接受VCT，其中62.2%为首次接受，37.8%为重复接受。在重复接受者、首次接受者和非接受者中，坚持使用安全套的比例分别为5.8%、6.1%和5.1%。重复接受者（15.9%）报告不一致使用安全套的比例高于首次接受者（12%）和非接受者（11.7%）。此外，与首次接受者（14.1%）和非接受者（15%）相比，重复接受者（18.1%）报告有2+性伴侣的比例更高。HIV感染率重复接受者为1.4/100人年，首次接受者为1.6/100人年，未接受者为1.6/100人年。这些数据表明，有必要针对艾滋病毒阴性重复VCT接受者作为一个特殊的风险群体，密集的风险降低咨询干预。
We examined the effects of repeat Voluntary HIV counseling and testing (VCT) on sexual risk behaviors and HIV incidence in 6,377 initially HIV-negative subjects enrolled in a prospective STD control for HIV prevention trial in rural Rakai district, southwestern Uganda. Sixty-four percent accepted VCT, and of these, 62.2% were first time acceptors while 37.8% were repeat acceptors. Consistent condom use was 5.8% in repeat acceptors, 6.1% in first time acceptors and 5.1% in non-acceptors. A higher proportion of repeat acceptors (15.9%) reported inconsistent condom use compared to first-time acceptors (12%) and non-acceptors (11.7%). Also, a higher proportion of repeat acceptors (18.1%) reported 2+ sexual partners compared to first-time acceptors (14.1%) and non-acceptors (15%). HIV incidence rates were 1.4/100 py (person-years) in repeat acceptors, 1.6/100 py in first time acceptors and 1.6/100 py in non-acceptors. These data suggest a need for intensive risk-reduction counseling interventions targeting HIV-negative repeat VCT acceptors as a special risk group.