Behaviour change in clients of health centre-based voluntary HIV counselling and testing services in Kenya
Behaviour change in clients of health centre-based voluntary HIV counselling and testing services in Kenya
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DOI：
10.1136/sti.2007.026732
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发表时间：
2007-12-01
影响因子：
3.6
通讯作者：
Gilks, C.
中科院分区：
文献类型：
--
作者：
Arthur, G.;Nduba, V.;Gilks, C.
目的：探讨基于健康中心的自愿咨询和检测（VCT）服务对象的行为改变、基线风险行为、风险感知、HIV信息披露和生活事件。设计和环境：在肯尼亚的三个（一个城市和两个农村）政府卫生中心采用前后设计的单臂前瞻性队列；研究时间2年，1999-2001年。对象：连续的符合条件的成年客户。主要结果衡量指标：性伴侣人数、伴侣类型、避孕套使用情况、报告的性传播感染症状、艾滋病毒披露情况和生活事件。结果：高入组率和随访率为401例患者提供了具有人口统计学代表性的样本，平均随访时间为7.5个月。基线指标显示，客户的风险高于一般人群，但报告的风险感知较差。在随访中，有多个性伴侣的患者的性伴侣数量显著减少(16%至6%
Objective: To explore behaviour change, baseline risk behaviour, perception of risk, HIV disclosure and life events in health centre-based voluntary counselling and testing (VCT) clients.Design and setting: Single-arm prospective cohort with before-after design at three (one urban and two rural) government health centres in Kenya; study duration 2 years, 1999-2001.Subjects: Consecutive eligible adult clients.Main outcome measures: Numbers of sexual partners, partner type, condom use, reported symptoms of sexually transmitted infection, HIV disclosure and life events.Results: High rates of enrolment and follow-up provided a demographically representative sample of 401 clients with mean time to follow-up of 7.5 months. Baseline indicators showed that clients were at higher risk than the general population, but reported a poor perception of risk. Clients with multiple partners showed a significant reduction of sexual partners at follow-up (16% to 6%; p