Risk reduction counseling is associated with decreased HIV transmission-associated behaviors in high-risk Indian heterosexuals.

Risk reduction counseling is associated with decreased HIV transmission-associated behaviors in high-risk Indian heterosexuals.
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降低风险咨询与高危印度异性恋者中艾滋病毒传播相关行为的减少有关。

DOI:
10.1097/01.qai.0000221684.83057.2f
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发表时间:
2006
期刊:
Journal of acquired immune deficiency syndromes (1999)
影响因子:
--
通讯作者:
Mayer,KennethH
Mayer,KennethH
中科院分区:
--
文献类型:
--
作者:
Solomon,SunilS;Solomon,Suniti;Masse,BenoitR;Srikrishnan,AK;Beauchamp,Geetha;Thamburaj,Easter;Gulvady,Menaka;Anand,S;Mayer,KennethH

文献摘要

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Objective:To estimate the incidence of HIV and study the impact of risk-reduction counseling (RRC) in a cohort of people with high-risk behavior for HIV transmission in Chennai, India.Design:Prospective cohort follow-up of 500 HIV-negative people (250 men and 250 women) at increased risk for HIV acquisition in Chennai, India for a maximum of 1 year was conducted. They received RRC at 0, 6, and 12 months. Generalized estimating equation methodology was used to determine the statistical significance of differences reported in behavior between baseline, 6 months, and 12 months.Results:The overall HIV incidence in this cohort was 0.44 per 100 person-years (95% confidence interval: 0.05-1.60). In the course of the study, both male and female participants reported statistically significant decreases in the number of different sexual partners, the number of new partners, and the proportion of sexual encounters with nonprimary partners. Participants who had more than 3 different partners at baseline and/or exchanged money for sex in the 6 months before enrollment demonstrated the greatest reductions in the number of different sexual partners.Conclusions:Individualized sexual RRC seems to be a useful intervention to reduce risk-taking behavior among at-risk heterosexuals in India.