Effect of home-based HIV counselling and testing on stigma and risky sexual behaviours: serial cross-sectional studies in Uganda
Effect of home-based HIV counselling and testing on stigma and risky sexual behaviours: serial cross-sectional studies in Uganda
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DOI：
10.7448/ias.15.2.17423
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发表时间：
2012-06-04
影响因子：
6
通讯作者：
Tumwesigye, Elioda
中科院分区：
文献类型：
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作者：
Nuwaha, Fred;Kasasa, Simon;Tumwesigye, Elioda
背景资料：2004年至2007年，在乌干达Bushenyi区实施了一项大型的、全区范围的、以家庭为基础的艾滋病毒咨询和检测方案。该方案向Bushenyi区所有同意的成年人提供免费的HBHCT服务，接受率和可接受性都很高。我们测量人口水平的变化，在知识的艾滋病毒的状态，耻辱和艾滋病毒的危险行为之前和之后HBHCT，以评估是否广泛的HBHCT有影响的趋势，危险的性行为和对艾滋病毒的耻辱和歧视。方法：系列横断面调查进行了之前和之后，在乌干达Bushenyi区的HBHCT方案的实施。在基线调查中，共有1402名随机选择的成年人（18至49岁）接受了采访。实施后，一组不同的随机选择的1562成年人进行了采访，使用相同的问卷。调查对象的社会人口学特征、性行为、是否接受过艾滋病病毒检测以及对艾滋病病毒/艾滋病的羞辱和歧视。结果：接受过艾滋病病毒检测的比例从18.6%上升到62%（p
Background: A large, district-wide, home-based HIV counselling and testing (HBHCT) programme was implemented in Bushenyi district of Uganda from 2004 to 2007. This programme provided free HBHCT services to all consenting adults of Bushenyi district and had a very high uptake and acceptability. We measured population-level changes in knowledge of HIV status, stigma and HIV-risk behaviours before and after HBHCT to assess whether widespread HBHCT had an effect on trends of risky sexual behaviours and on stigma and discrimination towards HIV.Methods: Serial cross-sectional surveys were carried out before and after the implementation of HBHCT programme in Bushenyi district of Uganda. A total of 1402 randomly selected adults (18 to 49 years) were interviewed in the baseline survey. After the implementation, a different set of randomly selected 1562 adults was interviewed using the same questionnaire. Data was collected on socio-demographic characteristics, sexual behaviour, whether respondents had ever tested for HIV and stigma and discrimination towards HIV/AIDS.Results: The proportion of people who had ever tested for HIV increased from 18.6% to 62% (p