Patterns of self-reported behaviour change associated with receiving voluntary counselling and testing in a longitudinal study from Manicaland, Zimbabwe.

Patterns of self-reported behaviour change associated with receiving voluntary counselling and testing in a longitudinal study from Manicaland, Zimbabwe.
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DOI:
10.1007/s10461-009-9592-4
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发表时间:
2010-06
期刊:
影响因子:
4.4
通讯作者:
Gregson, Simon
Gregson, Simon
中科院分区:
医学2区
文献类型:
--
作者:
Cremin, Ide;Nyamukapa, Constance;Sherr, Lorraine;Hallett, Timothy B.;Chawira, Godwin;Cauchemez, Simon;Lopman, Ben;Garnett, Geoffrey P.;Gregson, Simon

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自愿咨询和检测(VCT)作为一种潜在的艾滋病毒预防措施得到推广。我们描述了在津巴布韦马尼托巴以人群为基础的开放队列中,接受VCT治疗艾滋病毒的趋势,以及随后与接受VCT相关的行为改变模式。使用随机效应的广义线性模型分析了接收VCT与随后报告行为之间的关系。在第三次调查中,8.6%的参与者(1,079/12,533)先前接受过VCT。接受VCT的女性,无论是阳性还是阴性,都减少了新伴侣的数量。在检测呈阳性的人群中,这种风险降低随着检测后时间的推移而增强。在男性中,没有观察到与VCT相关的行为风险降低。在VCT之后,没有观察到与定期或非定期伴侣持续使用避孕套的显著增加。这项研究表明,在妇女中,特别是那些感染了病毒的妇女中,在进行VCT之后,行为风险确实有所降低。
Voluntary counselling and testing (VCT) is promoted as a potential HIV prevention measure. We describe trends in uptake of VCT for HIV, and patterns of subsequent behaviour change associated with receiving VCT in a population-based open cohort in Manicaland, Zimbabwe. The relationship between receipt of VCT and subsequent reported behaviour was analysed using generalized linear models with random effects. At the third survey, 8.6% of participants (1,079/12,533), had previously received VCT. Women who received VCT, both those positive and negative, reduced their reported number of new partners. Among those testing positive, this risk reduction was enhanced with time since testing. Among men, no behavioural risk reduction associated with VCT was observed. Significant increases in consistent condom use, with regular or non-regular partners, following VCT, were not observed. This study suggests that, among women, particularly those who are infected, behavioural risk reduction does occur following VCT.
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