HIV prevention in care and treatment settings: baseline risk behaviors among HIV patients in Kenya, Namibia, and Tanzania

HIV care and treatment settings provide an opportunity to reach people living with HIV/AIDS (PLHIV) with prevention messages and services. Population-based surveys in sub-Saharan Africa have identified HIV risk behaviors among PLHIV, yet data are limited regarding HIV risk behaviors of PLHIV in clin...

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Published in:PloS one 2013-02, Vol.8 (2), p.e57215-e57215
Main Authors: Kidder, Daniel P, Bachanas, Pam, Medley, Amy, Pals, Sherri, Nuwagaba-Biribonwoha, Harriet, Ackers, Marta, Howard, Andrea, Deluca, Nick, Mbatia, Redempta, Sheriff, Muhsin, Arthur, Gilly, Katuta, Frieda, Cherutich, Peter, Somi, Geoffrey
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adolescent
Adult
AIDS
Alcohol use
Antiretroviral drugs
Behavior
Condoms
Delivery of Health Care
Demographic variables
Demographics
Demography
Disease prevention
Disease transmission
Female
Health aspects
Health Behavior
Health risks
Health Status
HIV
HIV Infections - drug therapy
HIV Infections - prevention & control
HIV Infections - transmission
Human immunodeficiency virus
Humans
Intervention
Kenya
Male
Medical diagnosis
Medication Adherence
Medicine
Middle Aged
Namibia
Patient compliance
Pregnancy
Prevention
Risk
Risk taking
Sexually transmitted disease prevention
Surveys
Tanzania
Young Adult
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cited_by cdi_FETCH-LOGICAL-c692t-2b66ee7db386c3bf522230160a572e92ed6f2b3590a7af7cc71691a593a0e19d3
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creator Kidder, Daniel P
Bachanas, Pam
Medley, Amy
Pals, Sherri
Nuwagaba-Biribonwoha, Harriet
Ackers, Marta
Howard, Andrea
Deluca, Nick
Mbatia, Redempta
Sheriff, Muhsin
Arthur, Gilly
Katuta, Frieda
Cherutich, Peter
Somi, Geoffrey
description HIV care and treatment settings provide an opportunity to reach people living with HIV/AIDS (PLHIV) with prevention messages and services. Population-based surveys in sub-Saharan Africa have identified HIV risk behaviors among PLHIV, yet data are limited regarding HIV risk behaviors of PLHIV in clinical care. This paper describes the baseline sociodemographic, HIV transmission risk behaviors, and clinical data of a study evaluating an HIV prevention intervention package for HIV care and treatment clinics in Africa. The study was a longitudinal group-randomized trial in 9 intervention clinics and 9 comparison clinics in Kenya, Namibia, and Tanzania (N = 3538). Baseline participants were mostly female, married, had less than a primary education, and were relatively recently diagnosed with HIV. Fifty-two percent of participants had a partner of negative or unknown status, 24% were not using condoms consistently, and 11% reported STI symptoms in the last 6 months. There were differences in demographic and HIV transmission risk variables by country, indicating the need to consider local context in designing studies and using caution when generalizing findings across African countries. Baseline data from this study indicate that participants were often engaging in HIV transmission risk behaviors, which supports the need for prevention with PLHIV (PwP). ClinicalTrials.gov NCT01256463.
doi_str_mv 10.1371/journal.pone.0057215
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Population-based surveys in sub-Saharan Africa have identified HIV risk behaviors among PLHIV, yet data are limited regarding HIV risk behaviors of PLHIV in clinical care. This paper describes the baseline sociodemographic, HIV transmission risk behaviors, and clinical data of a study evaluating an HIV prevention intervention package for HIV care and treatment clinics in Africa. The study was a longitudinal group-randomized trial in 9 intervention clinics and 9 comparison clinics in Kenya, Namibia, and Tanzania (N = 3538). Baseline participants were mostly female, married, had less than a primary education, and were relatively recently diagnosed with HIV. Fifty-two percent of participants had a partner of negative or unknown status, 24% were not using condoms consistently, and 11% reported STI symptoms in the last 6 months. There were differences in demographic and HIV transmission risk variables by country, indicating the need to consider local context in designing studies and using caution when generalizing findings across African countries. Baseline data from this study indicate that participants were often engaging in HIV transmission risk behaviors, which supports the need for prevention with PLHIV (PwP). ClinicalTrials.gov NCT01256463.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>23459196</pmid><doi>10.1371/journal.pone.0057215</doi><tpages>e57215</tpages><oa>free_for_read</oa></addata></record>
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subjects Acquired immune deficiency syndrome
Adolescent
Adult
AIDS
Alcohol use
Antiretroviral drugs
Behavior
Condoms
Delivery of Health Care
Demographic variables
Demographics
Demography
Disease prevention
Disease transmission
Female
Health aspects
Health Behavior
Health risks
Health Status
HIV
HIV Infections - drug therapy
HIV Infections - prevention & control
HIV Infections - transmission
Human immunodeficiency virus
Humans
Intervention
Kenya
Male
Medical diagnosis
Medication Adherence
Medicine
Middle Aged
Namibia
Patient compliance
Pregnancy
Prevention
Risk
Risk taking
Sexually transmitted disease prevention
Surveys
Tanzania
Young Adult
title HIV prevention in care and treatment settings: baseline risk behaviors among HIV patients in Kenya, Namibia, and Tanzania
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