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Patterns of Self-reported Behaviour Change Associated with Receiving Voluntary Counselling and Testing in a Longitudinal Study from Manicaland, Zimbabwe

Cremin, I; Nyamukapa, C; Sherr, L; Hallett, TB; Chawira, G; Cauchemez, S; Lopman, B; ... Gregson, S; + view all (2010) Patterns of Self-reported Behaviour Change Associated with Receiving Voluntary Counselling and Testing in a Longitudinal Study from Manicaland, Zimbabwe. AIDS BEHAV , 14 (3) 708 - 715. 10.1007/s10461-009-9592-4.

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Abstract

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.

Type: Article
Title: Patterns of Self-reported Behaviour Change Associated with Receiving Voluntary Counselling and Testing in a Longitudinal Study from Manicaland, Zimbabwe
DOI: 10.1007/s10461-009-9592-4
Keywords: HIV, Testing, Counselling, Sexual behaviour, Zimbabwe, SEXUAL RISK BEHAVIOR, HIV DISCORDANT COUPLES, SUB-SAHARAN AFRICA, HIV/AIDS PREVENTION, RANDOMIZED-TRIAL, RURAL ZIMBABWE, CONDOM USE, IMPACT, PROGRAM, KENYA
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute for Global Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Pop Health Sciences > Institute for Global Health > Infection and Population Health
URI: http://discovery.ucl.ac.uk/id/eprint/123844
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