Patient Experiences following Acute HIV Infection Diagnosis and Counseling in South Africa
Identifieur interne : 001B91 ( Main/Exploration ); précédent : 001B90; suivant : 001B92Patient Experiences following Acute HIV Infection Diagnosis and Counseling in South Africa
Auteurs : Benjamin J. Wolpaw [Afrique du Sud] ; Catherine Mathews [Afrique du Sud] ; Yolisa Mtshizana [Afrique du Sud] ; Mickey Chopra [Afrique du Sud] ; Diana Hardie [Afrique du Sud] ; Mark N. Lurie [États-Unis] ; Virginia De Azevedo [Afrique du Sud] ; Karen Jennings [Afrique du Sud]Source :
- PLoS ONE [ 1932-6203 ] ; 2014.
Abstract
Individuals in the acute stage of HIV infection (AHI) have an elevated potential to transmit HIV and play a critical role in the growth of the epidemic. Routine identification and counseling of individuals during AHI could decrease transmission behavior during this key period. However, diagnosis of AHI may present challenges distinct from those experienced through diagnosis of established HIV infection. A study was conducted in a public youth clinic outside of Cape Town, South Africa, to identify and counsel individuals with acute stage HIV infection. In-depth interviews were conducted with patients following diagnosis. After counseling, patients were accepting of the testing regimen used to diagnose AHI. They used the knowledge of having been recently infected to identify the source of their infection, but did not retain or place importance on information regarding the increased ability to transmit HIV during the acute stage. Future interventions directed at the reduction of HIV transmission following diagnosis with AHI will need to find ways of making this information more salient, possibly through more culturally meaningful educational approaches.
Url:
DOI: 10.1371/journal.pone.0105459
PubMed: 25153674
PubMed Central: 4143263
Affiliations:
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Lurie</name><affiliation wicri:level="2"><nlm:aff id="aff4"><addr-line>Brown University Medical School, Department of Community Health, Providence, Rhode Island, United States of America</addr-line></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Brown University Medical School, Department of Community Health, Providence, Rhode Island</wicri:regionArea><placeName><region type="state">Rhode Island</region></placeName></affiliation></author><author><name sortKey="De Azevedo, Virginia" sort="De Azevedo, Virginia" uniqKey="De Azevedo V" first="Virginia" last="De Azevedo">Virginia De Azevedo</name><affiliation wicri:level="1"><nlm:aff id="aff5"><addr-line>Cape Town Municipality Health Directorate, Cape Town, South Africa</addr-line></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Cape Town Municipality Health Directorate, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation></author><author><name sortKey="Jennings, Karen" sort="Jennings, Karen" uniqKey="Jennings K" first="Karen" last="Jennings">Karen Jennings</name><affiliation wicri:level="1"><nlm:aff id="aff5"><addr-line>Cape Town Municipality Health Directorate, Cape Town, South Africa</addr-line></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Cape Town Municipality Health Directorate, Cape Town</wicri:regionArea><wicri:noRegion>Cape Town</wicri:noRegion></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Individuals in the acute stage of HIV infection (AHI) have an elevated potential to transmit HIV and play a critical role in the growth of the epidemic. Routine identification and counseling of individuals during AHI could decrease transmission behavior during this key period. However, diagnosis of AHI may present challenges distinct from those experienced through diagnosis of established HIV infection. A study was conducted in a public youth clinic outside of Cape Town, South Africa, to identify and counsel individuals with acute stage HIV infection. In-depth interviews were conducted with patients following diagnosis. After counseling, patients were accepting of the testing regimen used to diagnose AHI. They used the knowledge of having been recently infected to identify the source of their infection, but did not retain or place importance on information regarding the increased ability to transmit HIV during the acute stage. Future interventions directed at the reduction of HIV transmission following diagnosis with AHI will need to find ways of making this information more salient, possibly through more culturally meaningful educational approaches.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Zetola, Nm" uniqKey="Zetola N">NM Zetola</name></author><author><name sortKey="Pilcher, Cd" uniqKey="Pilcher C">CD Pilcher</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Koopman, Js" uniqKey="Koopman J">JS Koopman</name></author><author><name sortKey="Jacquez, Ja" uniqKey="Jacquez J">JA Jacquez</name></author><author><name sortKey="Welch, Gw" uniqKey="Welch G">GW Welch</name></author><author><name sortKey="Simon, Sp" uniqKey="Simon S">SP Simon</name></author><author><name sortKey="Foxman, B" uniqKey="Foxman B">B Foxman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pilcher, Cd" uniqKey="Pilcher C">CD Pilcher</name></author><author><name sortKey="Tien, Hc" uniqKey="Tien H">HC Tien</name></author><author><name sortKey="Eron, Jj" uniqKey="Eron J">JJ Eron</name></author><author><name sortKey="Vernazza, Pl" uniqKey="Vernazza P">PL Vernazza</name></author><author><name sortKey="Leu, Sy" uniqKey="Leu S">SY Leu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="West, Gr" uniqKey="West G">GR West</name></author><author><name sortKey="Corneli, Al" uniqKey="Corneli A">AL Corneli</name></author><author><name sortKey="Best, K" uniqKey="Best K">K Best</name></author><author><name sortKey="Kurkjian, Km" uniqKey="Kurkjian K">KM Kurkjian</name></author><author><name sortKey="Cates, W" uniqKey="Cates W">W Cates</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pilcher, Cd" uniqKey="Pilcher C">CD Pilcher</name></author><author><name sortKey="Eaton, L" uniqKey="Eaton L">L Eaton</name></author><author><name sortKey="Kalichman, S" uniqKey="Kalichman S">S Kalichman</name></author><author><name sortKey="Bisol, C" uniqKey="Bisol C">C Bisol</name></author><author><name sortKey="De Soutza Rda, S" uniqKey="De Soutza Rda S">S de Soutza Rda</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Medley, A" uniqKey="Medley A">A Medley</name></author><author><name sortKey="Barcia Moreno, C" uniqKey="Barcia Moreno C">C Barcia-Moreno</name></author><author><name sortKey="Mcgill, S" uniqKey="Mcgill S">S McGill</name></author><author><name sortKey="Maman, S" uniqKey="Maman S">S Maman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pettifor, A" uniqKey="Pettifor A">A Pettifor</name></author><author><name sortKey="Macphail, C" uniqKey="Macphail C">C MacPhail</name></author><author><name sortKey="Corneli, A" uniqKey="Corneli A">A Corneli</name></author><author><name sortKey="Sibeko, J" uniqKey="Sibeko J">J Sibeko</name></author><author><name sortKey="Kamanga, G" uniqKey="Kamanga G">G Kamanga</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Remien, Rh" uniqKey="Remien R">RH Remien</name></author><author><name sortKey="Higgins, Ja" uniqKey="Higgins J">JA Higgins</name></author><author><name sortKey="Correale, J" uniqKey="Correale J">J Correale</name></author><author><name sortKey="Bauermeister, J" uniqKey="Bauermeister J">J Bauermeister</name></author><author><name sortKey="Dubrow, R" uniqKey="Dubrow R">R Dubrow</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Wolpaw, Bj" uniqKey="Wolpaw B">BJ Wolpaw</name></author><author><name sortKey="Mathews, C" uniqKey="Mathews C">C Mathews</name></author><author><name sortKey="Chopra, M" uniqKey="Chopra M">M Chopra</name></author><author><name sortKey="Hardie, D" uniqKey="Hardie D">D Hardie</name></author><author><name sortKey="Lurie, Mn" uniqKey="Lurie M">MN Lurie</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Steward, Wt" uniqKey="Steward W">WT Steward</name></author><author><name sortKey="Remien, Rh" uniqKey="Remien R">RH Remien</name></author><author><name sortKey="Higgins, Ja" uniqKey="Higgins J">JA Higgins</name></author><author><name sortKey="Dubrow, R" uniqKey="Dubrow R">R Dubrow</name></author><author><name sortKey="Pinkerton, Sd" uniqKey="Pinkerton S">SD Pinkerton</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Afrique du Sud</li><li>États-Unis</li></country><region><li>Rhode Island</li></region></list><tree><country name="Afrique du Sud"><noRegion><name sortKey="Wolpaw, Benjamin J" sort="Wolpaw, Benjamin J" uniqKey="Wolpaw B" first="Benjamin J." last="Wolpaw">Benjamin J. Wolpaw</name></noRegion><name sortKey="Chopra, Mickey" sort="Chopra, Mickey" uniqKey="Chopra M" first="Mickey" last="Chopra">Mickey Chopra</name><name sortKey="De Azevedo, Virginia" sort="De Azevedo, Virginia" uniqKey="De Azevedo V" first="Virginia" last="De Azevedo">Virginia De Azevedo</name><name sortKey="Hardie, Diana" sort="Hardie, Diana" uniqKey="Hardie D" first="Diana" last="Hardie">Diana Hardie</name><name sortKey="Jennings, Karen" sort="Jennings, Karen" uniqKey="Jennings K" first="Karen" last="Jennings">Karen Jennings</name><name sortKey="Mathews, Catherine" sort="Mathews, Catherine" uniqKey="Mathews C" first="Catherine" last="Mathews">Catherine Mathews</name><name sortKey="Mathews, Catherine" sort="Mathews, Catherine" uniqKey="Mathews C" first="Catherine" last="Mathews">Catherine Mathews</name><name sortKey="Mtshizana, Yolisa" sort="Mtshizana, Yolisa" uniqKey="Mtshizana Y" first="Yolisa" last="Mtshizana">Yolisa Mtshizana</name></country><country name="États-Unis"><region name="Rhode Island"><name sortKey="Lurie, Mark N" sort="Lurie, Mark N" uniqKey="Lurie M" first="Mark N." last="Lurie">Mark N. Lurie</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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