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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Antenatal Couple Counseling Increases Uptake of Interventions to Prevent HIV-1 Transmission</title>
<author><name sortKey="Farquhar, Carey" sort="Farquhar, Carey" uniqKey="Farquhar C" first="Carey" last="Farquhar">Carey Farquhar</name>
<affiliation><nlm:aff id="A1">Department of Medicine, University of Washington, Seattle, WA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A2">Department of Epidemiology, University of Washington, Seattle, WA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kiarie, James N" sort="Kiarie, James N" uniqKey="Kiarie J" first="James N." last="Kiarie">James N. Kiarie</name>
<affiliation><nlm:aff id="A4">Department of Obstetrics/Gynaecology, University of Nairobi, Nairobi, Kenya</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Richardson, Barbra A" sort="Richardson, Barbra A" uniqKey="Richardson B" first="Barbra A." last="Richardson">Barbra A. Richardson</name>
<affiliation><nlm:aff id="A3">Department of Biostatistics, University of Washington, Seattle, WA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A6">Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA.</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kabura, Marjory N" sort="Kabura, Marjory N" uniqKey="Kabura M" first="Marjory N." last="Kabura">Marjory N. Kabura</name>
<affiliation><nlm:aff id="A4">Department of Obstetrics/Gynaecology, University of Nairobi, Nairobi, Kenya</nlm:aff>
</affiliation>
</author>
<author><name sortKey="John, Francis N" sort="John, Francis N" uniqKey="John F" first="Francis N." last="John">Francis N. John</name>
<affiliation><nlm:aff id="A4">Department of Obstetrics/Gynaecology, University of Nairobi, Nairobi, Kenya</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nduati, Ruth W" sort="Nduati, Ruth W" uniqKey="Nduati R" first="Ruth W." last="Nduati">Ruth W. Nduati</name>
<affiliation><nlm:aff id="A5">Department of Paediatrics, University of Nairobi, Nairobi, Kenya</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mbori Ngacha, Dorothy A" sort="Mbori Ngacha, Dorothy A" uniqKey="Mbori Ngacha D" first="Dorothy A." last="Mbori-Ngacha">Dorothy A. Mbori-Ngacha</name>
<affiliation><nlm:aff id="A5">Department of Paediatrics, University of Nairobi, Nairobi, Kenya</nlm:aff>
</affiliation>
</author>
<author><name sortKey="John Stewart, Grace C" sort="John Stewart, Grace C" uniqKey="John Stewart G" first="Grace C." last="John-Stewart">Grace C. John-Stewart</name>
<affiliation><nlm:aff id="A1">Department of Medicine, University of Washington, Seattle, WA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A2">Department of Epidemiology, University of Washington, Seattle, WA</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">11371706</idno>
<idno type="pmc">3358138</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3358138</idno>
<idno type="RBID">PMC:3358138</idno>
<date when="2001">2001</date>
<idno type="wicri:Area/Pmc/Corpus">001D28</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001D28</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Antenatal Couple Counseling Increases Uptake of Interventions to Prevent HIV-1 Transmission</title>
<author><name sortKey="Farquhar, Carey" sort="Farquhar, Carey" uniqKey="Farquhar C" first="Carey" last="Farquhar">Carey Farquhar</name>
<affiliation><nlm:aff id="A1">Department of Medicine, University of Washington, Seattle, WA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A2">Department of Epidemiology, University of Washington, Seattle, WA</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kiarie, James N" sort="Kiarie, James N" uniqKey="Kiarie J" first="James N." last="Kiarie">James N. Kiarie</name>
<affiliation><nlm:aff id="A4">Department of Obstetrics/Gynaecology, University of Nairobi, Nairobi, Kenya</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Richardson, Barbra A" sort="Richardson, Barbra A" uniqKey="Richardson B" first="Barbra A." last="Richardson">Barbra A. Richardson</name>
<affiliation><nlm:aff id="A3">Department of Biostatistics, University of Washington, Seattle, WA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A6">Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA.</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kabura, Marjory N" sort="Kabura, Marjory N" uniqKey="Kabura M" first="Marjory N." last="Kabura">Marjory N. Kabura</name>
<affiliation><nlm:aff id="A4">Department of Obstetrics/Gynaecology, University of Nairobi, Nairobi, Kenya</nlm:aff>
</affiliation>
</author>
<author><name sortKey="John, Francis N" sort="John, Francis N" uniqKey="John F" first="Francis N." last="John">Francis N. John</name>
<affiliation><nlm:aff id="A4">Department of Obstetrics/Gynaecology, University of Nairobi, Nairobi, Kenya</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nduati, Ruth W" sort="Nduati, Ruth W" uniqKey="Nduati R" first="Ruth W." last="Nduati">Ruth W. Nduati</name>
<affiliation><nlm:aff id="A5">Department of Paediatrics, University of Nairobi, Nairobi, Kenya</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Mbori Ngacha, Dorothy A" sort="Mbori Ngacha, Dorothy A" uniqKey="Mbori Ngacha D" first="Dorothy A." last="Mbori-Ngacha">Dorothy A. Mbori-Ngacha</name>
<affiliation><nlm:aff id="A5">Department of Paediatrics, University of Nairobi, Nairobi, Kenya</nlm:aff>
</affiliation>
</author>
<author><name sortKey="John Stewart, Grace C" sort="John Stewart, Grace C" uniqKey="John Stewart G" first="Grace C." last="John-Stewart">Grace C. John-Stewart</name>
<affiliation><nlm:aff id="A1">Department of Medicine, University of Washington, Seattle, WA</nlm:aff>
</affiliation>
<affiliation><nlm:aff id="A2">Department of Epidemiology, University of Washington, Seattle, WA</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">AIDS (London, England)</title>
<idno type="ISSN">0269-9370</idno>
<idno type="eISSN">1473-5571</idno>
<imprint><date when="2001">2001</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><title>Summary</title>
<p id="P1">To determine effect of partner involvement and couple counseling on uptake of interventions to prevent HIV-1 transmission, women attending a Nairobi antenatal clinic were encouraged to return with partners for voluntary HIV-1 counseling and testing (VCT) and offered individual or couple posttest counseling. Nevirapine was provided to HIV-1-seropositive women and condoms distributed to all participants. Among 2104 women accepting testing, 308 (15%) had partners participate in VCT, of whom 116 (38%) were couple counseled. Thirty-two (10%) of 314 HIV-1-seropositive women came with partners for VCT; these women were 3-fold more likely to return for nevirapine (<italic>P</italic>
= 0.02) and to report administering nevirapine at delivery (<italic>P</italic>
= 0.009). Nevirapine use was reported by 88% of HIV-infected women who were couple counseled, 67% whose partners came but were not couple counseled, and 45% whose partners did not present for VCT (<italic>P</italic>
for trend = 0.006). HIV-1-seropositive women receiving couple counseling were 5-fold more likely to avoid breast-feeding (<italic>P</italic>
= 0.03) compared with those counseled individually. Partner notification of HIV-1-positive results was reported by 138 women (64%) and was associated with 4-fold greater likelihood of condom use (<italic>P</italic>
= 0.004). Partner participation in VCT and couple counseling increased uptake of nevirapine and formula feeding. Antenatal couple counseling may be a useful strategy to promote HIV-1 prevention interventions.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">8710219</journal-id>
<journal-id journal-id-type="pubmed-jr-id">1493</journal-id>
<journal-id journal-id-type="nlm-ta">AIDS</journal-id>
<journal-id journal-id-type="iso-abbrev">AIDS</journal-id>
<journal-title-group><journal-title>AIDS (London, England)</journal-title>
</journal-title-group>
<issn pub-type="ppub">0269-9370</issn>
<issn pub-type="epub">1473-5571</issn>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">11371706</article-id>
<article-id pub-id-type="pmc">3358138</article-id>
<article-id pub-id-type="manuscript">NIHMS359815</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Antenatal Couple Counseling Increases Uptake of Interventions to Prevent HIV-1 Transmission</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Farquhar</surname>
<given-names>Carey</given-names>
</name>
<degrees>MD, MPH</degrees>
<xref ref-type="aff" rid="A1">*</xref>
<xref ref-type="aff" rid="A2">†</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kiarie</surname>
<given-names>James N.</given-names>
</name>
<degrees>MBChB, MMed, MPH</degrees>
<xref ref-type="aff" rid="A4">‡</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Richardson</surname>
<given-names>Barbra A.</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A3">§</xref>
<xref ref-type="aff" rid="A6">¶</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kabura</surname>
<given-names>Marjory N.</given-names>
</name>
<degrees>MBChB</degrees>
<xref ref-type="aff" rid="A4">‡</xref>
</contrib>
<contrib contrib-type="author"><name><surname>John</surname>
<given-names>Francis N.</given-names>
</name>
<degrees>BSc</degrees>
<xref ref-type="aff" rid="A4">‡</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nduati</surname>
<given-names>Ruth W.</given-names>
</name>
<degrees>MBChB, MMed, MPH</degrees>
<xref ref-type="aff" rid="A5">∥</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mbori-Ngacha</surname>
<given-names>Dorothy A.</given-names>
</name>
<degrees>MBChB, MMed, MPH</degrees>
<xref ref-type="aff" rid="A5">∥</xref>
</contrib>
<contrib contrib-type="author"><name><surname>John-Stewart</surname>
<given-names>Grace C.</given-names>
</name>
<degrees>MD, PhD</degrees>
<xref ref-type="aff" rid="A1">*</xref>
<xref ref-type="aff" rid="A2">†</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>*</label>
Department of Medicine, University of Washington, Seattle, WA</aff>
<aff id="A2"><label>†</label>
Department of Epidemiology, University of Washington, Seattle, WA</aff>
<aff id="A3"><label>§</label>
Department of Biostatistics, University of Washington, Seattle, WA</aff>
<aff id="A4"><label>‡</label>
Department of Obstetrics/Gynaecology, University of Nairobi, Nairobi, Kenya</aff>
<aff id="A5"><label>∥</label>
Department of Paediatrics, University of Nairobi, Nairobi, Kenya</aff>
<aff id="A6"><label>¶</label>
Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA.</aff>
<author-notes><corresp id="CR1">Reprints: Carey Farquhar, University of Washington, 325 Ninth Avenue, Box 359909, Seattle, WA 98104-2499 (<email>cfarq@u.washington.edu</email>
).</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>23</day>
<month>3</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="ppub"><day>13</day>
<month>4</month>
<year>2001</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>22</day>
<month>5</month>
<year>2012</year>
</pub-date>
<volume>15</volume>
<issue>6</issue>
<fpage>815</fpage>
<lpage>817</lpage>
<permissions><copyright-statement>Copyright © 2004 by Lippincott Williams & Wilkins</copyright-statement>
<copyright-year>2004</copyright-year>
</permissions>
<abstract><title>Summary</title>
<p id="P1">To determine effect of partner involvement and couple counseling on uptake of interventions to prevent HIV-1 transmission, women attending a Nairobi antenatal clinic were encouraged to return with partners for voluntary HIV-1 counseling and testing (VCT) and offered individual or couple posttest counseling. Nevirapine was provided to HIV-1-seropositive women and condoms distributed to all participants. Among 2104 women accepting testing, 308 (15%) had partners participate in VCT, of whom 116 (38%) were couple counseled. Thirty-two (10%) of 314 HIV-1-seropositive women came with partners for VCT; these women were 3-fold more likely to return for nevirapine (<italic>P</italic>
= 0.02) and to report administering nevirapine at delivery (<italic>P</italic>
= 0.009). Nevirapine use was reported by 88% of HIV-infected women who were couple counseled, 67% whose partners came but were not couple counseled, and 45% whose partners did not present for VCT (<italic>P</italic>
for trend = 0.006). HIV-1-seropositive women receiving couple counseling were 5-fold more likely to avoid breast-feeding (<italic>P</italic>
= 0.03) compared with those counseled individually. Partner notification of HIV-1-positive results was reported by 138 women (64%) and was associated with 4-fold greater likelihood of condom use (<italic>P</italic>
= 0.004). Partner participation in VCT and couple counseling increased uptake of nevirapine and formula feeding. Antenatal couple counseling may be a useful strategy to promote HIV-1 prevention interventions.</p>
</abstract>
<kwd-group><kwd>voluntary counseling and testing</kwd>
<kwd>couple counseling</kwd>
<kwd>mother-to-child HIV-1 transmission</kwd>
<kwd>breastfeeding</kwd>
<kwd>nevirapine</kwd>
<kwd>condom use</kwd>
<kwd>partner notification</kwd>
</kwd-group>
<funding-group><award-group><funding-source country="United States">National Institute of Child Health & Human Development : NICHD</funding-source>
<award-id>R01 HD023412-19 || HD</award-id>
</award-group>
<award-group><funding-source country="United States">National Institute of Child Health & Human Development : NICHD</funding-source>
<award-id>R01 HD023412-13 || HD</award-id>
</award-group>
<award-group><funding-source country="United States">National Institute of Allergy and Infectious Diseases Extramural Activities : NIAID</funding-source>
<award-id>P30 AI027757-13 || AI</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
</pmc>
</record>
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