Patient Experiences following Acute HIV Infection Diagnosis and Counseling in South Africa
Identifieur interne : 002B22 ( Pmc/Curation ); précédent : 002B21; suivant : 002B23Patient 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
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Wolpaw</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>South African Medical Research Council, Health Systems Research Unit, Cape Town, South Africa</addr-line></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>South African Medical Research Council, Health Systems Research Unit, Cape Town</wicri:regionArea></affiliation></author><author><name sortKey="Mathews, Catherine" sort="Mathews, Catherine" uniqKey="Mathews C" first="Catherine" last="Mathews">Catherine Mathews</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>South African Medical Research Council, Health Systems Research Unit, Cape Town, South Africa</addr-line></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>South African Medical Research Council, Health Systems Research Unit, Cape Town</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>University of Cape Town, School of Public Health and Family Medicine, Cape Town, South Africa</addr-line></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>University of Cape Town, School of Public Health and Family Medicine, Cape Town</wicri:regionArea></affiliation></author><author><name sortKey="Mtshizana, Yolisa" sort="Mtshizana, Yolisa" uniqKey="Mtshizana Y" first="Yolisa" last="Mtshizana">Yolisa Mtshizana</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>South African Medical Research Council, Health Systems Research Unit, Cape Town, South Africa</addr-line></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>South African Medical Research Council, Health Systems Research Unit, Cape Town</wicri:regionArea></affiliation></author><author><name sortKey="Chopra, Mickey" sort="Chopra, Mickey" uniqKey="Chopra M" first="Mickey" last="Chopra">Mickey Chopra</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>South African Medical Research Council, Health Systems Research Unit, Cape Town, South Africa</addr-line></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>South African Medical Research Council, Health Systems Research Unit, Cape Town</wicri:regionArea></affiliation></author><author><name sortKey="Hardie, Diana" sort="Hardie, Diana" uniqKey="Hardie D" first="Diana" last="Hardie">Diana Hardie</name><affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>University of Cape Town, Department of Virology, Cape Town, South Africa</addr-line></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>University of Cape Town, Department of Virology, Cape Town</wicri:regionArea></affiliation></author><author><name sortKey="Lurie, Mark N" sort="Lurie, Mark N" uniqKey="Lurie M" first="Mark N." last="Lurie">Mark N. 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Wolpaw</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>South African Medical Research Council, Health Systems Research Unit, Cape Town, South Africa</addr-line></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>South African Medical Research Council, Health Systems Research Unit, Cape Town</wicri:regionArea></affiliation></author><author><name sortKey="Mathews, Catherine" sort="Mathews, Catherine" uniqKey="Mathews C" first="Catherine" last="Mathews">Catherine Mathews</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>South African Medical Research Council, Health Systems Research Unit, Cape Town, South Africa</addr-line></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>South African Medical Research Council, Health Systems Research Unit, Cape Town</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>University of Cape Town, School of Public Health and Family Medicine, Cape Town, South Africa</addr-line></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>University of Cape Town, School of Public Health and Family Medicine, Cape Town</wicri:regionArea></affiliation></author><author><name sortKey="Mtshizana, Yolisa" sort="Mtshizana, Yolisa" uniqKey="Mtshizana Y" first="Yolisa" last="Mtshizana">Yolisa Mtshizana</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>South African Medical Research Council, Health Systems Research Unit, Cape Town, South Africa</addr-line></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>South African Medical Research Council, Health Systems Research Unit, Cape Town</wicri:regionArea></affiliation></author><author><name sortKey="Chopra, Mickey" sort="Chopra, Mickey" uniqKey="Chopra M" first="Mickey" last="Chopra">Mickey Chopra</name><affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>South African Medical Research Council, Health Systems Research Unit, Cape Town, South Africa</addr-line></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>South African Medical Research Council, Health Systems Research Unit, Cape Town</wicri:regionArea></affiliation></author><author><name sortKey="Hardie, Diana" sort="Hardie, Diana" uniqKey="Hardie D" first="Diana" last="Hardie">Diana Hardie</name><affiliation wicri:level="1"><nlm:aff id="aff3"><addr-line>University of Cape Town, Department of Virology, Cape Town, South Africa</addr-line></nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>University of Cape Town, Department of Virology, Cape Town</wicri:regionArea></affiliation></author><author><name sortKey="Lurie, Mark N" sort="Lurie, Mark N" uniqKey="Lurie M" first="Mark N." last="Lurie">Mark N. Lurie</name><affiliation wicri:level="1"><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></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></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></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><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">PLoS One</journal-id><journal-id journal-id-type="iso-abbrev">PLoS ONE</journal-id><journal-id journal-id-type="publisher-id">plos</journal-id><journal-id journal-id-type="pmc">plosone</journal-id><journal-title-group><journal-title>PLoS ONE</journal-title></journal-title-group><issn pub-type="epub">1932-6203</issn><publisher><publisher-name>Public Library of Science</publisher-name><publisher-loc>San Francisco, USA</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25153674</article-id><article-id pub-id-type="pmc">4143263</article-id><article-id pub-id-type="publisher-id">PONE-D-13-27488</article-id><article-id pub-id-type="doi">10.1371/journal.pone.0105459</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Biology and Life Sciences</subject><subj-group><subject>Microbiology</subject><subj-group><subject>Medical Microbiology</subject><subj-group><subject>Microbial Pathogens</subject><subj-group><subject>Viral Pathogens</subject><subj-group><subject>Immunodeficiency Viruses</subject><subj-group><subject>HIV</subject></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Medicine and health sciences</subject><subj-group><subject>Diagnostic medicine</subject><subj-group><subject>HIV diagnosis and management</subject></subj-group></subj-group><subj-group><subject>Epidemiology</subject><subj-group><subject>HIV epidemiology</subject></subj-group></subj-group><subj-group><subject>Infectious Diseases</subject><subj-group><subject>Viral Diseases</subject></subj-group></subj-group><subj-group><subject>Public and occupational health</subject><subj-group><subject>Preventive medicine</subject><subj-group><subject>HIV prevention</subject></subj-group></subj-group><subj-group><subject>Global Health</subject></subj-group></subj-group></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Research and Analysis Methods</subject><subj-group><subject>Research Design</subject><subj-group><subject>Survey Research</subject><subj-group><subject>Survey Methods</subject></subj-group></subj-group><subj-group><subject>Clinical Research Design</subject></subj-group></subj-group></subj-group></article-categories><title-group><article-title>Patient Experiences following Acute HIV Infection Diagnosis and Counseling in South Africa</article-title><alt-title alt-title-type="running-head">Experiences following AHI Diagnosis and Counseling</alt-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Wolpaw</surname><given-names>Benjamin J.</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author"><name><surname>Mathews</surname><given-names>Catherine</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Mtshizana</surname><given-names>Yolisa</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Chopra</surname><given-names>Mickey</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Hardie</surname><given-names>Diana</given-names></name><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Lurie</surname><given-names>Mark N.</given-names></name><xref ref-type="aff" rid="aff4"><sup>4</sup></xref></contrib><contrib contrib-type="author"><name><surname>De Azevedo</surname><given-names>Virginia</given-names></name><xref ref-type="aff" rid="aff5"><sup>5</sup></xref></contrib><contrib contrib-type="author"><name><surname>Jennings</surname><given-names>Karen</given-names></name><xref ref-type="aff" rid="aff5"><sup>5</sup></xref></contrib></contrib-group><aff id="aff1"><label>1</label><addr-line>South African Medical Research Council, Health Systems Research Unit, Cape Town, South Africa</addr-line></aff><aff id="aff2"><label>2</label><addr-line>University of Cape Town, School of Public Health and Family Medicine, Cape Town, South Africa</addr-line></aff><aff id="aff3"><label>3</label><addr-line>University of Cape Town, Department of Virology, Cape Town, South Africa</addr-line></aff><aff id="aff4"><label>4</label><addr-line>Brown University Medical School, Department of Community Health, Providence, Rhode Island, United States of America</addr-line></aff><aff id="aff5"><label>5</label><addr-line>Cape Town Municipality Health Directorate, Cape Town, South Africa</addr-line></aff><contrib-group><contrib contrib-type="editor"><name><surname>Tang</surname><given-names>Julian W.</given-names></name><role>Editor</role><xref ref-type="aff" rid="edit1"></xref></contrib></contrib-group><aff id="edit1"><addr-line>Alberta Provincial Laboratory for Public Health/University of Alberta, Canada</addr-line></aff><author-notes><corresp id="cor1">* E-mail: <email>ben.wolpaw@gmail.com</email></corresp><fn fn-type="conflict"><p><bold>Competing Interests: </bold>The authors have declared that no competing interests exist.</p></fn><fn fn-type="con"><p>Conceived and designed the experiments: BJW CM YM MC DH ML KJ VDA. Performed the experiments: YM. Analyzed the data: BJW CM YM. Wrote the paper: BJW CM.</p></fn></author-notes><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub"><day>25</day><month>8</month><year>2014</year></pub-date><volume>9</volume><issue>8</issue><elocation-id>e105459</elocation-id><history><date date-type="received"><day>3</day><month>7</month><year>2013</year></date><date date-type="accepted"><day>24</day><month>7</month><year>2014</year></date></history><permissions><copyright-year>2014</copyright-year><copyright-holder>Wolpaw et al</copyright-holder><license><license-p>This is an open-access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License</ext-link>, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</license-p></license></permissions><abstract><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></abstract><funding-group><funding-statement>This study was funded internally by the Medical Research Council Health Systems Research Group, the research organization that employed several of the authors. The funder had no role in study design, data collection and analysis, decision to publish, and preparation of the manuscript.</funding-statement></funding-group><counts><page-count count="5"></page-count></counts></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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