Voluntary counseling and testing for couples: a high-leverage intervention for HIV/AIDS prevention in sub-Saharan Africa
Identifieur interne : 001151 ( Main/Merge ); précédent : 001150; suivant : 001152Voluntary counseling and testing for couples: a high-leverage intervention for HIV/AIDS prevention in sub-Saharan Africa
Auteurs : Thomas M. Painter [États-Unis]Source :
- Social Science & Medicine [ 0277-9536 ] ; 2001.
Descripteurs français
- Wicri :
- geographic : Kenya, Tanzanie, Ouganda, Zambie.
- topic : Planification de la famille, Conférence internationale, Prévention des risques, Violence sexuelle.
English descriptors
- KwdEn :
- Abdool karim, Abidjan, Abstract moore, Acceptability, Africa deal, African communities, African countries, Aids, Aids care, Aids conference, Aids education, Aids epidemic, Aids information centre, Aids stds, Antenatal clinic, Assaa nguefack, Behavior change, Behavioral change, Behavioral research, Better address couples, Biomedical outcomes, Broader range, Caldwell, Carael, Centre, Chaima zimba, Clinic, Clinic settings, Coates, Community outreach, Condom, Condom promotion, Cote, Counseling, Country settings, Couple counseling, Couple members, Couple relationships, Critical mass, Current understandings, Democratic republic, Diaby, Discordant, Discordant couples, Disease control, Durban, Ekpini, Elsevier science, England journal, Everyday life, Family planning, Favorable moment, Gender, Global epidemic, Great deal, Health services, Heise elias, Heterosexual, Heterosexual couples, Heterosexual intercourse, Heterosexual partners, Heterosexual transmission, High prevalence areas, Highest levels, Human virus, Human virus transmission, Individual clients, Infection, Infection risk, Infectious diseases, International conference, International conferences, July, June, Kamenga, Kampala, Kenya, Lawrence erlbaum associates, Lower rates, Male partners, Moral support, Much attention, Operational research, Orubuloye, Padian, Perre, Pregnant women, Prevention, Prevention actions, Prevention information, Prevention intervention, Prevention interventions, Prevention options, Prevention programs, Prevention strategies, Prevention tool, Program assessments, Programs need, Protective actions, Randomized, Randomized trial, Raven press, Reality checks, Religious leaders, Right thing, Risk behavior, Risk behaviors, Risk management, Risk prevention, Risk reduction, Rural uganda, Sali portudal, Science medicine, Sciences sociales, Seroconversion, Serodiscordant couples, Seropositive, Seropositive women, Serostatus, Sexual behavior, Sexual networking, Sexual partners, Sexual pleasure, Sexual relations, Sexual risk, Sexual transmission, Sexual violence, Social context, Social science, Social science medicine, Social stigma, Std, Studies point, Study results, Subsaharan, Subsaharan africa, Support groups, Support interventions, Support networks, Support services, Tanzania, Target couples, Test decisions, Test results, Testing program, Testing study, Tional conference, Treatment options, Trial studies, Uganda, Voluntary counseling, Wiktor, Women encounter, World aids conference, World bank, World conference, World congress, Xiii, Xiii world aids conference, Zambia.
- Teeft :
- Abdool karim, Abidjan, Abstract moore, Acceptability, Africa deal, African communities, African countries, Aids, Aids care, Aids conference, Aids education, Aids epidemic, Aids information centre, Aids stds, Antenatal clinic, Assaa nguefack, Behavior change, Behavioral change, Behavioral research, Better address couples, Biomedical outcomes, Broader range, Caldwell, Carael, Centre, Chaima zimba, Clinic, Clinic settings, Coates, Community outreach, Condom, Condom promotion, Cote, Counseling, Country settings, Couple counseling, Couple members, Couple relationships, Critical mass, Current understandings, Democratic republic, Diaby, Discordant, Discordant couples, Disease control, Durban, Ekpini, Elsevier science, England journal, Everyday life, Family planning, Favorable moment, Gender, Global epidemic, Great deal, Health services, Heise elias, Heterosexual, Heterosexual couples, Heterosexual intercourse, Heterosexual partners, Heterosexual transmission, High prevalence areas, Highest levels, Human virus, Human virus transmission, Individual clients, Infection, Infection risk, Infectious diseases, International conference, International conferences, July, June, Kamenga, Kampala, Kenya, Lawrence erlbaum associates, Lower rates, Male partners, Moral support, Much attention, Operational research, Orubuloye, Padian, Perre, Pregnant women, Prevention, Prevention actions, Prevention information, Prevention intervention, Prevention interventions, Prevention options, Prevention programs, Prevention strategies, Prevention tool, Program assessments, Programs need, Protective actions, Randomized, Randomized trial, Raven press, Reality checks, Religious leaders, Right thing, Risk behavior, Risk behaviors, Risk management, Risk prevention, Risk reduction, Rural uganda, Sali portudal, Science medicine, Sciences sociales, Seroconversion, Serodiscordant couples, Seropositive, Seropositive women, Serostatus, Sexual behavior, Sexual networking, Sexual partners, Sexual pleasure, Sexual relations, Sexual risk, Sexual transmission, Sexual violence, Social context, Social science, Social science medicine, Social stigma, Std, Studies point, Study results, Subsaharan, Subsaharan africa, Support groups, Support interventions, Support networks, Support services, Tanzania, Target couples, Test decisions, Test results, Testing program, Testing study, Tional conference, Treatment options, Trial studies, Uganda, Voluntary counseling, Wiktor, Women encounter, World aids conference, World bank, World conference, World congress, Xiii, Xiii world aids conference, Zambia.
Abstract
Most HIV infections in sub-Saharan Africa occur during heterosexual intercourse between persons in couple relationships. Women who are infected by HIV seropositive partners risk infecting their infants in turn. Despite their salience as social contexts for sexual activity and HIV infection, couple relationships have not been given adequate attention by social/behavioral research in sub-Saharan Africa. Increasingly studies point to the value of voluntary HIV counseling and testing (VCT) as a HIV prevention tool. Studies in Africa frequently report that VCT is associated with reduced risk behaviors and lower rates of seroconversion among HIV serodiscordant couples. Many of these studies point out that VCT has considerable potential for HIV prevention among other heterosexual couples, and recommend that VCT for couples be practiced more widely in Africa. However, follow-up in the area of VCT for couples has been extremely limited. Thus, current understandings from social/behavioral research on how couples in sub-Saharan Africa manage HIV risks as well as HIV prevention interventions to support couples’ HIV prevention efforts have remained underdeveloped. It appears that important opportunities are being missed for preventing HIV infection, be it by heterosexual transmission or mother-to-child HIV transmission by mothers who have been infected by their partners. Based on an overview of documentation on VCT in sub-Saharan Africa, this paper proposes that increased attention to couples-focused VCT provides a high-leverage HIV prevention intervention for African countries. The second half of the paper indicates areas where VCT needs to be strengthened, particularly with respect to couples. It also identifies areas where applied social/behavioral research is needed to improve knowledge about how couples in sub-Saharan Africa deal with the risks of HIV infection.
Url:
DOI: 10.1016/S0277-9536(00)00427-5
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: 000968
- to stream Istex, to step Curation: 000968
- to stream Istex, to step Checkpoint: 000611
Links to Exploration step
ISTEX:A2E2E85B5273DF7DD1E91BC48F6D506DA5D5BF8ELe document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title>Voluntary counseling and testing for couples: a high-leverage intervention for HIV/AIDS prevention in sub-Saharan Africa</title>
<author><name sortKey="Painter, Thomas M" sort="Painter, Thomas M" uniqKey="Painter T" first="Thomas M" last="Painter">Thomas M. Painter</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">ISTEX</idno>
<idno type="RBID">ISTEX:A2E2E85B5273DF7DD1E91BC48F6D506DA5D5BF8E</idno>
<date when="2001" year="2001">2001</date>
<idno type="doi">10.1016/S0277-9536(00)00427-5</idno>
<idno type="url">https://api.istex.fr/document/A2E2E85B5273DF7DD1E91BC48F6D506DA5D5BF8E/fulltext/pdf</idno>
<idno type="wicri:Area/Istex/Corpus">000968</idno>
<idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000968</idno>
<idno type="wicri:Area/Istex/Curation">000968</idno>
<idno type="wicri:Area/Istex/Checkpoint">000611</idno>
<idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">000611</idno>
<idno type="wicri:doubleKey">0277-9536:2001:Painter T:voluntary:counseling:and</idno>
<idno type="wicri:Area/Main/Merge">001151</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title level="a">Voluntary counseling and testing for couples: a high-leverage intervention for HIV/AIDS prevention in sub-Saharan Africa</title>
<author><name sortKey="Painter, Thomas M" sort="Painter, Thomas M" uniqKey="Painter T" first="Thomas M" last="Painter">Thomas M. Painter</name>
<affiliation wicri:level="1"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Centers for Disease Control and Prevention, National Center for HIV, STD and TB Prevention, Division of HIV/AIDS Prevention- Surveillance and Epidemiology, Prevention Services Research Branch, Mailstop E-46, 1600 Clifton Road, N.E. Atlanta, GA 30333</wicri:regionArea>
<wicri:noRegion>GA 30333</wicri:noRegion>
</affiliation>
<affiliation></affiliation>
</author>
</analytic>
<monogr></monogr>
<series><title level="j">Social Science & Medicine</title>
<title level="j" type="abbrev">SSM</title>
<idno type="ISSN">0277-9536</idno>
<imprint><publisher>ELSEVIER</publisher>
<date type="published" when="2001">2001</date>
<biblScope unit="volume">53</biblScope>
<biblScope unit="issue">11</biblScope>
<biblScope unit="page" from="1397">1397</biblScope>
<biblScope unit="page" to="1411">1411</biblScope>
</imprint>
<idno type="ISSN">0277-9536</idno>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><idno type="ISSN">0277-9536</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abdool karim</term>
<term>Abidjan</term>
<term>Abstract moore</term>
<term>Acceptability</term>
<term>Africa deal</term>
<term>African communities</term>
<term>African countries</term>
<term>Aids</term>
<term>Aids care</term>
<term>Aids conference</term>
<term>Aids education</term>
<term>Aids epidemic</term>
<term>Aids information centre</term>
<term>Aids stds</term>
<term>Antenatal clinic</term>
<term>Assaa nguefack</term>
<term>Behavior change</term>
<term>Behavioral change</term>
<term>Behavioral research</term>
<term>Better address couples</term>
<term>Biomedical outcomes</term>
<term>Broader range</term>
<term>Caldwell</term>
<term>Carael</term>
<term>Centre</term>
<term>Chaima zimba</term>
<term>Clinic</term>
<term>Clinic settings</term>
<term>Coates</term>
<term>Community outreach</term>
<term>Condom</term>
<term>Condom promotion</term>
<term>Cote</term>
<term>Counseling</term>
<term>Country settings</term>
<term>Couple counseling</term>
<term>Couple members</term>
<term>Couple relationships</term>
<term>Critical mass</term>
<term>Current understandings</term>
<term>Democratic republic</term>
<term>Diaby</term>
<term>Discordant</term>
<term>Discordant couples</term>
<term>Disease control</term>
<term>Durban</term>
<term>Ekpini</term>
<term>Elsevier science</term>
<term>England journal</term>
<term>Everyday life</term>
<term>Family planning</term>
<term>Favorable moment</term>
<term>Gender</term>
<term>Global epidemic</term>
<term>Great deal</term>
<term>Health services</term>
<term>Heise elias</term>
<term>Heterosexual</term>
<term>Heterosexual couples</term>
<term>Heterosexual intercourse</term>
<term>Heterosexual partners</term>
<term>Heterosexual transmission</term>
<term>High prevalence areas</term>
<term>Highest levels</term>
<term>Human virus</term>
<term>Human virus transmission</term>
<term>Individual clients</term>
<term>Infection</term>
<term>Infection risk</term>
<term>Infectious diseases</term>
<term>International conference</term>
<term>International conferences</term>
<term>July</term>
<term>June</term>
<term>Kamenga</term>
<term>Kampala</term>
<term>Kenya</term>
<term>Lawrence erlbaum associates</term>
<term>Lower rates</term>
<term>Male partners</term>
<term>Moral support</term>
<term>Much attention</term>
<term>Operational research</term>
<term>Orubuloye</term>
<term>Padian</term>
<term>Perre</term>
<term>Pregnant women</term>
<term>Prevention</term>
<term>Prevention actions</term>
<term>Prevention information</term>
<term>Prevention intervention</term>
<term>Prevention interventions</term>
<term>Prevention options</term>
<term>Prevention programs</term>
<term>Prevention strategies</term>
<term>Prevention tool</term>
<term>Program assessments</term>
<term>Programs need</term>
<term>Protective actions</term>
<term>Randomized</term>
<term>Randomized trial</term>
<term>Raven press</term>
<term>Reality checks</term>
<term>Religious leaders</term>
<term>Right thing</term>
<term>Risk behavior</term>
<term>Risk behaviors</term>
<term>Risk management</term>
<term>Risk prevention</term>
<term>Risk reduction</term>
<term>Rural uganda</term>
<term>Sali portudal</term>
<term>Science medicine</term>
<term>Sciences sociales</term>
<term>Seroconversion</term>
<term>Serodiscordant couples</term>
<term>Seropositive</term>
<term>Seropositive women</term>
<term>Serostatus</term>
<term>Sexual behavior</term>
<term>Sexual networking</term>
<term>Sexual partners</term>
<term>Sexual pleasure</term>
<term>Sexual relations</term>
<term>Sexual risk</term>
<term>Sexual transmission</term>
<term>Sexual violence</term>
<term>Social context</term>
<term>Social science</term>
<term>Social science medicine</term>
<term>Social stigma</term>
<term>Std</term>
<term>Studies point</term>
<term>Study results</term>
<term>Subsaharan</term>
<term>Subsaharan africa</term>
<term>Support groups</term>
<term>Support interventions</term>
<term>Support networks</term>
<term>Support services</term>
<term>Tanzania</term>
<term>Target couples</term>
<term>Test decisions</term>
<term>Test results</term>
<term>Testing program</term>
<term>Testing study</term>
<term>Tional conference</term>
<term>Treatment options</term>
<term>Trial studies</term>
<term>Uganda</term>
<term>Voluntary counseling</term>
<term>Wiktor</term>
<term>Women encounter</term>
<term>World aids conference</term>
<term>World bank</term>
<term>World conference</term>
<term>World congress</term>
<term>Xiii</term>
<term>Xiii world aids conference</term>
<term>Zambia</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en"><term>Abdool karim</term>
<term>Abidjan</term>
<term>Abstract moore</term>
<term>Acceptability</term>
<term>Africa deal</term>
<term>African communities</term>
<term>African countries</term>
<term>Aids</term>
<term>Aids care</term>
<term>Aids conference</term>
<term>Aids education</term>
<term>Aids epidemic</term>
<term>Aids information centre</term>
<term>Aids stds</term>
<term>Antenatal clinic</term>
<term>Assaa nguefack</term>
<term>Behavior change</term>
<term>Behavioral change</term>
<term>Behavioral research</term>
<term>Better address couples</term>
<term>Biomedical outcomes</term>
<term>Broader range</term>
<term>Caldwell</term>
<term>Carael</term>
<term>Centre</term>
<term>Chaima zimba</term>
<term>Clinic</term>
<term>Clinic settings</term>
<term>Coates</term>
<term>Community outreach</term>
<term>Condom</term>
<term>Condom promotion</term>
<term>Cote</term>
<term>Counseling</term>
<term>Country settings</term>
<term>Couple counseling</term>
<term>Couple members</term>
<term>Couple relationships</term>
<term>Critical mass</term>
<term>Current understandings</term>
<term>Democratic republic</term>
<term>Diaby</term>
<term>Discordant</term>
<term>Discordant couples</term>
<term>Disease control</term>
<term>Durban</term>
<term>Ekpini</term>
<term>Elsevier science</term>
<term>England journal</term>
<term>Everyday life</term>
<term>Family planning</term>
<term>Favorable moment</term>
<term>Gender</term>
<term>Global epidemic</term>
<term>Great deal</term>
<term>Health services</term>
<term>Heise elias</term>
<term>Heterosexual</term>
<term>Heterosexual couples</term>
<term>Heterosexual intercourse</term>
<term>Heterosexual partners</term>
<term>Heterosexual transmission</term>
<term>High prevalence areas</term>
<term>Highest levels</term>
<term>Human virus</term>
<term>Human virus transmission</term>
<term>Individual clients</term>
<term>Infection</term>
<term>Infection risk</term>
<term>Infectious diseases</term>
<term>International conference</term>
<term>International conferences</term>
<term>July</term>
<term>June</term>
<term>Kamenga</term>
<term>Kampala</term>
<term>Kenya</term>
<term>Lawrence erlbaum associates</term>
<term>Lower rates</term>
<term>Male partners</term>
<term>Moral support</term>
<term>Much attention</term>
<term>Operational research</term>
<term>Orubuloye</term>
<term>Padian</term>
<term>Perre</term>
<term>Pregnant women</term>
<term>Prevention</term>
<term>Prevention actions</term>
<term>Prevention information</term>
<term>Prevention intervention</term>
<term>Prevention interventions</term>
<term>Prevention options</term>
<term>Prevention programs</term>
<term>Prevention strategies</term>
<term>Prevention tool</term>
<term>Program assessments</term>
<term>Programs need</term>
<term>Protective actions</term>
<term>Randomized</term>
<term>Randomized trial</term>
<term>Raven press</term>
<term>Reality checks</term>
<term>Religious leaders</term>
<term>Right thing</term>
<term>Risk behavior</term>
<term>Risk behaviors</term>
<term>Risk management</term>
<term>Risk prevention</term>
<term>Risk reduction</term>
<term>Rural uganda</term>
<term>Sali portudal</term>
<term>Science medicine</term>
<term>Sciences sociales</term>
<term>Seroconversion</term>
<term>Serodiscordant couples</term>
<term>Seropositive</term>
<term>Seropositive women</term>
<term>Serostatus</term>
<term>Sexual behavior</term>
<term>Sexual networking</term>
<term>Sexual partners</term>
<term>Sexual pleasure</term>
<term>Sexual relations</term>
<term>Sexual risk</term>
<term>Sexual transmission</term>
<term>Sexual violence</term>
<term>Social context</term>
<term>Social science</term>
<term>Social science medicine</term>
<term>Social stigma</term>
<term>Std</term>
<term>Studies point</term>
<term>Study results</term>
<term>Subsaharan</term>
<term>Subsaharan africa</term>
<term>Support groups</term>
<term>Support interventions</term>
<term>Support networks</term>
<term>Support services</term>
<term>Tanzania</term>
<term>Target couples</term>
<term>Test decisions</term>
<term>Test results</term>
<term>Testing program</term>
<term>Testing study</term>
<term>Tional conference</term>
<term>Treatment options</term>
<term>Trial studies</term>
<term>Uganda</term>
<term>Voluntary counseling</term>
<term>Wiktor</term>
<term>Women encounter</term>
<term>World aids conference</term>
<term>World bank</term>
<term>World conference</term>
<term>World congress</term>
<term>Xiii</term>
<term>Xiii world aids conference</term>
<term>Zambia</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Kenya</term>
<term>Tanzanie</term>
<term>Ouganda</term>
<term>Zambie</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Planification de la famille</term>
<term>Conférence internationale</term>
<term>Prévention des risques</term>
<term>Violence sexuelle</term>
</keywords>
</textClass>
<langUsage><language ident="en">en</language>
</langUsage>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Most HIV infections in sub-Saharan Africa occur during heterosexual intercourse between persons in couple relationships. Women who are infected by HIV seropositive partners risk infecting their infants in turn. Despite their salience as social contexts for sexual activity and HIV infection, couple relationships have not been given adequate attention by social/behavioral research in sub-Saharan Africa. Increasingly studies point to the value of voluntary HIV counseling and testing (VCT) as a HIV prevention tool. Studies in Africa frequently report that VCT is associated with reduced risk behaviors and lower rates of seroconversion among HIV serodiscordant couples. Many of these studies point out that VCT has considerable potential for HIV prevention among other heterosexual couples, and recommend that VCT for couples be practiced more widely in Africa. However, follow-up in the area of VCT for couples has been extremely limited. Thus, current understandings from social/behavioral research on how couples in sub-Saharan Africa manage HIV risks as well as HIV prevention interventions to support couples’ HIV prevention efforts have remained underdeveloped. It appears that important opportunities are being missed for preventing HIV infection, be it by heterosexual transmission or mother-to-child HIV transmission by mothers who have been infected by their partners. Based on an overview of documentation on VCT in sub-Saharan Africa, this paper proposes that increased attention to couples-focused VCT provides a high-leverage HIV prevention intervention for African countries. The second half of the paper indicates areas where VCT needs to be strengthened, particularly with respect to couples. It also identifies areas where applied social/behavioral research is needed to improve knowledge about how couples in sub-Saharan Africa deal with the risks of HIV infection.</div>
</front>
</TEI>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaGhanaV1/Data/Main/Merge
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001151 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Merge/biblio.hfd -nk 001151 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Sante |area= SidaGhanaV1 |flux= Main |étape= Merge |type= RBID |clé= ISTEX:A2E2E85B5273DF7DD1E91BC48F6D506DA5D5BF8E |texte= Voluntary counseling and testing for couples: a high-leverage intervention for HIV/AIDS prevention in sub-Saharan Africa }}
![]() | This area was generated with Dilib version V0.6.31. | ![]() |