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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Risk Reduction Among HIV-Seroconcordant and -Discordant Couples: The Zambia NOW2 Intervention</title><author><name sortKey="Jones, Deborah" sort="Jones, Deborah" uniqKey="Jones D" first="Deborah" last="Jones">Deborah Jones</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Kashy, Deborah" sort="Kashy, Deborah" uniqKey="Kashy D" first="Deborah" last="Kashy">Deborah Kashy</name><affiliation><nlm:aff id="aff2"></nlm:aff></affiliation></author><author><name sortKey="Chitalu, Ndashi" sort="Chitalu, Ndashi" uniqKey="Chitalu N" first="Ndashi" last="Chitalu">Ndashi Chitalu</name><affiliation><nlm:aff id="aff3"></nlm:aff></affiliation></author><author><name sortKey="Kankasa, Chipepo" sort="Kankasa, Chipepo" uniqKey="Kankasa C" first="Chipepo" last="Kankasa">Chipepo Kankasa</name><affiliation><nlm:aff id="aff3"></nlm:aff></affiliation></author><author><name sortKey="Mumbi, Mirriam" sort="Mumbi, Mirriam" uniqKey="Mumbi M" first="Mirriam" last="Mumbi">Mirriam Mumbi</name><affiliation><nlm:aff id="aff4"></nlm:aff></affiliation></author><author><name sortKey="Cook, Ryan" sort="Cook, Ryan" uniqKey="Cook R" first="Ryan" last="Cook">Ryan Cook</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Weiss, Stephen" sort="Weiss, Stephen" uniqKey="Weiss S" first="Stephen" last="Weiss">Stephen Weiss</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24983201</idno><idno type="pmc">4117267</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4117267</idno><idno type="RBID">PMC:4117267</idno><idno type="doi">10.1089/apc.2014.0039</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">001492</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001492</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Risk Reduction Among HIV-Seroconcordant and -Discordant Couples: The Zambia NOW2 Intervention</title><author><name sortKey="Jones, Deborah" sort="Jones, Deborah" uniqKey="Jones D" first="Deborah" last="Jones">Deborah Jones</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Kashy, Deborah" sort="Kashy, Deborah" uniqKey="Kashy D" first="Deborah" last="Kashy">Deborah Kashy</name><affiliation><nlm:aff id="aff2"></nlm:aff></affiliation></author><author><name sortKey="Chitalu, Ndashi" sort="Chitalu, Ndashi" uniqKey="Chitalu N" first="Ndashi" last="Chitalu">Ndashi Chitalu</name><affiliation><nlm:aff id="aff3"></nlm:aff></affiliation></author><author><name sortKey="Kankasa, Chipepo" sort="Kankasa, Chipepo" uniqKey="Kankasa C" first="Chipepo" last="Kankasa">Chipepo Kankasa</name><affiliation><nlm:aff id="aff3"></nlm:aff></affiliation></author><author><name sortKey="Mumbi, Mirriam" sort="Mumbi, Mirriam" uniqKey="Mumbi M" first="Mirriam" last="Mumbi">Mirriam Mumbi</name><affiliation><nlm:aff id="aff4"></nlm:aff></affiliation></author><author><name sortKey="Cook, Ryan" sort="Cook, Ryan" uniqKey="Cook R" first="Ryan" last="Cook">Ryan Cook</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Weiss, Stephen" sort="Weiss, Stephen" uniqKey="Weiss S" first="Stephen" last="Weiss">Stephen Weiss</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></analytic><series><title level="j">AIDS Patient Care and STDs</title><idno type="ISSN">1087-2914</idno><idno type="eISSN">1557-7449</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Abstract</title><p>Heterosexual HIV transmission remains the leading cause of HIV incidence in adult men and women in sub-Saharan Africa. This study assessed whether an HIV risk-reduction intervention would be more likely to increase sexual barrier acceptability and decrease risk behavior when delivered to couples in gender concordant groups or in an individual format. This study also examined the mutual impact of couple members as a source of influence on acceptability, and assessed whether product acceptability, intimate partner violence (IPV), and/or partner communication predicted sexual barrier use. HIV seroconcordant and serodiscordant couples (<italic>n</italic>=216) were recruited in Lusaka, Zambia, and randomized to a four session gender-concordant intervention. Participants were assessed at baseline, 6, and 12 months. Willingness to use barriers (<italic>p</italic>=0.012), acceptability (<italic>p</italic><0.001), and barrier use (<italic>p</italic><0.001) increased over time in both conditions, and were influenced by gender preferences. IPV decreased (<italic>p</italic>=0.040) and positive communication increased (<italic>p</italic><0.001) in both conditions. Individual and gender concordant group sessions achieved similar increases in sexual barrier use following the intervention. Results highlight the influence of partners as well as product acceptability as predictors of sexual barrier use among couples in sub-Saharan Africa. Future prevention studies should consider both product acceptability and partner influence to achieve optimal sexual risk behavior outcomes.</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>
<front><journal-meta><journal-id journal-id-type="nlm-ta">AIDS Patient Care STDS</journal-id><journal-id journal-id-type="iso-abbrev">AIDS Patient Care STDS</journal-id><journal-id journal-id-type="publisher-id">apc</journal-id><journal-title-group><journal-title>AIDS Patient Care and STDs</journal-title></journal-title-group><issn pub-type="ppub">1087-2914</issn><issn pub-type="epub">1557-7449</issn><publisher><publisher-name>Mary Ann Liebert, Inc.</publisher-name><publisher-loc>140 Huguenot Street, 3rd FloorNew Rochelle, NY 10801USA</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24983201</article-id><article-id pub-id-type="pmc">4117267</article-id><article-id pub-id-type="publisher-id">10.1089/apc.2014.0039</article-id><article-id pub-id-type="doi">10.1089/apc.2014.0039</article-id><article-categories><subj-group subj-group-type="heading"><subject>Behavioral and Psychosocial Research</subject></subj-group></article-categories><title-group><article-title>Risk Reduction Among HIV-Seroconcordant and -Discordant Couples: The Zambia NOW2 Intervention</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Jones</surname><given-names>Deborah</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Kashy</surname><given-names>Deborah</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Chitalu</surname><given-names>Ndashi</given-names></name><degrees>MD, MPH</degrees><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Kankasa</surname><given-names>Chipepo</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Mumbi</surname><given-names>Mirriam</given-names></name><degrees>CNM</degrees><xref ref-type="aff" rid="aff4"><sup>4</sup></xref></contrib><contrib contrib-type="author"><name><surname>Cook</surname><given-names>Ryan</given-names></name><degrees>MPH</degrees><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Weiss</surname><given-names>Stephen</given-names></name><degrees>PhD, MPH</degrees><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><aff id="aff1"><label><sup>1</sup></label>Department of Psychiatry and Behavioral Sciences,<institution>University of Miami Miller School of Medicine</institution>, Miami, Florida.</aff><aff id="aff2"><label><sup>2</sup></label>Department of Psychology,<institution>Michigan State University</institution>, East Lansing, Michigan.</aff><aff id="aff3"><label><sup>3</sup></label>Department of Paediatrics,<institution>University of Zambia School of Medicine</institution>, Lusaka,<country>Zambia</country>.</aff><aff id="aff4"><label><sup>4</sup></label>University Teaching Hospital,<institution>University of Zambia</institution>, Lusaka,<country>Zambia</country>.</aff></contrib-group><author-notes><corresp><addr-line>Address correspondence to:</addr-line><addr-line><italic>Dr. Deborah Jones</italic></addr-line><addr-line><italic>Department of Psychiatry and Behavioral Sciences</italic></addr-line><institution><italic>University of Miami Miller School of Medicine</italic></institution><addr-line><italic>1400 NW 10th Avenue</italic></addr-line><addr-line><italic>Miami, Florida 33136</italic></addr-line><italic>E-mail:</italic><email xlink:href="mailto:djones@med.miami.edu">djones@med.miami.edu</email></corresp></author-notes><pub-date pub-type="ppub"><day>01</day><month>8</month><year>2014</year><pmc-comment>string-date: August 2014</pmc-comment>
</pub-date><volume>28</volume><issue>8</issue><fpage>433</fpage><lpage>441</lpage><permissions><copyright-statement>Copyright 2014, Mary Ann Liebert, Inc.</copyright-statement><copyright-year>2014</copyright-year></permissions><self-uri content-type="pdf" xlink:type="simple" xlink:href="apc.2014.0039.pdf"></self-uri><abstract><title>Abstract</title><p>Heterosexual HIV transmission remains the leading cause of HIV incidence in adult men and women in sub-Saharan Africa. This study assessed whether an HIV risk-reduction intervention would be more likely to increase sexual barrier acceptability and decrease risk behavior when delivered to couples in gender concordant groups or in an individual format. This study also examined the mutual impact of couple members as a source of influence on acceptability, and assessed whether product acceptability, intimate partner violence (IPV), and/or partner communication predicted sexual barrier use. HIV seroconcordant and serodiscordant couples (<italic>n</italic>=216) were recruited in Lusaka, Zambia, and randomized to a four session gender-concordant intervention. Participants were assessed at baseline, 6, and 12 months. Willingness to use barriers (<italic>p</italic>=0.012), acceptability (<italic>p</italic><0.001), and barrier use (<italic>p</italic><0.001) increased over time in both conditions, and were influenced by gender preferences. IPV decreased (<italic>p</italic>=0.040) and positive communication increased (<italic>p</italic><0.001) in both conditions. Individual and gender concordant group sessions achieved similar increases in sexual barrier use following the intervention. Results highlight the influence of partners as well as product acceptability as predictors of sexual barrier use among couples in sub-Saharan Africa. Future prevention studies should consider both product acceptability and partner influence to achieve optimal sexual risk behavior outcomes.</p></abstract><counts><fig-count count="1"></fig-count><table-count count="4"></table-count><ref-count count="29"></ref-count><page-count count="9"></page-count></counts></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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