Did National HIV Prevention Programs Contribute to HIV Decline in Eastern Zimbabwe? Evidence From a Prospective Community Survey
Identifieur interne : 001B88 ( Pmc/Corpus ); précédent : 001B87; suivant : 001B89Did National HIV Prevention Programs Contribute to HIV Decline in Eastern Zimbabwe? Evidence From a Prospective Community Survey
Auteurs : Simon Gregson ; Constance Nyamukapa ; Christina Schumacher ; Owen Mugurungi ; Clemens Benedikt ; Phyllis Mushati ; Catherine Campbell ; Geoffrey P. GarnettSource :
- Sexually transmitted diseases [ 0148-5717 ] ; 2011.
Abstract
To add to the evidence on the impact of national HIV prevention programs in reducing HIV risk in sub-Saharan African countries.
Statistical analysis of prospective data on exposure to HIV prevention programs, relatives with AIDS and unemployment, and sexual behavior change and HIV incidence, in a population cohort of 4047 adults, collected over a period (1998–2003) when HIV prevalence and risk-behavior declined in eastern Zimbabwe.
Exposure to HIV prevention programs and relatives with AIDS—but not unemployment—increased from 1998 to 2003. Men and women exposed to media campaigns and HIV/AIDS meetings had greater knowledge and self-efficacy, attributes that were concomitantly protective against HIV infection. Women attending community HIV/AIDS meetings before recruitment were more likely than other women to adopt lower-risk behavior (96.4% vs. 90.8%; adjusted odds ratio, 3.09; 95% confidence interval [CI], 1.27–7.49) and had lower HIV incidence (0.9% vs. 1.8%; adjusted incidence rate ratio, 0.63; 95% CI, 0.32–1.24) during the intersurvey period. Prior exposure to relatives with AIDS was not associated with differences in behavior change. More newly unemployed men as compared with employed men adopted lower-risk behavior (84.2% vs. 76.0%; adjusted odds ratio, 2.13; 95% CI, 0.98–4.59).
Community-based HIV/AIDS meetings reduced risk-behavior amongst women who attended them, contributing to HIV decline in eastern Zimbabwe.
Url:
DOI: 10.1097/OLQ.0b013e3182080877
PubMed: 21278627
PubMed Central: 3514751
Links to Exploration step
PMC:3514751Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Did National HIV Prevention Programs Contribute to HIV Decline in Eastern Zimbabwe? Evidence From a Prospective Community Survey</title><author><name sortKey="Gregson, Simon" sort="Gregson, Simon" uniqKey="Gregson S" first="Simon" last="Gregson">Simon Gregson</name><affiliation><nlm:aff id="A1">Manicaland HIV/STD Prevention Project, Biomedical Research and Training Institute, Harare, Zimbabwe</nlm:aff></affiliation><affiliation><nlm:aff id="A2">Department of Infectious Disease Epidemiology, Imperial College London, London, United Kingdom</nlm:aff></affiliation></author><author><name sortKey="Nyamukapa, Constance" sort="Nyamukapa, Constance" uniqKey="Nyamukapa C" first="Constance" last="Nyamukapa">Constance Nyamukapa</name><affiliation><nlm:aff id="A1">Manicaland HIV/STD Prevention Project, Biomedical Research and Training Institute, Harare, Zimbabwe</nlm:aff></affiliation><affiliation><nlm:aff id="A2">Department of Infectious Disease Epidemiology, Imperial College London, London, United Kingdom</nlm:aff></affiliation></author><author><name sortKey="Schumacher, Christina" sort="Schumacher, Christina" uniqKey="Schumacher C" first="Christina" last="Schumacher">Christina Schumacher</name><affiliation><nlm:aff id="A2">Department of Infectious Disease Epidemiology, Imperial College London, London, United Kingdom</nlm:aff></affiliation></author><author><name sortKey="Mugurungi, Owen" sort="Mugurungi, Owen" uniqKey="Mugurungi O" first="Owen" last="Mugurungi">Owen Mugurungi</name><affiliation><nlm:aff id="A3">Zimbabwe Ministry of Health and Child Welfare, Harare, Zimbabwe</nlm:aff></affiliation></author><author><name sortKey="Benedikt, Clemens" sort="Benedikt, Clemens" uniqKey="Benedikt C" first="Clemens" last="Benedikt">Clemens Benedikt</name><affiliation><nlm:aff id="A4">United Nations Population Fund (UNFPA), Harare, Zimbabwe</nlm:aff></affiliation></author><author><name sortKey="Mushati, Phyllis" sort="Mushati, Phyllis" uniqKey="Mushati P" first="Phyllis" last="Mushati">Phyllis Mushati</name><affiliation><nlm:aff id="A1">Manicaland HIV/STD Prevention Project, Biomedical Research and Training Institute, Harare, Zimbabwe</nlm:aff></affiliation></author><author><name sortKey="Campbell, Catherine" sort="Campbell, Catherine" uniqKey="Campbell C" first="Catherine" last="Campbell">Catherine Campbell</name><affiliation><nlm:aff id="A5">Department of Social Psychology, London School of Economics and Political Science, London, United Kingdom</nlm:aff></affiliation></author><author><name sortKey="Garnett, Geoffrey P" sort="Garnett, Geoffrey P" uniqKey="Garnett G" first="Geoffrey P." last="Garnett">Geoffrey P. Garnett</name><affiliation><nlm:aff id="A2">Department of Infectious Disease Epidemiology, Imperial College London, London, United Kingdom</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">21278627</idno><idno type="pmc">3514751</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3514751</idno><idno type="RBID">PMC:3514751</idno><idno type="doi">10.1097/OLQ.0b013e3182080877</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">001B88</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001B88</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Did National HIV Prevention Programs Contribute to HIV Decline in Eastern Zimbabwe? Evidence From a Prospective Community Survey</title><author><name sortKey="Gregson, Simon" sort="Gregson, Simon" uniqKey="Gregson S" first="Simon" last="Gregson">Simon Gregson</name><affiliation><nlm:aff id="A1">Manicaland HIV/STD Prevention Project, Biomedical Research and Training Institute, Harare, Zimbabwe</nlm:aff></affiliation><affiliation><nlm:aff id="A2">Department of Infectious Disease Epidemiology, Imperial College London, London, United Kingdom</nlm:aff></affiliation></author><author><name sortKey="Nyamukapa, Constance" sort="Nyamukapa, Constance" uniqKey="Nyamukapa C" first="Constance" last="Nyamukapa">Constance Nyamukapa</name><affiliation><nlm:aff id="A1">Manicaland HIV/STD Prevention Project, Biomedical Research and Training Institute, Harare, Zimbabwe</nlm:aff></affiliation><affiliation><nlm:aff id="A2">Department of Infectious Disease Epidemiology, Imperial College London, London, United Kingdom</nlm:aff></affiliation></author><author><name sortKey="Schumacher, Christina" sort="Schumacher, Christina" uniqKey="Schumacher C" first="Christina" last="Schumacher">Christina Schumacher</name><affiliation><nlm:aff id="A2">Department of Infectious Disease Epidemiology, Imperial College London, London, United Kingdom</nlm:aff></affiliation></author><author><name sortKey="Mugurungi, Owen" sort="Mugurungi, Owen" uniqKey="Mugurungi O" first="Owen" last="Mugurungi">Owen Mugurungi</name><affiliation><nlm:aff id="A3">Zimbabwe Ministry of Health and Child Welfare, Harare, Zimbabwe</nlm:aff></affiliation></author><author><name sortKey="Benedikt, Clemens" sort="Benedikt, Clemens" uniqKey="Benedikt C" first="Clemens" last="Benedikt">Clemens Benedikt</name><affiliation><nlm:aff id="A4">United Nations Population Fund (UNFPA), Harare, Zimbabwe</nlm:aff></affiliation></author><author><name sortKey="Mushati, Phyllis" sort="Mushati, Phyllis" uniqKey="Mushati P" first="Phyllis" last="Mushati">Phyllis Mushati</name><affiliation><nlm:aff id="A1">Manicaland HIV/STD Prevention Project, Biomedical Research and Training Institute, Harare, Zimbabwe</nlm:aff></affiliation></author><author><name sortKey="Campbell, Catherine" sort="Campbell, Catherine" uniqKey="Campbell C" first="Catherine" last="Campbell">Catherine Campbell</name><affiliation><nlm:aff id="A5">Department of Social Psychology, London School of Economics and Political Science, London, United Kingdom</nlm:aff></affiliation></author><author><name sortKey="Garnett, Geoffrey P" sort="Garnett, Geoffrey P" uniqKey="Garnett G" first="Geoffrey P." last="Garnett">Geoffrey P. Garnett</name><affiliation><nlm:aff id="A2">Department of Infectious Disease Epidemiology, Imperial College London, London, United Kingdom</nlm:aff></affiliation></author></analytic><series><title level="j">Sexually transmitted diseases</title><idno type="ISSN">0148-5717</idno><idno type="eISSN">1537-4521</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title><p id="P1">To add to the evidence on the impact of national HIV prevention programs in reducing HIV risk in sub-Saharan African countries.</p></sec><sec id="S2"><title>Methods</title><p id="P2">Statistical analysis of prospective data on exposure to HIV prevention programs, relatives with AIDS and unemployment, and sexual behavior change and HIV incidence, in a population cohort of 4047 adults, collected over a period (1998–2003) when HIV prevalence and risk-behavior declined in eastern Zimbabwe.</p></sec><sec id="S3"><title>Results</title><p id="P3">Exposure to HIV prevention programs and relatives with AIDS—but not unemployment—increased from 1998 to 2003. Men and women exposed to media campaigns and HIV/AIDS meetings had greater knowledge and self-efficacy, attributes that were concomitantly protective against HIV infection. Women attending community HIV/AIDS meetings before recruitment were more likely than other women to adopt lower-risk behavior (96.4% vs. 90.8%; adjusted odds ratio, 3.09; 95% confidence interval [CI], 1.27–7.49) and had lower HIV incidence (0.9% vs. 1.8%; adjusted incidence rate ratio, 0.63; 95% CI, 0.32–1.24) during the intersurvey period. Prior exposure to relatives with AIDS was not associated with differences in behavior change. More newly unemployed men as compared with employed men adopted lower-risk behavior (84.2% vs. 76.0%; adjusted odds ratio, 2.13; 95% CI, 0.98–4.59).</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Community-based HIV/AIDS meetings reduced risk-behavior amongst women who attended them, contributing to HIV decline in eastern Zimbabwe.</p></sec></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">7705941</journal-id><journal-id journal-id-type="pubmed-jr-id">7382</journal-id><journal-id journal-id-type="nlm-ta">Sex Transm Dis</journal-id><journal-id journal-id-type="iso-abbrev">Sex Transm Dis</journal-id><journal-title-group><journal-title>Sexually transmitted diseases</journal-title></journal-title-group><issn pub-type="ppub">0148-5717</issn><issn pub-type="epub">1537-4521</issn></journal-meta><article-meta><article-id pub-id-type="pmid">21278627</article-id><article-id pub-id-type="pmc">3514751</article-id><article-id pub-id-type="doi">10.1097/OLQ.0b013e3182080877</article-id><article-id pub-id-type="manuscript">EMS50686</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Did National HIV Prevention Programs Contribute to HIV Decline in Eastern Zimbabwe? Evidence From a Prospective Community Survey</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Gregson</surname><given-names>Simon</given-names></name><degrees>DPhil</degrees><xref ref-type="aff" rid="A1">*</xref><xref ref-type="aff" rid="A2">†</xref></contrib><contrib contrib-type="author"><name><surname>Nyamukapa</surname><given-names>Constance</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A1">*</xref><xref ref-type="aff" rid="A2">†</xref></contrib><contrib contrib-type="author"><name><surname>Schumacher</surname><given-names>Christina</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A2">†</xref></contrib><contrib contrib-type="author"><name><surname>Mugurungi</surname><given-names>Owen</given-names></name><degrees>MSc, MD</degrees><xref ref-type="aff" rid="A3">‡</xref></contrib><contrib contrib-type="author"><name><surname>Benedikt</surname><given-names>Clemens</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A4">§</xref></contrib><contrib contrib-type="author"><name><surname>Mushati</surname><given-names>Phyllis</given-names></name><degrees>MSc</degrees><xref ref-type="aff" rid="A1">*</xref></contrib><contrib contrib-type="author"><name><surname>Campbell</surname><given-names>Catherine</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A5">¶</xref></contrib><contrib contrib-type="author"><name><surname>Garnett</surname><given-names>Geoffrey P.</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="A2">†</xref></contrib></contrib-group><aff id="A1"><label>*</label>Manicaland HIV/STD Prevention Project, Biomedical Research and Training Institute, Harare, Zimbabwe</aff><aff id="A2"><label>†</label>Department of Infectious Disease Epidemiology, Imperial College London, London, United Kingdom</aff><aff id="A3"><label>‡</label>Zimbabwe Ministry of Health and Child Welfare, Harare, Zimbabwe</aff><aff id="A4"><label>§</label>United Nations Population Fund (UNFPA), Harare, Zimbabwe</aff><aff id="A5"><label>¶</label>Department of Social Psychology, London School of Economics and Political Science, London, United Kingdom</aff><author-notes><corresp id="CR1">Correspondence: Simon Gregson, DPhil, Department of Infectious Disease Epidemiology, Imperial College London, Norfolk Place, London W2 1PG, United Kingdom.</corresp></author-notes><pub-date pub-type="nihms-submitted"><day>30</day><month>11</month><year>2012</year></pub-date><pub-date pub-type="ppub"><month>6</month><year>2011</year></pub-date><pub-date pub-type="pmc-release"><day>05</day><month>12</month><year>2012</year></pub-date><volume>38</volume><issue>6</issue><fpage>475</fpage><lpage>482</lpage><permissions><copyright-statement>Copyright © 2011 American Sexually Transmitted Diseases Association All rights reserved.</copyright-statement><copyright-year>2011</copyright-year></permissions><abstract><sec id="S1"><title>Objective</title><p id="P1">To add to the evidence on the impact of national HIV prevention programs in reducing HIV risk in sub-Saharan African countries.</p></sec><sec id="S2"><title>Methods</title><p id="P2">Statistical analysis of prospective data on exposure to HIV prevention programs, relatives with AIDS and unemployment, and sexual behavior change and HIV incidence, in a population cohort of 4047 adults, collected over a period (1998–2003) when HIV prevalence and risk-behavior declined in eastern Zimbabwe.</p></sec><sec id="S3"><title>Results</title><p id="P3">Exposure to HIV prevention programs and relatives with AIDS—but not unemployment—increased from 1998 to 2003. Men and women exposed to media campaigns and HIV/AIDS meetings had greater knowledge and self-efficacy, attributes that were concomitantly protective against HIV infection. Women attending community HIV/AIDS meetings before recruitment were more likely than other women to adopt lower-risk behavior (96.4% vs. 90.8%; adjusted odds ratio, 3.09; 95% confidence interval [CI], 1.27–7.49) and had lower HIV incidence (0.9% vs. 1.8%; adjusted incidence rate ratio, 0.63; 95% CI, 0.32–1.24) during the intersurvey period. Prior exposure to relatives with AIDS was not associated with differences in behavior change. More newly unemployed men as compared with employed men adopted lower-risk behavior (84.2% vs. 76.0%; adjusted odds ratio, 2.13; 95% CI, 0.98–4.59).</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">Community-based HIV/AIDS meetings reduced risk-behavior amongst women who attended them, contributing to HIV decline in eastern Zimbabwe.</p></sec></abstract><funding-group><award-group><funding-source country="United Kingdom">Wellcome Trust : </funding-source><award-id>084401 || WT</award-id></award-group></funding-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaSubSaharaV1/Data/Pmc/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001B88 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Corpus/biblio.hfd -nk 001B88 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= SidaSubSaharaV1
|flux= Pmc
|étape= Corpus
|type= RBID
|clé= PMC:3514751
|texte= Did National HIV Prevention Programs Contribute to HIV Decline in Eastern Zimbabwe? Evidence From a Prospective Community Survey
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Corpus/RBID.i -Sk "pubmed:21278627" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Corpus/biblio.hfd \
| NlmPubMed2Wicri -a SidaSubSaharaV1
| This area was generated with Dilib version V0.6.32. |  |