HIV Risk Behaviors in Sub-Saharan Africa and Northern Thailand: Baseline Behavioral Data from Project Accept
Identifieur interne : 000F86 ( Pmc/Curation ); précédent : 000F85; suivant : 000F87HIV Risk Behaviors in Sub-Saharan Africa and Northern Thailand: Baseline Behavioral Data from Project Accept
Auteurs : Becky L. Genberg ; Michal Kulich ; Surinda Kawichai ; Precious Modiba ; Alfred Chingono ; Gad P. Kilonzo ; Linda Richter ; Audrey Pettifor ; Michael Sweat ; David D. CelentanoSource :
- Journal of acquired immune deficiency syndromes (1999) [ 1525-4135 ] ; 2008.
Abstract
Of 2.5 million new HIV infections worldwide in 2007, most occurred in Sub-Saharan Africa and Southeast Asia. We present the baseline data on HIV risk behaviors and HIV testing in Sub-Saharan Africa and northern Thailand from Project Accept, a community-randomized controlled trial of community mobilization, mobile voluntary counseling and testing (VCT), and post-test support services.
A random household probability sample of individuals aged 18–32 years yielded a sample of 14,657 with response rates ranging from 84–94% across the five sites (Thailand, Zimbabwe, Tanzania and two in South Africa). Individuals completed an interviewer-administered survey on demographic characteristics, HIV risk behaviors and history of VCT.
In multivariate analysis, females, married individuals, less educated with one sexual partner in the past 6 months were more likely to have had unprotected intercourse in the previous 6 months. Rates of lifetime HIV testing ranged from 5.4% among males in Zimbabwe to 52.6% among females in Soweto.
Significant risk of HIV acquisition in Project Accept communities exists despite two decades of prevention efforts. Low levels of recent HIV testing suggest that increasing awareness of HIV status through accessible VCT services may reduce HIV transmission.
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DOI: 10.1097/QAI.0b013e3181893ed0
PubMed: 18845954
PubMed Central: 2643066
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Genberg</name></author><author><name sortKey="Kulich, Michal" sort="Kulich, Michal" uniqKey="Kulich M" first="Michal" last="Kulich">Michal Kulich</name></author><author><name sortKey="Kawichai, Surinda" sort="Kawichai, Surinda" uniqKey="Kawichai S" first="Surinda" last="Kawichai">Surinda Kawichai</name></author><author><name sortKey="Modiba, Precious" sort="Modiba, Precious" uniqKey="Modiba P" first="Precious" last="Modiba">Precious Modiba</name></author><author><name sortKey="Chingono, Alfred" sort="Chingono, Alfred" uniqKey="Chingono A" first="Alfred" last="Chingono">Alfred Chingono</name></author><author><name sortKey="Kilonzo, Gad P" sort="Kilonzo, Gad P" uniqKey="Kilonzo G" first="Gad P." last="Kilonzo">Gad P. Kilonzo</name></author><author><name sortKey="Richter, Linda" sort="Richter, Linda" uniqKey="Richter L" first="Linda" last="Richter">Linda Richter</name></author><author><name sortKey="Pettifor, Audrey" sort="Pettifor, Audrey" uniqKey="Pettifor A" first="Audrey" last="Pettifor">Audrey Pettifor</name></author><author><name sortKey="Sweat, Michael" sort="Sweat, Michael" uniqKey="Sweat M" first="Michael" last="Sweat">Michael Sweat</name></author><author><name sortKey="Celentano, David D" sort="Celentano, David D" uniqKey="Celentano D" first="David D." last="Celentano">David D. 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Genberg</name></author><author><name sortKey="Kulich, Michal" sort="Kulich, Michal" uniqKey="Kulich M" first="Michal" last="Kulich">Michal Kulich</name></author><author><name sortKey="Kawichai, Surinda" sort="Kawichai, Surinda" uniqKey="Kawichai S" first="Surinda" last="Kawichai">Surinda Kawichai</name></author><author><name sortKey="Modiba, Precious" sort="Modiba, Precious" uniqKey="Modiba P" first="Precious" last="Modiba">Precious Modiba</name></author><author><name sortKey="Chingono, Alfred" sort="Chingono, Alfred" uniqKey="Chingono A" first="Alfred" last="Chingono">Alfred Chingono</name></author><author><name sortKey="Kilonzo, Gad P" sort="Kilonzo, Gad P" uniqKey="Kilonzo G" first="Gad P." last="Kilonzo">Gad P. Kilonzo</name></author><author><name sortKey="Richter, Linda" sort="Richter, Linda" uniqKey="Richter L" first="Linda" last="Richter">Linda Richter</name></author><author><name sortKey="Pettifor, Audrey" sort="Pettifor, Audrey" uniqKey="Pettifor A" first="Audrey" last="Pettifor">Audrey Pettifor</name></author><author><name sortKey="Sweat, Michael" sort="Sweat, Michael" uniqKey="Sweat M" first="Michael" last="Sweat">Michael Sweat</name></author><author><name sortKey="Celentano, David D" sort="Celentano, David D" uniqKey="Celentano D" first="David D." last="Celentano">David D. Celentano</name></author></analytic><series><title level="j">Journal of acquired immune deficiency syndromes (1999)</title><idno type="ISSN">1525-4135</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P1">Of 2.5 million new HIV infections worldwide in 2007, most occurred in Sub-Saharan Africa and Southeast Asia. We present the baseline data on HIV risk behaviors and HIV testing in Sub-Saharan Africa and northern Thailand from Project Accept, a community-randomized controlled trial of community mobilization, mobile voluntary counseling and testing (VCT), and post-test support services.</p></sec><sec sec-type="methods" id="S2"><title>Methods</title><p id="P2">A random household probability sample of individuals aged 18–32 years yielded a sample of 14,657 with response rates ranging from 84–94% across the five sites (Thailand, Zimbabwe, Tanzania and two in South Africa). Individuals completed an interviewer-administered survey on demographic characteristics, HIV risk behaviors and history of VCT.</p></sec><sec id="S3"><title>Results</title><p id="P3">In multivariate analysis, females, married individuals, less educated with one sexual partner in the past 6 months were more likely to have had unprotected intercourse in the previous 6 months. Rates of lifetime HIV testing ranged from 5.4% among males in Zimbabwe to 52.6% among females in Soweto.</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">Significant risk of HIV acquisition in Project Accept communities exists despite two decades of prevention efforts. Low levels of recent HIV testing suggest that increasing awareness of HIV status through accessible VCT services may reduce HIV transmission.</p></sec></div></front></TEI><pmc article-type="research-article" xml:lang="EN"><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">100892005</journal-id><journal-id journal-id-type="pubmed-jr-id">21821</journal-id><journal-id journal-id-type="nlm-ta">J Acquir Immune Defic Syndr</journal-id><journal-title>Journal of acquired immune deficiency syndromes (1999)</journal-title><issn pub-type="ppub">1525-4135</issn></journal-meta><article-meta><article-id pub-id-type="pmid">18845954</article-id><article-id pub-id-type="pmc">2643066</article-id><article-id pub-id-type="doi">10.1097/QAI.0b013e3181893ed0</article-id><article-id pub-id-type="manuscript">NIHMS87309</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>HIV Risk Behaviors in Sub-Saharan Africa and Northern Thailand: Baseline Behavioral Data from Project Accept</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Genberg</surname><given-names>Becky L.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Kulich</surname><given-names>Michal</given-names></name></contrib><contrib contrib-type="author"><name><surname>Kawichai</surname><given-names>Surinda</given-names></name></contrib><contrib contrib-type="author"><name><surname>Modiba</surname><given-names>Precious</given-names></name></contrib><contrib contrib-type="author"><name><surname>Chingono</surname><given-names>Alfred</given-names></name></contrib><contrib contrib-type="author"><name><surname>Kilonzo</surname><given-names>Gad P.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Richter</surname><given-names>Linda</given-names></name></contrib><contrib contrib-type="author"><name><surname>Pettifor</surname><given-names>Audrey</given-names></name></contrib><contrib contrib-type="author"><name><surname>Sweat</surname><given-names>Michael</given-names></name></contrib><contrib contrib-type="author"><name><surname>Celentano</surname><given-names>David D.</given-names></name></contrib><on-behalf-of>for the NIMH Project Accept Study Team (HPTN 043)</on-behalf-of><xref rid="FN2" ref-type="author-notes">*</xref></contrib-group><author-notes><corresp id="FN1">Correspondence to: David D. Celentano, ScD, MHS, Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, 615 North Wolfe Street, Room E-6547, Baltimore, MD 21205 USA, +1 410 955 1356 (phone), +1 410 955 1383 (fax), <email>dcelenta@jhsph.edu</email> (email)</corresp><fn id="FN2"><label>*</label><p><bold>Project Accept Study Group</bold></p><p>Laurie Abler, MPH<xref rid="FN4" ref-type="fn">2</xref></p><p>Christopher Bamanyisa, MA, AD<xref rid="FN3" ref-type="fn">1</xref></p><p>Chris Beyrer, MD, MPH<xref rid="FN4" ref-type="fn">2</xref></p><p>Adam W. Carrico, PhD<xref rid="FN9" ref-type="fn">7</xref></p><p>David D. Celentano, ScD, MHS<xref rid="FN4" ref-type="fn">2</xref></p><p>Suwat Chariyalertsak, MD, DrPH<xref rid="FN5" ref-type="fn">3</xref></p><p>Alfred Chingono, MSc<xref rid="FN6" ref-type="fn">4</xref></p><p>Lilliane Chovenye<xref rid="FN3" ref-type="fn">1</xref></p><p>Kathryn Curran, MHS<xref rid="FN4" ref-type="fn">2</xref></p><p>Thomas J. Coates, PhD<xref rid="FN7" ref-type="fn">5</xref></p><p>Deborah Donnell, PhD<xref rid="FN8" ref-type="fn">6</xref></p><p>Agnès Fiamma, MIPH<xref rid="FN7" ref-type="fn">5</xref></p><p>Katherine Fritz, PhD, MPH<xref rid="FN4" ref-type="fn">2</xref></p><p>Janet Frohlich, Dcur<xref rid="FN10" ref-type="fn">8</xref></p><p>Becky Genberg, MPH<xref rid="FN4" ref-type="fn">2</xref></p><p>Glenda Gray, MBBCH, FCPaeds(SA)<xref rid="FN11" ref-type="fn">9</xref></p><p>Amy Gregowski, MHS<xref rid="FN4" ref-type="fn">2</xref></p><p>Harry Hausler, MD, MPH<xref rid="FN12" ref-type="fn">10</xref></p><p>Nora Margaret Hogan, PsyD<xref rid="FN3" ref-type="fn">1</xref></p><p>Salim Abdool Karim, MBChB, PhD<xref rid="FN10" ref-type="fn">8</xref></p><p>Surinda Kawichai, PhD, MSc<xref rid="FN4" ref-type="fn">2</xref>,<xref rid="FN5" ref-type="fn">3</xref></p><p>Sebastian Kevany, MPH<xref rid="FN9" ref-type="fn">7</xref></p><p>Gertrude Khumalo-Sakutukwa, MSW, MMS<xref rid="FN9" ref-type="fn">7</xref></p><p>G.P. Kilonzo, MD, FRCP, Mmed, MBChB, BA<xref rid="FN3" ref-type="fn">1</xref></p><p>Michal Kulich, PhD<xref rid="FN13" ref-type="fn">11</xref></p><p>Tim Lane, PhD, MPH</p><p>Benjamin Link, MPH, MSW<xref rid="FN4" ref-type="fn">2</xref></p><p>Tserayi Machinda, BSC Admin ACCA, MBA(wip)<xref rid="FN6" ref-type="fn">4</xref></p><p>Suzanne Maman, PhD<xref rid="FN14" ref-type="fn">12</xref></p><p>Jessie Mbwambo, MD<xref rid="FN3" ref-type="fn">1</xref></p><p>James McIntyre, MBChB, MRCOG<xref rid="FN11" ref-type="fn">9</xref></p><p>Joanne Mickalian, MA<xref rid="FN9" ref-type="fn">7</xref></p><p>Precious Modiba, MA(SW)<xref rid="FN11" ref-type="fn">9</xref></p><p>Simon Morfit, MPH, BA<xref rid="FN9" ref-type="fn">7</xref></p><p>Stephen F. Morin, PhD<italic>r</italic><xref rid="FN9" ref-type="fn">7</xref></p><p>Audrey Pettifor, PhD, MPH<xref rid="FN14" ref-type="fn">12</xref></p><p>Linda Richter, PhD<xref rid="FN10" ref-type="fn">8</xref></p><p>Memory Sendah, MSc<xref rid="FN6" ref-type="fn">4</xref></p><p>Basant Singh, Bsc, Msc<xref rid="FN4" ref-type="fn">2</xref></p><p>Michael Sweat, PhD<xref rid="FN15" ref-type="fn">13</xref></p><p>Greg Szekeres<xref rid="FN7" ref-type="fn">5</xref></p><p>Andrew Timbe, MEd<xref rid="FN6" ref-type="fn">4</xref></p><p>Heidi Van Rooyen, MA<xref rid="FN10" ref-type="fn">8</xref></p><p>Surasing Visrutaratna, PhD<xref rid="FN5" ref-type="fn">3</xref></p><p>Godfrey Woelk, PhD, MCOMMH, BSc<xref rid="FN6" ref-type="fn">4</xref></p><p>Carla Zelaya, PhD, MSc<xref rid="FN4" ref-type="fn">2</xref></p></fn></author-notes><pub-date pub-type="nihms-submitted"><day>12</day><month>1</month><year>2009</year></pub-date><pub-date pub-type="ppub"><day>1</day><month>11</month><year>2008</year></pub-date><pub-date pub-type="pmc-release"><day>1</day><month>11</month><year>2009</year></pub-date><volume>49</volume><issue>3</issue><fpage>309</fpage><lpage>319</lpage><abstract><sec id="S1"><title>Background</title><p id="P1">Of 2.5 million new HIV infections worldwide in 2007, most occurred in Sub-Saharan Africa and Southeast Asia. We present the baseline data on HIV risk behaviors and HIV testing in Sub-Saharan Africa and northern Thailand from Project Accept, a community-randomized controlled trial of community mobilization, mobile voluntary counseling and testing (VCT), and post-test support services.</p></sec><sec sec-type="methods" id="S2"><title>Methods</title><p id="P2">A random household probability sample of individuals aged 18–32 years yielded a sample of 14,657 with response rates ranging from 84–94% across the five sites (Thailand, Zimbabwe, Tanzania and two in South Africa). Individuals completed an interviewer-administered survey on demographic characteristics, HIV risk behaviors and history of VCT.</p></sec><sec id="S3"><title>Results</title><p id="P3">In multivariate analysis, females, married individuals, less educated with one sexual partner in the past 6 months were more likely to have had unprotected intercourse in the previous 6 months. Rates of lifetime HIV testing ranged from 5.4% among males in Zimbabwe to 52.6% among females in Soweto.</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">Significant risk of HIV acquisition in Project Accept communities exists despite two decades of prevention efforts. Low levels of recent HIV testing suggest that increasing awareness of HIV status through accessible VCT services may reduce HIV transmission.</p></sec></abstract><contract-num rid="MH1">U10 MH061543-08</contract-num><contract-num rid="MH1">U10 MH061543-07</contract-num><contract-num rid="MH1">U10 MH061543-06</contract-num><contract-num rid="MH1">U10 MH061543-05</contract-num><contract-num rid="MH1">U10 MH061543-04S1</contract-num><contract-num rid="MH1">U10 MH061543-04</contract-num><contract-num rid="MH1">U10 MH061543-03</contract-num><contract-num rid="MH1">U10 MH061543-02S1</contract-num><contract-num rid="MH1">U10 MH061543-02</contract-num><contract-num rid="MH1">U10 MH061543-01</contract-num><contract-sponsor id="MH1">National Institute of Mental Health : NIMH</contract-sponsor></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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