Sustained effect of couples' HIV counselling and testing on risk reduction among Zambian HIV serodiscordant couples.
Identifieur interne : 000B90 ( PubMed/Corpus ); précédent : 000B89; suivant : 000B91Sustained effect of couples' HIV counselling and testing on risk reduction among Zambian HIV serodiscordant couples.
Auteurs : Kristin M. Wall ; William Kilembe ; Bellington Vwalika ; Lisa B. Haddad ; Shabir Lakhi ; Udodirim Onwubiko ; Naw Htee Khu ; Ilene Brill ; Roy Chavuma ; Cheswa Vwalika ; Lawrence Mwananyanda ; Elwyn Chomba ; Joseph Mulenga ; Amanda Tichacek ; Susan AllenSource :
- Sexually transmitted infections [ 1472-3263 ] ; 2017.
Abstract
We present temporal trends in self-reported and biological markers of unprotected sex and sex with concurrent partners in discordant couples receiving couples' voluntary HIV counselling and testing (CVCT).
DOI: 10.1136/sextrans-2016-052743
PubMed: 28082662
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Sustained effect of couples' HIV counselling and testing on risk reduction among Zambian HIV serodiscordant couples.</title><author><name sortKey="Wall, Kristin M" sort="Wall, Kristin M" uniqKey="Wall K" first="Kristin M" last="Wall">Kristin M. Wall</name><affiliation><nlm:affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Kilembe, William" sort="Kilembe, William" uniqKey="Kilembe W" first="William" last="Kilembe">William Kilembe</name><affiliation><nlm:affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Vwalika, Bellington" sort="Vwalika, Bellington" uniqKey="Vwalika B" first="Bellington" last="Vwalika">Bellington Vwalika</name><affiliation><nlm:affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Haddad, Lisa B" sort="Haddad, Lisa B" uniqKey="Haddad L" first="Lisa B" last="Haddad">Lisa B. Haddad</name><affiliation><nlm:affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Lakhi, Shabir" sort="Lakhi, Shabir" uniqKey="Lakhi S" first="Shabir" last="Lakhi">Shabir Lakhi</name><affiliation><nlm:affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Onwubiko, Udodirim" sort="Onwubiko, Udodirim" uniqKey="Onwubiko U" first="Udodirim" last="Onwubiko">Udodirim Onwubiko</name><affiliation><nlm:affiliation>Department of Epidemiology, Rollins School of Public Health, Laney Graduate School, Emory University, Atlanta, Georgia, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Htee Khu, Naw" sort="Htee Khu, Naw" uniqKey="Htee Khu N" first="Naw" last="Htee Khu">Naw Htee Khu</name><affiliation><nlm:affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Brill, Ilene" sort="Brill, Ilene" uniqKey="Brill I" first="Ilene" last="Brill">Ilene Brill</name><affiliation><nlm:affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Chavuma, Roy" sort="Chavuma, Roy" uniqKey="Chavuma R" first="Roy" last="Chavuma">Roy Chavuma</name><affiliation><nlm:affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Vwalika, Cheswa" sort="Vwalika, Cheswa" uniqKey="Vwalika C" first="Cheswa" last="Vwalika">Cheswa Vwalika</name><affiliation><nlm:affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Mwananyanda, Lawrence" sort="Mwananyanda, Lawrence" uniqKey="Mwananyanda L" first="Lawrence" last="Mwananyanda">Lawrence Mwananyanda</name><affiliation><nlm:affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Chomba, Elwyn" sort="Chomba, Elwyn" uniqKey="Chomba E" first="Elwyn" last="Chomba">Elwyn Chomba</name><affiliation><nlm:affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Mulenga, Joseph" sort="Mulenga, Joseph" uniqKey="Mulenga J" first="Joseph" last="Mulenga">Joseph Mulenga</name><affiliation><nlm:affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Tichacek, Amanda" sort="Tichacek, Amanda" uniqKey="Tichacek A" first="Amanda" last="Tichacek">Amanda Tichacek</name><affiliation><nlm:affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Allen, Susan" sort="Allen, Susan" uniqKey="Allen S" first="Susan" last="Allen">Susan Allen</name><affiliation><nlm:affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28082662</idno><idno type="pmid">28082662</idno><idno type="doi">10.1136/sextrans-2016-052743</idno><idno type="wicri:Area/PubMed/Corpus">000B90</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000B90</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Sustained effect of couples' HIV counselling and testing on risk reduction among Zambian HIV serodiscordant couples.</title><author><name sortKey="Wall, Kristin M" sort="Wall, Kristin M" uniqKey="Wall K" first="Kristin M" last="Wall">Kristin M. Wall</name><affiliation><nlm:affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Kilembe, William" sort="Kilembe, William" uniqKey="Kilembe W" first="William" last="Kilembe">William Kilembe</name><affiliation><nlm:affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Vwalika, Bellington" sort="Vwalika, Bellington" uniqKey="Vwalika B" first="Bellington" last="Vwalika">Bellington Vwalika</name><affiliation><nlm:affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Haddad, Lisa B" sort="Haddad, Lisa B" uniqKey="Haddad L" first="Lisa B" last="Haddad">Lisa B. Haddad</name><affiliation><nlm:affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Lakhi, Shabir" sort="Lakhi, Shabir" uniqKey="Lakhi S" first="Shabir" last="Lakhi">Shabir Lakhi</name><affiliation><nlm:affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Onwubiko, Udodirim" sort="Onwubiko, Udodirim" uniqKey="Onwubiko U" first="Udodirim" last="Onwubiko">Udodirim Onwubiko</name><affiliation><nlm:affiliation>Department of Epidemiology, Rollins School of Public Health, Laney Graduate School, Emory University, Atlanta, Georgia, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Htee Khu, Naw" sort="Htee Khu, Naw" uniqKey="Htee Khu N" first="Naw" last="Htee Khu">Naw Htee Khu</name><affiliation><nlm:affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Brill, Ilene" sort="Brill, Ilene" uniqKey="Brill I" first="Ilene" last="Brill">Ilene Brill</name><affiliation><nlm:affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Chavuma, Roy" sort="Chavuma, Roy" uniqKey="Chavuma R" first="Roy" last="Chavuma">Roy Chavuma</name><affiliation><nlm:affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Vwalika, Cheswa" sort="Vwalika, Cheswa" uniqKey="Vwalika C" first="Cheswa" last="Vwalika">Cheswa Vwalika</name><affiliation><nlm:affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Mwananyanda, Lawrence" sort="Mwananyanda, Lawrence" uniqKey="Mwananyanda L" first="Lawrence" last="Mwananyanda">Lawrence Mwananyanda</name><affiliation><nlm:affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Chomba, Elwyn" sort="Chomba, Elwyn" uniqKey="Chomba E" first="Elwyn" last="Chomba">Elwyn Chomba</name><affiliation><nlm:affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Mulenga, Joseph" sort="Mulenga, Joseph" uniqKey="Mulenga J" first="Joseph" last="Mulenga">Joseph Mulenga</name><affiliation><nlm:affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Tichacek, Amanda" sort="Tichacek, Amanda" uniqKey="Tichacek A" first="Amanda" last="Tichacek">Amanda Tichacek</name><affiliation><nlm:affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Allen, Susan" sort="Allen, Susan" uniqKey="Allen S" first="Susan" last="Allen">Susan Allen</name><affiliation><nlm:affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Sexually transmitted infections</title><idno type="eISSN">1472-3263</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We present temporal trends in self-reported and biological markers of unprotected sex and sex with concurrent partners in discordant couples receiving couples' voluntary HIV counselling and testing (CVCT).</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">28082662</PMID><DateCreated><Year>2017</Year><Month>01</Month><Day>13</Day></DateCreated><DateRevised><Year>2017</Year><Month>08</Month><Day>02</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1472-3263</ISSN><JournalIssue CitedMedium="Internet"><Volume>93</Volume><Issue>4</Issue><PubDate><Year>2017</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Sexually transmitted infections</Title><ISOAbbreviation>Sex Transm Infect</ISOAbbreviation></Journal><ArticleTitle>Sustained effect of couples' HIV counselling and testing on risk reduction among Zambian HIV serodiscordant couples.</ArticleTitle><Pagination><MedlinePgn>259-266</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1136/sextrans-2016-052743</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">We present temporal trends in self-reported and biological markers of unprotected sex and sex with concurrent partners in discordant couples receiving couples' voluntary HIV counselling and testing (CVCT).</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Heterosexual Zambian HIV-serodiscordant couples were enrolled into longitudinal follow-up in an open cohort (1994-2012). Multivariable Anderson-Gill models explored predictors of self-report and biological indicators of unprotected sex within (including sperm on a vaginal swab, incident pregnancy or incident linked HIV infection) and outside (including self-report, STI and unlinked HIV infection) the union. Measures of secular trends in baseline measures were also examined.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">At enrolment of 3049 couples, men were 35 years old on average, women were 29 years, and couples had been together for an average of 7 years. M+F- couples reported an average of 16.6 unprotected sex acts in the 3 months prior to enrolment (pre-CVCT), dropping to 5.3 in the >0-3 month interval, and 2.0 in >6 month intervals (p-trend <0.001). Corresponding values for M-F+ couples were 22.4 unprotected sex acts in the 3 months prior enrolment, dropping to 5.2 in the >0-3 month interval, and 3.1 in >6 month intervals (p-trend <0.001). Significant reductions in self-report and biological markers of outside partners were also noted. Predictors of unprotected sex between study partners after CVCT included prevalent pregnancy (adjusted HR, aHR=1.6-1.9); HIV+ men being circumcised (aHR=1.2); and HIV- women reporting sex with outside partners (aHR=1.3), alcohol (aHR=1.2), injectable (aHR=1.4) or oral (aHR=1.4) contraception use. Fertility intentions were also predictive of unprotected sex (aHR=1.2-1.4). Secular trends indicated steady declines in reported outside partners and STIs.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Reductions in self-reported unprotected sex after CVCT were substantial and sustained. Reinforced risk-reduction counselling in pregnant couples, couples desiring children and couples with HIV- women having outside partners or using alcohol or injectable or oral contraception are indicated.</AbstractText><CopyrightInformation>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Wall</LastName><ForeName>Kristin M</ForeName><Initials>KM</Initials><AffiliationInfo><Affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Epidemiology, Rollins School of Public Health, Laney Graduate School, Emory University, Atlanta, Georgia, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kilembe</LastName><ForeName>William</ForeName><Initials>W</Initials><AffiliationInfo><Affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vwalika</LastName><ForeName>Bellington</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Gynaecology and Obstetrics (BV), Internal Medicine (SL) and Surgery (RC), School of Medicine, University of Zambia, Lusaka, Zambia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Haddad</LastName><ForeName>Lisa B</ForeName><Initials>LB</Initials><AffiliationInfo><Affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Gynaecology and Obstetrics, Emory University, School of Medicine, Atlanta, Georgia, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lakhi</LastName><ForeName>Shabir</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Gynaecology and Obstetrics (BV), Internal Medicine (SL) and Surgery (RC), School of Medicine, University of Zambia, Lusaka, Zambia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Onwubiko</LastName><ForeName>Udodirim</ForeName><Initials>U</Initials><AffiliationInfo><Affiliation>Department of Epidemiology, Rollins School of Public Health, Laney Graduate School, Emory University, Atlanta, Georgia, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Htee Khu</LastName><ForeName>Naw</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Brill</LastName><ForeName>Ilene</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Epidemiology, Ryals School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chavuma</LastName><ForeName>Roy</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Gynaecology and Obstetrics (BV), Internal Medicine (SL) and Surgery (RC), School of Medicine, University of Zambia, Lusaka, Zambia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vwalika</LastName><ForeName>Cheswa</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mwananyanda</LastName><ForeName>Lawrence</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chomba</LastName><ForeName>Elwyn</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Ministry of Community Development, Mother and Child Health, Lusaka, Zambia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mulenga</LastName><ForeName>Joseph</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tichacek</LastName><ForeName>Amanda</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Allen</LastName><ForeName>Susan</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Rwanda Zambia HIV Research Group, Department of Pathology and Laboratory Medicine, School of Medicine and Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>P30 AI050409</GrantID><Acronym>AI</Acronym><Agency>NIAID NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>R01 HD040125</GrantID><Acronym>HD</Acronym><Agency>NICHD NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>D43 TW001042</GrantID><Acronym>TW</Acronym><Agency>FIC NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>R01 MH066767</GrantID><Acronym>MH</Acronym><Agency>NIMH NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>R01 MH095503</GrantID><Acronym>MH</Acronym><Agency>NIMH NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>U2G PS000758</GrantID><Acronym>PS</Acronym><Agency>NCHHSTP CDC HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>01</Month><Day>12</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Sex Transm Infect</MedlineTA><NlmUniqueID>9805554</NlmUniqueID><ISSNLinking>1368-4973</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>PLoS One. 2009;4(5):e5340</RefSource><PMID Version="1">19412535</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Am J Epidemiol. 2009 Oct 1;170(7):918-24</RefSource><PMID Version="1">19741042</PMID></CommentsCorrections><CommentsCorrections 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18;374(9685):229-37</RefSource><PMID Version="1">19616720</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>AIDS Behav. 2010 Jun;14(3):558-66</RefSource><PMID Version="1">19763813</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Sex Transm Infect. 2013 Mar;89(2):138-41</RefSource><PMID Version="1">22930346</PMID></CommentsCorrections></CommentsCorrectionsList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">AFRICA</Keyword><Keyword MajorTopicYN="N">AIDS</Keyword><Keyword MajorTopicYN="N">BEHAVIOURAL INTERVENTIONS</Keyword><Keyword MajorTopicYN="N">EPIDEMIOLOGY (GENERAL)</Keyword><Keyword MajorTopicYN="N">SEXUAL BEHAVIOUR</Keyword></KeywordList><CoiStatement>Competing interests: This research was conducted with funding from NICHD R01-40125, NIAID R01-23980 and R01-40951 and R21-33863, NIMH R01-46571, R01-66767, and R01-95503; the Fogarty AIDS International Training in Research Program (AITRP) FIC D43 TW001042, NIH Centers for AIDS Research, the Social & Behavioral Science Core of the Emory Center for AIDS Research (CFAR) P30 AI050409; the US Centers for Disease Control and Prevention (5U2GPS000758) and the International AIDS Vaccine Initiative. This study was made possible by the generous support of the American people through the US Agency for International Development (USAID). The contents do not necessarily reflect the views of USAID or the US Government. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>06</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2016</Year><Month>11</Month><Day>23</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>12</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>1</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>1</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>1</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28082662</ArticleId><ArticleId IdType="pii">sextrans-2016-052743</ArticleId><ArticleId IdType="doi">10.1136/sextrans-2016-052743</ArticleId><ArticleId IdType="pmc">PMC5520263</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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