Title |
Sustained Sexual Behavior Change After Acute HIV Diagnosis in Malawi
|
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Published in |
Sexually Transmitted Diseases, November 2018
|
DOI | 10.1097/olq.0000000000000873 |
Pubmed ID | |
Authors |
Katherine B Rucinski, Sarah E Rutstein, Kimberly A Powers, Dana K Pasquale, Ann M Dennis, Sam Phiri, Mina C Hosseinipour, Gift Kamanga, Dominic Nsona, Cecilia Massa, Irving F Hoffman, William C Miller, Audrey E Pettifor |
Abstract |
Identification of acute HIV infection (AHI) allows important opportunities for HIV prevention through behavior change and biomedical intervention. Here, we evaluate changes in sexual risk behaviors among persons with AHI enrolled in a combined behavioral and biomedical intervention designed to reduce onward transmission of HIV. Participants were randomized to standard HIV counseling, a multi-session behavioral intervention, or a multi-session behavioral intervention plus antiretrovirals. Sexual behaviors were assessed periodically over one year. Four weeks after diagnosis, the predicted probability of reporting multiple sexual partners decreased from 24% to 9%, and the probability of reporting unprotected sex from 71% to 27%. These declines in sexual risk behaviors were sustained over follow-up irrespective of study arm. AHI diagnosis alone may be sufficient to achieve immediate and sustained behavior change during this highly infectious period. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 1 | 50% |
Unknown | 1 | 50% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 2 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 48 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Master | 7 | 15% |
Researcher | 7 | 15% |
Student > Ph. D. Student | 4 | 8% |
Student > Postgraduate | 3 | 6% |
Student > Bachelor | 2 | 4% |
Other | 8 | 17% |
Unknown | 17 | 35% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 12 | 25% |
Nursing and Health Professions | 10 | 21% |
Immunology and Microbiology | 3 | 6% |
Mathematics | 2 | 4% |
Business, Management and Accounting | 1 | 2% |
Other | 4 | 8% |
Unknown | 16 | 33% |