title: Is care and support associated with preventive behaviour among people with HIV?
abstract: Care and support should play a critical role in assisting people who are HIV-positive to understand the need for prevention and to enable them to protect others. Differences in sexual risk reduction among 154 newly diagnosed HIV-positive individuals from semi-urban Tanzania were examined using a randomized control design, which assigned a control group to regular health services and an experimental group to enhanced care and support. Data were collected at baseline, three months and six months on self-reported sexual risk behaviours, disclosure of serostatus, reproductive health and psychosocial support. Over the six-month period, significant risk reduction occurred among both groups, with most of the behaviour change occurring during the first three months, e.g. 86 respondents (56%) reported condom use at last intercourse at 3 months compared with 24(16%) at baseline (p = 0.05). Extra care and support did not lead to increased risk reduction among the experimental group. The study population as a whole significantly changed their behaviour, suggesting that in the short term, learning one is HIV-positive has an impact on risk reduction.
authors.affiliation: Family Health International, Arlington, Virginia 22201, USA. jmacneil@fhi.org
authors.forename: J M
authors.initials: JM
authors.lastname: MacNeil
authors.forename: F
authors.initials: F
authors.lastname: Mberesero
authors.forename: G
authors.initials: G
authors.lastname: Kilonzo
mesh_terms: D000293:Adolescent; D000328:Adult; D018562:Disease Transmission, Infectious / Q000517:prevention & control*; D005260:Female; D015658:HIV Infections / Q000523:psychology / Q000635:transmission*; D006679:HIV Seropositivity; D015438:Health Behavior; D006801:Humans; D008297:Male; D008875:Middle Aged; D012650:Self Disclosure; D012725:Sexual Behavior; D012944:Social Support; D013636:Tanzania