title: Repeat voluntary HIV counseling and testing (VCT), sexual risk behavior and HIV incidence in Rakai, Uganda.
abstract: We examined the effects of repeat Voluntary HIV counseling and testing (VCT) on sexual risk behaviors and HIV incidence in 6,377 initially HIV-negative subjects enrolled in a prospective STD control for HIV prevention trial in rural Rakai district, southwestern Uganda. Sixty-four percent accepted VCT, and of these, 62.2% were first time acceptors while 37.8% were repeat acceptors. Consistent condom use was 5.8% in repeat acceptors, 6.1% in first time acceptors and 5.1% in non-acceptors. A higher proportion of repeat acceptors (15.9%) reported inconsistent condom use compared to first-time acceptors (12%) and non-acceptors (11.7%). Also, a higher proportion of repeat acceptors (18.1%) reported 2+ sexual partners compared to first-time acceptors (14.1%) and non-acceptors (15%). HIV incidence rates were 1.4/100 py (person-years) in repeat acceptors, 1.6/100 py in first time acceptors and 1.6/100 py in non-acceptors. These data suggest a need for intensive risk-reduction counseling interventions targeting HIV-negative repeat VCT acceptors as a special risk group.
authors.affiliation: Rakai Health Sciences Program/Uganda Virus Research Institute, Entebbe, Uganda.
authors.forename: Joseph K B
authors.initials: JK
authors.lastname: Matovu
authors.forename: Ronald H
authors.initials: RH
authors.lastname: Gray
authors.forename: Noah
authors.initials: N
authors.lastname: Kiwanuka
authors.forename: Godfrey
authors.initials: G
authors.lastname: Kigozi
authors.forename: Fred
authors.initials: F
authors.lastname: Wabwire-Mangen
authors.forename: Fred
authors.initials: F
authors.lastname: Nalugoda
authors.forename: David
authors.initials: D
authors.lastname: Serwadda
authors.forename: Nelson K
authors.initials: NK
authors.lastname: Sewankambo
authors.forename: Maria J
authors.initials: MJ
authors.lastname: Wawer
mesh_terms: D015492:AIDS Serodiagnosis; D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D003376:Counseling; D005260:Female; D006679:HIV Seropositivity / Q000453:epidemiology; D015528:HIV Seroprevalence; D006801:Humans; D015994:Incidence; D008297:Male; D010342:Patient Acceptance of Health Care; D012309:Risk-Taking; D012423:Rural Health; D012725:Sexual Behavior; D014454:Uganda / Q000453:epidemiology