Repeat voluntary HIV counseling and testing (VCT), sexual risk behavior and HIV incidence in Rakai, Uganda.
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.
Matovu
Joseph K B
JK
Rakai Health Sciences Program/Uganda Virus Research Institute, Entebbe, Uganda.
Gray
Ronald H
RH
Kiwanuka
Noah
N
Kigozi
Godfrey
G
Wabwire-Mangen
Fred
F
Nalugoda
Fred
F
Serwadda
David
D
Sewankambo
Nelson K
NK
Wawer
Maria J
MJ
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