Patterns of self-reported behaviour change associated with receiving voluntary counselling and testing in a longitudinal study from Manicaland, Zimbabwe.
Voluntary counselling and testing (VCT) is promoted as a potential HIV prevention measure. We describe trends in uptake of VCT for HIV, and patterns of subsequent behaviour change associated with receiving VCT in a population-based open cohort in Manicaland, Zimbabwe. The relationship between receipt of VCT and subsequent reported behaviour was analysed using generalized linear models with random effects. At the third survey, 8.6% of participants (1,079/12,533), had previously received VCT. Women who received VCT, both those positive and negative, reduced their reported number of new partners. Among those testing positive, this risk reduction was enhanced with time since testing. Among men, no behavioural risk reduction associated with VCT was observed. Significant increases in consistent condom use, with regular or non-regular partners, following VCT, were not observed. This study suggests that, among women, particularly those who are infected, behavioural risk reduction does occur following VCT.
Cremin
Ide
I
Department of Infectious Disease Epidemiology, Imperial College London, St. Marys Campus, Norfolk Place, Paddington, London, W2 1PG, UK. ide.cremin05@imperial.ac.uk
Nyamukapa
Constance
C
Sherr
Lorraine
L
Hallett
Timothy B
TB
Chawira
Godwin
G
Cauchemez
Simon
S
Lopman
Ben
B
Garnett
Geoffrey P
GP
Gregson
Simon
S
D015492:AIDS Serodiagnosis / Q000379:methods / Q000706:statistics & numerical data; D000293:Adolescent; D000328:Adult; D015331:Cohort Studies; D003376:Counseling / Q000706:statistics & numerical data; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control / Q000523:psychology; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D040242:Risk Reduction Behavior; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D055815:Young Adult; D015030:Zimbabwe