Sexual risk reduction among Zambian couples.
Zambia has over 1 million HIV infections nationwide and an urban prevalence rate of 23%. This study compared the impact of male involvement in multiple and single session risk reduction interventions among inconsistent condom users in Zambia and the role of serostatus among HIV-seropositive and serodiscordant couples. Couples (N=392) were randomised into intervention arms. Among inconsistent condom users at baseline (N=83), condom use increased in both conditions and this increase was maintained over a 12- month period. At 12 months, seronegative men in the multiple session condition increased sexual barrier (male and female condoms) use in comparison with those in the single session condition (F=16.13, =0.001) while seropositive individuals increased sexual barrier use regardless of condition. Results illustrate the importance of both single and multiple session risk reduction counseling among seronegative men in serodiscordant couples in Zambia, and highlight the differing perception of risk between seropositive and serodiscordant persons.
Jones
Deborah J
DJ
University of Miami Miller School of Medicine, Department of Psychiatry and Behavioral Sciences, USA. djones@med.miami.edu
Chitalu
Ndashi
N
Ndubani
Phillimon
P
Mumbi
Miriam
M
Weiss
Stephen M
SM
Villar-Loubet
Olga
O
Vamos
Szonja
S
Waldrop-Valverde
Drenna
D
D017280:Condoms / Q000706:statistics & numerical data*; D003376:Counseling; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology; D018023:HIV Seronegativity; D006679:HIV Seropositivity / Q000523:psychology*; D015528:HIV Seroprevalence; D006293:Health Promotion; D006801:Humans; D054327:Lubricants; D008297:Male; D010342:Patient Acceptance of Health Care; D010349:Patient Compliance; D010353:Patient Education as Topic; D040242:Risk Reduction Behavior; D021841:Safe Sex; D018454:Spouses / Q000523:psychology* / Q000706:statistics & numerical data; D014505:Urban Population / Q000706:statistics & numerical data; D015024:Zambia / Q000453:epidemiology
D054327:Lubricants