title: The contribution of HIV-discordant relationships to new HIV infections in Rakai, Uganda.
abstract: We determined HIV infections in the Rakai cohort before (82/9434) and after (131/13082) the availability of antiretroviral therapy (ART). The proportions of total HIV infections pre-ART and post-ART were 18.3% and 13.7%, respectively, among identifiable HIV-discordant couples, 23.2% and 26.0%, respectively, in concordant HIV-negative couples, 29.3% and 17.6% in married persons with unknown partner status, and 29.3% and 42.7% in the unmarried. Voluntary counseling and testing targeting discordant couples is unlikely to have a substantial impact in this setting.
authors.affiliation: Johns Hopkins University, Bloomberg School of Public Health, Baltimore, Maryland, USA. rgray@jhsph.edu
authors.forename: Ron
authors.initials: R
authors.lastname: Gray
authors.forename: Victor
authors.initials: V
authors.lastname: Ssempiija
authors.forename: James
authors.initials: J
authors.lastname: Shelton
authors.forename: David
authors.initials: D
authors.lastname: Serwadda
authors.forename: Fred
authors.initials: F
authors.lastname: Nalugoda
authors.forename: Joseph
authors.initials: J
authors.lastname: Kagaayi
authors.forename: Godfrey
authors.initials: G
authors.lastname: Kigozi
authors.forename: Maria J
authors.initials: MJ
authors.lastname: Wawer
mesh_terms: D003376:Counseling; D005260:Female; D015658:HIV Infections / Q000523:psychology* / Q000635:transmission; D006801:Humans; D008297:Male; D012725:Sexual Behavior / Q000523:psychology*; D012747:Sexual Partners; D014454:Uganda