title: HIV prevention in care and treatment settings: baseline risk behaviors among HIV patients in Kenya, Namibia, and Tanzania.
abstract: HIV care and treatment settings provide an opportunity to reach people living with HIV/AIDS (PLHIV) with prevention messages and services. Population-based surveys in sub-Saharan Africa have identified HIV risk behaviors among PLHIV, yet data are limited regarding HIV risk behaviors of PLHIV in clinical care. This paper describes the baseline sociodemographic, HIV transmission risk behaviors, and clinical data of a study evaluating an HIV prevention intervention package for HIV care and treatment clinics in Africa. The study was a longitudinal group-randomized trial in 9 intervention clinics and 9 comparison clinics in Kenya, Namibia, and Tanzania (N = 3538). Baseline participants were mostly female, married, had less than a primary education, and were relatively recently diagnosed with HIV. Fifty-two percent of participants had a partner of negative or unknown status, 24% were not using condoms consistently, and 11% reported STI symptoms in the last 6 months. There were differences in demographic and HIV transmission risk variables by country, indicating the need to consider local context in designing studies and using caution when generalizing findings across African countries. Baseline data from this study indicate that participants were often engaging in HIV transmission risk behaviors, which supports the need for prevention with PLHIV (PwP).
  
  
  BACKGROUND
  ClinicalTrials.gov NCT01256463.
authors: Division of Global HIV/AIDS, Center for Global Health, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America. dkidder@cdc.gov
authors: Daniel P
authors: DP
authors: Kidder
authors: Pam
authors: P
authors: Bachanas
authors: Amy
authors: A
authors: Medley
authors: Sherri
authors: S
authors: Pals
authors: Harriet
authors: H
authors: Nuwagaba-Biribonwoha
authors: Marta
authors: M
authors: Ackers
authors: Andrea
authors: A
authors: Howard
authors: Nick
authors: N
authors: Deluca
authors: Redempta
authors: R
authors: Mbatia
authors: Muhsin
authors: M
authors: Sheriff
authors: Gilly
authors: G
authors: Arthur
authors: Frieda
authors: F
authors: Katuta
authors: Peter
authors: P
authors: Cherutich
authors: Geoffrey
authors: G
authors: Somi
mesh_terms: D000293:Adolescent; D000328:Adult; D003695:Delivery of Health Care; D003710:Demography; D005260:Female; D015658:HIV Infections / Q000188:drug therapy* / Q000517:prevention & control* / Q000635:transmission; D015438:Health Behavior; D006304:Health Status; D006801:Humans; D007630:Kenya; D008297:Male; D055118:Medication Adherence; D008875:Middle Aged; D009276:Namibia; D012309:Risk-Taking; D013636:Tanzania; D055815:Young Adult