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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Women in couples antenatal HIV counseling and testing are not more likely to report adverse social events
AIDS, Volume 19, No. 6, Year 2005
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Description
Background: Couple counseling has been promoted as a strategy to improve uptake of interventions to prevent mother-to-child HIV transmission (pMTCT) and to minimize adverse social outcomes associated with disclosure of HIV status. Objectives: We tested whether women counseled antenatally as part of a couple were more likely to accept HIV testing and nevirapine in a pMTCT program, and whether they would be less likely to experience later adverse social events than women counseled alone. Methods: A pMTCT program that included active community education and outreach to encourage couple counseling and testing was implemented in two antenatal clinics in Lusaka, Zambia. A subset of HIV-positive women was asked to report their experience of adverse social events 6 months after delivery. Couple-counseled women were compared with individual-counseled women stratified by whether or not they had disclosed their HIV status to their partners. Results: Nine percent (868) of 9409 women counseled antenatally were counseled with their husband. Couple-counseled women were more likely to accept HIV testing (96%) than women counseled alone (79%); however uptake of nevirapine was not improved. Six months after delivery, 28% of 324 HIV-positive women reported at least one adverse social event (including physical violence, verbal abuse, divorce or separation). There were no significant differences in reported adverse social events between couple- and individual-counseled women. Conclusions: Couple counseling did not increase the risk of adverse social events associated with HIV disclosure. Support services and interventions to improve social situations for people living with HIV need to be further evaluated. © 2005 Lippincott Williams & Wilkins.
Authors & Co-Authors
Semrau, Katherine E.A.
United States, Boston
School of Public Health
Kuhn, Louise
United States, New York
Mailman School of Public Health
Vwalika, Cheswa M.
Zambia, Lusaka
Lusaka District Health Management Team
Kasonde, Prisca
Zambia, Lusaka
University Teaching Hospital Lusaka
Sinkala, Moses M.
Zambia, Lusaka
Lusaka District Health Management Team
Kankasa, Chipepo
Zambia, Lusaka
University Teaching Hospital Lusaka
Shutes, Erin L.
United States, Birmingham
The University of Alabama at Birmingham
Aldrovandi, Grace M.
United States, Los Angeles
University of Southern California
Thea, Donald M.
United States, Boston
School of Public Health
Statistics
Citations: 184
Authors: 9
Affiliations: 6
Identifiers
Doi:
10.1097/01.aids.0000163937.07026.a0
Research Areas
Infectious Diseases
Maternal And Child Health
Study Locations
Zambia
Participants Gender
Female