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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Reducing the risk of HIV infection during pregnancy among South African women: A randomized controlled trial
AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Volume 25, No. 6, Year 2013
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Description
Mpumalanga Province, South Africa has one of the highest HIV/AIDS diagnosis rates among pregnant women (-29.4%). This study sought to enhance male involvement in pregnancy to increase HIV disclosure, sexual communication, HIV knowledge and reduce unprotected sex. Participants attending Antenatal Clinics (ANC) completed HIV counseling and testing and were enrolled with male partners (n-239 couples, 478 individuals). Twelve ANCs were randomly assigned to provide a prevention of mother-to-child transmission (PMTCT) intervention or the standard of care, health education sessions plus PMTCT. Participants were assessed at baseline and post-intervention (approximately 6=8 weeks post-baseline) on demographics, sexual behavior, HIVrelated knowledge, and conflict resolution strategies. Experimental participants increased HIV knowledge, use of negotiation, and decreased intimate partner violence. Additionally, they were more likely to have increased condom use from baseline to post-intervention (OR-5.1, 95% CI-[2.0, 13.3]). Seroconversions in the control condition exceeded experimental (6 vs. 0). HIV serostatus disclosure to partner did not increase over time for men or women within the experimental or control condition. Male involvement in pregnancy may be an important strategy to reduce sexual risk behavior and HIV transmission. Results support the utility of group interventions to enhance communication and HIV knowledge among pregnant couples. © 2013 Taylor & Francis.
Authors & Co-Authors
Jones, Deborah J.
United States, Miami
University of Miami Leonard M. Miller School of Medicine
Peltzer, Karl K.
South Africa, Pretoria
Human Sciences Research Council of South Africa
South Africa, Sovenga
University of Limpopo
Thailand, Nakhon Pathom
Mahidol University
Villar-Loubet, Olga M.
United States, Miami
University of Miami Leonard M. Miller School of Medicine
Shikwane, Elisa
South Africa, Pretoria
Human Sciences Research Council of South Africa
Cook, Ryan R.
United States, Miami
University of Miami Leonard M. Miller School of Medicine
Vamos, Szonja
United States, Miami
University of Miami Leonard M. Miller School of Medicine
Weiss, Stephen Marshall
United States, Miami
University of Miami Leonard M. Miller School of Medicine
Statistics
Citations: 47
Authors: 7
Affiliations: 4
Identifiers
Doi:
10.1080/09540121.2013.772280
ISSN:
09540121
e-ISSN:
13600451
Research Areas
Infectious Diseases
Maternal And Child Health
Sexual And Reproductive Health
Violence And Injury
Study Design
Randomised Control Trial
Study Approach
Quantitative
Study Locations
South Africa
Participants Gender
Male
Female