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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
HIV risk behaviors in sub-saharan africa and northern thailand: baseline behavioral data from project accept
Journal of Acquired Immune Deficiency Syndromes, Volume 49, No. 3, Year 2008
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Description
Background: Of 2.5 million new HIV infections worldwide in 2007, most occurred in sub-Saharan Africa and southeast Asia. We present the baseline data on HIV risk behaviors and HIV testing in sub-Saharan Africa and northern Thailand from Project Accept, a community-randomized controlled trial of community mobilization, mobile voluntary counseling and testing (VCT), and posttest support services. Methods: A random household probability sample of individuals aged 18-32 years yielded a sample of 14,657, with response rates ranging from 84%-94% across the 5 sites (Thailand, Zimbabwe, Tanzania, and 2 in South Africa). Individuals completed an interviewer-administered survey on demographic characteristics, HIV risk behaviors, and history of VCT. Results: In multivariate analysis, females, married individuals, less educated with 1 sexual partner in the past 6 months were more likely to have had unprotected intercourse in the previous 6 months. Rates of lifetime HIV testing ranged from 5.4% among males in Zimbabwe to 52.6% among females in Soweto. Conclusions: Significam risk of HIV acquisition in Project Accept communities exists despite 2 decades of prevention efforts. Low levels of recent HIV testing suggest that increasing awareness of HIV status through accessible VCT services may reduce HIV transmission. Copyright © 2008 Lippincott Williams & Wilkins.
Authors & Co-Authors
Genberg, Becky L.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Kulich, Michal
Czech Republic, Prague
Charles University
Kawichai, Surinda
Thailand, Chaing Mai
Chiang Mai University
Modiba, Precious
South Africa, Johannesburg
Chris Hani Baragwanath Hospital
Chingono, Alfred H.
Zimbabwe, Harare
University of Zimbabwe
Kilonzo, Gad Paul
Tanzania, Dar es Salaam
Muhimbili University of Health and Allied Sciences
Richter, Linda M.
South Africa, Pretoria
Human Sciences Research Council of South Africa
Pettifor, Audrey E.
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Sweat, Michael D.
United States, Charleston
Medical University of South Carolina
Celentano, David D.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Statistics
Citations: 55
Authors: 10
Affiliations: 9
Identifiers
Doi:
10.1097/QAI.0b013e3181893ed0
ISSN:
15254135
Research Areas
Infectious Diseases
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
South Africa
Tanzania
Zimbabwe
Participants Gender
Female