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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Evolution of couples' voluntary counseling and testing for HIV in Lusaka, Zambia
Journal of Acquired Immune Deficiency Syndromes, Volume 47, No. 1, Year 2008
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Description
BACKGROUND: We describe promotional strategies for couples' voluntary HIV counseling and testing (CVCT) and demographic risk factors for couples in Lusaka, Zambia, where an estimated two thirds of new infections occur in cohabiting couples. PRINCIPAL FINDINGS: CVCT attendance as a function of promotional strategies is described over a 6-year period. Cross-sectional analyses of risk factors associated with HIV in men, women, and couples are presented. Community workers (CWs) recruited from couples seeking CVCT promoted testing in their communities. Attendance dropped when CW outreach ended, despite continued mass media advertisements. In Lusaka, 51% of 8500 cohabiting couples who sought HIV testing were concordant negative for HIV (MF) and 26% concordant positive (MF); 23% had 1 HIV-positive partner and one HIV-negative partner, with 11% HIV-positive man/HIV-negative woman (MF) and 12% HIV-negative man/HIV-positive woman (FM). HIV infection was associated with men's age 30 to 39, women's age 25 to 34, duration of union <3 years, and number of children <2. Even among couples with either 1 or 2 or no risk factors, HIV prevalence was 45% and 29%, respectively. CONCLUSIONS: Many married African adults do not have high-risk profiles, nor realize that only 1 may be HIV positive. Active and sustained promotion is needed to encourage all couples to be jointly tested and counseled. © 2008 Lippincott Williams & Wilkins, Inc.
Authors & Co-Authors
Chomba, Elwyn Nachanya
Zambia, Lusaka
Zambia-emory Hiv Research Project
Zambia, Lusaka
University of Zambia School of Medicine
Allen, Susan A.
Zambia, Lusaka
Zambia-emory Hiv Research Project
United States, Atlanta
Rollins School of Public Health
Kanweka, William
Zambia, Lusaka
Zambia-emory Hiv Research Project
Tichacek, Amanda C.
Zambia, Lusaka
Zambia-emory Hiv Research Project
United States, Atlanta
Rollins School of Public Health
Cox, Garrett
Zambia, Lusaka
Zambia-emory Hiv Research Project
Shutes, Erin L.
Zambia, Lusaka
Zambia-emory Hiv Research Project
Zulu, Isaac S.
Zambia, Lusaka
Zambia-emory Hiv Research Project
Zambia, Lusaka
University of Zambia School of Medicine
Kancheya, Nzali G.
Zambia, Lusaka
Zambia-emory Hiv Research Project
Zambia, Lusaka
University of Zambia School of Medicine
Sinkala, Moses M.
Zambia, Lusaka
Zambia-emory Hiv Research Project
Zambia, Lusaka
Zambian Ministry of Health
Stephenson, Rob B.
United States, Atlanta
Rollins School of Public Health
Haworth, Alan
Zambia, Lusaka
Zambia-emory Hiv Research Project
Zambia, Lusaka
University of Zambia School of Medicine
Statistics
Citations: 111
Authors: 11
Affiliations: 4
Identifiers
Doi:
10.1097/QAI.0b013e31815b2d67
ISSN:
15254135
Research Areas
Infectious Diseases
Maternal And Child Health
Study Design
Cross Sectional Study
Study Locations
Zambia
Participants Gender
Male
Female