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Changes in HIV risk behavior and seroincidence among clients presenting for repeat HIV counseling and testing in Moshi, Tanzania.

dc.contributor.author Fiorillo, Suzanne P
dc.contributor.author Landman, Keren Z
dc.contributor.author Tribble, Alison C
dc.contributor.author Mtalo, Antipas
dc.contributor.author Itemba, Dafrosa K
dc.contributor.author Ostermann, Jan
dc.contributor.author Thielman, Nathan M
dc.contributor.author Crump, John A
dc.coverage.spatial England
dc.date.accessioned 2017-03-02T19:22:39Z
dc.date.available 2017-03-02T19:22:39Z
dc.date.issued 2012
dc.identifier https://www.ncbi.nlm.nih.gov/pubmed/22375699
dc.identifier.uri https://hdl.handle.net/10161/13792
dc.description.abstract While HIV counseling and testing (HCT) has been considered an HIV preventive measure in Africa, data are limited describing behavior changes following HCT. This study evaluated behavior changes and estimated HIV seroincidence rate among returning HCT clients. Repeat and one-time testing clients receiving HCT services in Moshi, Tanzania were identified. Information about sociodemographic characteristics, HIV-related behaviors and testing reasons were collected, along with HIV serostatus. Six thousand seven hundred and twenty-seven clients presented at least once for HCT; 1235 (18.4%) were HIV seropositive, median age was 29.7 years and 3712 (55.3%) were women. 1382 repeat and 4272 one-time testers were identified. Repeat testers were more likely to be male, older, married, or widowed, and testing because of unfaithful partner or new sexual partner. One-time testers were more likely to be students and testing due to illness. At second test, repeat testers were more likely to report that partners had received HIV testing, not have concurrent partners, not suspect partners have HIV, and have partners who did not have other partners. Clients who intended to change behaviors after the first test were more likely to report having changed behaviors by remaining abstinent (OR 2.58; p<0.0001) or using condoms (OR 2.00; p=0.006) at the second test. HIV seroincidence rate was 1.49 cases/100 person-years (PY). Clients presenting for repeat HCT reported some reduction of risky behavior and improved knowledge of sexual practices and HIV serostatus of their partners. Promoting behavior change through HCT should continue to be a focus of HIV prevention efforts in sub-Saharan Africa.
dc.language eng
dc.publisher Informa UK Limited
dc.relation.ispartof AIDS Care
dc.relation.isversionof 10.1080/09540121.2012.658751
dc.subject Adolescent
dc.subject Adult
dc.subject Aged
dc.subject Aged, 80 and over
dc.subject Confidentiality
dc.subject Counseling
dc.subject Female
dc.subject HIV Seronegativity
dc.subject HIV Seropositivity
dc.subject Health Knowledge, Attitudes, Practice
dc.subject Humans
dc.subject Incidence
dc.subject Male
dc.subject Mass Screening
dc.subject Middle Aged
dc.subject Risk-Taking
dc.subject Sexual Behavior
dc.subject Sexual Partners
dc.subject Tanzania
dc.subject Young Adult
dc.title Changes in HIV risk behavior and seroincidence among clients presenting for repeat HIV counseling and testing in Moshi, Tanzania.
dc.type Journal article
duke.contributor.id Ostermann, Jan|0199583
duke.contributor.id Thielman, Nathan M|0071228
duke.contributor.id Crump, John A|0231646
pubs.author-url https://www.ncbi.nlm.nih.gov/pubmed/22375699
pubs.begin-page 1264
pubs.end-page 1271
pubs.issue 10
pubs.organisational-group Clinical Science Departments
pubs.organisational-group Duke
pubs.organisational-group Faculty
pubs.organisational-group Global Health Institute
pubs.organisational-group Institutes and Provost's Academic Units
pubs.organisational-group Medicine
pubs.organisational-group Medicine, Infectious Diseases
pubs.organisational-group Pathology
pubs.organisational-group School of Medicine
pubs.organisational-group University Institutes and Centers
pubs.publication-status Published
pubs.volume 24
dc.identifier.eissn 1360-0451
duke.contributor.orcid Thielman, Nathan M|0000-0001-8152-2879


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