Effect of home-based HIV counselling and testing on stigma and risky sexual behaviours: Serial cross-sectional studies in Uganda

Journal of the International AIDS Society

Volumn 15, Issue 2, 2012, Pages

  Nuwaha, Fred ^a   Kasasa, Simon ^a   Wana, Godwill ^b   Muganzi, Elly ^b   Tumwesigye, Elioda ^b  

^a MAKERERE UNIVERSITY COLLEGE OF HEALTH SCIENCES   (Uganda)

^b Integrated Community Based Initiatives ^*  (Uganda)

Author keywords

HIV counselling and testing; Sexual behaviour; Stigma and discrimination

Indexed keywords

ADULT; ARTICLE; ATTITUDE TO AIDS; CONDOM USE; CONFIDENTIALITY; CROSS-SECTIONAL STUDY; DEMOGRAPHY; FEMALE; FOLLOW UP; GENITAL ULCER; HEALTH CARE PLANNING; HEALTH CARE SURVEY; HEALTH PROGRAM; HIGH RISK BEHAVIOR; HIV TEST; HOME BASED HIV COUNSELLING AND TESTING; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; INTERPERSONAL COMMUNICATION; INTERVIEW; KNOWLEDGE; MAJOR CLINICAL STUDY; MALE; MONEY; PATIENT COUNSELING; PERSONAL EXPERIENCE; POPULATION RESEARCH; PRIORITY JOURNAL; PUBLIC HEALTH SERVICE; QUESTIONNAIRE; RISK ASSESSMENT; RISK REDUCTION; SEXUAL BEHAVIOR; SEXUAL INTERCOURSE; SEXUALITY; SOCIAL STIGMA; SOCIAL SUPPORT; UGANDA; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; COUNSELING; HOME CARE; METHODOLOGY; PATIENT ATTITUDE; RANDOMIZED CONTROLLED TRIAL; STATISTICS;

ADULT; COUNSELING; CROSS-SECTIONAL STUDIES; FEMALE; HIV INFECTIONS; HOME CARE SERVICES; HUMANS; INTERVIEWS AS TOPIC; MALE; PATIENT ACCEPTANCE OF HEALTH CARE; RISK-TAKING; SEXUAL BEHAVIOR; SOCIAL STIGMA; UGANDA;

EID: 84867453367     PISSN: None     EISSN: 17582652     Source Type: Journal    
DOI: 10.7448/IAS.15.2.17423     Document Type: Article

References (31)

1. The Lancet Editorial. HIV treatment as prevention-it works. Lancet. 2011;377:1719.
2. Granich RM, Gilks CF, Dye C, De Cock KM, Williams BG. Universal voluntary HIV testing with immediate antiretroviral therapy as a strategy for elimination of HIV transmission: a mathematical model. Lancet. 2009;373:48-57.
3. Granich R, Crowley S, Vitoria M, Smyth C, Kahn JG, Bennett R, et al. Highly active antiretroviral treatment as prevention of HIV transmission: review of scientific evidence and update. Curr Opin HIV AIDS. 2010;5:298-304.
4. CDC. Effect of antiretroviral therapy on risk of sexual transmission of HIV infection and superinfection effect of antiretroviral therapy on risk of sexual transmission of HIV. Atlanta, USA: CDC; 2009 [cited 2011 July 4]. Available from: www.cdc.gov.
5. Tumwesigye E, Wana G, Kasasa S, Muganzi E, Nuwaha F. High uptake of home-based, district-wide, HIV counseling and testing in Uganda. AIDS Patient Care STDS. 2010;24:735-41.
6. Were W, Mermin J, Bunnell R, Ekwaru JP, Kaharuza F. Home-based model for HIV voluntary counselling and testing. Lancet. 2003;361:1569.
7. De Cock KM, Mbori-Ngacha D, Marum E. Shadow on the continent: public health and HIV/AIDS in Africa in the 21st century. Lancet. 2002;360:67-72.
8. Nuwaha F, Faxelid E, Neema S, Hojer B. Lay people's perception of sexually transmitted infections in Uganda. Int J STD AIDS. 1999;10:709-17.
9. The VCT Efficacy Study Group. Efficacy of voluntary HIV-1 counselling and testing in individuals and couples in Kenya, Tanzania, and Trinidad: a randomised trial. The Voluntary HIV-1 Counselling and Testing Efficacy Study Group. Lancet. 2000;356:103-12.
10. Collins C, Morin SF, Shriver MD, Coates TJ. Designing primary prevention for people living with HIV. San Francisco, USA: AIDS Policy Research Center & Center for AIDS Prevention Studies, Policy Monograph Series; 2000.
11. International HIV/AIDS Alliance. Positive prevention: prevention strategies for people with HIV/AIDS. Brighton, United Kingdom: International HIV/AIDS Alliance; 2003.
12. UNAIDS. National AIDS programmes: a guide to monitoring and evaluation. Geneva: UNAIDS/00.17E; 2000.
13. Uganda Bureau of Statistics (UBOS) and ORC Macro. Uganda Demographic and Health Survey 2000-2001. Calverton, MD, USA: UBOS and ORC Macro; 2001.
14. Nuwaha F, Kabatesi D, Muganwa M, Whalen CC. Factors influencing acceptability of voluntary counselling and testing for HIV in Bushenyi district of Uganda. East Afr Med J. 2002;79:626-32.
15. Uganda Bureau of Statistics (UBOS) and Macro International Inc. Uganda Demographic Health Survey 2006. Calverton, MD, USA: UBOS and Macro International Inc; 2007.
16. UNAIDS. HIV and AIDS-related stigmatization, discrimination and denial: forms, contexts and determinants. UNAIDS Best Practice Collection. Geneva: UNAIDS/00.16E; 2000.
17. Herek GM, Capitanio JP. AIDS stigma and contact with persons with AIDS: effects of direct and vicarious contact. J App Soc Psychol. 1997;27:31-6.
18. Goldin CS. Stigmatization and AIDS: critical issues in public health. Soc Sci Med. 1994;39:1359-66.
19. Allport G. The nature of prejudice. New York: Addison Wesley; 1954.
20. Brewer MB, Miller N. Beyond the contact hypothesis: theoretical perspective on desegregation. In: Miller N, Brewer MB, editors. Groups in contact: the psychology of desegregation. Orlando, FL: Academic Press; 1984. p. 281-302.
21. Brown L, Trujillo L, Macintyre K. Interventions to reduce HIV/AIDS stigma; what have we learned? New Orleans, LA: Tulane University; 2001.
22. Marks G, Crepaz NJ, Senterfitt JW, Robert S, Janssen RS. Meta-analysis of high-risk sexual behavior in persons aware and unaware they are infected with HIV in the United States implications for HIV prevention programs. J Acquir Immune Defic Syndr. 2005;39:446-53.
23. Allen S, Serufilira A, Bogaerts J, Van de Perre P, Nsengumuremyi F, Lindan C, et al. Confidential HIV testing and condom promotion in Africa. Impact on HIV and gonorrhea rates. JAMA. 1992;268:3338-43.
24. Allen S, Tice J, Van de Perre P, Serufilira A, Hudes E Nsengumuremyi F, et al. Effect of serotesting with counselling on condom use and seroconversion among HIV discordant couples in Africa. BMJ. 1992;304:1605-9.
25. Allen S, Meinzen-Derr J, Kautzman M, Zulu I, Trask S, Fideli U, et al. Sexual behavior of HIV discordant couples after HIV counselling and testing. AIDS. 2003;17:733-40.
26. Kamenga M, Ryder RW, Jingu M, Mbuyi N, Mbu L, Behets F, et al. Evidence of marked sexual behavior change associated with low HIV-1 seroconversion in 149 married couples with discordant HIV-1 serostatus: experience at an HIV counselling center in Zaire. AIDS. 1991;5:61-7.
27. Sweat M, Gregorich S, Sangiwa G, Furlonge C, Balmer D, Kamenga C, et al. Cost-effectiveness of voluntary HIV-1 counselling and testing in reducing sexual transmission of HIV-1 in Kenya and Tanzania. Lancet. 2000;356:113-21.
28. Menzies N, Abang B, Wanyeze R, Nuwaha F, Mugisha B, Coutinho A, et al. The costs and effectiveness of four HIV counselling and testing strategies in Uganda. AIDS. 2009;23:395-401.
29. Lugada E, Millar D, Haskew J, Grabowsky M, Garg N, Vestergaard M, et al. Rapid implementation of an integrated large-scale HIV counseling and testing, malaria, and diarrhea prevention campaign in rural Kenya. PLoS One. 2011;5:e12435.
30. Dye Tde V, Apondi R, Lugada E. A qualitative assessment of participation in a rapid scale-up, diagonally-integrated MDG-related disease prevention campaign in rural Kenya. PLoS One. 2011;6:e14551.
31. Apondi R, Bunnell R, Awor A, Wamai N, Bikaako-Kajura W, Solberg P, et al. Home-based antiretroviral care is associated with positive social outcomes in a prospective cohort in Uganda. J Acquir Immune Defic Syndr. 2007;44:71-6.