| Titre : | Behavioral Changes Associated With Testing HIV-Positive Among Sexually Transmitted Infection Clinic Patients In Cape Town, South Africa. (2010) |
| Auteurs : | KALICHMAN (Seth-C) : USA. Southeast Hiv. Aids Research and Evaluation Project at the University of Connecticut. Storrs. ; CAIN (Demetria) : USA. Department of Psychology at the University of Connecticut. ; SIMBAYI (Leickness-C) : ZAF. Social Aspects of Hiv. Aids and Health. Human Sciences Research Council. Cape Town. |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 100, n° 4, 2010) |
| Pagination : | 714-719 |
| Langues: | Anglais |
| Mots-clés : | Sida ; Maladie sexuellement transmissible ; Comportement ; Changement ; Association ; Dépistage ; Clinique privée ; Homme ; Malade ; Ville ; Milieu urbain ; République sud africaine ; Virose ; Infection ; Afrique ; Immunopathologie |
| Résumé : | [BDSP. Notice produite par INIST-CNRS R0xIDk8H. Diffusion soumise à autorisation]. Objectives. We sought to examine behavioral risks and behavior changes associated with testing HIV-positive among sexually transmitted infection (STI) patients, in order to inform HIV-and STI-prevention interventions. Methods. We performed a cohort study of 29 STI patients who seroconverted from HIV-negative to HIV-positive during 1 year of observation and 77 STI patients who persistently tested HIV-negative. Computerized behavioral interviews were collected at baseline and at 1 year, and STI clinic charts were abstracted over the same 1-year period. Results. The STI patients who reported genital bleeding during sexual activity at baseline were significantly more likely to test HIV-positive. Reductions in number of sexual partners and rates of unprotected intercourse occurred for all STI clinic patients regardless of whether they tested HIV-positive. Conclusions. Although risk reductions occurred, 5% of HIV-negative STI clinic patients subsequently tested HIV-positive over 1 year. Behavioral risk-reduction interventions are urgently needed for male and female STI clinic patients. |

