Titre :
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Behavioral Changes Associated With Testing HIV-Positive Among Sexually Transmitted Infection Clinic Patients In Cape Town, South Africa. (2010)
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Auteurs :
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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.
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 100, n° 4, 2010)
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Pagination :
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714-719
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Langues:
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Anglais
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Mots-clés :
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Sida
;
Maladie sexuellement transmissible
;
Comportement
;
Changement
;
Association
;
Dépistage
;
Clinique privée
;
Homme
;
Malade
;
Ville
;
Milieu urbain
;
République sud africaine
;
Virose
;
Infection
;
Afrique
;
Immunopathologie
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Résumé :
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[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.
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