TY - JOUR
T1 - Reducing the risk of HIV infection during pregnancy among South African women
T2 - A randomized controlled trial
AU - Jones, D. L.
AU - Peltzer, K.
AU - Villar-Loubet, O.
AU - Shikwane, E.
AU - Cook, R.
AU - Vamos, S.
AU - Weiss, S. M.
N1 - Funding Information:
This study was supported by the Miami Center for AIDS Research (CFAR) at the University of Miami Miller School of Medicine which is funded by a grant (P30AI073961) from the National Institutes of Health (NIH). The CFAR program at the NIH includes co-funding from: NIAID, NCI, NICHD, NHLBI, NIDA, NIMH, NIA, FIC, and OAR.
PY - 2013
Y1 - 2013
N2 - Mpumalanga Province, South Africa has one of the highest HIV/AIDS diagnosis rates among pregnant women (-29.4%). This study sought to enhance male involvement in pregnancy to increase HIV disclosure, sexual communication, HIV knowledge and reduce unprotected sex. Participants attending Antenatal Clinics (ANC) completed HIV counseling and testing and were enrolled with male partners (n-239 couples, 478 individuals). Twelve ANCs were randomly assigned to provide a prevention of mother-to-child transmission (PMTCT) intervention or the standard of care, health education sessions plus PMTCT. Participants were assessed at baseline and post-intervention (approximately 6=8 weeks post-baseline) on demographics, sexual behavior, HIVrelated knowledge, and conflict resolution strategies. Experimental participants increased HIV knowledge, use of negotiation, and decreased intimate partner violence. Additionally, they were more likely to have increased condom use from baseline to post-intervention (OR-5.1, 95% CI-[2.0, 13.3]). Seroconversions in the control condition exceeded experimental (6 vs. 0). HIV serostatus disclosure to partner did not increase over time for men or women within the experimental or control condition. Male involvement in pregnancy may be an important strategy to reduce sexual risk behavior and HIV transmission. Results support the utility of group interventions to enhance communication and HIV knowledge among pregnant couples.
AB - Mpumalanga Province, South Africa has one of the highest HIV/AIDS diagnosis rates among pregnant women (-29.4%). This study sought to enhance male involvement in pregnancy to increase HIV disclosure, sexual communication, HIV knowledge and reduce unprotected sex. Participants attending Antenatal Clinics (ANC) completed HIV counseling and testing and were enrolled with male partners (n-239 couples, 478 individuals). Twelve ANCs were randomly assigned to provide a prevention of mother-to-child transmission (PMTCT) intervention or the standard of care, health education sessions plus PMTCT. Participants were assessed at baseline and post-intervention (approximately 6=8 weeks post-baseline) on demographics, sexual behavior, HIVrelated knowledge, and conflict resolution strategies. Experimental participants increased HIV knowledge, use of negotiation, and decreased intimate partner violence. Additionally, they were more likely to have increased condom use from baseline to post-intervention (OR-5.1, 95% CI-[2.0, 13.3]). Seroconversions in the control condition exceeded experimental (6 vs. 0). HIV serostatus disclosure to partner did not increase over time for men or women within the experimental or control condition. Male involvement in pregnancy may be an important strategy to reduce sexual risk behavior and HIV transmission. Results support the utility of group interventions to enhance communication and HIV knowledge among pregnant couples.
KW - HIV
KW - Male involvement
KW - PMTCT
KW - Pregnancy
KW - Sexual risk reduction
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U2 - 10.1080/09540121.2013.772280
DO - 10.1080/09540121.2013.772280
M3 - Article
C2 - 23438041
AN - SCOPUS:84879224493
SN - 0954-0121
VL - 25
SP - 702
EP - 709
JO - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
JF - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
IS - 6
ER -