Voluntary HIV counseling and testing acceptance, sexual risk behavior and HIV incidence in Rakai, Uganda

Matovu, Joseph K. B.; Gray, Ronald H.; Makumbi, Fredrick; Wawer, Maria J.; Serwadda, David; Kigozi, Godfrey; Sewankambo, Nelson; Nalugoda, Fred

doi:10.1097/01.aids.0000162339.43310.33

Cited by 128 publications

(157 citation statements)

References 17 publications

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“…[86] found that being married was associated with lower VCT uptake. Conversely, in a study by Matovu et al [83] , VCT acceptance was actually higher among married women. Perez et al [58] also found that women living with a partner were more likely to accept HIV testing.…”

Section: Sociodemographic Characteristicsmentioning

confidence: 75%

“…Several studies found that prior HIV testing was related to experience with HIV counseling and testing (HCT) [66,83] . In contrast, in a study in Ghana by Holmes et al [84] it was found that 95% of women who had been previously tested for HIV declined to receive additional testing.…”

Section: Prior Hiv Testingmentioning

confidence: 99%

“…It is possible that the inconsistency in results may reflect women's varying underlying beliefs. For example, Matovu et al [83] suggested that women may seek repeat testing in order to be certain that they have not been infected. In contrast, it has also been suggested that women who have received a negative test result in the past, and who do not feel that they are at any new risk, will not consider repeat testing to be useful to them [84] .…”

Section: Prior Hiv Testingmentioning

confidence: 99%

“…In contrast, it has also been suggested that women who have received a negative test result in the past, and who do not feel that they are at any new risk, will not consider repeat testing to be useful to them [84] . Similarly, focus group discussions in a study by Matovu et al [83] suggested that women who have received repeat negative HIV testing results feel that they may not be susceptible to HIV, or that they have been lucky. Such beliefs raise concerns, as a previous negative result does not absolutely guarantee a negative result during a subsequent pregnancy.…”

Section: Prior Hiv Testingmentioning

confidence: 99%

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Women’s willingness to be tested for human immunodeficiency virus during pregnancy: A review

Ben-Natan

Hazanov

2015

WJV

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not receive prevention services. HIV testing of pregnant women is considered to be one of the key strategies for preventing mother-to-child-transmission of HIV, but HIV testing rates among pregnant women in various countries remain suboptimal. Understanding the factors relating to women's willingness to be tested for HIV during pregnancy is critical for developing strategies to increase HIV testing rates among pregnant women. Extensive research points to various factors relating to women's willingness to be tested for HIV during pregnancy, and various recommendations aimed at improving testing rates among pregnant women have been suggested based on the research. In light of the goals set by the United Nations to reduce the rate of infants infected with HIV, it is necessary to summarize what is currently known regarding factors related to women's willingness to be tested for HIV during pregnancy. The purpose of this review is therefore to examine factors related to women's willingness to be tested for HIV during pregnancy, and to summarize recommendations for practice and further research. Core tip: The willingness of women to be tested for human immunodeficiency virus (HIV) during pregnancy is a complex phenomenon. There is frequent inconsistence in research results; however, studies have shown that certain major factors are steadily identified over time as associated with the phenomenon. Numerous factors related to pregnant women's willingness to be tested suggest multiple possible interventions to maximize HIV testing efficiency and increase testing rates. There is a need in further research of the phenomenon, as the majority of the research literature focuses on sub-Saharan Africa.Women's willingness to be tested for human immunodeficiency virus during pregnancy: A review Ben-Natan M, Hazanov Y. Women's willingness to be tested for human immunodeficiency virus during pregnancy: A review.

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Section: Sociodemographic Characteristicsmentioning

confidence: 75%

Section: Prior Hiv Testingmentioning

confidence: 99%

Section: Prior Hiv Testingmentioning

confidence: 99%

Section: Prior Hiv Testingmentioning

confidence: 99%

See 2 more Smart Citations

Women’s willingness to be tested for human immunodeficiency virus during pregnancy: A review

Ben-Natan

Hazanov

2015

WJV

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“…And perhaps even more sobering, several meta-analyses and other rigorous reviews of the data on the impact of HIV testing and counselling on preventing HIV infection, particularly in Africa, so far tend to similarly suggest the likelihood of limited impact (especially for individuals who test HIV negative), although access to testing is clearly very important for various other reasons, including as an entry point for care and treatment. [44][45][46] Thus while condoms (and STI treatment and HIV testing) remain important interventions, there is considerable evidence that people worldwide are more likely to use condoms during commercial and casual sexual encounters than in longer-term relationships, in which there is a sense of commitment and trust.…”

mentioning

confidence: 99%

Opinion - Why is HIV prevalence so severe in southern Africa.? The role of multiple concurrent partnerships and lack of male circumcision - implications for HIV prevention

Halperin

Epstein

2007

South. Afr. j. HIV med.

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Voluntary counseling and testing (VCT) for changing HIV-related risk behavior in developing countries

Tedrow

Denison

Kennedy

et al. 2011

Cochrane Database of Systematic Reviews

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Background-Voluntary Counseling and Testing (VCT) continues to play a critical role in HIV prevention, care and treatment. In recent years, different modalities of VCT have been implemented, including clinic-, mobile-and home-based testing and counseling. This review assesses the effects of all VCT types on HIV-related risk behaviors in low-and middle-income countries. Methods-We updated a previous review from 1990-2005 by searching for eligible studies through July 6, 2010 on electronic databases, reference lists, and four key journals. To be included, studies had to evaluate pre-post or multi-arm biological, behavioral, or psychological results from an intervention in a developing country in which participants voluntarily received HIV testing and counseling and were administered pre-test counseling, HIV testing, and post-test counseling. Results-An initial search yielded 2808 citations. After excluding studies failing to meet the inclusion criteria, 19 were deemed eligible for inclusion. Of these studies, two presented duplicate data and were removed. The remaining 17 studies were included in the qualitative synthesis and 8 studies were meta-analyzed. Twelve studies offered clinic-based VCT, 3 were employment-based, 1 involved mobile VCT, and 1 provided home-based VCT. In meta-analysis, the odds of reporting increased number of sexual partners were reduced when comparing participants who received VCT to those who did not, OR= 0.69 (95% CI: 0.53-0.90, p=0.007). There was an insignificant increase in the odds of condom use/protected sex among participants who received VCT compared to those who did not, OR=1.39 (95% CI: 0.97-1.99, p=0.076). When stratified by HIV status, this effect became significant among HIV-positive participants, OR= 3.24 (95% CI: 2.29-4.58, p<0.001).

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Voluntary HIV counseling and testing acceptance, sexual risk behavior and HIV incidence in Rakai, Uganda

Abstract: In this rural cohort where VCT services are free and accessible, there is self-selection of individuals accepting VCT, and no impact of VCT on subsequent risk behaviors or HIV incidence.

Cited by 128 publications

References 17 publications

Women’s willingness to be tested for human immunodeficiency virus during pregnancy: A review

Women’s willingness to be tested for human immunodeficiency virus during pregnancy: A review

Opinion - Why is HIV prevalence so severe in southern Africa.? The role of multiple concurrent partnerships and lack of male circumcision - implications for HIV prevention

Voluntary counseling and testing (VCT) for changing HIV-related risk behavior in developing countries

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