Gregson, Simon, Nyamukapa, Constance, Schumacher, Christina, Mugurungi, Owen, Benedikt, Clemens, Muchati, Phyllis, Campbell, Catherine and Garnett, Geoffrey P. (2011) Did national HIV prevention programs contribute to HIV decline in eastern Zimbabwe?: evidence from a prospective community survey. Sexually transmitted diseases, 38 (6). pp. 475-482. ISSN 0148-5717
Objective: To add to the evidence on the impact of national HIV prevention programs in reducing HIV risk in sub-Saharan African countries. Methods: Statistical analysis of prospective data on exposure to HIV prevention programs, relatives with AIDS and unemployment, and sexual behavior change and HIV incidence, in a population cohort of 4047 adults, collected over a period (1998 - 2003) when HIV prevalence and risk-behavior declined in eastern Zimbabwe. Results: Exposure to HIV prevention programs and relatives with AIDS-but not unemployment-increased from 1998 to 2003. Men and women exposed to media campaigns and HIV/AIDS meetings had greater knowledge and self-efficacy, attributes that were concomitantly protective against HIV infection. Women attending community HIV/AIDS meetings before recruitment were more likely than other women to adopt lower-risk behavior (96.4% vs. 90.8%; adjusted odds ratio, 3.09; 95% confidence interval [CI], 1.27-7.49) and had lower HIV incidence (0.9% vs. 1.8%; adjusted incidence rate ratio, 0.63; 95% CI, 0.32-1.24) during the intersurvey period. Prior exposure to relatives with AIDS was not associated with differences in behavior change. More newly unemployed men as compared with employed men adopted lower-risk behavior (84.2% vs. 76.0%; adjusted odds ratio, 2.13; 95% CI, 0.98-4.59). Conclusions: Community-based HIV/AIDS meetings reduced risk-behavior amongst women who attended them, contributing to HIV decline in eastern Zimbabwe.
|Additional Information:||© 2011 American Sexually Transmitted Diseases Association|
|Uncontrolled Keywords:||behavior-change, randomized-trial, rural Zimbabwe, transmission, aids, participation, interventions, Manicaland, infection, education|
|Library of Congress subject classification:||R Medicine > RA Public aspects of medicine|
|Sets:||Departments > Social Psychology|
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