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Did national HIV prevention programs contribute to HIV decline in eastern Zimbabwe?: evidence from a prospective community survey

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

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Abstract

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.

Item Type: Article
Official URL: http://journals.lww.com/stdjournal/pages/default.a...
Additional Information: © 2011 American Sexually Transmitted Diseases Association
Library of Congress subject classification: R Medicine > RA Public aspects of medicine
Sets: Departments > Social Psychology
Rights: http://www.lse.ac.uk/library/usingTheLibrary/academicSupport/OA/depositYourResearch.aspx
Date Deposited: 10 Jun 2011 14:01
URL: http://eprints.lse.ac.uk/36611/

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