ArticlePloS one2015
Knowledge of HIV serodiscordance, transmission, and prevention among couples in Durban, South Africa.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Trial
- Article
- Sexual Health Behaviors and Knowledge Among Ugandan Adolescent Girls: Implications for Advancing Comprehensive Sexual Health Education Technology.Child & youth care forum · 2023Article
- Acceptability of an Intervention to Promote Viral Suppression and Serostatus Disclosure for Men Living with HIV in South Africa: Qualitative Findings.AIDS and behavior · 2022Article
- A cluster randomized trial to reduce HIV risk from outside partnerships in Zambian HIV-Negative couples using a novel behavioral intervention, "Strengthening Our Vows": Study protocol and baseline data.Contemporary clinical trials communications · 2021Article
- Cost-effectiveness of couples' voluntary HIV counselling and testing in six African countries: a modelling study guided by an HIV prevention cascade framework.Journal of the International AIDS Society · 2020Article
- Sexual Relationship Power and Periconception HIV-Risk Behavior Among HIV-Infected Men in Serodifferent Relationships.AIDS and behavior · 2020Article
- MAVSCOT: A fuzzy logic-based HIV diagnostic system with indigenous multi-lingual interfaces for rural Africa.PloS one · 2020Article
- HIV testing and counselling couples together for affordable HIV prevention in Africa.International journal of epidemiology · 2019Article
- Increasing partner HIV testing and linkage to care in TB settings: findings from an implementation study in Pwani, Tanzania.AIDS care · 2018Article
- Weighing the Evidence of Efficacy of Oral PrEP for HIV Prevention in Women in Southern Africa.AIDS research and human retroviruses · 2018Review
- Healthcare providers' understanding of HIV serodiscordance in South Africa and Uganda: implications for HIV prevention in sub-Saharan Africa.African journal of AIDS research : AJAR · 2018Article
- Psychosocial and behavioural interventions towards HIV risk reduction for serodiscordant couples in Africa: A systematic review.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2018Article
- Why don't urban youth in Zambia use condoms? The influence of gender and marriage on non-use of male condoms among young adults.PloS one · 2017Article
- 'People say that we are already dead much as we can still walk': a qualitative investigation of community and couples' understanding of HIV serodiscordance in rural Uganda.BMC infectious diseases · 2016Observational
- Implementation and Operational Research: Evolution of Couples' Voluntary Counseling and Testing for HIV in Rwanda: From Research to Public Health Practice.Journal of acquired immune deficiency syndromes (1999) · 2016Article
- Promotion of couples' voluntary HIV counseling and testing: a comparison of influence networks in Rwanda and Zambia.BMC public health · 2016Article
- Extent of Knowledge about HIV and Its Determinants among Men in Bangladesh.Frontiers in public health · 2016Article
- Implementation of couples' voluntary HIV counseling and testing services in Durban, South Africa.BMC public health · 2015Article
- Article
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Authors and funding
13 authors.
Funding
Abstract
objectiveCouples' voluntary HIV counseling and testing (CVCT) significantly decreases HIV transmission within couples, the largest risk group in sub-Saharan Africa, but it is not currently offered in most HIV testing facilities. To roll out such an intervention, understanding locale-specific knowledge barriers is critical. In this study, we measured knowledge of HIV serodiscordance, transmission, and prevention before and after receipt of CVCT services in Durban.
designPre- and post-CVCT knowledge surveys were administered to a selection of individuals seeking CVCT services.
methodsChanges in knowledge scores were assessed with McNemar Chi-square tests for balanced data and generalized estimating equation methods for unbalanced data.
resultsThe survey included 317 heterosexual black couples (634 individuals) who were primarily Zulu (87%), unemployed (47%), and had at least a secondary level education (78%). 28% of couples proved to be discordant. Only 30% of individuals thought serodiscordance between couples was possible pre-CVCT compared to 95% post-CVCT. One-third thought there was at least one benefit of CVCT pre-CVCT, increasing to 96% post-CVCT. Overall, there were positive changes in knowledge about HIV transmission and prevention. However, many respondents thought all HIV positive mothers give birth to babies with AIDS (64% pre-CVCT, 59% post-CVCT) and that male circumcision does not protect negative men against HIV (70% pre-CVCT, 67% post-CVCT).
conclusionsCVCT was well received and was followed by improvements in understanding of discordance, the benefits of joint testing, and HIV transmission. Country-level health messaging would benefit from targeting gaps in knowledge about serodiscordance, vertical transmission, and male circumcision.
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