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Title of Journal: AIDS Behav

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Abbravation: AIDS and Behavior

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Springer US

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10.1007/978-3-319-39022-2_8

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1573-3254

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Repeat Voluntary HIV Counseling and Testing VCT

Authors: Joseph K B Matovu Ronald H Gray Noah Kiwanuka Godfrey Kigozi Fred WabwireMangen Fred Nalugoda David Serwadda Nelson K Sewankambo Maria J Wawer
Publish Date: 2006/10/03
Volume: 11, Issue: 1, Pages: 71-78
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Abstract

We examined the effects of repeat Voluntary HIV counseling and testing VCT on sexual risk behaviors and HIV incidence in 6377 initially HIVnegative subjects enrolled in a prospective STD control for HIV prevention trial in rural Rakai district southwestern Uganda Sixtyfour percent accepted VCT and of these 622 were first time acceptors while 378 were repeat acceptors Consistent condom use was 58 in repeat acceptors 61 in first time acceptors and 51 in nonacceptors A higher proportion of repeat acceptors 159 reported inconsistent condom use compared to firsttime acceptors 12 and nonacceptors 117 Also a higher proportion of repeat acceptors 181 reported 2+ sexual partners compared to firsttime acceptors 141 and nonacceptors 15 HIV incidence rates were 14/100 py personyears in repeat acceptors 16/100 py in first time acceptors and 16/100 py in nonacceptors These data suggest a need for intensive riskreduction counseling interventions targeting HIVnegative repeat VCT acceptors as a special risk groupThe study was supported by grants RO1 A134826 and RO1 A13426S from the National Institute of Allergy and Infectious Diseases grant 5P30HD06826 from the National Institute of Child Health and Development the World Bank STI Project Uganda the Glaxo Wellcome Foundation and the Winkler Foundation We are grateful to Dr SK Sempala RIP Former Director Uganda Virus Research Institute for his support Part of this paper was presented at the Uganda Virus Research Institute Entebbe Uganda on November 28 2003

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