Antenatal Couple Counseling Increases Uptake of Interventions to Prevent HIV-1 Transmission

Datos Bibliográficos

ID23384743
AutoresCarey Farquhar (0000-0001-8575-3439, University of Washington, autor de correspondencia), James Kiarie (0000-0003-4180-7858), James N Kiarie, Barbra A Richardson (0000-0001-9564-1828, Fred Hutch Cancer Center), Marjory N Kabura, Francis N John, Ruth W Nduati, Ruth Nduati (0000-0002-7311-9892, University of Nairobi), Dorothy Mbori‐Ngacha (University of Nairobi), Dorothy A Mbori-Ngacha, Grace John‐Stewart (0000-0002-4301-1573, autor de correspondencia), Grace C John-Stewart
Año2004
Volumen37
Número5
Páginas1620-1626
Fecha de publicación2004-12-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaJAIDS Journal of Acquired Immune Deficiency Syndromes (JOURNAL)
Identificadores de la revistaISSN: 1525-4135 • E-ISSN: 1944-7884
EditorialOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00126334-200412150-00016
PMID15577420
OpenAlexW2164648580
IdiomaEN
Citas recibidas104
Referencias citadas16

To determine effect of partner involvement and couple counseling on uptake of interventions to prevent HIV-1 transmission, women attending a Nairobi antenatal clinic were encouraged to return with partners for voluntary HIV-1 counseling and testing (VCT) and offered individual or couple posttest counseling. Nevirapine was provided to HIV-1-seropositive women and condoms distributed to all participants. Among 2104 women accepting testing, 308 (15%) had partners participate in VCT, of whom 116 (38%) were couple counseled. Thirty-two (10%) of 314 HIV-1-seropositive women came with partners for VCT; these women were 3-fold more likely to return for nevirapine (P = 0.02) and to report administering nevirapine at delivery (P = 0.009). Nevirapine use was reported by 88% of HIV-infected women who were couple counseled, 67% whose partners came but were not couple counseled, and 45%whose partners did not present for VCT (P for trend = 0.006). HIV-1-seropositive women receiving couple counseling were 5-fold more likely to avoid breast-feeding (P = 0.03) compared with those counseled individually. Partner notification of HIV-1-positive results was reported by 138 women (64%) and was associated with 4-fold greater likelihood of condom use (P = 0.004). Partner participation in VCT and couple counseling increased uptake of nevirapine and formula feeding. Antenatal couple counseling may be a useful strategy to promote HIV-1 prevention interventions.

Antiretroviral therapy · Condom · Environmental health · Family medicine · Health facility · Health services · Human immunodeficiency virus (HIV) · Nevirapine · Obstetrics · Population · Psychiatry · Psychological intervention · Syphilis · Transmission (telecommunications) · Viral load · Voluntary counseling and testing · Adolescent Sexual and Reproductive Health · HIV Research and Treatment · HIV/AIDS Research and Interventions · Medicine