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Social Influence and Uptake of Couples HIV Testing and Counselling in KwaZulu-Natal, South Africa

Datos Bibliográficos

ID15335704
AutoresMatthew Johnson (0000-0002-7295-2663, University of California, San Francisco, autor de correspondencia), Matthew J Johnson (0000-0001-5597-6615), Lynae A Darbes (0000-0003-4738-6812, University of California, San Francisco), Victoria Hosegood (0000-0002-2244-2518, Africa Health Research Institute), Mallory O Johnson (0000-0003-0480-2804, University of California, San Francisco), Katherine Fritz (International Center for Research on Women), Thulani Ngubane (0000-0003-1030-0181, Human Sciences Research Council), Heidi Van Rooyen (0000-0002-6502-6098, Human Sciences Research Council), Nicky Mcgrath (0000-0002-1039-0159, Africa Health Research Institute)
Año2021
Volumen26
Número3
Páginas764-774
Fecha de publicación2021-08-21
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaAIDS and Behavior (JOURNAL)
Identificadores de la revistaISSN: 1090-7165 • E-ISSN: 1573-3254
EditorialSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s10461-021-03435-1
OpenAlexW3195536953
IdiomaEN
Referencias citadas48

Social influences may create a barrier to couples HIV testing and counselling (CHTC) uptake in sub-Saharan Africa. This secondary analysis of data collected in the ‘Uthando Lwethu’ randomised controlled trial used discrete-time survival models to evaluate the association between within-couple average ‘peer support’ score and uptake of CHTC by the end of nine months’ follow-up. Peer support was conceptualised by self-rated strength of agreement with two statements describing friendships outside of the primary partnership. Eighty-eight couples (26.9%) took up CHTC. Results tended towards a dichotomous trend in models adjusted only for trial arm, with uptake significantly less likely amongst couples in the higher of four peer support score categories (OR 0.34, 95% CI 0.18, 0.68 [7–10 points]; OR 0.53, 95% CI 0.28, 0.99 [≥ 11 points]). A similar trend remained in the final multivariable model, but was no longer significant (AOR 0.59, 95% CI 0.25, 1.42 [7–10 points]; AOR 0.88, 95% CI 0.36, 2.10 [≥ 11 points]). Accounting for social influences in the design of couples-focused interventions may increase their success

Family medicine · General partnership · Health psychology · Human immunodeficiency virus (HIV · Peer support · Psychiatry · Psychological intervention · Public health · Public health interventions · Social support · Adolescent Sexual and Reproductive Health · Clinical Psychology · Demography · Global Maternal and Child Health · HIV/AIDS Research and Interventions · Medicine · Psychology · Social Psychology

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