Maximizing the impact of HIV prevention efforts: Interventions for couples

Details

• Alternative Title:
  AIDS Care
• Personal Author:
  Medley, Amy ; Baggaley, Rachel ; Bachanas, Pamela ; Cohen, Myron ; Shaffer, Nathan ; Lo, Ying-Ru
• Description:
  Despite efforts to increase access to HIV testing and counseling services, population coverage remains low. As a result, many people in sub-Saharan Africa do not know their own HIV status or the status of their sex partner(s). Recent evidence, however, indicates that as many as half of HIV-positive individuals in ongoing sexual relationships have an HIV-negative partner and that a significant proportion of new HIV infections in generalized epidemics occur within serodiscordant couples. Integrating couples HIV testing and counseling (CHTC) into routine clinic- and community-based services can significantly increase the number of couples where the status of both partners is known. Offering couples a set of evidence-based interventions once their HIV status has been determined can significantly reduce HIV incidence within couples and if implemented with sufficient scale and coverage, potentially reduce population-level HIV incidence as well. This article describes these interventions and their potential benefits.
• Keywords:
  Africa South Of The Sahara AIDS Serodiagnosis Anti-Retroviral Agents Counseling Couples HIV Testing And Counseling Disclosure Family Planning Services Female Heterosexuality HIV/AIDS HIV Infections HIV Prevention HIV Serodiscordant Couples Humans Interpersonal Relations Male Medication Adherence Preventive Health Services Risk Reduction Behavior Safe Sex Sub-Saharan Africa

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• Source:
  AIDS Care. 25(12):1569-1580
• Pubmed ID:
  23656251
• Pubmed Central ID:
  PMC4664148
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  25
• Issue:
  12
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:35ccbdac797edad994c3ddcbcf27202e9c02087ff5f9e906e7c9d48c0e42cc13
• Download URL:
  https://stacks.cdc.gov/view/cdc/36725/cdc_36725_DS1.pdf
• File Type:
  [PDF - 217.37 KB ]