The Impact of Couple HIV Testing and Counseling on Consistent Condom Use Among Pregnant Women and Their Male Partners: An Observational Study Article Swipe
Nora E. Rosenberg
,
Lauren A. Graybill
,
Austin Wesevich
,
Nuala McGrath
,
Carol E. Golin
,
Suzanne Maman
,
Nivedita L. Bhushan
,
Mercy Tsidya
,
Limbikani Chimndozi
,
Irving Hoffman
,
Mina C. Hosseinipour
,
William C. Miller
·
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.1097/qai.0000000000001398
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.1097/qai.0000000000001398
Background: In sub-Saharan Africa couple HIV testing and counseling (CHTC) has been associated with substantial increases in safe sex, especially when at least one partner is HIV infected. However, this relationship has not been characterized in an Option B+ context. Setting: The study was conducted at the antenatal clinic at Bwaila District Hospital in Lilongwe, Malawi in 2016 under an Option B+ program. Methods: Ninety heterosexual couples with an HIV-infected pregnant woman (female-positive couples) and 47 couples with an HIV-uninfected pregnant woman (female-negative couples) were enrolled in an observational study. Each couple member was assessed immediately before and 1 month after CHTC for safe sex (abstinence or consistent condom use in the last month). Generalized estimating equations were used to model change in safe sex before and after CHTC and to compare safe sex between female-positive and female-negative couples. Results: Mean age was 26 years among women and 32 years among men. Before CHTC, safe sex was comparable among female-positive couples (8%) and female-negative couples (2%) [risk ratio (RR): 3.7, 95% confidence interval (CI): 0.5 to 29.8]. One month after CHTC, safe sex was higher among female-positive couples (75%) than among female-negative couples (3%) (RR: 30.0, 95% CI: 4.3 to 207.7). Safe sex increased substantially after CTHC for female-positive couples (RR 9.6, 95% CI: 4.6 to 20.0), but not for female-negative couples (RR: 1.2, 95% CI: 0.1 to 18.7). Conclusions: Engaging pregnant couples in CHTC can have prevention benefits for couples with an HIV-infected pregnant woman, but additional prevention approaches may be needed for couples with an HIV-uninfected pregnant woman.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1097/qai.0000000000001398
- OA Status
- green
- Cited By
- 24
- References
- 46
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2606746690
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2606746690Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1097/qai.0000000000001398Digital Object Identifier
- Title
-
The Impact of Couple HIV Testing and Counseling on Consistent Condom Use Among Pregnant Women and Their Male Partners: An Observational StudyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2017Year of publication
- Publication date
-
2017-04-20Full publication date if available
- Authors
-
Nora E. Rosenberg, Lauren A. Graybill, Austin Wesevich, Nuala McGrath, Carol E. Golin, Suzanne Maman, Nivedita L. Bhushan, Mercy Tsidya, Limbikani Chimndozi, Irving Hoffman, Mina C. Hosseinipour, William C. MillerList of authors in order
- Landing page
-
https://doi.org/10.1097/qai.0000000000001398Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
-
https://www.ncbi.nlm.nih.gov/pmc/articles/5493523Direct OA link when available
- Concepts
-
Medicine, Confidence interval, Observational study, Context (archaeology), Condom, Demography, Relative risk, Obstetrics, Gynecology, Young adult, Human immunodeficiency virus (HIV), Internal medicine, Family medicine, Sociology, Syphilis, Biology, PaleontologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
24Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 1, 2024: 1, 2023: 2, 2022: 1, 2021: 2Per-year citation counts (last 5 years)
- References (count)
-
46Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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