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Sexual risk reduction among Zambian couples
Deborah J Jones1, Ndashi Chitalu, Phillimon Ndubani
1University of Miami Miller School of Medicine, Department of Psychiatry and Behavioral Sciences, USA. djones@med.miami.edu
SAHARA J : Journal of Social Aspects of HIV/AIDS Research Alliance
|November 26, 2009
Summary
In Zambia, multiple-session risk reduction counseling improved condom use for seronegative men in HIV-serodiscordant couples more than single sessions. Both approaches increased condom use among inconsistent users.
Area of Science:
- Public Health
- HIV/AIDS Research
- Behavioral Science
Background:
- Zambia faces a high HIV burden with 23% urban prevalence.
- Inconsistent condom use is a significant factor in HIV transmission.
- Understanding male involvement in interventions is crucial for effective risk reduction.
Purpose of the Study:
- To compare the impact of multiple versus single session risk reduction interventions on condom use.
- To examine the role of male involvement and serostatus in these interventions.
- To assess intervention effectiveness among inconsistent condom users in Zambia.
Main Methods:
- 392 couples were randomized into different intervention arms.
- Intervention effectiveness was assessed over a 12-month period.
- Condom use and sexual barrier use were measured as primary outcomes.
Main Results:
- Condom use increased and was maintained for 12 months among inconsistent users.
- Seronegative men in multiple-session interventions showed greater increases in sexual barrier use.
- Seropositive individuals increased sexual barrier use irrespective of the intervention type.
Conclusions:
- Both single and multiple session interventions are important for risk reduction counseling.
- Multiple-session counseling may be more effective for seronegative men in serodiscordant couples.
- Perceptions of risk differ between seropositive and serodiscordant individuals, impacting intervention outcomes.
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