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HIV risk reduction intervention among traditionally circumcised young men in South Africa: a cluster randomized
Karl Peltzer1, Leickness Simbayi, Mercy Banyini
1Operationsand Implementations Research Unit, HIV/AIDS, STIs, and TB (HAST), Human Sciences Research Council, Pretoria, Africa.
Abstract:
The aim of this study was to test a 180-minute group HIV risk-reduction counseling intervention trial with men undergoing traditional circumcision in South Africa to reduce behavioral disinhibition (false security) as a result of the procedure. A cluster randomized controlled trial design was employed using a sample of 160 men, 80 in the experimental group and 80 in the control group. Comparisons between baseline and 3-month follow-up assessments on key behavioral outcomes were completed. We found that behavioral intentions, risk-reduction skills, and male role norms did not change in the experimental compared to the control condition. However, HIV-related stigma beliefs were significantly reduced in both conditions over time. These findings show that one small-group HIV risk-reduction intervention did not reduce sexual risk behaviors in recently traditionally circumcised men at high risk for behavioral disinhibition.
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