Theory-based HIV risk reduction counseling for sexually transmitted infection clinic patients in Cape Town, South Africa

SOURCE: Sexually Transmitted Diseases
OUTPUT TYPE: Journal Article
TITLE AUTHOR(S): L.C.Simbayi, S.C.Kalichman, D.Skinner, S.Jooste, D.Cain, C.Cherry, V.Mathiti, R.Dlakulu, N.Unddermans, V.Bruinders, C.Jacobs, R.Van Wyk, C.Arendse, J.Croome, W.Bok
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 2911
HANDLE: 20.500.11910/7291

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South Africa has the world's fastest growing AIDS epidemic. There is an urgent need for effective HIV risk reduction interventions in South Africa. OBJECTIVE: The objective of this study was to develop and test the potential efficacy of a brief theory-based HIV prevention counseling intervention for sexually transmitted infection (STI) clinic patients in South Africa. METHOD: STI clinic patients in Cape Town (N=228) were assessed at baseline and randomized to receive either: 1) a single 60-minute session motivational/skills-building HIV risk reduction counseling intervention or 2) a 20-minute HIV information/education session. Participants completed 1- and 3-month follow ups with 80% retention. RESULTS: The 60-minute motivational/skills risk reduction counseling demonstrated significantly greater risk reduction practices, lower rates of unprotected intercourse, and greater likelihood of receiving HIV testing after the intervention. CONCLUSIONS: Brief theory-based HIV prevention counseling may significantly reduce HIV risk behaviors for STI clinic patients in South Africa.