HIV/AIDS risk reduction counseling for alcohol using sexually transmitted infections clinic patients in Cape Town, South Africa
SOURCE: JAIDS - Journal of Acquired Immune Deficiency Syndromes
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2007
TITLE AUTHOR(S): S.C.Kalichman, L.C.Simbayi, R.Vermaak, D.Cain, S.Jooste, K.Peltzer
KEYWORDS: ADOLESCENTS, HIV/AIDS, HIV/AIDS PREVENTION, RISK BEHAVIOUR, SEXUALLY TRANSMITTED DISEASES
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 4449
HANDLE: 20.500.11910/6205
URI: http://hdl.handle.net/20.500.11910/6205
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2007
TITLE AUTHOR(S): S.C.Kalichman, L.C.Simbayi, R.Vermaak, D.Cain, S.Jooste, K.Peltzer
KEYWORDS: ADOLESCENTS, HIV/AIDS, HIV/AIDS PREVENTION, RISK BEHAVIOUR, SEXUALLY TRANSMITTED DISEASES
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 4449
HANDLE: 20.500.11910/6205
URI: http://hdl.handle.net/20.500.11910/6205
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
HIV is ravaging southern Africa, and HIV transmission risk behaviors are facilitated by alcohol use in sexual contexts. There are no known interventions that directly target HIV risk behavior among people who drink and are at risk for HIV in Africa. The purpose was to test a behavioral risk reduction counseling intervention for use in sexually transmitted infection (STI) clinics in southern Africa. A randomized intervention trial was conducted with 143 STI clinic patients in Cape Town, South Africa. Participants received an experimental 60-minute HIV and alcohol risk reduction behavioral skills intervention or a control 20-minute HIV education condition. Participants were followed for 3 and 6 months after the intervention, with 73% retention. Overall, the experimental intervention demonstrated more than a 25% increase in condom use and a 65% reduction in unprotected intercourse over the 6-month follow-up period, with risk reduction significantly greater for the experimental condition than for the control condition at both follow-ups. Alcohol use in sexual contexts and expectancies that alcohol enhances sexual experiences were also significantly lower for the experimental condition at the 3-month follow-up. An HIV prevention counseling intervention reduced HIV transmission risks for up to 6 months in this STI clinic population. Effects may be sustained with structural interventions to reduce alcohol use in sexual contexts and support risk reduction behavior changes over the long term.-
Related Research Outputs:
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- Brief HIV risk reduction intervention for sexually transmitted infection clinic patients who use alcohol in Cape Town
- A brief HIV risk reduction intervention for male and female patients with a sexually transmitted infection who use alcohol in primary health care clinic in Cape Town, South Africa
- Sensation seeking and alcohol use predict HIV transmission risks: prospective study of sexually transmitted infection clinic patients, Cape Town, South Africa
- Randomized trial of a community-based alcohol-related HIV risk-reduction intervention for men and women in Cape Town South Africa
- Phaphama interventions to reduce both alcohol use and HIV/STI risks
- A community-based study to examine the effect of a youth HIV prevention programme in South Africa
- Alcohol use and sexual risks for HIV infection among men and women receiving sexually transmitted infection clinic services in Cape Town, South Africa
- HIV/AIDS/STD prevention intervention messages: an evaluation of the knowledge, attitudes and beliefs of a rural South African sample
- Preliminary findings of the HIV and Alcohol Prevention Programme (HAPS) in South African township schools
- Sensation seeking, alcohol use, and sexual behaviours among sexually transmitted infection clinic patients in Cape Town, South Africa
- Alcohol use and sexual risks for HIV/AIDS in sub-Saharan Africa: systematic review of empirical findings
- Perceptions of the combination of HIV/AIDS and alcohol as a risk factor among STI clinic attenders in South Africa: implications for HIV prevention
- Generalizing a model of health behaviour change and AIDS stigma for use with sexually transmitted infection clinic patients in Cape Town, South Africa
- The Phaphama HIV and alcohol risk reduction intervention in Cape Town, South Africa: results of two pilot trails conducted in a clinic and a community setting
- Recent multiple sexual partners and HIV transmission risks among people living with HIV/AIDS in Botswana
- Development of HIV behavioural risk reduction intervention programmes for people living with HIV/AIDS in support groups
- Positive prevention: reducing HIV transmission among PLWHA
- Combining and adapting American school-based alcohol and HIV prevention programmes in South Africa: the HAPS project
- Why is MCP important in HIV prevention?