Repeat Voluntary HIV counseling and testing (VCT), sexual risk behavior and HIV incidence in Rakai, Uganda

Joseph K.B. Matovu, Ronald H. Gray, Noah Kiwanuka, Godfrey Kigozi, Fred Wabwire-Mangen, Fred Nalugoda, David Serwadda, Nelson K. Sewankambo, Maria J. Wawer

Research output: Contribution to journalArticlepeer-review

Abstract

We examined the effects of repeat Voluntary HIV counseling and testing (VCT) on sexual risk behaviors and HIV incidence in 6,377 initially HIV-negative subjects enrolled in a prospective STD control for HIV prevention trial in rural Rakai district, southwestern Uganda. Sixty-four percent accepted VCT, and of these, 62.2% were first time acceptors while 37.8% were repeat acceptors. Consistent condom use was 5.8% in repeat acceptors, 6.1% in first time acceptors and 5.1% in non-acceptors. A higher proportion of repeat acceptors (15.9%) reported inconsistent condom use compared to first-time acceptors (12%) and non-acceptors (11.7%). Also, a higher proportion of repeat acceptors (18.1%) reported 2+ sexual partners compared to first-time acceptors (14.1%) and non-acceptors (15%). HIV incidence rates were 1.4/100 py (person-years) in repeat acceptors, 1.6/100 py in first time acceptors and 1.6/100 py in non-acceptors. These data suggest a need for intensive risk-reduction counseling interventions targeting HIV-negative repeat VCT acceptors as a special risk group.

Original languageEnglish (US)
Pages (from-to)71-78
Number of pages8
JournalAIDS and behavior
Volume11
Issue number1
DOIs
StatePublished - Jan 2007

Keywords

  • HIV
  • Incidence
  • Rakai
  • Repeat
  • Uganda
  • VCT

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Fingerprint

Dive into the research topics of 'Repeat Voluntary HIV counseling and testing (VCT), sexual risk behavior and HIV incidence in Rakai, Uganda'. Together they form a unique fingerprint.

Cite this