Factors that lead to changes in sexual behaviours after a negative HIV test: protocol for a prospective cohort study in KinshasaReport as inadecuate




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BMC Public Health

, 16:606

Health behavior, health promotion and society

Abstract

BackgroundConsidering the high percentage of couples in which one or both members are HIV negative, the frequency of transmission among non-regular partners and the probabilities of non-disclosure, attention should be paid to people getting a negative HIV test at the Voluntary Counseling and Testing VCT. Research has shown that a negative HIV test may be followed by a change in sexual behaviours. In Sub-Saharan Africa, where most HIV infections occur, there are few studies that have analysed the factors associated with changes in sexual risk behaviours after a negative HIV test at the VCT clinic. The aim of this project is to evaluate the specific factors associated with changes in sexual behaviours, three months after a negative result in an HIV test, and to analyse the effect of counseling and testing on HIV-related knowledge of participants in an outpatient centre of Kinshasa Democratic Republic of Congo.

Methods and designProspective cohort study from December 2014 until March 2016. People 15–60 year old that received VCT at Monkole Hospital Kinshasa were followed three months after they got a negative HIV test. In a face-to-face interview, participants replied to a baseline and a follow-up research questionnaire on HIV-related knowledge, attitudes and behaviours. At follow-up respondents were also offered a new HIV test and additional HIV counseling. Four hundred and fifteen participants completed the baseline questionnaire and 363 87 % came back for their 3-month follow up.

DiscussionThis is the first longitudinal study in the DRC that evaluates the factors associated with changes in sexual behaviours after a negative HIV test at the VCT. Participants attending the VCT services within a clinical setting are a good study population as they can be good transmitters of preventive information for other people with no access to health facilities.

KeywordsHIV Voluntary Counseling and Testing VCT Negative test Sexual Behaviour Knowledge Cohort Africa  Download fulltext PDF



Author: Silvia Carlos - Francis Nzakimuena - Gabriel Reina - Cristina Lopez-del Burgo - Eduardo Burgueño - Adolphe Ndarabu - Alfons

Source: https://link.springer.com/



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