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Voluntary HIV Counseling And Testing Reduce Risk Behavior In Developing Countries

les responding to advertisements about the study. These participants were then randomly assigned to receive either counseling/testing services or "standard health information" consisting of videotaped information about sexually transmitted diseases and a supply of condoms.

All the participants were invited to return to the centers six and 12 months later to take part in counseling and testing.

"There was concern about attracting a low-risk group of the 'worried well,' but we were very successful at reaching a high-risk group," Coates said. "Thirty percent of the women and 15 percent of the men seen in these clinics were HIV-positive.2

"We saw up to a 50 percent reduction in risk behavior in six months, and there was a clear difference in individual behaviors after counseling," he said. "For the couples, the behavior changes depended on whether the partners were the same serostatus or not."

Six months after the counseling intervention, study findings showed:

  • Overall rates of unprotected sex dropped for all participants, regardless of whether the partner was a primary partner, a non-primary partner, or a commercial sex provider.
  • The most dramatic reductions were seen with men having unprotected sex with a non-primary partner. The overall rate decreased from 31 percent before counseling to 19 percent six months after counseling. The health-information only group began at 30 percent and dropped to 26 percent six months later.
  • Women reported more unprotected sexual encounters with a primary partner and fewer with a non-primary partner or a commercial partner than the men, both before and after intervention.

THE FOLLOWING INFORMATION IS EMBARGOED UNTIL 11:00 PM (PACIFIC STANDARD TIME), ON TUESDAY, JUNE 30, 1998 OR 8:00 AM (GENEVA TIME), ON WEDNESDAY, JULY 1, 1998:

Study findings about the couples who took part in six months of counseling include:

  • Of the 429 married couples completing testing and counseling, 78.8
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Contact: Mitzi Baker
mabaker@itsa.ucsf.edu
(415) 476-2557
University of California - San Francisco
29-Jun-1998


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