Efficacy of enhanced HIV counseling for risk reduction during pregnancy and in the postpartum period: a randomized controlled trial.

Efficacy of enhanced HIV counseling for risk reduction during pregnancy and in the postpartum period: a randomized controlled trial.

<h4>Introduction</h4>Pregnancy and the postpartum period present important intervention opportunities. Counseling can leverage the motivation women have during this time to change behaviors that may negatively affect their health and the heath of their infants.<h4>Methods</h4>...

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Autores principales: Suzanne Maman, Dhayendre Moodley, Heathe Luz McNaughton-Reyes, Allison K Groves, Ashraf Kagee, Prashini Moodley
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Publicado: Public Library of Science (PLoS) 2014
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Acceso en línea:https://doaj.org/article/76eaa23f821b41afb1e38cf25a44adef
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spelling oai:doaj.org-article:76eaa23f821b41afb1e38cf25a44adef2021-11-18T08:19:35ZEfficacy of enhanced HIV counseling for risk reduction during pregnancy and in the postpartum period: a randomized controlled trial.1932-620310.1371/journal.pone.0097092https://doaj.org/article/76eaa23f821b41afb1e38cf25a44adef2014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24824050/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Introduction</h4>Pregnancy and the postpartum period present important intervention opportunities. Counseling can leverage the motivation women have during this time to change behaviors that may negatively affect their health and the heath of their infants.<h4>Methods</h4>Pregnant women attending an antenatal clinic in South Africa were randomly allocated to treatment (n=733) and control arms (n=747). Treatment arm participants received enhanced HIV pre- and post-test counseling, legal support and access to support groups at baseline, which occurred at the first antenatal visit, and then six and ten weeks postpartum. Control arm participants received standard HIV testing and counseling (HTC) and two postpartum attention control sessions. Outcomes were incidence of sexually transmitted infection (STI) by 14 weeks postpartum and past 30-day inconsistent condom use at 14 weeks and 9 months postpartum.<h4>Results</h4>There were no intervention effects on incident STIs for either HIV-negative (adjusted risk ratio (aRR) 1.01, 95% CI 0.71-1.44) or HIV-positive participants (aRR 0.86, 95% CI 0.61-1.23). The intervention was associated with a 28% decrease in risk of past 30-day inconsistent condom use at nine-months among HIV-negative women (aRR 0.72,95% CI 0.59-0.88), but did not affect inconsistent condom use among HIV-positive women (aRR1.08; 95% CI 0.67-1.75).<h4>Discussion</h4>An enhanced counseling intervention during pregnancy and the postpartum period can lead to reductions in inconsistent condom use among HIV-negative women. Results underscore the importance of the counseling that accompanies HIV HTC. More work is needed to understand how to promote and sustain risk reduction among HIV-positive women.<h4>Trial registration</h4>ClinicalTrials.gov NCT01683461.Suzanne MamanDhayendre MoodleyHeathe Luz McNaughton-ReyesAllison K GrovesAshraf KageePrashini MoodleyPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 5, p e97092 (2014)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Suzanne Maman
Dhayendre Moodley
Heathe Luz McNaughton-Reyes
Allison K Groves
Ashraf Kagee
Prashini Moodley
Efficacy of enhanced HIV counseling for risk reduction during pregnancy and in the postpartum period: a randomized controlled trial.
description <h4>Introduction</h4>Pregnancy and the postpartum period present important intervention opportunities. Counseling can leverage the motivation women have during this time to change behaviors that may negatively affect their health and the heath of their infants.<h4>Methods</h4>Pregnant women attending an antenatal clinic in South Africa were randomly allocated to treatment (n=733) and control arms (n=747). Treatment arm participants received enhanced HIV pre- and post-test counseling, legal support and access to support groups at baseline, which occurred at the first antenatal visit, and then six and ten weeks postpartum. Control arm participants received standard HIV testing and counseling (HTC) and two postpartum attention control sessions. Outcomes were incidence of sexually transmitted infection (STI) by 14 weeks postpartum and past 30-day inconsistent condom use at 14 weeks and 9 months postpartum.<h4>Results</h4>There were no intervention effects on incident STIs for either HIV-negative (adjusted risk ratio (aRR) 1.01, 95% CI 0.71-1.44) or HIV-positive participants (aRR 0.86, 95% CI 0.61-1.23). The intervention was associated with a 28% decrease in risk of past 30-day inconsistent condom use at nine-months among HIV-negative women (aRR 0.72,95% CI 0.59-0.88), but did not affect inconsistent condom use among HIV-positive women (aRR1.08; 95% CI 0.67-1.75).<h4>Discussion</h4>An enhanced counseling intervention during pregnancy and the postpartum period can lead to reductions in inconsistent condom use among HIV-negative women. Results underscore the importance of the counseling that accompanies HIV HTC. More work is needed to understand how to promote and sustain risk reduction among HIV-positive women.<h4>Trial registration</h4>ClinicalTrials.gov NCT01683461.
format article
author Suzanne Maman
Dhayendre Moodley
Heathe Luz McNaughton-Reyes
Allison K Groves
Ashraf Kagee
Prashini Moodley
author_facet Suzanne Maman
Dhayendre Moodley
Heathe Luz McNaughton-Reyes
Allison K Groves
Ashraf Kagee
Prashini Moodley
author_sort Suzanne Maman
title Efficacy of enhanced HIV counseling for risk reduction during pregnancy and in the postpartum period: a randomized controlled trial.
title_short Efficacy of enhanced HIV counseling for risk reduction during pregnancy and in the postpartum period: a randomized controlled trial.
title_full Efficacy of enhanced HIV counseling for risk reduction during pregnancy and in the postpartum period: a randomized controlled trial.
title_fullStr Efficacy of enhanced HIV counseling for risk reduction during pregnancy and in the postpartum period: a randomized controlled trial.
title_full_unstemmed Efficacy of enhanced HIV counseling for risk reduction during pregnancy and in the postpartum period: a randomized controlled trial.
title_sort efficacy of enhanced hiv counseling for risk reduction during pregnancy and in the postpartum period: a randomized controlled trial.
publisher Public Library of Science (PLoS)
publishDate 2014
url https://doaj.org/article/76eaa23f821b41afb1e38cf25a44adef
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