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Title

Randomized Clinical Trial of Brief Risk Reduction Counseling for Sexually Transmitted Infection Clinic Patients in Cape Town, South Africa

Authors

 

Network Affiliation

Other

Organization

 

Journal Name

American Journal of Public Health

Publication Date

9/1/2011

PubMed Search

 

Link to full-text

 

PMID

21778486

Abstract

OBJECTIVES:

We examined the effects of a brief counseling intervention designed to reduce HIV risk behaviors and sexually transmitted infections (STIs) among patients receiving STI services in Cape Town, South Africa.

METHODS:

After randomization to either a 60-minute risk reduction counseling session or a 20-minute HIV-STI educational session, patients completed computerized sexual behavior assessments. More than 85% of the participants were retained at the 12-month follow-up.

RESULTS:

There were 24% fewer incident STIs and significant reductions in unprotected vaginal and anal intercourse among participants who received risk reduction counseling relative to members of the control condition. Moderator analyses showed shorter lived outcomes for heavy alcohol drinkers than for lighter drinkers. The results were not moderated by gender.

CONCLUSIONS:

Brief single-session HIV prevention counseling delivered to STI clinic patients has the potential to reduce HIV infections. Counseling should be enhanced for heavier drinkers, and sustained outcomes will require relapse prevention techniques. Disseminating effective, brief, and feasible behavioral interventions to those at highest risk for HIV infection should remain a public health priority.

Keywords

 

Topic

Behavior; Black; Women

Attachments

Created at 9/9/2011 9:38 AM by Davis, Gregory P
Last modified at 9/9/2011 9:38 AM by Davis, Gregory P