Kalichman, S.C., Cain, D. & Simbayi, L.C. (2010) Behavioral changes associated with testing HIV-positive among sexually transmitted infection clinic patients in Cape Town, South Africa. American Journal of Public Health. 100(4):714-719.

Source :	American Journal of Public Health
Keywords :	hiv/aids / health services / sexually transmitted infections / cape town / hiv/aids prevention
Team :	Kalichman, S.C. Cain, D. Simbayi, Leickness (Prof L.C.)
Department(s) :	HIV/AIDS, STIs and TB
Output type :	Journal Article peer-reviewed
Print :	HSRC Library: shelf number 6481
If you would like to obtain a copy of this Research Output, please contact Hanlie Rossinger at researchoutputs@hsrc.ac.za.

Abstract :
Objectives. We sought to examine behavioral risks and behavior changes associated with testing HIV-positive among sexually transmitted infection (STI) patients, in order to inform HIV- and STI-prevention interventions. Methods. We performed a cohort study of 29 STI patients who seroconverted from HIV-negative to HIV-positive during 1 year of observation and 77 STI patients who persistently tested HIV-negative. Computerized behavioral interviews were collected at baseline and at 1 year, and STI clinic charts were abstracted over the same 1-year period. Results. The STI patients who reported genital bleeding during sexual activityat baseline were significantly more likely to test HIV-positive. Reductions in number of sexual partners and rates of unprotected intercourse occurred for all STI clinic patients regardless of whether they tested HIV-positive. Conclusions. Although risk reductions occurred, 5% of HIV-negative STI clinic patients subsequently tested HIV-positive over 1 year. Behavioral risk reductioninterventions are urgently needed for male and female STI clinic patients.

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