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Sex Transm Dis. 2004 Dec;31(12):727-33.

Theory-based HIV risk reduction counseling for sexually transmitted infection clinic patients in Cape Town, South Africa.

Author information

1
Human Sciences Research Council, Cape Town, South Africa. lsimbayi@hsrc.ac.za

Abstract

BACKGROUND:

South Africa has the world's fastest growing AIDS epidemic. There is an urgent need for effective HIV risk reduction interventions in South Africa.

OBJECTIVE:

The objective of this study was to develop and test the potential efficacy of a brief theory-based HIV prevention counseling intervention for sexually transmitted infection (STI) clinic patients in South Africa.

METHOD:

STI clinic patients in Cape Town (N=228) were assessed at baseline and randomized to receive either: 1) a single 60-minute session motivational/skills-building HIV risk reduction counseling intervention or 2) a 20-minute HIV information/education session. Participants completed 1- and 3-month follow ups with 80% retention.

RESULTS:

The 60-minute motivational/skills risk reduction counseling demonstrated significantly greater risk reduction practices, lower rates of unprotected intercourse, and greater likelihood of receiving HIV testing after the intervention.

CONCLUSIONS:

Brief theory-based HIV prevention counseling may significantly reduce HIV risk behaviors for STI clinic patients in South Africa.

PMID:
15608587
[Indexed for MEDLINE]

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