AIDS and Behavior

, Volume 11, Issue 1, pp 71–78

Repeat Voluntary HIV Counseling and Testing (VCT), Sexual Risk Behavior and HIV Incidence in Rakai, Uganda

  • Joseph K. B. Matovu
  • Ronald H. Gray
  • Noah Kiwanuka
  • Godfrey Kigozi
  • Fred Wabwire-Mangen
  • Fred Nalugoda
  • David Serwadda
  • Nelson K. Sewankambo
  • Maria J. Wawer
Original Paper

DOI: 10.1007/s10461-006-9170-y

Cite this article as:
Matovu, J.K.B., Gray, R.H., Kiwanuka, N. et al. AIDS Behav (2007) 11: 71. doi:10.1007/s10461-006-9170-y

Abstract

We examined the effects of repeat Voluntary HIV counseling and testing (VCT) on sexual risk behaviors and HIV incidence in 6,377 initially HIV-negative subjects enrolled in a prospective STD control for HIV prevention trial in rural Rakai district, southwestern Uganda. Sixty-four percent accepted VCT, and of these, 62.2% were first time acceptors while 37.8% were repeat acceptors. Consistent condom use was 5.8% in repeat acceptors, 6.1% in first time acceptors and 5.1% in non-acceptors. A higher proportion of repeat acceptors (15.9%) reported inconsistent condom use compared to first-time acceptors (12%) and non-acceptors (11.7%). Also, a higher proportion of repeat acceptors (18.1%) reported 2+ sexual partners compared to first-time acceptors (14.1%) and non-acceptors (15%). HIV incidence rates were 1.4/100 py (person-years) in repeat acceptors, 1.6/100 py in first time acceptors and 1.6/100 py in non-acceptors. These data suggest a need for intensive risk-reduction counseling interventions targeting HIV-negative repeat VCT acceptors as a special risk group.

Keywords

RepeatVCTHIVIncidenceRakaiUganda

Copyright information

© Springer Science+Business Media, LLC 2006

Authors and Affiliations

  • Joseph K. B. Matovu
    • 1
  • Ronald H. Gray
    • 2
  • Noah Kiwanuka
    • 1
  • Godfrey Kigozi
    • 1
  • Fred Wabwire-Mangen
    • 3
  • Fred Nalugoda
    • 1
  • David Serwadda
    • 3
  • Nelson K. Sewankambo
    • 4
  • Maria J. Wawer
    • 5
  1. 1.Rakai Health Sciences Program/Uganda Virus Research InstituteEntebbeUganda
  2. 2.Johns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  3. 3.Institute of Public Health, Makerere UniversityKampalaUganda
  4. 4.Makerere Medical SchoolMakerere UniversityKampalaUganda
  5. 5.Mailman School of Public HealthColumbia UniversityNew YorkUSA