Susan Allen|Jeffrey A. Tice|Philippe Van de Perre|Antoine Serufilira|Esther S. Hudes|François Nsengumuremyi|J. Bogaerts|Christina Lindan|Stephen B. Hulley
Effect of serotesting with counselling on condom use and seroconversion among HIV discordant couples in Africa.
University of California, San Francisco|University of California, San Francisco|University of California, San Francisco|University of California, San Francisco|University of California, San Francisco|University of California, San Francisco|University of California, San Francisco|University of California, San Francisco|University of California, San Francisco
determine whether hiv testing counselling increased condom use decreased heterosexual transmission hiv discordant couplesprospective studykigali capital rwandacohabiting couples discordant hiv serology resultscondom use couple hiv seroconversion negative partners60 hiv discordant couples identified 53 followed average 22 years proportion discordant couples using condoms increased 4 57 one year follow follow two 23 hiv negative men six 30 hiv negative women seroconverted seroconversion rates 4 9 per 100 person years rate among women less half estimated similar women discordant couples whose partners serotested condom use less common among seroconverted 100 v 5 p 001 men 67 v 25 p 014 womenroughly one seven cohabiting couples kigali discordant hiv serological results confidential hiv serotesting counselling caused large increase condom use associated lower rate new hiv infections hiv testing promising intervention preventing spread hiv african citiesapproximately one seven cohabiting couples kigali rwanda hivdiscordant serology study prospective design conducted kigali determine whether hiv testing counseling would increase condom use decrease heterosexual transmission hiv among hivdiscordant couples 60 hivdiscordant couples identified 53 followed average 22 years proportion couples using condoms increased 4 57 one year followup followup 2 23 hivnegative men 6 30 hivnegative women seroconverted rate among women less half estimated similar women discordant couples whose partners serotested moreover condom use less common among seroconverted hiv testing may therefore considered promising intervention preventing spread hiv african cities