Brief Enhanced Partner Notification and Risk Reduction Counseling to Prevent Sexually Transmitted Infections, Cape Town, South Africa
| Autor: | Ellen Banas, Catherine Mathews, Karen Jennings, Seth C. Kalichman, Moira O. Kalichman, Marcel Berteler, Sarah Dewing, Johann Daniels |
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| Rok vydání: | 2020 |
| Předmět: |
Counseling
Male Microbiology (medical) medicine.medical_specialty education Sexually Transmitted Diseases Psychological intervention MEDLINE HIV Infections Dermatology Original Studies law.invention South Africa 03 medical and health sciences 0302 clinical medicine Condom Randomized controlled trial law medicine Humans 030212 general & internal medicine 030505 public health Risk reduction counseling business.industry Medical record Public Health Environmental and Occupational Health virus diseases Partner notification humanities Infectious Diseases Family medicine Female Health education Contact Tracing 0305 other medical science business Risk Reduction Behavior |
| Zdroj: | Sexually Transmitted Diseases |
| ISSN: | 1537-4521 0148-5717 |
| DOI: | 10.1097/olq.0000000000001295 |
| Popis: | A randomized clinical trial found that brief sexual risk reduction counseling increased condom use for men and women and reduced clinic revisits for women receiving sexually transmitted infection services in Cape Town, South Africa. Background Evidence-based interventions are needed to stem sexually transmitted infections (STIs). Clinic-delivered counseling remains an important avenue for effective STI prevention. Methods A 3-arm randomized clinical trial compared (a) STI health education control condition, (b) risk reduction counseling, and (c) enhanced partner notification counseling. Men and women (n = 1050) were recruited from an STI clinic in Cape Town, South Africa. After baseline assessments, participants were randomly allocated to receive 1 of the 3 single-session counseling interventions and were followed up for 9 months of behavioral assessments and 12 months of electronic medical records abstraction for STI clinic services. Results Sexual risk reduction counseling reported greater condom use than did the other 2 conditions during the 3 and 6 months follow-ups. In addition, women receiving risk reduction counseling were significantly less likely to have returned for STI clinic services but did not differ in the number of STI clinic visits over the year. Conclusions Brief single-session STI prevention counseling demonstrates significant targeted outcomes. The findings suggest that counseling approaches to both increase condom use and enhance partner notification may offer more robust and sustained outcomes and should be tested in future research. |
| Databáze: | OpenAIRE |
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