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Community health wo...
Community health workers improve HIV disclosure among HIV-affected sexual partners in rural Uganda : a quasi-experimental study
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- Lukyamuzi, Zubair (författare)
- Makerere University–Johns Hopkins University Research Collaboration, Kampala, Uganda; School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda
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- Nabisere, Ruth Mirembe (författare)
- Infectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda
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- Nakalega, Rita (författare)
- Makerere University–Johns Hopkins University Research Collaboration, Kampala, Uganda
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- Atuhaire, Patience (författare)
- Makerere University–Johns Hopkins University Research Collaboration, Kampala, Uganda
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- Kataike, Hajira (författare)
- Makerere University–Johns Hopkins University Research Collaboration, Kampala, Uganda
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- Ssuna, Bashir (författare)
- Uganda Tuberculosis Implementation Research Consortium, Kampala, Uganda; Department of Clinical Epidemiology and Biostatistics, College of Health Sciences, Makerere University, Kampala, Uganda
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- Baroudi, Mazen (författare)
- Umeå universitet,Institutionen för epidemiologi och global hälsa
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- Kiweewa, Flavia Matovu (författare)
- Makerere University–Johns Hopkins University Research Collaboration, Kampala, Uganda
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- Musoke, Philippa (författare)
- Makerere University–Johns Hopkins University Research Collaboration, Kampala, Uganda
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- Butler, Lisa M. (författare)
- Institute for Collaboration on Health, Intervention, and Policy, University of Connecticut, Storrs, CT, USA
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(creator_code:org_t)
- Johns Hopkins School Bloomberg School of Public Health, Center for Communication Programs, 2022
- 2022
- Engelska.
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Ingår i: Global Health. - : Johns Hopkins School Bloomberg School of Public Health, Center for Communication Programs. - 2169-575X. ; 10:5
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https://doi.org/10.9...
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https://umu.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.9...
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Abstract
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- Background: We evaluated the efficacy of a community health worker (CHW)–led intervention in supporting disclosure among adults living with HIV in heterosexual relationships.Methods: We conducted a quasi-experimental study with 2 arms allocated by geographically determined clusters and adjusted for between-group differences among adults living with HIV in the greater Luwero region of Uganda who had never disclosed their status to their current primary sexual partners. Clusters were allocated to either a CHW-led intervention or a control arm. In both arms, participants were consecutively recruited. As opposed to receiving routine care for the control arm, participants in the intervention arm received additional CHW disclosure support. The overall follow-up was 6 months, and the primary outcome was disclosure to the sexual partner. Data were analyzed using a clustered modified Poisson regression model with robust standard errors to determine independent factors associated with disclosure.Results: Of the 245 participants who enrolled, 230 (93.9%) completed the study, and 112 (48.7%) of those were in the intervention arm. The median age was 30 (interquartile range=25–37) years, the majority were women (76.5%), and most (80%) did not know their partners’ HIV status at study entry. At the end of follow-up, the overall disclosure prevalence was 74.4% (95% confidence interval [CI]=68.2, 79.9) and participants in the intervention arm were 51% more likely to disclose compared to those in the control (adjusted relative ratio [aRR]=1.51; 95% CI=1.28, 1.77). Men were 24% (aRR=1.24; 95% CI=1.07, 1.44) more likely to disclose compared to women, and membership in an HIV/AIDS association increased disclosure by 18% (aRR=1.18; 95% CI=1.01, 1.39).Conclusion: CHW support improved disclosure among adults living with HIV in heterosexual relationships when compared to routine care. Therefore, CHW-led mechanisms may be utilized in increasing disclosure among adults living with HIV in heterosexual relationships in rural settings.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
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Lukyamuzi, Zubai ...
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Nabisere, Ruth M ...
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Nakalega, Rita
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Atuhaire, Patien ...
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Kataike, Hajira
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Ssuna, Bashir
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visa fler...
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Baroudi, Mazen
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Kiweewa, Flavia ...
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Musoke, Philippa
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Butler, Lisa M.
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