Changes in HIV risk behavior and seroincidence among clients presenting for repeat HIV counseling and testing in Moshi, Tanzania

摘要: While HIV counseling and testing (HCT) has been considered an preventive measure in Africa, data are limited describing behavior changes following HCT. This study evaluated estimated seroincidence rate among returning HCT clients. Repeat one-time clients receiving services Moshi, Tanzania were identified. Information about sociodemographic characteristics, HIV-related behaviors reasons collected, along with serostatus. Six thousand seven hundred twenty-seven presented at least once for HCT; 1235 (18.4%) seropositive, median age was 29.7 years 3712 (55.3%) women. 1382 repeat 4272 testers more likely to be male, older, married, or widowed, because of unfaithful partner new sexual partner. One-time students due illness. At second test, report that partners had received testing, not have concurrent partners, suspect HIV, who did other partners. Clients intended change after the first test having changed by remaining abstinent (OR 2.58; p<0.0001) using condoms 2.00; p=0.006) test. 1.49 cases/100 person-years (PY). presenting reported some reduction risky improved knowledge practices serostatus their Promoting through should continue a focus prevention efforts sub-Saharan Africa.