Pathways for HIV Prevention Behaviors Following a Home-Based Couples Intervention for Pregnant Women and Male Partners in Kenya.
Pregnancy is a time of heightened HIV risk, but also a phase when a couple can prioritize family health. We conducted secondary analysis of a home-based intervention in rural Kenya to explore couple-level adherence to HIV prevention behaviors. The intervention included health education, relationship...
| Published in: | AIDS & Behavior Vol. 24; no. 7; pp. 2091 - 2101 |
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| Main Authors: | , , , , , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Springer Nature
Jul2020
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=144219447&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 144219447 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Jul2020 vid: 24 iid: 7 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 144219447 144219447 144219447 10.1007/s10461-019-02774-4 144219447 ppf: 2091 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Pathways for HIV Prevention Behaviors Following a Home-Based Couples Intervention for Pregnant Women and Male Partners in Kenya. aug: au: Hatcher, Abigail M. Darbes, Lynae Kwena, Zachary Musoke, Pamela L. Rogers, Anna Joy Owino, George Helova, Anna Anderson, Jami L. Oyaro, Patrick Bukusi, Elizabeth A. Turan, Janet M. affil: Division of HIV/AIDS, Department of Medicine, University of California, 995 Potrero Avenue, Building 80, 94110, San Francisco, CA, USA sug: subj: Critical Path HIV Infections Prevention and Control Health Behavior Education Spouses Education Expectant Mothers Psychosocial Factors Home Environment Outcomes of Education Kenya Secondary Analysis Rural Areas Health Education Male Female Logistic Regression Odds Ratio Confidence Intervals Structural Equation Modeling Maternal-Child Health Interpersonal Relations Couples Counseling Male Female ab: Pregnancy is a time of heightened HIV risk, but also a phase when a couple can prioritize family health. We conducted secondary analysis of a home-based intervention in rural Kenya to explore couple-level adherence to HIV prevention behaviors. The intervention included health education, relationship-building skills, and Couples HIV Testing and Counseling. Pregnant women were randomized to the intervention (n = 64) or standard care (n = 63) along with male partners. Of 96 couples, 82 (85.0%) were followed to 3 months postpartum, when 31.0% of couples reported perfect adherence to HIV prevention. In logistic regression, intervention condition couples had three-fold higher odds of perfect adherence (AOR = 3.07, 95% CI = 1.01–9.32). A structural equation model found the intervention had moderate effects on couple communication, large effects on couple efficacy to take action around HIV, which in turn improved HIV prevention behaviors (CFI = 0.969; TLI = 0.955; RMSEA = 0.049). Strengthening couple communication and efficacy may help prevent the spread of HIV to infants or partners around the time of pregnancy. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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