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Record identifier : 568845
Personal Name - Primary Intelectual Responsibility : Chhea, Chhorvann
Title and statement of responsibility : Couples in conflict in the context of HIV/AIDS: Discordant risk behaviors, experiences with voluntary counseling and testing and disclosure of HIV status in Cambodia [Thesis]
Publication, Distribution,Etc. : University of California, Los Angeles, 2009
Language of the Item : eng
Dissertation of thesis details and type of degree : Ph.D
Body granting the degree : , University of California, Los Angeles
Summary or Abstract : Despite the decline of HIV prevalence in the Cambodian general population, HIV prevalence among pregnant women has remained stable. This implies that, HIV transmission within couples is still occurring at a disturbing pace. Identification of those with HIV via Voluntary Testing and Counseling (VCT) programs are essential to reduce further transmission and continuing mortality. Better understanding of factors influencing use of VCT, disclosure of HIV, and background risk is urgently needed.Data from 3,619 couples interviewed in the Cambodia Demographic and Health survey 2005, which was a nationally representative household survey, were used to investigate factors associated with risky behaviors and VCT uptake. In-depth interviews were also conducted among 48 couples in which at least one of the partners was HIV infected, to elucidate the experiences of HIV-infected individuals being tested for HIV via VCT as well as disclosing their HIV positive results.In multivariate analyses, individuals who knew their HIV status reported having higher numbers of lifetime sexual partners than those who did not know their HIV status. Regarding VCT uptake, having a spouse who already knew his/her HIV status was strongly associated with having an HIV test at a VCT among husbands (Adjusted Odds Ratio (AOR)=4.30, 95 CI: 3.29-5.61) and wives (AOR=3.90, 95 CI: 2.92-5.20). Those who requested the test were more likely to retrieve their HIV results than those who were passively offered and accepted or required to have the test. In the qualitative study, the decision to have an HIV test at a VCT was based on the balance of three influential factors; one's heath status, perceived benefits of VCT uptake and its negative consequences. After receiving a positive HIV test result, HIV infected individuals were not well prepared and/or did not have appropriate skills for disclosing their HIV status. Nevertheless, in Cambodia, the magnitude of negative consequences of HIV positive disclosure has been diminished overtime.The findings suggest that there is a need to improve the quality and scope of the VCT counseling sessions and skills building for disclosure. The pre-test counseling should focus more on identifying and removing barriers to retrieving their HIV test results, encouraging HIV infected individuals to disclose by equipping them with appropriate skills..
Topical Name Used as Subject : Public health
Information of biblio record : TL
 
 
 
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