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CDC HIV/AIDS/Viral Hepatitis/STD/TB Prevention News Update

SOUTH AFRICA: Randomized Clinical Trial of Brief Risk Reduction Counseling for Sexually Transmitted Infection Clinic Patients in Cape Town, South Africa


American Journal of Public Health Vol. 101; No. 9: P.e9-e17

The study authors "examined the effects of a brief counseling intervention designed to reduce HIV risk behaviors and sexually transmitted infections among patients receiving STI services in Cape Town, South Africa." Participants were randomized to either a 60-minute risk reduction counseling session or a 20-minute HIV-STI educational session, completing computerized sexual behavior assessments afterwards. At 12-month follow-up, participant retention was more than 85 percent.

Participants who received risk reduction counseling reported 24 percent fewer incident STIs and significant reductions in unprotected vaginal and anal intercourse, compared to members of the control condition. "Moderator analyses showed shorter- lived outcomes for heavy alcohol drinkers than for lighter drinkers. The results were not moderated by gender," the team reported.

"Brief single-session HIV prevention counseling delivered to STI clinic patients has the potential to reduce HIV infections. Counseling should be enhanced for heavier drinkers, and sustained outcomes will require relapse prevention techniques," the authors concluded, noting that "disseminating effective, brief and feasible behavioral interventions to those at highest risk for HIV infection should remain a public health priority."


Copyright © 2011 -CDC Prevention News Update, Publisher. All rights reserved to Information, Inc., Bethesda, MD. The CDC National Center for HIV, STD and TB Prevention provides the following information as a public service only. Providing synopses of key scientific articles and lay media reports on HIV/AIDS, other sexually transmitted diseases and tuberculosis does not constitute CDC endorsement. This daily update also includes information from CDC and other government agencies, such as background on Morbidity and Mortality Weekly Report (MMWR) articles, fact sheets, press releases and announcements. Reproduction of this text is encouraged; however, copies may not be sold, and the CDC HIV/STD/TB Prevention News Update should be cited as the source of the information. Contact the sources of the articles abstracted below for full texts of the articles.

Information in this article was accurate in November 18, 2011. The state of the art may have changed since the publication date. This material is designed to support, not replace, the relationship that exists between you and your doctor. Always discuss treatment options with a doctor who specializes in treating HIV.