Perception of risk of vertically acquired HIV infection and acceptability of provider-initiated testing and counseling among adolescents in Zimbabwe.

Abstract:

OBJECTIVES:We investigated attitudes toward provider-initiated HIV testing and counseling (PITC) in the suburbs of Harare, Zimbabwe, where late presentation after mother-to-child HIV transmission (MTCT) is a major cause of adolescent mortality. METHODS:Adolescents (10-18 years) attending 2 primary clinics were offered PITC. Participants completed a questionnaire investigating acceptability of PITC, and in-depth interviews with 41 adolescents and 30 guardians explored understanding of long-term survival after MTCT. RESULTS:Of 506 participants, 16 were known to be HIV-positive; of the remaining 490, only 5 (1%) declined HIV testing. Infected adolescents and their guardians often anticipated a positive result and reported being advised by relatives (but not health workers) to be tested because of chronic illness, especially if parents or siblings had died or were HIV-infected. However, HIV-negative participants were not aware that long-term survival following MTCT could occur. All adolescents felt that HIV diagnosed at their age would be assumed to have been sexually acquired regardless of the true mode of transmission. CONCLUSIONS:Including late diagnosis of MTCT in pretest counseling and health educational messages may facilitate PITC for older children and adolescents, especially for those who have not had their sexual debut.

journal_name

Am J Public Health

authors

Ferrand RA,Trigg C,Bandason T,Ndhlovu CE,Mungofa S,Nathoo K,Gibb DM,Cowan FM,Corbett EL

doi

10.2105/AJPH.2011.300250

subject

Has Abstract

pub_date

2011-12-01 00:00:00

pages

2325-32

issue

12

eissn

0090-0036

issn

1541-0048

pii

AJPH.2011.300250

journal_volume

101

pub_type

杂志文章
  • New York inmates' HIV risk behaviors: the implications for prevention policy and programs.

    abstract:OBJECTIVES:The median incidence rate of acquired immunodeficiency syndrome (AIDS) among prisoners is 7 times higher than for the general population. Yet high-risk sexual activity and drug use in US correctional facilities remain unexamined. This study explores inmate perceptions of high-risk behavior in New York state ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.86.9.1211

    authors: Mahon N

    更新日期:1996-09-01 00:00:00

  • Risk of infection from needle reuse at a phlebotomy center.

    abstract:OBJECTIVES:This study determined infection risk for HIV, hepatitis B virus (HBV), and hepatitis C virus (HCV) from needle reuse at a phlebotomy center that possibly exposed 3810 patients to infection. METHODS:We used a model for the risk of infection per blood draw, supplemented by subsequent testing results from 1699...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.91.4.636

    authors: Porco TC,Aragón TJ,Fernyak SE,Cody SH,Vugia DJ,Katz MH,Bangsberg DR

    更新日期:2001-04-01 00:00:00

  • Selected antepartum medical complications and very-low-birthweight infants among black and white women.

    abstract::This study estimated the risk of very-low-birthweight delivery among Black and White women with selected treatable antepartum medical conditions. A logistic regression model was applied to a retrospective, population-based data set identified by computerized, linked birth certificate and maternal hospital discharge re...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.84.9.1495

    authors: DeBaun M,Rowley D,Province M,Stockbauer JW,Cole FS

    更新日期:1994-09-01 00:00:00

  • Epidemiologic evidence and motor vehicle policy making.

    abstract::After being randomly assigned to receive policy effectiveness information expressed as attributable benefit, attributable risk, or relative risk, 318 graduate students were asked to indicate their preferences for the current voluntary seat belt use policy, a mandatory seat belt policy, or mandatory passive restraints....

    journal_title:American journal of public health

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.2105/ajph.75.4.354

    authors: Runyan CW,Earp JA

    更新日期:1985-04-01 00:00:00

  • Polychlorinated biphenyls: influence on birthweight and gestation.

    abstract::Fifty-one infants born to women employed at two capacitor manufacturing facilities with a history of high exposure to polychlorinated biphenyls (PCBs) had a mean birthweight of 153 grams less than that of 337 infants born to women who had worked in low-exposure areas (90 per cent confidence interval, -286 to -20 g); m...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.74.10.1153

    authors: Taylor PR,Lawrence CE,Hwang HL,Paulson AS

    更新日期:1984-10-01 00:00:00

  • Comprehensive health care for high-risk adolescents: an evaluation study.

    abstract::This study was designed to evaluate the effectiveness of a large scale program to improve health care for high-risk adolescents. Seven clinics, funded to provide comprehensive primary care to adolescents, were compared to three non-funded clinics. The majority of the 2,788 adolescent patients sampled in these clinics ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.79.8.999

    authors: Earls F,Robins LN,Stiffman AR,Powell J

    更新日期:1989-08-01 00:00:00

  • The economic gains of achieving reduced alcohol consumption targets for Australia.

    abstract:OBJECTIVES:To inform prevention policy, we estimated the economic benefits to health, production, and leisure in the 2008 Australian population of a realistic target reduction in per capita annual adult alcohol consumption. METHODS:We chose a target of 6.4 liters annually per capita on average. We modeled lifetime hea...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2011.300453

    authors: Magnus A,Cadilhac D,Sheppard L,Cumming T,Pearce D,Carter R

    更新日期:2012-07-01 00:00:00

  • The young adult chronic psychiatric patient in an era of deinstitutionalization.

    abstract::Assessments of the consequences of deinstitutionalization tend to focus primarily on observable changes in psychiatric services. Equally critical, and less often noted, are changes in the target population of deinstitutionalization that have accrued as the result of new service initiatives and changing loci of care. Y...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.74.4.382

    authors: Bachrach LL

    更新日期:1984-04-01 00:00:00

  • Contraception and induced abortion in Armenia: a critical need for family planning programs in eastern Europe.

    abstract:OBJECTIVES:The purpose of this study was to determine the number of induced abortions per woman and the reasons for selecting induced abortion among parous Armenian women. METHODS:A consecutive series of 200 women attending an abortion clinic in Yerevan, Armenia, were queried by a physician about their reproductive hi...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.88.5.803

    authors: Dolian G,Lüdicke F,Katchatrian N,Campana A,Morabia A

    更新日期:1998-05-01 00:00:00

  • Does supplemental private insurance affect care of Medicare recipients hospitalized for myocardial infarction?

    abstract:OBJECTIVES:We sought to determine whether supplemental private insurance coverage among Medicare recipients alters patterns of health care or outcomes associated with acute myocardial infarction. METHODS:Medicare patients hospitalized after a myocardial infarction were identified from New York City hospitalization rec...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.94.5.778

    authors: Fang J,Alderman MH

    更新日期:2004-05-01 00:00:00

  • Prescribing practices among nurse practitioners in adult and family health.

    abstract::Data derived through log recordings of 89 nurse practitioners (NPs) in adult/family practice on 7,086 prescriptions issued during 890 clinical days were analyzed to describe prescribing practices of NPs who held prescriptive authority from the licensing regulatory boards of five western states. Results showed drug uti...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.75.3.258

    authors: Batey MV,Holland JM

    更新日期:1985-03-01 00:00:00

  • A prospective study of syphilis and HIV infection among injection drug users receiving methadone in the Bronx, NY.

    abstract:OBJECTIVES:The purpose of this study was to assess the relationship between syphilis and human immunodeficiency virus (HIV) infection in injection drug users. METHODS:A 6-year prospective study of 790 injection drug users receiving methadone maintenance treatment in the Bronx, NY, was conducted. RESULTS:Sixteen perce...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.86.8_pt_1.1112

    authors: Gourevitch MN,Hartel D,Schoenbaum EE,Selwyn PA,Davenny K,Friedland GH,Klein RS

    更新日期:1996-08-01 00:00:00

  • Consistency between increasing trends in added-sugar intake and body mass index among adults: the Minnesota Heart Survey, 1980-1982 to 2007-2009.

    abstract:OBJECTIVES:We described 27-year secular trends in added-sugar intake and body mass index (BMI) among Americans aged 25 to 74 years. METHODS:The Minnesota Heart Survey (1980-1982 to 2007-2009) is a surveillance study of cardiovascular risk factors among residents of the Minneapolis-St Paul area. We used generalized lin...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2011.300562

    authors: Wang H,Steffen LM,Zhou X,Harnack L,Luepker RV

    更新日期:2013-03-01 00:00:00

  • Mycoplasma genitalium among young adults in the United States: an emerging sexually transmitted infection.

    abstract:OBJECTIVES:We sought to determine the prevalence of and risk factors associated with Mycoplasma genitalium infection in a nationally representative sample of young adults in the United States. METHODS:Urine specimens from 1714 women and 1218 men who participated in Wave III of the National Longitudinal Study of Adoles...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2005.074062

    authors: Manhart LE,Holmes KK,Hughes JP,Houston LS,Totten PA

    更新日期:2007-06-01 00:00:00

  • Effect of pregnancy during TMI crisis on mothers' mental health and their child's development.

    abstract::Five years after the Three Mile Island nuclear accident, the mental health of women who had been pregnant and living within 10 miles of Three Mile Island at the time of the accident was similar to that of women from the same area who became pregnant after the accident. Ratings of the development of the two groups of c...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.81.3.384

    authors: Houts PS,Tokuhata GK,Bratz J,Bartholomew MJ,Sheffer KW

    更新日期:1991-03-01 00:00:00

  • Triple comorbid trajectories of tobacco, alcohol, and marijuana use as predictors of antisocial personality disorder and generalized anxiety disorder among urban adults.

    abstract:OBJECTIVES:We modeled triple trajectories of tobacco, alcohol, and marijuana use from adolescence to adulthood as predictors of antisocial personality disorder (ASPD) and generalized anxiety disorder (GAD). METHODS:We assessed urban African American and Puerto Rican participants (n = 816) in the Harlem Longitudinal De...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2014.301880

    authors: Brook JS,Lee JY,Rubenstone E,Brook DW,Finch SJ

    更新日期:2014-08-01 00:00:00

  • Health capability: conceptualization and operationalization.

    abstract::Current theoretical approaches to bioethics and public health ethics propose varied justifications as the basis for health care and public health, yet none captures a fundamental reality: people seek good health and the ability to pursue it. Existing models do not effectively address these twin goals. The approach I e...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2008.143651

    authors: Ruger JP

    更新日期:2010-01-01 00:00:00

  • Role of local health departments in the delivery of ambulatory care.

    abstract::Many people (40 per cent) receive each year some personal health service provided by local health departments. A substantial number of poor children (50 per cent) look to public agencies including health departments for all or part of their medical care. A number of departments including those represented in this stud...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.71.1_suppl.15

    authors: Miller CA,Moos MK,Kotch JB,Brown ML,Brainard MP

    更新日期:1981-01-01 00:00:00

  • Preterm birth in the United States: the impact of stressful life events prior to conception and maternal age.

    abstract:OBJECTIVES:We determined whether and to what extent a woman's exposure to stressful life events prior to conception (PSLEs) was associated with preterm birth and whether maternal age modified this relationship. METHODS:We examined 9350 mothers and infants participating in the first wave of the Early Childhood Longitud...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2013.301688

    authors: Witt WP,Cheng ER,Wisk LE,Litzelman K,Chatterjee D,Mandell K,Wakeel F

    更新日期:2014-02-01 00:00:00

  • Preventable Emergency Department Visits for Nontraumatic Dental Conditions: Trends and Disparities in Nevada, 2009-2015.

    abstract:OBJECTIVES:To examine trends and socioeconomic disparities for preventable dental-related emergency department (ED) visits in Nevada. METHODS:We pooled retrospective data containing 66 267 ED visits involving dental conditions from Nevada hospital ED databases from 2009 to 2015. The dependent variable was nontraumatic...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2017.304242

    authors: Zhou W,Kim P,Shen JJ,Greenway J,Ditmyer M

    更新日期:2018-03-01 00:00:00

  • Getting beyond "Don't ask; don't tell": an evaluation of US Veterans Administration postdeployment mental health screening of veterans returning from Iraq and Afghanistan.

    abstract:OBJECTIVES:We sought to evaluate outcomes of the Veterans Administration (VA) Afghan and Iraq Post-Deployment Screen for mental health symptoms. METHODS:Veterans Administration clinicians were encouraged to refer Iraq or Afghanistan veterans who screened positive for posttraumatic stress disorder, depression, or high-...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2007.115519

    authors: Seal KH,Bertenthal D,Maguen S,Gima K,Chu A,Marmar CR

    更新日期:2008-04-01 00:00:00

  • Population Survey Features and Response Rates: A Randomized Experiment.

    abstract:OBJECTIVES:To study the effects of several survey features on response rates in a general population health survey. METHODS:In 2012 and 2013, 8000 households in British Columbia, Canada, were randomly allocated to 1 of 7 survey variants, each containing a different combination of survey features. Features compared inc...

    journal_title:American journal of public health

    pub_type: 杂志文章,随机对照试验

    doi:10.2105/AJPH.2016.303198

    authors: Guo Y,Kopec JA,Cibere J,Li LC,Goldsmith CH

    更新日期:2016-08-01 00:00:00

  • Ethical dilemmas in current planning for polio eradication.

    abstract::Intensification of polio eradication efforts worldwide raises concerns about costs and benefits for poor countries. A major argument for global funding is the high benefit-cost ratio of eradication; however, financial benefits are greatest for rich countries. By contrast, the greatest costs are borne by poor countries...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.87.6.922

    authors: Taylor CE,Cutts F,Taylor ME

    更新日期:1997-06-01 00:00:00

  • The efficacy of female condom skills training in HIV risk reduction among women: a randomized controlled trial.

    abstract:OBJECTIVES:We evaluated the efficacy of skills training designed to increase female condom use among women. METHODS:We conducted a randomized controlled trial of 409 women, recruited from family planning clinics in northern California, who were randomly assigned to the experimental 4-session female condom skills train...

    journal_title:American journal of public health

    pub_type: 杂志文章,随机对照试验

    doi:10.2105/AJPH.2007.113050

    authors: Choi KH,Hoff C,Gregorich SE,Grinstead O,Gomez C,Hussey W

    更新日期:2008-10-01 00:00:00

  • An interactive CD-ROM for nutrition screening and counseling.

    abstract:OBJECTIVES:The goal of this project was to develop an interactive CD-ROM for nutrition screening and counseling, designed to produce dietary behavior change in fat and fruit and vegetable intake. METHODS:The design was based on principles of relevance to the learner, readiness for change, feedback, individualization, ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.90.5.781

    authors: Block G,Miller M,Harnack L,Kayman S,Mandel S,Cristofar S

    更新日期:2000-05-01 00:00:00

  • Drive-by readings: a creative strategy for tuberculosis control among immigrants.

    abstract:OBJECTIVES:We explored an innovative strategy for targeted testing and disease management among immigrant communities at risk for tuberculosis. METHODS:Taxi drivers were recruited at an airport holding lot to undergo tuberculin skin testing (Mantoux). After receiving their test results in a location convenient for the...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2003.019620

    authors: Gany FM,Trinh-Shevrin C,Changrani J

    更新日期:2005-01-01 00:00:00

  • Links of the Supplemental Nutrition Assistance Program With Food Insecurity, Poverty, and Health: Evidence and Potential.

    abstract::The Supplemental Nutrition Assistance Program (SNAP) is a highly effective program, vital to our nation's health and well-being. SNAP's entitlement funding structure allows it to provide benefits to anyone who meets the program's eligibility requirements, and this structure also enables SNAP to respond quickly when ne...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2019.305325

    authors: Keith-Jennings B,Llobrera J,Dean S

    更新日期:2019-12-01 00:00:00

  • The University of Illinois at Chicago School of Public Health Doctor of Public Health program: an innovative approach to doctoral-level practice leadership development.

    abstract::The University of Illinois at Chicago, School of Public Health, Doctor of Public Health degree is designed to build leadership skills and an ability to contribute to the evidence base of practice. The competency-based, distance-format, doctoral-level program for midcareer professionals features an action learning appr...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2014.302331

    authors: Lenihan P,Welter C,Brandt-Rauf P,Neuberger B,Pinsker E,Petros M,Risley K

    更新日期:2015-03-01 00:00:00

  • A closer examination of neonatal mortality rates among the Texas Spanish surname population.

    abstract::Considering the poor socioeconomic status of the Spanish surnamed population in Texas, the Spanish surname neonatal mortality rate seems surprisingly low. During five of the last 10 years, the neonatal mortality rate for Texas Spanish surnamed population was actually lower than for Anglos. It is often suggested that t...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/ajph.72.9.993

    authors: Powell-Griner E,Streck D

    更新日期:1982-09-01 00:00:00

  • Impact of the Community-Wide Adolescent Health Project on Sexually Transmitted Infection Testing in Omaha, Nebraska.

    abstract::We describe the impact of the Adolescent Health Project on sexually transmitted infection (STI) testing in Omaha, NE, during phase 1 (media campaigns) and phase 2 (free STI testing). To assess the impact of each phase on STI testing, we examined monthly data from January 2013 to April 2017 via interrupted time series ...

    journal_title:American journal of public health

    pub_type: 杂志文章

    doi:10.2105/AJPH.2018.304391

    authors: Tibbits M,Maloney S,Ndashe TP,Grimm B,Johansson P,Siahpush M

    更新日期:2018-06-01 00:00:00