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The impact of HIV couple testing and counseling on social support among pregnant women and their partners in Lilongwe, Malawi: an observational study

The impact of HIV couple testing and counseling on social support among pregnant women and their partners in Lilongwe, Malawi: an observational study
The impact of HIV couple testing and counseling on social support among pregnant women and their partners in Lilongwe, Malawi: an observational study

Couples HIV testing and counseling (couple counseling) promotes safer sexual behaviors, increases communication between couples, and decreases HIV transmission. However, the impact of couple counseling on social support, critical for persons living with HIV, has not been examined. Ninety couples with a recently tested HIV-positive pregnant woman (female-positive couples) and 47 couples with a recently tested HIV-negative pregnant woman (female-negative couples) were enrolled in an observational study at an antenatal clinic in Malawi. Each couple member was assessed immediately before and one month after couple counseling for partner, family, and peer social support using the Multidimensional Scale of Perceived Social Support. Before couple counseling, social support was lower among women than men in both female-positive couples (β = −10.00, p <.01) and female-negative couples (β = −8.43, p <.01). After couple counseling, social support increased for women in female-positive couples (β = 4.01, p <.01) and female-negative couples (β = 4.69, p <.01) but not for men in either type of couple. Couple counseling could be an effective strategy to increase social support for women, including those with recent HIV diagnoses.

counseling, couples, HIV, pregnancy, social support
0954-0121
1-9
Bhushan, Nivedita L.
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Golin, Carol E.
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McGrath, Nuala
b75c0232-24ec-443f-93a9-69e9e12dc961
Maman, Suzanne
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Tsidya, Mercy
bb5f846e-4637-4d78-b97e-69e8d81330e9
Chimndozi, Limbikani
2cc87d24-543f-40d6-9d37-47cd619e2b7f
Wesevich, Austin
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Hoffman, Irving F.
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Hosseinipour, Mina C.
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Miller, William C.
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Rosenberg, Nora E.
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Bhushan, Nivedita L.
287b2608-ef9d-4590-8798-ef272ad8b850
Golin, Carol E.
d36e93ad-1974-468a-9408-253732a4551e
McGrath, Nuala
b75c0232-24ec-443f-93a9-69e9e12dc961
Maman, Suzanne
2f864087-d6bd-474a-952b-1c641627661a
Tsidya, Mercy
bb5f846e-4637-4d78-b97e-69e8d81330e9
Chimndozi, Limbikani
2cc87d24-543f-40d6-9d37-47cd619e2b7f
Wesevich, Austin
7b3ddfa8-1c84-4d29-a15e-ec44847eaa18
Hoffman, Irving F.
565ea56e-e0e6-4234-956e-8a5a6f14aeb8
Hosseinipour, Mina C.
02e73573-3695-4457-a0d3-ef2d88e9e108
Miller, William C.
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Rosenberg, Nora E.
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Bhushan, Nivedita L., Golin, Carol E., McGrath, Nuala, Maman, Suzanne, Tsidya, Mercy, Chimndozi, Limbikani, Wesevich, Austin, Hoffman, Irving F., Hosseinipour, Mina C., Miller, William C. and Rosenberg, Nora E. (2018) The impact of HIV couple testing and counseling on social support among pregnant women and their partners in Lilongwe, Malawi: an observational study. AIDS Care, 1-9. (doi:10.1080/09540121.2018.1510102).

Record type: Article

Abstract

Couples HIV testing and counseling (couple counseling) promotes safer sexual behaviors, increases communication between couples, and decreases HIV transmission. However, the impact of couple counseling on social support, critical for persons living with HIV, has not been examined. Ninety couples with a recently tested HIV-positive pregnant woman (female-positive couples) and 47 couples with a recently tested HIV-negative pregnant woman (female-negative couples) were enrolled in an observational study at an antenatal clinic in Malawi. Each couple member was assessed immediately before and one month after couple counseling for partner, family, and peer social support using the Multidimensional Scale of Perceived Social Support. Before couple counseling, social support was lower among women than men in both female-positive couples (β = −10.00, p <.01) and female-negative couples (β = −8.43, p <.01). After couple counseling, social support increased for women in female-positive couples (β = 4.01, p <.01) and female-negative couples (β = 4.69, p <.01) but not for men in either type of couple. Couple counseling could be an effective strategy to increase social support for women, including those with recent HIV diagnoses.

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K99.SSManuscript.MainDocument.18July2018 - Accepted Manuscript
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Accepted/In Press date: 1 August 2018
e-pub ahead of print date: 5 September 2018
Keywords: counseling, couples, HIV, pregnancy, social support

Identifiers

Local EPrints ID: 423555
URI: http://eprints.soton.ac.uk/id/eprint/423555
ISSN: 0954-0121
PURE UUID: 6168de8e-9f8b-4cb3-aebb-080654b9d360
ORCID for Nuala McGrath: ORCID iD orcid.org/0000-0002-1039-0159

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Date deposited: 26 Sep 2018 16:30
Last modified: 06 Sep 2019 04:01

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Contributors

Author: Nivedita L. Bhushan
Author: Carol E. Golin
Author: Nuala McGrath ORCID iD
Author: Suzanne Maman
Author: Mercy Tsidya
Author: Limbikani Chimndozi
Author: Austin Wesevich
Author: Irving F. Hoffman
Author: Mina C. Hosseinipour
Author: William C. Miller
Author: Nora E. Rosenberg

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