Open AccessPathways for HIV Prevention Behaviors Following a Home-Based Couples Intervention for Pregnant Women and Male Partners in Kenya
Author(s) -
Abigail M. Hatcher,
Lynae A. Darbes,
Zachary Kwena,
Pamela Musoke,
Anna Joy Rogers,
George Owino,
Anna Helová,
Jami L. Anderson,
Patrick Oyaro,
Elizabeth A. Bukusi,
Janet M. Turan
Publication year - 2020
Publication title -
aids and behavior
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.994
H-Index - 106
eISSN - 1573-3254
pISSN - 1090-7165
DOI - 10.1007/s10461-019-02774-4
Subject(s) - health psychology , medicine , intervention (counseling) , public health , logistic regression , odds , behavior change communication , pregnancy , human immunodeficiency virus (hiv) , odds ratio , behavior change , family medicine , clinical psychology , environmental health , psychiatry , nursing , population , pathology , biology , research methodology , genetics
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.