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The purpose of this study is to evaluate the effectiveness of reducing HIV transmission among sero-discordant couples by applying comprehensive intervention components.
A cluster-randomized controlled trial was carried out in forty counties from 16 cities. The strategy of Social Marketing was applied to influence sero-discordant couples' behavioral changes including safer sexual intercourses, regular HIV testing for the negative partners, antiretroviral therapy initiation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Experimental | comprehensive intervention components |
|
| Usual | No Intervention | According the National HIV Antiretroviral treatment Guideline, provide treatment referrals for those treatment-eligible HIV-positive patients. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| comprehensive intervention components | Behavioral | ART promotion, Couple testing and consulting promotion, and Condom use promotion |
|
| Measure | Description | Time Frame |
|---|---|---|
| HIV seroconversion rate of HIV negatives among HIV serodiscordant couples | up to 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of HIV positives receiving ART among HIV serodiscordant couples | up to 2 years | |
| The incidence rate of AIDS-related diseases of HIV positives among serodiscordant couples | up to 2 years |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Zuyou Wu, MD, PHD | National Center for AIDS/STD Control and Prevention, China CDC | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Center for Disease Control and Prevention,Guangxi Zhuang Autonomous Region | Nanning, Guilin, Laibin, Qinzhou | Guangxi | 530028 | China | ||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 21600849 | Result | Zhang F, Dou Z, Ma Y, Zhang Y, Zhao Y, Zhao D, Zhou S, Bulterys M, Zhu H, Chen RY. Effect of earlier initiation of antiretroviral treatment and increased treatment coverage on HIV-related mortality in China: a national observational cohort study. Lancet Infect Dis. 2011 Jul;11(7):516-24. doi: 10.1016/S1473-3099(11)70097-4. | |
| 20397961 |
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| Center for Disease Control and Prevention, Henan Province |
| Zhumadian |
| Henan |
| 463000 |
| China |
| Center for Disease Control and Prevention, Sichuan Province | Liangshan | Sichuan | 615000 | China |
| Center for Disease Control and Prevention, Xinjiang Uygur Autonomous Region | Urumchi, Ili | Xinjiang | 830002 | China |
| Center for Disease Control and Prevention, Yunnan Province | Kunming, Dehong, Wenshan, Honghe | Yunnan | 650022 | China |
| Cohen MS, Gay CL. Treatment to prevent transmission of HIV-1. Clin Infect Dis. 2010 May 15;50 Suppl 3(0 3):S85-95. doi: 10.1086/651478. |
| 18351489 | Result | Stephenson R, Barker J, Cramer R, Hall MA, Karita E, Chomba E, Vwalika C, Allen S. The demographic profile of sero-discordant couples enrolled in clinical research in Rwanda and Zambia. AIDS Care. 2008 Mar;20(3):395-405. doi: 10.1080/09540120701593497. |
| 24236010 | Result | He N, Duan S, Ding Y, Rou K, McGoogan JM, Jia M, Yang Y, Wang J, Montaner JS, Wu Z; China National HIV Prevention Study Group. Antiretroviral therapy reduces HIV transmission in discordant couples in rural Yunnan, China. PLoS One. 2013 Nov 13;8(11):e77981. doi: 10.1371/journal.pone.0077981. eCollection 2013. |