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The Awareness Framework: A Novel Approach for Understanding HIV Testing and Disclosure in HIV-Discordant Dyads

Citation

Rosenberg, Nora E.; Pettifor, Audrey E.; & Miller, William C. (2013). The Awareness Framework: A Novel Approach for Understanding HIV Testing and Disclosure in HIV-Discordant Dyads. Journal of Antivirals & Antiretrovirals, 5(1), 8-11. PMCID: PMC4196702

Abstract

HIV testing and counseling (HTC) is rapidly being brought to scale in sub-Saharan Africa [1]. Scale-up has been driven primarily by the goal of linking HIV-infected persons to treatment. But what impact will HTC scale-up have on HIV prevention, especially as new biomedical HIV prevention interventions are introduced? Consistent with the Couples HIV Testing and Counseling Guidelines recently released by the World Health Organization, we assert that the prevention impact of HTC will hinge on whether both members of HIV-discordant dyads receive HTC and whether they share their HIV status with each other. However, a better understanding of the prevention impact of other awareness possibilities is needed. We introduce a novel framework for considering a person’s awareness of his/her own HIV status (through HTC) and his/her partner’s HIV status (through HIV disclosure) within HIV-discordant dyads. This framework is useful for understanding HTC trends, examining behavioral and biomedical risk in partnerships, and ultimately optimizing the impact of HIV prevention.

URL

http://dx.doi.org/10.4172/jaa.1000057

Reference Type

Journal Article

Year Published

2013

Journal Title

Journal of Antivirals & Antiretrovirals

Author(s)

Rosenberg, Nora E.
Pettifor, Audrey E.
Miller, William C.

PMCID

PMC4196702