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• W2085349746 abstract "In Brief Objective: To add to the evidence on the impact of national HIV prevention programs in reducing HIV risk in sub-Saharan African countries. Methods: Statistical analysis of prospective data on exposure to HIV prevention programs, relatives with AIDS and unemployment, and sexual behavior change and HIV incidence, in a population cohort of 4047 adults, collected over a period (1998–2003) when HIV prevalence and risk-behavior declined in eastern Zimbabwe. Results: Exposure to HIV prevention programs and relatives with AIDS—but not unemployment—increased from 1998 to 2003. Men and women exposed to media campaigns and HIV/AIDS meetings had greater knowledge and self-efficacy, attributes that were concomitantly protective against HIV infection. Women attending community HIV/AIDS meetings before recruitment were more likely than other women to adopt lower-risk behavior (96.4% vs. 90.8%; adjusted odds ratio, 3.09; 95% confidence interval [CI], 1.27–7.49) and had lower HIV incidence (0.9% vs. 1.8%; adjusted incidence rate ratio, 0.63; 95% CI, 0.32–1.24) during the intersurvey period. Prior exposure to relatives with AIDS was not associated with differences in behavior change. More newly unemployed men as compared with employed men adopted lower-risk behavior (84.2% vs. 76.0%; adjusted odds ratio, 2.13; 95% CI, 0.98–4.59). Conclusions: Community-based HIV/AIDS meetings reduced risk-behavior amongst women who attended them, contributing to HIV decline in eastern Zimbabwe. A prospective population-based study in east Zimbabwe found that women who had attended community HIV/AIDS meetings were more likely to have adopted lower-risk behavior and had reduced HIV incidence." @default.
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• W2085349746 date "2011-06-01" @default.
• W2085349746 modified "2023-09-27" @default.
• W2085349746 title "Did National HIV Prevention Programs Contribute to HIV Decline in Eastern Zimbabwe? Evidence From a Prospective Community Survey" @default.
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• W2085349746 doi "https://doi.org/10.1097/olq.0b013e3182080877" @default.
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