{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:43:12Z","timestamp":1777927392642,"version":"3.51.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2022,3,22]],"date-time":"2022-03-22T00:00:00Z","timestamp":1647907200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100006312","name":"South African Agency for Science and Technology Advancement","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006312","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:p>Background: Although there are several ways to transmit HIV, condomless sex remains the primary mode in sub-Saharan Africa, including South Africa, with KwaZulu-Natal Province being one of the epicentres of HIV infection. This study explored the use of condoms in serodiscordant couples who were exposed to an HIV-risk reduction intervention that aimed to improve condom use and reduce the spread of HIV.<\/jats:p>\n                  <jats:p>Methods: A Total of 30 couples completed a paper-based questionnaire on their demographics and general health at baseline and 3\u00a0months, plus a semi-structured questionnaire with four domains. An analysis of HIV knowledge, condom use, condom use attitudes and protection perceptions about how other serodiscordant couples behave was conducted following a 12-week HIV risk reduction intervention. Participants were randomised 2:1 into intervention and control groups.<\/jats:p>\n                  <jats:p>Results: Condom use increased from 55% at baseline to 73.7% ( p = .0047) at 3\u00a0months for the intervention group and condom use in the last 7 days increased from 53% to 86% ( p = .0117). For the control group, condom use remained low at the 3\u00a0months follow up period ( p = .625). HIV knowledge improved significantly from baseline to 3\u00a0months for the intervention group ( p &lt; .0001), as well as the control group ( p = .0005). Negative HIV condom use attitude scores in both groups decreased significantly from baseline to 3\u00a0months; intervention group ( p = .0059) and control group ( p = .0007).<\/jats:p>\n                  <jats:p>Conclusion: HIV knowledge and condom use improved significantly, while negative condom use attitudes and HIV protection perceptions decreased significantly following exposure to a risk-reduction intervention, suggesting that HIV preventive interventions should focus on partnership interventions.<\/jats:p>","DOI":"10.1177\/09564624221076617","type":"journal-article","created":{"date-parts":[[2022,3,22]],"date-time":"2022-03-22T07:14:23Z","timestamp":1647933263000},"page":"479-484","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Condom use consistency among South African HIV serodiscordant couples following an HIV risk-reduction intervention"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4079-0495","authenticated-orcid":false,"given":"Sibongile","family":"Mashaphu","sequence":"first","affiliation":[{"name":"Department of Psychiatry, University of KwaZulu-Natal, Durban, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gail E","family":"Wyatt","sequence":"additional","affiliation":[{"name":"UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muyu","family":"Zhang","sequence":"additional","affiliation":[{"name":"UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Honghu","family":"Liu","sequence":"additional","affiliation":[{"name":"Division of Public Health and Community Dentistry, University of California Los Angeles, Los Angeles, CA, 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