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AIDS Res Treat. 2012; 2012: 815823.
Published online May 15, 2012. doi:  10.1155/2012/815823
PMCID: PMC3361150
HIV Clients as Agents for Prevention: A Social Network Solution
Sarah Ssali, 1 Glenn Wagner, 2 * Christopher Tumwine, 3 Annette Nannungi, 1 and Harold Green 2
1Department of Women and Gender Studies, Makerere University, Kampala, Uganda
2Department of Health, RAND Corporation, Santa Monica, CA 90407, USA
3Faculty of Social Sciences, Makerere University, Kampala, Uganda
*Glenn Wagner: gwagner/at/rand.org
Academic Editor: Marjorie Robert-Guroff
Received January 20, 2012; Accepted March 13, 2012.
Abstract
HIV prevention efforts to date have not explored the potential for persons living with HIV to act as change agents for prevention behaviour in their social networks. Using egocentric social network analysis, this study examined the prevalence and social network correlates of prevention advocacy behaviours (discussing HIV in general; encouraging abstinence or condom use, HIV testing, and seeking HIV care) enacted by 39 HIV clients in Uganda. Participants engaged in each prevention advocacy behaviour with roughly 50–70% of the members in their network. The strongest determinant of engaging in prevention advocacy with more of one's network members was having a greater proportion of network members who knew one's HIV seropositive status, as this was associated with three of the four advocacy behaviours. These findings highlight the potential for PLHA to be key change agents for HIV prevention within their networks and the importance of HIV disclosure in facilitating prevention advocacy.
Articles from AIDS Research and Treatment are provided here courtesy of
Hindawi Publishing Corporation