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Does participation in an HIV vaccine efficacy trial affect risk behaviour in South Africa?

dc.contributor.authorGray, Glenda Elizabeth.
dc.contributor.authorMetch, Barbara.
dc.contributor.authorChurchyard, Gavin J.
dc.contributor.authorMlisana, Koleka Patience.
dc.contributor.authorNchabeleng, Maphoshane.
dc.contributor.authorAllen, Mary.
dc.contributor.authorMoodie, Zoe.
dc.contributor.authorKublin, James.
dc.contributor.authorBekker, Linda-Gail.
dc.date.accessioned2013-12-10T09:09:54Z
dc.date.available2013-12-10T09:09:54Z
dc.date.created2012
dc.date.issued2012
dc.description.abstractBackground: Increased sexual risk behaviour in participants enrolled in HIV prevention trials has been a concern. The HVTN 503/Phambili study, a phase 2B study of the Merck Ad-5 multiclade HIV vaccine in South Africa, suspended enrollment and vaccinations following the results of the Step study. Participants were notified of their treatment allocation and continue to be followed. We investigated changes in risk behaviour over time and assessed the impact of study unblinding. Methods: 801 participants were enrolled. Risk behaviours were assessed with an interviewer administered questionnaire at 6-month intervals. We assessed change from enrolment to the first 6-month assessment pre-unblinding and between enrolment and at least 6 months post-unblinding on all participants with comparable data. A one-time unblinding risk perception questionnaire was administered post-unblinding. Results: A decrease in participants reporting unprotected sex was observed in both measured time periods for men and women, with no differences by treatment arm. At 6 months (pre-unblinding), 29.6% of men and 35.8% of women reported changing from unprotected to protected sex (p < 0.0001 for each). Men (22%) were more likely than women (14%) to report behaviour change after unblinding (p = 0.009). Post-enrolment, 142 (45%) of 313 previously uncircumcised men underwent medical circumcision. 663 participants completed the unblinding questionnaire. More vaccine (24.6%) as compared to placebo recipients (12.0%) agreed that they were more likely to get HIV than most people (p < 0.0001), and attributed this to receiving the vaccine. Conclusion: We did not find evidence of risk compensation during this clinical trial. Some risk behaviour reductions including male circumcision were noted irrespective of treatment allocation.en
dc.identifier.citationGray, G. E., et al. 2013. Does participation in an HIV vaccine efficacy trial affect risk behaviour in South Africa? Vaccine 31(16) pp. 2089–2096.
dc.identifier.issn0264-410X
dc.identifier.urihttp://dx.doi.org/10.1016/j.vaccine.2013.01.031en
dc.identifier.urihttp://hdl.handle.net/10413/10189
dc.language.isoenen
dc.publisherElsevier.en
dc.subjectHIV-postive persons--Sexual behaviour--South Africa.en
dc.subjectAIDS (Disease)--Vaccines--Testing--South Africa.en
dc.subjectAIDS vaccines--Research.en
dc.subjectAIDS vaccines--Testing--South Africa.en
dc.subject.otherHIV risk behaviour.en
dc.subject.otherHVTN 503 Phambili HIV Vaccine Trial.en
dc.titleDoes participation in an HIV vaccine efficacy trial affect risk behaviour in South Africa?en
dc.typePeer reviewed journal articleen

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