{"doi":"10.1007/s10461-021-03435-1","title":"Social Influence and Uptake of Couples HIV Testing and Counselling in KwaZulu-Natal, South Africa","abstract":"Social influences may create a barrier to couples HIV testing and counselling (CHTC) uptake in sub-Saharan Africa. This secondary analysis of data collected in the 'Uthando Lwethu' randomised controlled trial used discrete-time survival models to evaluate the association between within-couple average 'peer support' score and uptake of CHTC by the end of nine months' follow-up. Peer support was conceptualised by self-rated strength of agreement with two statements describing friendships outside of the primary partnership. Eighty-eight couples (26.9%) took up CHTC. Results tended towards a dichotomous trend in models adjusted only for trial arm, with uptake significantly less likely amongst couples in the higher of four peer support score categories (OR 0.34, 95% CI 0.18, 0.68 [7-10 points]; OR 0.53, 95% CI 0.28, 0.99 [≥ 11 points]). A similar trend remained in the final multivariable model, but was no longer significant (AOR 0.59, 95% CI 0.25, 1.42 [7-10 points]; AOR 0.88, 95% CI 0.36, 2.10 [≥ 11 points]). Accounting for social influences in the design of couples-focused interventions may increase their success.","journal":"AIDS and Behavior","year":2021,"id":209977,"datarank":0.16479184330021646,"base_score":1.0986122886681096,"endowment":1.0986122886681096,"self_citation_contribution":0.16479184330021646,"citation_network_contribution":0.0,"self_endowment_contribution":0.16479184330021646,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":2,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9576,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2021-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":376543,"name":"Lynae A. Darbes","orcid":"0000-0003-4738-6812","position":1,"is_corresponding":false},{"id":798065,"name":"Victoria Hosegood","orcid":"0000-0002-2244-2518","position":2,"is_corresponding":false},{"id":313569,"name":"Mallory O. Johnson","orcid":"0000-0003-0480-2804","position":3,"is_corresponding":false},{"id":548016,"name":"Katherine Fritz","orcid":null,"position":4,"is_corresponding":false},{"id":798066,"name":"Thulani Ngubane","orcid":"0000-0003-1030-0181","position":5,"is_corresponding":false},{"id":392944,"name":"Heidi van Rooyen","orcid":"0000-0002-6502-6098","position":6,"is_corresponding":false},{"id":326664,"name":"Nuala McGrath","orcid":"0000-0002-1039-0159","position":7,"is_corresponding":false},{"id":798064,"name":"Matthew Johnson","orcid":"0000-0001-5597-6615","position":0,"is_corresponding":true}],"reference_count":53,"raw_metadata":{"citation_network_status":"fetched"},"created_at":"2026-07-18T23:52:08.869117Z","pmid":"34417920","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}