Effectiveness of an intervention to reduce HIV transmission risks in HIV-positive people1 1The full text of this article is available via AJPM Online at www.elsevier.com/locate/ajpmonline.

Kalichman, Seth C.; Rompa, David; Cage, Marjorie; DiFonzo, Kari; Simpson, Dolores; Austin, James; Luke, Webster; Buckles, Jeff; Kyomugisha, Florence; Benotsch, Eric G.; Pinkerton, Steven D.; Graham, Jeff

doi:10.1016/s0749-3797(01)00324-5

Cited by 282 publications

(83 citation statements)

References 19 publications

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“…Women who participated in the intervention (i.e., received safer sex messages from their HCPs, the GLI, and the peer support groups) were significantly more likely than those in the comparison group (i.e., those who received safer sex messages from HCPs only) to report using condoms for vaginal or anal sex in months 6 and 18. Consistent with the results of other interventions for people living with HIV/ AIDS (Kalichman et al 2001;Wingood et al 2004) our findings suggest that behavioral interventions can help WLH/A adopt safer sex practices.…”

Section: Discussionsupporting

confidence: 89%

“…Although a handful of proven behavioral interventions exist to help both men and women with HIV/ AIDS decrease their risky sexual practices (Fisher et al 2006;Gilbert et al 2008;The Healthy Living Project Team 2007;Kalichman et al 2001;Patterson et al 2003;Richardson et al 2004;Sikkema et al 2007), we are aware of few published interventions that are tailored to the specific needs of WLH/A (Fogarty et al 2001;Wingood et al 2004). Because women and men face vastly different safer sex challenges, such tailored interventions are necessary.…”

Section: Introductionmentioning

confidence: 99%

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A Mixed Methods Evaluation of the Effect of the Protect and Respect Intervention on the Condom Use and Disclosure Practices of Women Living with HIV/AIDS

et al. 2009

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This mixed methods study evaluated the efficacy of an intervention to increase HIV status disclosure and condom use among 184 women living with HIV/AIDS (WLH/A). Participants were recruited from an HIV clinic and randomly assigned to: (1) a comparison group, who received brief messages from their health care providers (HCPs), or; (2) an intervention group, who received messages from HCPs, a group-level intervention, and peer-led support groups. Participants completed risk surveys at baseline, 6-, 12-, and 18-months. Quantitative analyses using hierarchical generalized linear models within a repeated measures framework indicated that intervention participants had significantly higher odds of reporting condom use with sexual partners in months 6 and 18. Grounded Theory-based qualitative analyses suggested that the opportunity to discuss the social context of their lives in addition to HIV/AIDS, including continued stigma and fear related to disclosure, are also essential components of a prevention strategy for WLH/A.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

A Mixed Methods Evaluation of the Effect of the Protect and Respect Intervention on the Condom Use and Disclosure Practices of Women Living with HIV/AIDS

et al. 2009

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“…These 73 excluded studies are listed in the supplementary material (File S1). Finally, 21 citations were included in the meta-analysis [10], [11], [12], [13], [14], [16], [17], [18], [19], [20], [21], [22], [23], [24], [30], [45], [46], [47], [48], [49], [50].…”

Section: Resultsmentioning

confidence: 99%

“…The retention rates of participants ranged between 30% and 95%. The commonly used behavioral theories included information-motivation-behavioral skills model [10], [11], [14], [16], [17], [20], [21], [24], [30], [47], [50], social cognitive theory/social learning theory [11], [19], [45], [46], [49], [50], cognitive-behavioral coping [10], [18], [47], and theory of planned behavior [10], [50]. The rigor score of included studies ranged from 6 to 9 with a mean score of 7.95.…”

Section: Resultsmentioning

confidence: 99%

Sexual Risk Reduction for HIV-Infected Persons: A Meta-Analytic Review of “Positive Prevention” Randomized Clinical Trials

Wang

Vermund

et al. 2014

PLoS ONE

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BackgroundPrevention intervention trials have been conducted to reduce risk of sexual transmission among people living with HIV/AIDS (PLWHA), but the findings were inconsistent. We performed a systematic review and meta-analysis to evaluate overall efficacy of prevention interventions on unprotected vaginal or anal intercourse (UVAI) among PLWHA from randomized clinical trials (RCTs).MethodsRCTs of prevention interventions among PLWHA published as of February 2012 were identified by systematically searching thirteen electronic databases. The primary outcome was UVAI. The difference of standardized mean difference (SMD) of UVAI between study arms, defined as effect size (ES), was calculated for each study and then pooled across studies using standard meta-analysis with a random effects model.ResultsLower likelihood of UVAI was observed in the intervention arms compared with the control arms either with any sexual partners (mean ES: −0.22; 95% confidence interval [CI]: −0.32, −0.11) or with HIV-negative or unknown-status sexual partners (mean ES and 95% CI: −0.13 [−0.22, −0.04]). Short-term efficacy of interventions with ≤10 months of follow up was significant in reducing UVAI (1–5 months: −0.27 [−0.45, −0.10]; 6–10 months: −0.18 [−0.30, −0.07]), while long-term efficacy of interventions was weaker and might have been due to chance (11–15 months: −0.13 [−0.34, 0.08]; >15 months: −0.05 [−0.43, 0.32]).ConclusionsOur meta-analyses confirmed the short-term impact of prevention interventions on reducing self-reported UVAI among PLWHA irrespective of the type of sexual partner, but did not support a definite conclusion on long-term effect. It is suggested that booster intervention sessions are needed to maintain a sustainable reduction of unprotected sex among PLWHA in future risk reduction programs.

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“…For women who have already tested HIV-positive and have experienced childhood sexual abuse, there are assumptions that their exposure to sexual risk behaviors will continue, even after infection (Clark, Valera, & Wilson, 2015;Chariyeva et al, 2013;Ncube et al, 2012;Kalichman et al, 2001). The following includes a proposed model and its expansion developed by Wingood and DiClemente (2002) to detail the extended version of TGP.…”

Section: Theory Of Gender and Power Originally Developed By Robert Cmentioning

confidence: 99%

Association Between Childhood Sexual Abuse and HIV-Related Risk Factors for HIV-Positive Haitian Women

Sévère¹

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All rights reserved.iv DEDICATION I dedicate this dissertation to the special people in my life who reminded me that this journey was not designed to be perfect, but rather it was perfectly and divinely designed for me. To those wonderful people in my life; I dedicate this dissertation to you. your support has meant to me during this doctoral journey! I was so proud to see each of you complete the dissertation and earn those three letters. We all finished at different times, but we stood by each other every step of the way. From the moment we entered the program at Florida International University, we depended on each other to talk, to research, to complain, to work, and to laugh. We became more than friends-we became a little family that grew beyond the confines of a classroom. From weddings, to babies, to new careers, to international travel-we were there for each other. Now that I finally made it to the other side, I hope I made you just as proud as each of you has made me. Results showed that women who were exposed to some level of sexual abuse during childhood had less favorable attitudes towards condom use than women who reported no exposure to sexual abuse during childhood [F(2, 217) = 5.10, p = .007].There were no differences between exposure groups for the remaining sexual risk behaviors: multiple partners, knowledge of HIV, and sexual self-efficacy. Women who were exposed to CSA also reported higher levels of alcohol use than reported by the women in the non-exposure group. Finally, there were no differences between exposure groups for social support. Examining women at the beginning of their diagnosis for childhood trauma and providing targeted interventions for coping with that trauma presents a valuable research opportunity. The findings of the current study suggest that more research is required to understand the association between CSA and HIV-related risk factors in this subset of the HIV-positive population.

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Effectiveness of an intervention to reduce HIV transmission risks in HIV-positive people1 1The full text of this article is available via AJPM Online at www.elsevier.com/locate/ajpmonline.

Cited by 282 publications

References 19 publications

A Mixed Methods Evaluation of the Effect of the Protect and Respect Intervention on the Condom Use and Disclosure Practices of Women Living with HIV/AIDS

A Mixed Methods Evaluation of the Effect of the Protect and Respect Intervention on the Condom Use and Disclosure Practices of Women Living with HIV/AIDS

Sexual Risk Reduction for HIV-Infected Persons: A Meta-Analytic Review of “Positive Prevention” Randomized Clinical Trials

Association Between Childhood Sexual Abuse and HIV-Related Risk Factors for HIV-Positive Haitian Women

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