HIV Diagnosis and Risk Behavior

Weinhardt, Lance S.

doi:10.1007/0-306-48700-4_2

Cited by 21 publications

(18 citation statements)

References 38 publications

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“…While an HIV diagnosis is initially accompanied by decreases in sexual risk behavior [5], improvements in PLWHA’s health status are associated with increased risky sexual practices [6]. Indeed, one study noted that between 20% and 30% of PLWHA reported unprotected sexual encounters a year after being diagnosed with HIV [7]. Unprotected sexual encounters pose the risk of HIV transmission to uninfected partners and increased possibility of negative health consequences for PLWHA through acquisition of other sexually transmitted infections (STIs) or drug-resistant HIV strains [8–11].…”

Section: Introductionmentioning

confidence: 99%

Secondary HIV Prevention: Novel Intervention Approaches to Impact Populations Most at Risk

Brown

DiClemente

2011

Curr HIV/AIDS Rep

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This paper reviews recent secondary prevention interventions designed to reduce sexual risk behaviors among people living with HIV/AIDS (PLWHA). A summary of findings from previous meta-analyses and narrative reviews of interventions is provided. Next, novel HIV prevention approaches for PLWHA are reviewed. The review reports on the efficacy of interventions delivered in primary care settings or by technology-formats, interventions that also address mental health difficulties, and programs to address particular at-risk populations (eg, men who have sex with men). A critique of recent interventions for people living with HIV/AIDS is provided as well as suggestions for future research.

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Section: Introductionmentioning

confidence: 99%

Secondary HIV Prevention: Novel Intervention Approaches to Impact Populations Most at Risk

Brown

DiClemente

2011

Curr HIV/AIDS Rep

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“…Following diagnosis, a substantial portion of MSM continue to engage in unprotected anal intercourse (UAI) (17). For many newly-diagnosed MSM, counseling and testing (18, 19) and the impact of diagnosis (20) lead to reductions in UAI, but after a short period, risk behavior often rebounds to levels demonstrated prior to diagnosis (21). In fact, more than half of HIV positive MSM report unprotected intercourse within one year of diagnosis (17, 19, 22).…”

Section: Introductionmentioning

confidence: 99%

“…For many newly-diagnosed MSM, counseling and testing (18, 19) and the impact of diagnosis (20) lead to reductions in UAI, but after a short period, risk behavior often rebounds to levels demonstrated prior to diagnosis (21). In fact, more than half of HIV positive MSM report unprotected intercourse within one year of diagnosis (17, 19, 22). Some studies have shown that recently diagnosed MSM engage in more sexual risk behaviors compared to MSM who have known their HIV positive status longer (16, 23).…”

Section: Introductionmentioning

confidence: 99%

“…Although post-test counseling may reduce UAI among some newly-diagnosed MSM, this counseling results in modest effects (18, 19) that are difficult to discern from the impact of diagnosis itself (24). An HIV diagnosis can heighten anxiety and emotional distress, making information related to emotional support and referrals more salient at this time than information related to long-term behavior change (25).…”

Section: Introductionmentioning

confidence: 99%

“…These skills include knowledge, motivation, behavioral intentions, self-efficacy, risk reduction decision-making, self-regulation, and communication. Brief interventions that incorporate relevant behavior change skills can thus influence sexual risk behaviors after HIV diagnosis (32), when MSM are redefining themselves as living with HIV and motivating themselves to develop patterns of safer sex behaviors (19). …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Positive Choices: Outcomes of a Brief Risk Reduction Intervention for Newly HIV-Diagnosed Men Who Have Sex with Men

et al. 2014

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Positive Choices (PC), a brief sexual risk reduction intervention conducted with newly HIV-diagnosed men who have sex with men (MSM), was evaluated for preliminary efficacy. Participants were enrolled if they reported unprotected anal intercourse (UAI) in the three months prior to HIV diagnosis (n=102). Three months after diagnosis, participants completed baseline assessments and were randomly assigned to receive the 3-session PC intervention or the comprehensive standard of care (C-SoC) at a community health center. Participants completed assessments at 3-(post intervention), 6-, and 9-months after baseline. Compared to C-SoC participants, PC participants significantly reduced the frequency of UAI with HIV serodiscordant (HIV negative or status unknown) partners over the 9-month follow-up period. No differences by condition were found in the frequency of UAI with all partners. The findings from this trial suggest that brief risk reduction approaches for newly-diagnosed MSM integrated into HIV care can benefit secondary HIV prevention efforts.

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The development and feasibility of a brief risk reduction intervention for newly HIV‐diagnosed men who have sex with men

Sikkema

Hansen

Kochman

et al. 2011

Journal Community Psychology

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Men who have sex with men (MSM) represent more than half of all new HIV infections in the United States. Utilizing a collaborative, community based approach, a brief risk reduction intervention was developed and pilot tested among newly HIV-diagnosed MSM receiving HIV care in a primary care setting. Sixty-five men, within 3 months of diagnosis, were randomly assigned to the experimental condition or control condition and assessed at baseline, 3-month, and 6-month follow-up. Effect sizes were calculated to explore differences between conditions and over time. Results demonstrated the potential effectiveness of the intervention in reducing risk behavior, improving mental health, and increasing use of ancillary services. Process evaluation data demonstrated the acceptability of the intervention to patients, clinic staff, and administration. The results provide evidence that a brief intervention can be successfully integrated into HIV care services for newly diagnosed MSM and should be evaluated for efficacy.

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HIV Diagnosis and Risk Behavior

Cited by 21 publications

References 38 publications

Secondary HIV Prevention: Novel Intervention Approaches to Impact Populations Most at Risk

Secondary HIV Prevention: Novel Intervention Approaches to Impact Populations Most at Risk

Positive Choices: Outcomes of a Brief Risk Reduction Intervention for Newly HIV-Diagnosed Men Who Have Sex with Men

The development and feasibility of a brief risk reduction intervention for newly HIV‐diagnosed men who have sex with men

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