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Effectiveness of an intervention to reduce HIV transmission risks in HIV-positive people1

  • Seth C Kalichman
    Correspondence
    Address correspondence and reprint requests to: Seth C. Kalichman, PhD, Center for AIDS Intervention Research (CAIR), Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI 53226
    Affiliations
    Center for AIDS Intervention Research, Medical College of Wisconsin (Kalichman, Rompa, Cage, DiFonzo, Simpson, Austin, Luke, Buckles, Kyomugisha, Benotsch), Milwaukee, Wisconsin, USA
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  • David Rompa
    Affiliations
    Center for AIDS Intervention Research, Medical College of Wisconsin (Kalichman, Rompa, Cage, DiFonzo, Simpson, Austin, Luke, Buckles, Kyomugisha, Benotsch), Milwaukee, Wisconsin, USA
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  • Marjorie Cage
    Affiliations
    Center for AIDS Intervention Research, Medical College of Wisconsin (Kalichman, Rompa, Cage, DiFonzo, Simpson, Austin, Luke, Buckles, Kyomugisha, Benotsch), Milwaukee, Wisconsin, USA
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  • Kari DiFonzo
    Affiliations
    Center for AIDS Intervention Research, Medical College of Wisconsin (Kalichman, Rompa, Cage, DiFonzo, Simpson, Austin, Luke, Buckles, Kyomugisha, Benotsch), Milwaukee, Wisconsin, USA
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  • Dolores Simpson
    Affiliations
    Center for AIDS Intervention Research, Medical College of Wisconsin (Kalichman, Rompa, Cage, DiFonzo, Simpson, Austin, Luke, Buckles, Kyomugisha, Benotsch), Milwaukee, Wisconsin, USA
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  • James Austin
    Affiliations
    Center for AIDS Intervention Research, Medical College of Wisconsin (Kalichman, Rompa, Cage, DiFonzo, Simpson, Austin, Luke, Buckles, Kyomugisha, Benotsch), Milwaukee, Wisconsin, USA
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  • Webster Luke
    Affiliations
    Center for AIDS Intervention Research, Medical College of Wisconsin (Kalichman, Rompa, Cage, DiFonzo, Simpson, Austin, Luke, Buckles, Kyomugisha, Benotsch), Milwaukee, Wisconsin, USA
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  • Jeff Buckles
    Affiliations
    Center for AIDS Intervention Research, Medical College of Wisconsin (Kalichman, Rompa, Cage, DiFonzo, Simpson, Austin, Luke, Buckles, Kyomugisha, Benotsch), Milwaukee, Wisconsin, USA
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  • Florence Kyomugisha
    Affiliations
    Center for AIDS Intervention Research, Medical College of Wisconsin (Kalichman, Rompa, Cage, DiFonzo, Simpson, Austin, Luke, Buckles, Kyomugisha, Benotsch), Milwaukee, Wisconsin, USA
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  • Eric Benotsch
    Affiliations
    Center for AIDS Intervention Research, Medical College of Wisconsin (Kalichman, Rompa, Cage, DiFonzo, Simpson, Austin, Luke, Buckles, Kyomugisha, Benotsch), Milwaukee, Wisconsin, USA
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  • Steven Pinkerton
    Affiliations
    Center for AIDS Intervention Research, Medical College of Wisconsin (Kalichman, Rompa, Cage, DiFonzo, Simpson, Austin, Luke, Buckles, Kyomugisha, Benotsch), Milwaukee, Wisconsin, USA
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  • Jeff Graham
    Affiliations
    AIDS Survival Project (Graham), Atlanta Georgia, USA
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      Abstract

      Background: As many as one in three HIV-positive people continue unprotected sexual practices after learning that they are HIV infected. This article reports the outcomes of a theory-based intervention to reduce risk of HIV transmission for people living with HIV infection.
      Methods: Men (n=233) and women (n=99) living with HIV-AIDS were randomly assigned to receive either (1) a five-session group intervention focused on strategies for practicing safer sexual behavior, or (2) a five-session, contact-matched, health-maintenance support group (standard-of-care comparison). Participants were followed for 6 months post-intervention.
      Results: The intervention to reduce risk of HIV transmission resulted in significantly less unprotected intercourse and greater condom use at follow-up. Transmission-risk behaviors with non-HIV-positive sexual partners and estimated HIV transmission rates over a 1-year horizon were also significantly lower for the behavioral risk-reduction intervention group.
      Conclusions: This study is among the first to demonstrate successful HIV-transmission risk reduction resulting from a behavioral intervention tailored for HIV-positive men and women.

      Keywords

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