Effects of a Coping Intervention on Transmission Risk Behavior Among People Living With HIV/AIDS and a History of Childhood Sexual Abuse

Abstract

A group intervention to address coping with HIV and CSA can be effective in reducing transmission risk behavior among HIV-positive men and women with histories of sexual trauma.

Behavioral interventions to promote condom use among women living with HIV: a systematic review update

“…Beyond sexual risk behavior, 1 intervention targeted infant growth and nutrition, breastfeeding, and medical adherence 40 , while another aimed to improve adherence to antiretroviral therapy 38 . Regarding total time of exposure to interventions, in 3 studies it was less than three hours 35,39,46 , in 6 it ranged from 5 to 10 hours 37,40,42,43,44,45 , in another 3 it ranged from 13 to 16 hours 29,38,41 , and in 1 study exposure lasted 22 hours and a half 36 . Table 1 shows details on methodology, participants, interventions, and outcomes for each included study.…”

“…Eight interventions focused primarily on changing sexual risk behavior and secondarily included such issues as HIV status disclosure, health care, and social support 29,37,39,41,42,43,44,45 . Four interventions also encompassed drug use 35,38,40,46 and another covered mental health issues 36 . Beyond sexual risk behavior, 1 intervention targeted infant growth and nutrition, breastfeeding, and medical adherence 40 , while another aimed to improve adherence to antiretroviral therapy 38 .…”

“…One was home-based 40 and another 3 were developed in community settings 36,37,41 . The intervention facilitators were only health workers in 6 interventions 36,38,39,40,43,46 , health workers plus peer leaders in 4 interventions 29,41,44,45 , and only peer leaders in 1 intervention 37 . One intervention was computerdelivered 35 and another failed to report this information 42 .…”

“…Considering the 13 studies included in the systematic review, most involved group-level interventions 29,36,37,38,41,42,43,44,45 and were delivered in settings for HIV care 29,35,38,39,42,43,44,45,46 . One was home-based 40 and another 3 were developed in community settings 36,37,41 .…”

“…Four studies did not report attrition 37,41,42,43 , however, authors of 2 studies included in the meta-analysis did describe the absolute number of participants for each target outcome 37,41 . Regarding loss to follow-up, the following studies found higher percentages of female participants dropping out before the last assessment, considering both control and intervention groups: Sikkema et al 36 (41%); Gilbert et al 35 (28.5%), and Saleh-Onoya et al 41 (24.5%). The remaining studies had 15% loss to follow-up or less.…”