Reduced Sexual Risk Behaviors Among People Living with HIV: Results from the Healthy Relationships Outcome Monitoring Project

Heitgerd, Janet; Kalayil, Elizabeth J.; Patel-Larson, Alpa; Uhl, Gary; Williams, W. Jon; Griffin, Tanesha; Smith, Bryce D.

doi:10.1007/s10461-011-9913-2

Cited by 16 publications

(10 citation statements)

References 21 publications

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“…There is a need to scale-up HIV health education and counselling to PLHIV to improve their HIV knowledge, counter internalized stigma, promote their informed decision making about whether or not to disclose their HIV serostatus to sexual partners, and discourage risk-taking behaviours such as having multiple sexual partners. An example of a possible intervention which addresses both internalized stigma and risk behaviour among PLHIV include the Healthy Relationships intervention [60][61][62], one of CDC's Diffusion of Effective Behavioral Interventions (DEBI) which is being successfully implemented by agencies across the USA (see [63]). Although an initial attempt to replicate it in South Africa was unsuccessful (see [64,65]), there are plans to try to do so again but this time using a more vigorous research design such as the stepped-wedge cluster design rather than the quasi-experimental design used previously.…”

Section: Discussionmentioning

confidence: 99%

HIV Serostatus Disclosure to Sexual Partners Among Sexually Active People Living with HIV in South Africa: Results from the 2012 National Population-Based Household Survey

et al. 2016

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This paper explores the prevalence and correlates of HIV seropositive status disclosure to sexual partners by people living with HIV (PLHIV) in South Africa. Secondary analysis of the 2012 South African National HIV Prevalence, Incidence and Behaviour Survey was conducted on data obtained from 934 sexually active PLHIV aged 15 years and older who responded to the question about HIV seropositive status disclosure. Overall, a large majority of respondents (77.1 %) reported disclosing their HIV-positive status to all their current sex partners. Multiple regression analysis, after adjustments for sex, marital status and locality type, revealed that those who were living together, going steady, and those who were single were all 60 % [adjusted odds ratio (AOR) = 0.4, 95 % CIs 0.20-0.78; AOR = 0.4, 95 % CIs 0.24-0.77; and AOR = 0.4, 95 % CIs 0.19-1.00, all ps < 0.05] less likely to disclose their HIV positive status to their partners compared to those who were married. Those who lived in rural formal areas were 70 % less likely to disclose their HIV status to their partners compared to those who stayed in urban formal areas (AOR = 0.3, 95 % CI 0.17-0.69, p < 0.001). Those who had correct HIV knowledge and rejection of myths were 2.0 times more likely to disclose their HIV status to their partners compared to those who did not have correct HIV knowledge and rejection of myths (AOR = 2.0, 95 % CI 1.04-3.68, p < 0.05). In conclusion, intervention programmes which help improve HIV seropositive status disclosure are needed by PLHIV who are not married, live in rural formal areas, and have incorrect HIV knowledge and rejection of myths.

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Section: Discussionmentioning

confidence: 99%

HIV Serostatus Disclosure to Sexual Partners Among Sexually Active People Living with HIV in South Africa: Results from the 2012 National Population-Based Household Survey

et al. 2016

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“…Findings from these studies indicate that CBOs implementing these interventions in real-world settings were able to obtain and maintain outcomes similar to those observed by the original researchers. [38][39][40][41][42] The DEBI Project, which shifted the field of HIV prevention toward evidence-based practice, was an essential component of the broader HIV prevention landscape. 38 CDC has initiated High Impact Prevention, which supports the dissemination and implementation of cost-effective EBIs for focus populations with the highest HIV incidence.…”

Section: Discussion/conclusionmentioning

confidence: 99%

Lessons Learned From Dissemination of Evidence-Based Interventions for HIV Prevention

Collins

Sapiano

2016

American Journal of Preventive Medicine

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In 1999, IOM issued a report that recommended that the Centers for Disease Control and Prevention should disseminate evidence-based HIV prevention interventions (EBIs) to be implemented by health departments, community-based organizations, drug treatment centers, and clinics. Based on these recommendations, the Diffusion of Effective Behavioral Interventions Project was initiated in 2000 and began disseminating interventions into public health practice. For 15 years, the Centers for Disease Control and Prevention has disseminated 29 EBIs to more than 11,300 agencies. Lessons were identified during the 15 years of implementation regarding successful methods of dissemination of EBIs. Lessons around selecting interventions for dissemination, developing a dissemination infrastructure including a resource website (https://effectiveinterventions.cdc.gov), and engagement with stakeholders are discussed. A continuous development approach ensured that intervention implementation materials, instructions, and technical assistance were all tailored to the needs of end users, focus populations, and agency capacities. Six follow-up studies demonstrated that adopters of EBIs were able to obtain comparable outcomes to those of the original efficacy research. The Diffusion of Effective Behavioral Interventions Project may offer guidance for other large, national, evidence-based public health dissemination projects.

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“…Lower viral loads are also associated with decreased infectivity and transmission (21–24). Furthermore, knowledge of one's positive HIV status might result in decreased risk behavior and provide an opportunity to intervene and mitigate risk (25–28). …”

Section: Discussionmentioning

confidence: 99%

Previously Undiagnosed HIV Infections Identified Through Cluster Investigation, North Carolina, 2002–2007

et al. 2014

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During cluster investigation, index patients name social contacts that are not sex or drug-sharing partners. The likelihood of identifying new HIV infections among social contacts is unknown. We hypothesized greater odds of identifying new infections among social contacts identified by men who report sex with men (MSM). We reviewed North Carolina HIV diagnoses during 2002–2005 and used logistic regression to compare testing results among social contacts of MSM, men who report sex with women only (MSW) and women. HIV was newly diagnosed among 54/601 (9.0%) social contacts tested named by MSM, 16/522 (3.1%) named by MSW, and 23/639 (3.6%) named by women. Compared with those named by MSW, odds of new HIV diagnosis were greater among MSM social contacts (adjusted odds ratio: 2.5; 95% confidence interval: 1.3–4.7). Testing social contacts identified previously undiagnosed HIV infections and could provide an opportunity to interrupt transmission.

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Reduced Sexual Risk Behaviors Among People Living with HIV: Results from the Healthy Relationships Outcome Monitoring Project

Cited by 16 publications

References 21 publications

HIV Serostatus Disclosure to Sexual Partners Among Sexually Active People Living with HIV in South Africa: Results from the 2012 National Population-Based Household Survey

HIV Serostatus Disclosure to Sexual Partners Among Sexually Active People Living with HIV in South Africa: Results from the 2012 National Population-Based Household Survey

Lessons Learned From Dissemination of Evidence-Based Interventions for HIV Prevention

Previously Undiagnosed HIV Infections Identified Through Cluster Investigation, North Carolina, 2002–2007

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