期刊
JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES
卷 41, 期 1, 页码 44-52出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/01.qai.0000192000.15777.5c
关键词
HIV/AIDS; HIV prevention; clinician-delivered intervention; HIV-infected patients; sexual risk behavior; unprotected sex
资金
- NIMH NIH HHS [R01 MH59473] Funding Source: Medline
- NATIONAL INSTITUTE OF MENTAL HEALTH [R01MH059473] Funding Source: NIH RePORTER
To evaluate the effectiveness of a clinician-delivered intervention, implemented during routine clinical care, in reducing unprotected sexual behavior of HIV-infected patients. Design: A prospective clinical trial comparing the impact of a clinician-delivered intervention ann vs. a standard-of-care control ann on unprotected sexual behavior of HIV-infected patients. Setting: The 2 largest HIV clinics in Connecticut. Participants: A total of 497 HIV-infected patients, aged >= 18 years, receiving HIV clinical care. Intervention: HIV clinical care providers conducted brief client-centered interventions at each clinical encounter that were designed to help HIV-infected patients reduce unprotected sexual behavior. Main Outcome Measures: Unprotected insertive and receptive vaginal and anal intercourse and unprotected insertive oral sex-, Unprotected insertive and receptive vaginal and anal intercourse only. Results: HIV-infected patients who received the clinician-delivered intervention showed significantly reduced unprotected insertive and receptive vaginal and anal intercourse and insertive oral sex over a follow-up interval of 18 months (P < 0.05). These behaviors increased across the study interval for patients in the standard-of-care control arm (P < 0.01). For the measure of unprotected insertive and receptive vaginal and anal sex only, there was a trend toward a reduction in unprotected sex among intervention ann participants over time (P < 0.09), and a significant increase in unprotected sex in the standard-of-care control arm (P < 0.01). Conclusions: A clinician-delivered HIV prevention intervention targeting HIV-infected patients resulted in reductions in unprotected sex. Interventions of this kind should be intearated into routine HIV clinical care.
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