Reducing risky sexual behavior and substance use among currently and formerly homeless adults living with HIV. Am J Public Health 2009 Jun;99(6):1100-7
Date
09/19/2008Pubmed ID
18799777Pubmed Central ID
PMC2679793DOI
10.2105/AJPH.2007.121186Scopus ID
2-s2.0-67049158291 (requires institutional sign-in at Scopus site) 28 CitationsAbstract
OBJECTIVES: We examined the efficacy of the Healthy Living Program in reducing risky sexual behavior and substance use among adults with HIV infection who were marginally housed (i.e., homeless at some point over a 37-month period).
METHODS: We had previously conducted a randomized controlled trial with 936 adults living with HIV infection. In that study, 3 intervention modules of 5 sessions each addressed different goals: reducing risky sexual acts and drug use, improving the quality of life, and adhering to healthful behaviors. Participants were interviewed at baseline and at 5, 10, 15, 20, and 25 months; 746 completed 4 or more assessments. In this study, we analyzed sexual behavior and drug use outcomes for the 35% (n = 270 of 767) of participants who were considered marginally housed.
RESULTS: Among the marginally housed participants, there were significantly greater reductions in unprotected risky sexual acts, the number of sexual partners of HIV negative or unknown serostatus, alcohol or marijuana use, and hard drug use among the intervention group than among the control group.
CONCLUSIONS: Intensive, skill-focused intervention programs may improve the lives of marginally housed adults living with HIV infection.
Author List
Rotheram-Borus MJ, Desmond K, Comulada WS, Arnold EM, Johnson M, Healthy Living Trial GroupAuthor
Jeffrey A. Kelly PhD Professor in the Psychiatry and Behavioral Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultFemale
HIV Infections
Humans
Male
Middle Aged
Risk Reduction Behavior
Sexual Partners
Substance-Related Disorders
Unsafe Sex
Urban Health
Young Adult
