Lessons learned about behavioral science and acute/early HIV infection. The NIMH Multisite Acute HIV Infection Study: V. AIDS Behav 2009 Dec;13(6):1068-74
Date
06/09/2009Pubmed ID
19504179Pubmed Central ID
PMC2787956DOI
10.1007/s10461-009-9579-1Scopus ID
2-s2.0-72449182706 (requires institutional sign-in at Scopus site) 18 CitationsAbstract
Acute/early HIV infection is a period of heightened HIV transmission and a window of opportunity for intervention to prevent onward disease transmission. The NIMH Multisite Acute HIV Infection (AHI) Study was an exploratory initiative aimed at determining the feasibility of recruiting persons with AHI into research, assessing their psychosocial and behavioral characteristics, and examining short-term changes in these characteristics. This paper reports on lessons learned in the study, including: (1) the need to establish the cost-effectiveness of AHI testing; (2) challenges to identifying persons with AHI; (3) the need to increase awareness of acute-phase HIV transmission risks; (4) determining the goals of behavioral interventions following AHI diagnosis; and (5) the need for "rapid response" public health systems that can move quickly enough to intervene while persons are still in the AHI stage. There are untapped opportunities for behavioral and medical science collaborations in these areas that could reduce the incidence of HIV infection.
Author List
Kelly JA, Morin SF, Remien RH, Steward WT, Higgins JA, Seal DW, Dubrow R, Atkinson JH, Kerndt PR, Pinkerton SD, Mayer K, Sikkema KJAuthor
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
Cost-Benefit AnalysisFemale
HIV Infections
HIV-1
Health Behavior
Health Knowledge, Attitudes, Practice
Humans
Male
National Institute of Mental Health (U.S.)
Primary Prevention
Program Evaluation
Public Health
Risk Factors
Sexual Behavior
Socioeconomic Factors
United States
