Reductions in transmission risk behaviors in HIV-positive clients receiving prevention case management services: findings from a community demonstration project. AIDS Educ Prev 2005 Feb;17(1 Suppl A):40-52
Date
04/22/2005Pubmed ID
15843116DOI
10.1521/aeap.17.2.40.58694Scopus ID
2-s2.0-14244264500 (requires institutional sign-in at Scopus site) 27 CitationsAbstract
Prevention case management (PCM) for HIV-infected persons is an HIV risk reduction intervention designed to assist clients who are aware of their HIV infection and who continue to engage in risk transmission behaviors. PCM combines individual risk reduction counseling with case management to address the psychosocial factors affecting HIV transmission. More than 350 HIV-positive clients participated in PCM in Wisconsin between 2000 and 2003, and 109 completed both baseline and follow-up risk assessments. The percentage of clients reporting risk transmission behaviors, specifically unprotected vaginal intercourse, insertive anal intercourse, or needle sharing with partners of negative or unknown HIV status, declined from 41.3% at baseline to 29.4% at follow-up (p = 0.04). Furthermore, clients showed progression (p < or =.05) through stages of change using Prochaska and DiClemente's transtheoretical model on seven domains related to HIV transmission risk, including personalizing risk of HIV transmission and sexual risk behavior.
Author List
Gasiorowicz M, Llanas MR, DiFranceisco W, Benotsch EG, Brondino MJ, Catz SL, Hoxie NJ, Reiser WJ, Vergeront JMAuthor
Wayne J. DiFranceisco Research Scientist II in the Psychiatry and Behavioral Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultCase Management
Chi-Square Distribution
Counseling
Female
HIV Infections
Health Promotion
Humans
Male
Risk Reduction Behavior
Safe Sex
Statistics, Nonparametric
United States
Wisconsin
