The Efficacy of an Integrated Risk Reduction Intervention for HIV-Positive Women With Child Sexual Abuse Histories
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Child sexual abuse (CSA) is associated with HIV risk behaviors [Bensley, L., Van Eenwyk, J., and Simmons, K. W., 2003.] and more prevalent among women living with HIV than in the general population [Koenig, L. J., and Clark, H., 2004]. This randomized Phase~I clinical trial tested the impact of a culturally congruent psychoeducational intervention designed to reduce sexual risks and increase HIV medication adherence for HIV-positive women with CSA histories. An ethnically diverse sample of 147 women were randomized to two conditions: an 11-session Enhanced Sexual Health Intervention (ESHI) or an attention control. Results based on “intent to treat’’ analysesof pre–post changes are reported here. Additional analyses explored whether theobserved effects might depend on “intervention dose,’’ i.e., number of sessions attended. Women in the ESHI condition reported greater sexual risk reduction than women in the control condition. Although there were no differences between women in the ESHI and control groups on medication adherence, women in the ESHI condition who attended 8 or more sessions reported greater medication adherence at posttest than control women. The findings provide initial support for this culturally and gender-congruent psychoeducational intervention for HIV-positive women with CSA, and highlight the importance of addressing the effects of CSA on sexual risk reduction and medicationadherence in preventive interventions for women.
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- The Efficacy of an Integrated Risk Reduction Intervention for HIV-Positive Women With Child Sexual Abuse Histories
AIDS and Behavior
Volume 8, Issue 4 , pp 453-462
- Cover Date
- Print ISSN
- Online ISSN
- Kluwer Academic Publishers-Plenum Publishers
- Additional Links
- child sexual abuse
- sexual risk reduction
- medication adherence
- multiethnic samples
- Industry Sectors
- Author Affiliations
- 1. Neuropsychiatric Institute, University of California at Los Angeles, Los Angeles, California
- 5. Neuropsychiatric Institute, University of California, Los Angeles, 760 Westwood Plaza, Ste C8-871, Los Angeles, California, 90024-1759
- 2. Integrated Substance Abuse Programs, University of California at Los Angeles, Los Angeles, California
- 3. Department of Psychology, University of California at Los Angeles, Los Angeles, California
- 4. Division of General Internal Medicine and Health Service Research, University of California at Los Angeles, Los Angeles, California