Reduced Sexual Risk Behaviors Among People Living with HIV: Results from the Healthy Relationships Outcome Monitoring Project
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In 2006, the Centers for Disease Control and Prevention funded seven community-based organizations (CBOs) to conduct outcome monitoring of Healthy Relationships. Healthy Relationships is an evidence-based behavioral intervention for people living with HIV. Demographic and sexual risk behaviors recalled by participants with a time referent of the past 90 days were collected over a 17-month project period using a repeated measures design. Data were collected at baseline, and at 3 and 6 months after the intervention. Generalized estimating equations were used to assess the changes in sexual risk behaviors after participation in Healthy Relationships. Our findings show that participants (n = 474) in the outcome monitoring project reported decreased sexual risk behaviors over time, such as fewer number of partners (RR = 0.55; 95% CI 0.41–0.73, P < 0.001) and any unprotected sex events (OR = 0.44; 95% CI 0.36–0.54, P < 0.001) at 6 months after the intervention. Additionally, this project demonstrates that CBOs can successfully collect and report longitudinal outcome monitoring data.
- Centers for Disease Control and Prevention. HIV prevalence estimates United States, 2006. MMWR. 2008;57(39):1073–6.
- Campsmith ML, Rhodes PH, Hall HI, et al. Undiagnosed HIV prevalence among adults and adolescents in the United States at the end of 2006. J Acquir Immune Defic Syndr. 2010;53(5):619–24.
- O’Leary A, Wolitski RJ. Moral agency and HIV transmission. Psychol Bull. 2009;135(3):478–94. CrossRef
- Wolitski RJ, Flores SA, O’Leary A, Bimbi DS, Gómez CA. Beliefs about personal and partner responsibility among HIV-seropositive men who have sex with men: measurement and association with transmission risk behavior. AIDS Behav. 2007;11(5):676–86. CrossRef
- Marks G, Crepaz N, Senterfitt JW, Janssen RS. Meta-analysis of high-risk sexual behavior in persons aware and unaware they are infected with HIV in the United States: implications for HIV prevention programs. J Acquir Immune Defic Syndr. 2005;39(4):446–53. CrossRef
- Coates TJ, Richter L, Caceres C. Behavioral strategies to reduce HIV transmission: how to make them work better. Lancet. 2008;372(9639):669–84. CrossRef
- Crepaz N, Marks G, Liau A, et al. Prevalence of unprotected anal intercourse among HIV-diagnoses MSM in the United States: a meta-analysis. AIDS. 2009;23(13):1617–29. CrossRef
- Johnson BT, Carey MP, Chaudoir SR, Reid AE. Sexual risk reduction for persons living with HIV: research synthesis of randomized controlled trials, 1993 to 2004. J Acquir Immune Defic Syndr. 2006;41(5):642–50. CrossRef
- Crepaz N, Lyles CM, Wolitski RJ, et al. Do prevention interventions reduce HIV risk behaviours among people living with HIV? A meta-analytic review of controlled trials. AIDS. 2006;20(2):143–57. CrossRef
- Lyles CM, Crepaz N, Herbst JH, Kay LS. HIV/AIDS Prevention Research Synthesis Team. Evidence-based HIV behavioral prevention from the perspective of the CDC’s HIV/AIDS Prevention Research Synthesis Team. AIDS Educ Prev. 2006;18(4SupplA):21–31. CrossRef
- Collins C, Harshbarger C, Sawyer R, Hamdallah M. The diffusion of effective behavioral interventions project: development, implementation, and lessons learned. AIDS Educ Prev. 2006;18(4SupplA):5–20. CrossRef
- Baskin ML, Braithwaite RL, Eldred L, Glassman M. Introduction to the special supplement: prevention with persons living with HIV. AIDS Educ Prev. 2005;17(1 Suppl A):1–5. CrossRef
- Office of National AIDS Policy. National HIV/AIDS Strategy for the United States. July 2010. http://www.whitehouse.gov/sites/default/files/uploads/NHAS.pdf. Accessed October 15, 2010.
- Kalichman SC, Rompa D, Cage M, et al. Effectiveness of an intervention to reduce HIV transmission risks in HIV-positive people. Am J Prev Med. 2001;21(2):84–92. CrossRef
- Collins CB, Hearn KD, Whittier DN, Freeman A, Stallworth JD, Phields M. Implementing packaged HIV-prevention interventions for HIV-positive individuals: considerations for clinic-based and community-based interventions. Public Health Rep. 2010;125(Suppl 1):55–63.
- Kalichman SC, Hudd K, DiBerto G. Operational fidelity to an evidence-based HIV prevention intervention for people living with HIV/AIDS. J Prim Prev. 2010;31(4):235–45. CrossRef
- Kalichman SC, Cherry C, White D, Pope H, Cain D, Kalichman M. Altering key characteristics of a disseminated effective behavioral intervention for HIV positive adults: the “healthy relationships” experience. J Prim Prev. 2007;28(2):145–53. CrossRef
- Thomas CW, Smith BD, Wright-DeAguero L. The program evaluation and monitoring system: a key source of data for monitoring evidence-based HIV prevention program processes and outcomes. AIDS Educ Prev. 2006;18(Suppl 1):74–80. CrossRef
- Grinstead OA, Zack B, Faigeles B. Reducing postrelease risk behavior among HIV seropositive prison inmates: the health promotion program. AIDS Educ Prev. 2001;13(2):109–19. CrossRef
- Liang KY, Zeger SL. Longitudinal data analysis using generalized linear models. Biometrika. 1986;73(1):13–22. CrossRef
- Menendez E, White MC, Tulsky JP. Locating study subjects: predictors and successful search strategies with inmates released from a U.S. county jail. Control Clin Trials. 2001;22(3):238–47. CrossRef
- Hall HI, Green TA, Wolitski RJ, et al. Estimated future HIV prevalence, incidence, and potential infections averted in the United States: a multiple scenario analysis. J Acquir Immune Defic Syndr. 2010;55(2):271–6. CrossRef
- Bertozzi SM, Laga M, Bautista-Arredondo S, Coutinho A. Making HIV prevention programs work. Lancet. 2008;372(9641):831–44. CrossRef
- Reduced Sexual Risk Behaviors Among People Living with HIV: Results from the Healthy Relationships Outcome Monitoring Project
AIDS and Behavior
Volume 15, Issue 8 , pp 1677-1690
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Risk reduction behavior
- Healthy Relationships
- Program evaluation
- Safe sex
- Industry Sectors
- Author Affiliations
- 1. Program Evaluation Branch, Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road, MS-E59, Atlanta, GA, 30333, USA
- 2. MANILA Consulting Group, Inc., McLean, VA, USA
- 3. Northrup Grumman, Atlanta, GA, USA