AIDS and Behavior

, Volume 8, Issue 4, pp 453–462 | Cite as

The Efficacy of an Integrated Risk Reduction Intervention for HIV-Positive Women With Child Sexual Abuse Histories

  • Gail E. Wyatt
  • Douglas Longshore
  • Dorothy Chin
  • Jennifer Vargas Carmona
  • Tamra Burns Loeb
  • Hector F. Myers
  • Umme Warda
  • Honghu Liu
  • Inna Rivkin


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.

HIV/AIDS child sexual abuse intervention sexual risk reduction medication adherence multiethnic samples 


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Copyright information

© Springer Science+Business Media, Inc. 2004

Authors and Affiliations

  • Gail E. Wyatt
    • 1
    • 5
  • Douglas Longshore
    • 2
  • Dorothy Chin
    • 1
  • Jennifer Vargas Carmona
    • 1
  • Tamra Burns Loeb
    • 1
  • Hector F. Myers
    • 3
  • Umme Warda
    • 1
  • Honghu Liu
    • 4
  • Inna Rivkin
    • 1
  1. 1.Neuropsychiatric InstituteUniversity of California at Los AngelesLos Angeles
  2. 2.Integrated Substance Abuse ProgramsUniversity of California at Los AngelesLos Angeles
  3. 3.Department of PsychologyUniversity of California at Los AngelesLos Angeles
  4. 4.Division of General Internal Medicine and Health Service ResearchUniversity of California at Los AngelesLos Angeles
  5. 5.Neuropsychiatric Institute, University of California, Los AngelesLos Angeles

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