Reducing Risky Sexual Behavior and Substance Use Among Currently and Formerly Homeless Adults Living With HIV
We examined the efficacy of the Healthy Living Program in reducing risky sexual behavior and substance use among adults with HIV infection who were marginally housed (i.e., homeless at some point over a 37-month period). We had previously conducted a randomized controlled trial with 936 adults livin...
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| Veröffentlicht in: | American journal of public health (1971) 2009-06, Vol.99 (6), p.1100-1107 |
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| container_title | American journal of public health (1971) |
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| creator | Rotheram-Borus, Mary Jane Desmond, Katherine Comulada, W. Scott Arnold, Elizabeth Mayfield Johnson, Mallory |
| description | We examined the efficacy of the Healthy Living Program in reducing risky sexual behavior and substance use among adults with HIV infection who were marginally housed (i.e., homeless at some point over a 37-month period).
We had previously conducted a randomized controlled trial with 936 adults living with HIV infection. In that study, 3 intervention modules of 5 sessions each addressed different goals: reducing risky sexual acts and drug use, improving the quality of life, and adhering to healthful behaviors. Participants were interviewed at baseline and at 5, 10, 15, 20, and 25 months; 746 completed 4 or more assessments. In this study, we analyzed sexual behavior and drug use outcomes for the 35% (n = 270 of 767) of participants who were considered marginally housed.
Among the marginally housed participants, there were significantly greater reductions in unprotected risky sexual acts, the number of sexual partners of HIV negative or unknown serostatus, alcohol or marijuana use, and hard drug use among the intervention group than among the control group.
Intensive, skill-focused intervention programs may improve the lives of marginally housed adults living with HIV infection. |
| doi_str_mv | 10.2105/AJPH.2007.121186 |
| format | Article |
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We had previously conducted a randomized controlled trial with 936 adults living with HIV infection. In that study, 3 intervention modules of 5 sessions each addressed different goals: reducing risky sexual acts and drug use, improving the quality of life, and adhering to healthful behaviors. Participants were interviewed at baseline and at 5, 10, 15, 20, and 25 months; 746 completed 4 or more assessments. In this study, we analyzed sexual behavior and drug use outcomes for the 35% (n = 270 of 767) of participants who were considered marginally housed.
Among the marginally housed participants, there were significantly greater reductions in unprotected risky sexual acts, the number of sexual partners of HIV negative or unknown serostatus, alcohol or marijuana use, and hard drug use among the intervention group than among the control group.
Intensive, skill-focused intervention programs may improve the lives of marginally housed adults living with HIV infection.</description><identifier>ISSN: 0090-0036</identifier><identifier>EISSN: 1541-0048</identifier><identifier>DOI: 10.2105/AJPH.2007.121186</identifier><identifier>PMID: 18799777</identifier><identifier>CODEN: AJPEAG</identifier><language>eng</language><publisher>Washington, DC: Am Public Health Assoc</publisher><subject>Addictive behaviors ; Adult ; Adult and adolescent clinical studies ; Alcohol ; Biological and medical sciences ; Case management ; Disease transmission ; Drug addiction ; Drug use ; Female ; Gender differences ; Health care ; Health services ; HIV ; HIV Infections - prevention & control ; HIV Infections - transmission ; Homeless people ; Homeless Persons ; Hotels & motels ; Human immunodeficiency virus ; Humans ; Infections ; Intervention ; Interviews ; Male ; Medical sciences ; Mental health ; Middle Aged ; Miscellaneous ; Prevention and actions ; Prevention programs ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Public health ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Quality control ; Quality of life ; Research and Practice ; Risk ; Risk Reduction Behavior ; Sexual behavior ; Sexual Partners ; Substance-Related Disorders - prevention & control ; Unsafe Sex - prevention & control ; Urban Health ; Vagina ; Welfare ; Young Adult</subject><ispartof>American journal of public health (1971), 2009-06, Vol.99 (6), p.1100-1107</ispartof><rights>2009 INIST-CNRS</rights><rights>Copyright American Public Health Association Jun 2009</rights><rights>American Public Health Association 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c483t-f4fc98fb3579c1e0c0306fc8d9b8d6e8e3739539dc537301836d997c0954d3913</citedby><cites>FETCH-LOGICAL-c483t-f4fc98fb3579c1e0c0306fc8d9b8d6e8e3739539dc537301836d997c0954d3913</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2679793/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2679793/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,729,782,786,887,27873,27931,27932,53798,53800</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21630990$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18799777$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rotheram-Borus, Mary Jane</creatorcontrib><creatorcontrib>Desmond, Katherine</creatorcontrib><creatorcontrib>Comulada, W. Scott</creatorcontrib><creatorcontrib>Arnold, Elizabeth Mayfield</creatorcontrib><creatorcontrib>Johnson, Mallory</creatorcontrib><creatorcontrib>Healthy Living Trial Group</creatorcontrib><title>Reducing Risky Sexual Behavior and Substance Use Among Currently and Formerly Homeless Adults Living With HIV</title><title>American journal of public health (1971)</title><addtitle>Am J Public Health</addtitle><description>We examined the efficacy of the Healthy Living Program in reducing risky sexual behavior and substance use among adults with HIV infection who were marginally housed (i.e., homeless at some point over a 37-month period).
We had previously conducted a randomized controlled trial with 936 adults living with HIV infection. In that study, 3 intervention modules of 5 sessions each addressed different goals: reducing risky sexual acts and drug use, improving the quality of life, and adhering to healthful behaviors. Participants were interviewed at baseline and at 5, 10, 15, 20, and 25 months; 746 completed 4 or more assessments. In this study, we analyzed sexual behavior and drug use outcomes for the 35% (n = 270 of 767) of participants who were considered marginally housed.
Among the marginally housed participants, there were significantly greater reductions in unprotected risky sexual acts, the number of sexual partners of HIV negative or unknown serostatus, alcohol or marijuana use, and hard drug use among the intervention group than among the control group.
Intensive, skill-focused intervention programs may improve the lives of marginally housed adults living with HIV infection.</description><subject>Addictive behaviors</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Alcohol</subject><subject>Biological and medical sciences</subject><subject>Case management</subject><subject>Disease transmission</subject><subject>Drug addiction</subject><subject>Drug use</subject><subject>Female</subject><subject>Gender differences</subject><subject>Health care</subject><subject>Health services</subject><subject>HIV</subject><subject>HIV Infections - prevention & control</subject><subject>HIV Infections - transmission</subject><subject>Homeless people</subject><subject>Homeless Persons</subject><subject>Hotels & motels</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infections</subject><subject>Intervention</subject><subject>Interviews</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental health</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Prevention and actions</subject><subject>Prevention programs</subject><subject>Psychology. 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Hygiene-occupational medicine</subject><subject>Quality control</subject><subject>Quality of life</subject><subject>Research and Practice</subject><subject>Risk</subject><subject>Risk Reduction Behavior</subject><subject>Sexual behavior</subject><subject>Sexual Partners</subject><subject>Substance-Related Disorders - prevention & control</subject><subject>Unsafe Sex - prevention & control</subject><subject>Urban Health</subject><subject>Vagina</subject><subject>Welfare</subject><subject>Young Adult</subject><issn>0090-0036</issn><issn>1541-0048</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7TQ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpVkc1vEzEQxS0EoiFw54QsJMQpYWa9H_YFKUSUFEUCtRSOlmN7sw77EezdtPnv8ZKowMlj-TdvnucR8hJhniBk7xafv67mCUAxxwSR54_IBLMUZwApf0wmAAJizfIL8iyEHQCiyPApuUBeCFEUxYQ019YM2rVbeu3CzyO9sfeDqukHW6mD6zxVraE3wyb0qtWW3gZLF00X6eXgvW37-viHuOx8Y328rLrG1jYEujBD3Qe6dodR-4frK7q6-v6cPClVHeyL8zklt5cfvy1Xs_WXT1fLxXqmU876WZmWWvByw7JCaLSggUFeam7EhpvccssKJjImjM5iBchZbuJ_NIgsNUwgm5L3J939sGms0dGpV7Xce9cof5SdcvL_l9ZVctsdZJIXohAsCrw-C_ju12BDL3fd4NvoWSaYAc94XOuUwAnSvgvB2_JhAIIc85FjPnLMR57yiS2v_jX2t-EcSATenAEVtKpLH_fuwgOXYM5AiHH22xNXuW1157yVoVF1HWVRqt2-EkLmEjG6_A0uH6ZC</recordid><startdate>20090601</startdate><enddate>20090601</enddate><creator>Rotheram-Borus, Mary Jane</creator><creator>Desmond, Katherine</creator><creator>Comulada, W. 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Scott ; Arnold, Elizabeth Mayfield ; Johnson, Mallory</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c483t-f4fc98fb3579c1e0c0306fc8d9b8d6e8e3739539dc537301836d997c0954d3913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Addictive behaviors</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Alcohol</topic><topic>Biological and medical sciences</topic><topic>Case management</topic><topic>Disease transmission</topic><topic>Drug addiction</topic><topic>Drug use</topic><topic>Female</topic><topic>Gender differences</topic><topic>Health care</topic><topic>Health services</topic><topic>HIV</topic><topic>HIV Infections - prevention & control</topic><topic>HIV Infections - transmission</topic><topic>Homeless people</topic><topic>Homeless Persons</topic><topic>Hotels & motels</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Infections</topic><topic>Intervention</topic><topic>Interviews</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental health</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Prevention and actions</topic><topic>Prevention programs</topic><topic>Psychology. 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Central (Full Participant titles)</collection><jtitle>American journal of public health (1971)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rotheram-Borus, Mary Jane</au><au>Desmond, Katherine</au><au>Comulada, W. Scott</au><au>Arnold, Elizabeth Mayfield</au><au>Johnson, Mallory</au><aucorp>Healthy Living Trial Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reducing Risky Sexual Behavior and Substance Use Among Currently and Formerly Homeless Adults Living With HIV</atitle><jtitle>American journal of public health (1971)</jtitle><addtitle>Am J Public Health</addtitle><date>2009-06-01</date><risdate>2009</risdate><volume>99</volume><issue>6</issue><spage>1100</spage><epage>1107</epage><pages>1100-1107</pages><issn>0090-0036</issn><eissn>1541-0048</eissn><coden>AJPEAG</coden><abstract>We examined the efficacy of the Healthy Living Program in reducing risky sexual behavior and substance use among adults with HIV infection who were marginally housed (i.e., homeless at some point over a 37-month period).
We had previously conducted a randomized controlled trial with 936 adults living with HIV infection. In that study, 3 intervention modules of 5 sessions each addressed different goals: reducing risky sexual acts and drug use, improving the quality of life, and adhering to healthful behaviors. Participants were interviewed at baseline and at 5, 10, 15, 20, and 25 months; 746 completed 4 or more assessments. In this study, we analyzed sexual behavior and drug use outcomes for the 35% (n = 270 of 767) of participants who were considered marginally housed.
Among the marginally housed participants, there were significantly greater reductions in unprotected risky sexual acts, the number of sexual partners of HIV negative or unknown serostatus, alcohol or marijuana use, and hard drug use among the intervention group than among the control group.
Intensive, skill-focused intervention programs may improve the lives of marginally housed adults living with HIV infection.</abstract><cop>Washington, DC</cop><pub>Am Public Health Assoc</pub><pmid>18799777</pmid><doi>10.2105/AJPH.2007.121186</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | American journal of public health (1971), 2009-06, Vol.99 (6), p.1100-1107 |
| issn | 0090-0036 1541-0048 |
| language | eng |
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| source | MEDLINE; PAIS Index; EBSCOhost Business Source Complete; Education Source; PubMed Central; Alma/SFX Local Collection |
| subjects | Addictive behaviors Adult Adult and adolescent clinical studies Alcohol Biological and medical sciences Case management Disease transmission Drug addiction Drug use Female Gender differences Health care Health services HIV HIV Infections - prevention & control HIV Infections - transmission Homeless people Homeless Persons Hotels & motels Human immunodeficiency virus Humans Infections Intervention Interviews Male Medical sciences Mental health Middle Aged Miscellaneous Prevention and actions Prevention programs Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Public health Public health. Hygiene Public health. Hygiene-occupational medicine Quality control Quality of life Research and Practice Risk Risk Reduction Behavior Sexual behavior Sexual Partners Substance-Related Disorders - prevention & control Unsafe Sex - prevention & control Urban Health Vagina Welfare Young Adult |
| title | Reducing Risky Sexual Behavior and Substance Use Among Currently and Formerly Homeless Adults Living With HIV |
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