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1994-08-27
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Document 0729
DOCN M9480729
TI Limited effects of HIV counseling and testing for women. A prospective
study of behavioral and psychological consequences.
DT 9410
AU Ickovics JR; Morrill AC; Beren SE; Walsh U; Rodin J; Department of
Internal Medicine, Yale University School of; Medicine, New Haven, CT
06520-8025.
SO JAMA. 1994 Aug 10;272(6):443-8. Unique Identifier : AIDSLINE
MED/94315722
AB OBJECTIVES--To assess the consequences of human immunodeficiency virus
(HIV) counseling and testing for seronegative women in terms of sexual
behavior and psychological outcomes. DESIGN--The design is prospective
and longitudinal, using repeated measures. Participants were interviewed
at recruitment, 2 weeks later (when tested women received results), and
3 months later. SETTING--Four community health clinics in southern
Connecticut; all provide HIV counseling and testing and other
specialized and primary health care services. STUDY PARTICIPANTS--A
sequential sample of women were recruited for two study groups: those
seeking HIV counseling and testing (n = 152), and a comparison group
never tested for HIV (n = 78), matched by clinic, race, and age. MAIN
OUTCOME MEASURES--A composite measure of sexual risk was developed,
based on sexual activity, condom use, and partner risk factors.
Psychometrically valid and reliable measures of general psychological
functioning and acquired immunodeficiency syndrome (AIDS)--specific
psychological indicators were also used. RESULTS--Average level of
sexual risk was lower for tested than nontested women at all three
interviews. For both groups, there was no significant change in sexual
risk from baseline to 3-month follow-up. At the individual level, there
was no difference in the number of women who decreased or increased
sexual risk. For tested women, intrusive thoughts about AIDS and
estimated chance of getting AIDS decreased after counseling and testing.
CONCLUSIONS--Behavioral and psychological consequences of HIV counseling
and testing for women at risk for HIV were limited. These results have
implications for further prevention interventions.
DE Analysis of Variance AIDS Serodiagnosis/*PSYCHOLOGY/STATISTICS & NUMER
DATA *Counseling/STATISTICS & NUMER DATA Female Human HIV
Infections/*PREVENTION & CONTROL/*PSYCHOLOGY Longitudinal Studies
Multivariate Analysis Prospective Studies *Risk-Taking *Sex
Behavior/STATISTICS & NUMER DATA Socioeconomic Factors Support,
Non-U.S. Gov't JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).