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M94A2218.TXT
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1994-10-25
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Document 2218
DOCN M94A2218
TI HIV prevention does work to reduce new infections.
DT 9412
AU Choi KH; Coates TJ; Center for AIDS Prevention Studies (CAPS),
University of; California, San Francisco 94105.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):354 (abstract no. PD0022). Unique
Identifier : AIDSLINE ICA10/94370357
AB OBJECTIVE: To determine the extent to which behavioral intervention
research has demonstrated the efficacy of methods for reducing HIV risk
behaviors. METHODS: We reviewed a total of 75 published abstracts,
journal articles, and other reports which formally evaluated
intervention programs aimed at changing HIV risk behavior. RESULTS:
Controlled studies to modify risk behaviors of gay and bisexual men have
demonstrated that small group, as well as community interventions, can
produce short-term behavior change and that brief skills training can
maintain behavior change. While the controlled clinical trials of
individual and group counseling offered to drug users have shown mixed
results, the observational studies of drug treatment and community-based
interventions have reported a moderate to large effect size for
reductions in HIV seroconversion and HIV risk among drug users.
Surprisingly, we found few evaluations of interventions targeting
commercial sex workers and STD clinic patients. Most HIV prevention
efforts for young adults (age 18-25) have been focused on college
students; there are no programs that have demonstrated behavioral change
in this population. Intensive sex education delayed the onset of
intercourse among high school students at least for one year but had no
impact on long-term behavior change among sexually active adolescents.
Adult heterosexuals have received AIDS education mostly from mass media
campaigns directed at the general public. Repeated HIV counseling and
testing was associated with reductions in HIV transmission among
heterosexual couples with discordant HIV status. CONCLUSIONS: We found
empirical data to support that HIV prevention strategies can reduce risk
behavior in a short term, change behavior in a long run, and reduce new
HIV infections. More interventions are needed for women, young gay men,
gay men of color, commercial sex workers, out of school youth and young
adults, STD patients, the military, and the incarcerated. New and more
effective behavior change strategies need to be developed quickly,
evaluated carefully, and disseminated rapidly to the field to slow the
HIV epidemic.
DE Adolescence Adult Health Behavior *Health Education Human HIV
Infections/*PREVENTION & CONTROL Male Risk Factors Sex Behavior
MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).