title: Heterosexual behavioral maintenance and change following HIV counseling and testing.
abstract: This study investigated heterosexual HIV risk behaviors, changes in stage of change for safer sex and factors associated with such changes, among a diverse sample of 560 heterosexually active individuals presenting at publicly funded HIV C&T sites. Questionnaires were administrated before HIV C&T, and three months afterwards. Positive serostatus was the most significant predictor of safer behavior after C&T. Many seronegative participants stopped sex with non-main partners. Behaviors with main partners were particularly resistant to change. Predictors of change varied by stage at pre-test. C&T services should tailor approaches and referrals based on stage of change and other client characteristics.
authors.affiliation: Institute on Urban Health Research, Bouvé College of Health Sciences, Northeastern University, 360 Huntingdon Avenue, Stearns Center, Suite 503, Boston University, MA 02115, USA. h.armaro@neu.edu
authors.forename: Hortensia
authors.initials: H
authors.lastname: Amaro
authors.forename: Allison C
authors.initials: AC
authors.lastname: Morrill
authors.forename: Jianyu
authors.initials: J
authors.lastname: Dai
authors.forename: Howard
authors.initials: H
authors.lastname: Cabral
authors.forename: Anita
authors.initials: A
authors.lastname: Raj
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000175:diagnosis* / Q000517:prevention & control*; D000328:Adult; D003376:Counseling / Q000379:methods*; D005260:Female; D006679:HIV Seropositivity / Q000635:transmission; D020010:Heterosexuality; D006801:Humans; D008297:Male; D012725:Sexual Behavior / Q000523:psychology*; D011795:Surveys and Questionnaires