title: HIV risk reduction in a nurse case-managed TB and HIV intervention among homeless adults.
abstract: This study evaluated a six-month nurse case-managed intervention against a standard care control program among 295 sheltered homeless adults from Los Angeles, USA. The primary aim of the intervention was encouraging latent tuberculosis infection treatment completion. The secondary aim was reducing HIV risk, the focus of this report. A longitudinal path model revealed that the intervention impacted cognitive factors of AIDS Knowledge, Perceived AIDS Risk and Self-efficacy for Condom Use, but did not impact substance use and risky sexual behaviors. The dual intervention program for HIV and TB provided promising synergistic effects by targeting risk factors common to both infections.
authors.affiliation: Division on Addictions, Cambridge Health Alliance, Medford, MA 02155, USA. aschumann@challiance.org
authors.forename: Anja
authors.initials: A
authors.lastname: Schumann
authors.forename: Adeline
authors.initials: A
authors.lastname: Nyamathi
authors.forename: Judith A
authors.initials: JA
authors.lastname: Stein
mesh_terms: D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D019090:Case Management; D023801:Directly Observed Therapy / Q000451:nursing*; D005260:Female; D015658:HIV Infections / Q000451:nursing / Q000517:prevention & control*; D007722:Health Knowledge, Attitudes, Practice; D006703:Ill-Housed Persons / Q000523:psychology*; D006801:Humans; D007538:Isoniazid / Q000627:therapeutic use; D015141:Los Angeles; D008297:Male; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D010349:Patient Compliance; D011593:Psychology, Social; D040242:Risk Reduction Behavior; D020377:Self Efficacy; D016320:Substance Abuse Treatment Centers; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis / Q000188:drug therapy* / Q000451:nursing; D019037:Urban Health Services
chemical_list: D000995:Antitubercular Agents; D007538:Isoniazid