title: Behavior change following diagnosis with acute/early HIV infection-a move to serosorting with other HIV-infected individuals. The NIMH Multisite Acute HIV Infection Study: III.
abstract: Risk reductions behaviors are especially important during acute/early HIV infection, a period of high transmission risk. We examined how sexual behaviors changed following diagnosis of acute/early HIV infection. Twenty-eight individuals completed structured surveys and in-depth interviews shortly after learning of their infection and 2 months later. Quantitative analyses revealed significant changes after diagnosis, including reductions in total partners and decreases in the proportion of unprotected sex acts occurring with uninfected partners (serosorting). Qualitative findings indicated that these changes were motivated by concerns about infecting others. However, participants were less successful at increasing the frequency with which they used condoms. These results suggest that the initial diagnosis with HIV may constitute an important component of interventions to promote risk reduction during the acute/early stages of the disease.
authors.affiliation: Center for AIDS Prevention Studies, University of California, San Francisco, CA, 94105, USA. wayne.steward@ucsf.edu
authors.forename: Wayne T
authors.initials: WT
authors.lastname: Steward
authors.forename: Robert H
authors.initials: RH
authors.lastname: Remien
authors.forename: Jenny A
authors.initials: JA
authors.lastname: Higgins
authors.forename: Robert
authors.initials: R
authors.lastname: Dubrow
authors.forename: Steven D
authors.initials: SD
authors.lastname: Pinkerton
authors.forename: Kathleen J
authors.initials: KJ
authors.lastname: Sikkema
authors.forename: Hong-Ha M
authors.initials: HM
authors.lastname: Truong
authors.forename: Mallory O
authors.initials: MO
authors.lastname: Johnson
authors.forename: Jennifer
authors.initials: J
authors.lastname: Hirsch
authors.forename: Ronald A
authors.initials: RA
authors.lastname: Brooks
authors.forename: Stephen F
authors.initials: SF
authors.lastname: Morin
mesh_terms: D015492:AIDS Serodiagnosis / Q000523:psychology* / Q000706:statistics & numerical data; D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data*; D005069:Evaluation Studies as Topic; D005260:Female; D006678:HIV; D015658:HIV Infections / Q000175:diagnosis* / Q000517:prevention & control / Q000523:psychology / Q000635:transmission; D015438:Health Behavior; D006801:Humans; D008297:Male; D012307:Risk Factors; D040242:Risk Reduction Behavior; D014481:United States; D047568:Unsafe Sex / Q000706:statistics & numerical data*; D055815:Young Adult