Interventions delivered in clinical settings are effective in reducing risk of HIV transmission among people living with HIV: results from the Health Resources and Services Administration (HRSA)'s Special Projects of National Significance initiative.
To support expanded prevention services for people living with HIV, the US Health Resources and Services Administration (HRSA) sponsored a 5-year initiative to test whether interventions delivered in clinical settings were effective in reducing HIV transmission risk among HIV-infected patients. Across 13 demonstration sites, patients were randomized to one of four conditions. All interventions were associated with reduced unprotected vaginal and/or anal intercourse with persons of HIV-uninfected or unknown status among the 3,556 participating patients. Compared to the standard of care, patients assigned to receive interventions from medical care providers reported a significant decrease in risk after 12 months of participation. Patients receiving prevention services from health educators, social workers or paraprofessional HIV-infected peers reported significant reduction in risk at 6 months, but not at 12 months. While clinics have a choice of effective models for implementing prevention programs for their HIV-infected patients, medical provider-delivered methods are comparatively robust.
Center for AIDS Prevention Studies, University of California, San Francisco, 50 Beale Street, Suite 1300, San Francisco, CA 94105, USA. janet.myers@ucsf.edu
Janet J
JJ
Myers
Starley B
SB
Shade
Carol Dawson
CD
Rose
Kimberly
K
Koester
Andre
A
Maiorana
Faye E
FE
Malitz
Jennifer
J
Bie
Mi-Suk
MS
Kang-Dufour
Stephen F
SF
Morin
D003376:Counseling; D005260:Female; D015658:HIV Infections / Q000517:prevention & control* / Q000635:transmission; D006266:Health Education; D006801:Humans; D008297:Male; D009313:National Health Programs; D011320:Primary Health Care / Q000379:methods*; D015397:Program Evaluation; D040242:Risk Reduction Behavior; D014481:United States; D014488:United States Health Resources and Services Administration; D047568:Unsafe Sex