title: Examining the Efficacy of HIV Risk-Reduction Counseling on the Sexual Risk Behaviors of a National Sample of Drug Abuse Treatment Clients: Analysis of Subgroups.
abstract: HIV counseling with testing has been part of HIV prevention in the U.S. since the 1980s. Despite the long-standing history of HIV testing with prevention counseling, the CDC released HIV testing recommendations for health care settings contesting benefits of prevention counseling with testing in reducing sexual risk behaviors among HIV-negatives in 2006. Efficacy of brief HIV risk-reduction counseling (RRC) in decreasing sexual risk among subgroups of substance use treatment clients was examined using multi-site RCT data. Interaction tests between RRC and subgroups were performed; multivariable regression evaluated the relationship between RRC (with rapid testing) and sex risk. Subgroups were defined by demographics, risk type and level, attitudes/perceptions, and behavioral history. There was an effect (p < .0028) of counseling on number of sex partners among some subgroups. Certain subgroups may benefit from HIV RRC; this should be examined in studies with larger sample sizes, designed to assess the specific subgroup(s).
authors.affiliation: Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY, USA. lkg2129@cumc.columbia.edu.|Department of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, FL, USA. lkg2129@cumc.columbia.edu.|Department of Sociomedical Sciences, Mailman School of Public Health, Miami Research Center, Columbia University, 1120 NW 14th Street, Room 1030, Miami, FL, 33136, USA. lkg2129@cumc.columbia.edu.
authors.forename: Lauren
authors.initials: L
authors.lastname: Gooden
authors.affiliation: Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY, USA.|Department of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, FL, USA.
authors.forename: Lisa R
authors.initials: LR
authors.lastname: Metsch
authors.affiliation: Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY, USA.|Department of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, FL, USA.|Department of Sociomedical Sciences, Mailman School of Public Health, Miami Research Center, Columbia University, 1120 NW 14th Street, Room 1030, Miami, FL, 33136, USA.
authors.forename: Margaret R
authors.initials: MR
authors.lastname: Pereyra
authors.affiliation: Department of Health Science, California State University, Long Beach, CA, USA.
authors.forename: C Kevin
authors.initials: CK
authors.lastname: Malotte
authors.affiliation: Department of Psychiatry and Behavioral Science, Medical University of South Carolina, Charleston, SC, USA.
authors.forename: Louise F
authors.initials: LF
authors.lastname: Haynes
authors.affiliation: University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
authors.forename: Antoine
authors.initials: A
authors.lastname: Douaihy
authors.affiliation: Johns Hopkins University, Baltimore, MD, USA.|EMMES Corporation, Inc., Rockville, MD, USA.
authors.forename: Jack
authors.initials: J
authors.lastname: Chally
authors.affiliation: National Institute on Drug Abuse, National Institutes of Health, Bethesda, MD, USA.
authors.forename: Raul N
authors.initials: RN
authors.lastname: Mandler
authors.affiliation: Department of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, FL, USA.
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Feaster
mesh_terms: D000293:Adolescent; D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data*; D003376:Counseling / Q000379:methods*; D005500:Follow-Up Studies; D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology; D006801:Humans; D008297:Male; D008403:Mass Screening; D008691:Methadone / Q000627:therapeutic use; D040242:Risk Reduction Behavior; D012309:Risk-Taking; D012725:Sexual Behavior; D012747:Sexual Partners; D015819:Substance Abuse, Intravenous / Q000523:psychology* / Q000534:rehabilitation; D014481:United States
chemical_list: D008691:Methadone
keywords: Counseling; Drug treatment; HIV; Prevention; Substance use
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