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Reducing HIV transmission among recovering female drug users.


Int Conf AIDS. 1989 Jun 4-9;5:709 (abstract no. Th.D.0.15). Unique

OBJECTIVE: To study the effects of a skills-building approach to reducing risks of HIV transmission among recovering IV drug users. METHODS: Drawing on extant research and findings of an earlier descriptive study, the authors developed a multi-session group approach to reducing high risk behavior among a cohort of 83 methadone maintained women enrolled in New York City area clinics. A controlled trial carried out by social workers in drug treatment settings involved random assignment to information-only and skills-building conditions. RESULTS: Outcome analyses demonstrated that participants in an information-only condition regularly available in the clinics made fewer gains than skills-building participants in behavior related to HIV transmission. Participants in the skills-building condition were significantly more likely to carry condoms, talk about and initiate discussions around safer sex, and feel comfortable talking about discussing safer sex. From pretest to posttest, skills-building participants reported significant decreases in sex with IV drug users. DISCUSSION: As follow-up data have not yet been collected, these modest preliminary findings must be viewed with a degree of caution. Nevertheless, reported outcomes lend support to the viability of skills-building strategies to reduce relapse and AIDS risks associated with sexual activity and drug use.

*Behavior Therapy Cohort Studies Female Human HIV Infections/*PREVENTION & CONTROL Methadone/*THERAPEUTIC USE New York City Random Allocation Substance Dependence/*REHABILITATION ABSTRACT


Information in this article was accurate in September 30, 1990. The state of the art may have changed since the publication date. This material is designed to support, not replace, the relationship that exists between you and your doctor. Always discuss treatment options with a doctor who specializes in treating HIV.