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