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Reducing HIV transmission among recovering female drug users.
Schilling R; El-Bassel N; Gordon K; Nichols S; Columbia University
September 30, 1990
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