Behavior change following diagnosis with acute/early HIV infection-a move to serosorting with other HIV-infected individuals. The NIMH Multisite Acute HIV Infection Study: III.


Journal Article

Risk reductions behaviors are especially important during acute/early HIV infection, a period of high transmission risk. We examined how sexual behaviors changed following diagnosis of acute/early HIV infection. Twenty-eight individuals completed structured surveys and in-depth interviews shortly after learning of their infection and 2 months later. Quantitative analyses revealed significant changes after diagnosis, including reductions in total partners and decreases in the proportion of unprotected sex acts occurring with uninfected partners (serosorting). Qualitative findings indicated that these changes were motivated by concerns about infecting others. However, participants were less successful at increasing the frequency with which they used condoms. These results suggest that the initial diagnosis with HIV may constitute an important component of interventions to promote risk reduction during the acute/early stages of the disease.

Full Text

Duke Authors

Cited Authors

  • Steward, WT; Remien, RH; Higgins, JA; Dubrow, R; Pinkerton, SD; Sikkema, KJ; Truong, H-HM; Johnson, MO; Hirsch, J; Brooks, RA; Morin, SF

Published Date

  • December 2009

Published In

Volume / Issue

  • 13 / 6

Start / End Page

  • 1054 - 1060

PubMed ID

  • 19504178

Pubmed Central ID

  • 19504178

Electronic International Standard Serial Number (EISSN)

  • 1573-3254

International Standard Serial Number (ISSN)

  • 1090-7165

Digital Object Identifier (DOI)

  • 10.1007/s10461-009-9582-6


  • eng