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Sustained Sexual Behavior Change After Acute HIV Diagnosis in Malawi.

Publication ,  Journal Article
Rucinski, KB; Rutstein, SE; Powers, KA; Pasquale, DK; Dennis, AM; Phiri, S; Hosseinipour, MC; Kamanga, G; Nsona, D; Massa, C; Hoffman, IF ...
Published in: Sex Transm Dis
November 2018

BACKGROUND: Identification of acute HIV infection (AHI) allows for important opportunities for HIV prevention through behavior change and biomedical intervention. Here, we evaluate changes in sexual risk behaviors among persons with AHI enrolled in a combined behavioral and biomedical intervention designed to reduce onward transmission of HIV. METHODS: Participants were randomized to standard HIV counseling, a multisession behavioral intervention, or a multisession behavioral intervention plus antiretrovirals. Sexual behaviors were assessed periodically over 1 year. RESULTS: Four weeks after diagnosis, the predicted probability of reporting multiple sexual partners decreased from 24% to 9%, and the probability of reporting unprotected sex decreased from 71% to 27%. These declines in sexual risk behaviors were sustained over follow-up irrespective of study arm. CONCLUSIONS: Diagnosis of AHI alone may be sufficient to achieve immediate and sustained behavior change during this highly infectious period.

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Published In

Sex Transm Dis

DOI

EISSN

1537-4521

Publication Date

November 2018

Volume

45

Issue

11

Start / End Page

741 / 746

Location

United States

Related Subject Headings

  • Young Adult
  • Unsafe Sex
  • Sexual Partners
  • Sexual Behavior
  • Safe Sex
  • Risk-Taking
  • Risk Reduction Behavior
  • Public Health
  • Mass Screening
  • Male
 

Citation

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Chicago
ICMJE
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Rucinski, K. B., Rutstein, S. E., Powers, K. A., Pasquale, D. K., Dennis, A. M., Phiri, S., … Pettifor, A. E. (2018). Sustained Sexual Behavior Change After Acute HIV Diagnosis in Malawi. Sex Transm Dis, 45(11), 741–746. https://doi.org/10.1097/OLQ.0000000000000873
Rucinski, Katherine B., Sarah E. Rutstein, Kimberly A. Powers, Dana K. Pasquale, Ann M. Dennis, Sam Phiri, Mina C. Hosseinipour, et al. “Sustained Sexual Behavior Change After Acute HIV Diagnosis in Malawi.Sex Transm Dis 45, no. 11 (November 2018): 741–46. https://doi.org/10.1097/OLQ.0000000000000873.
Rucinski KB, Rutstein SE, Powers KA, Pasquale DK, Dennis AM, Phiri S, et al. Sustained Sexual Behavior Change After Acute HIV Diagnosis in Malawi. Sex Transm Dis. 2018 Nov;45(11):741–6.
Rucinski, Katherine B., et al. “Sustained Sexual Behavior Change After Acute HIV Diagnosis in Malawi.Sex Transm Dis, vol. 45, no. 11, Nov. 2018, pp. 741–46. Pubmed, doi:10.1097/OLQ.0000000000000873.
Rucinski KB, Rutstein SE, Powers KA, Pasquale DK, Dennis AM, Phiri S, Hosseinipour MC, Kamanga G, Nsona D, Massa C, Hoffman IF, Miller WC, Pettifor AE. Sustained Sexual Behavior Change After Acute HIV Diagnosis in Malawi. Sex Transm Dis. 2018 Nov;45(11):741–746.

Published In

Sex Transm Dis

DOI

EISSN

1537-4521

Publication Date

November 2018

Volume

45

Issue

11

Start / End Page

741 / 746

Location

United States

Related Subject Headings

  • Young Adult
  • Unsafe Sex
  • Sexual Partners
  • Sexual Behavior
  • Safe Sex
  • Risk-Taking
  • Risk Reduction Behavior
  • Public Health
  • Mass Screening
  • Male