AIDS in America--forgotten but not gone.

International Center for AIDS Care and Treatment Programs, Mailman School of Public Health, and the Department of Medicine, Harlem Hospital and College of Physicians and Surgeons, Columbia University, New York, USA.
New England Journal of Medicine (Impact Factor: 54.42). 02/2010; 362(11):967-70. DOI: 10.1056/NEJMp1000069
Source: PubMed


Available from: Kenneth Mayer, Jun 06, 2015
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    ABSTRACT: The current study was conducted to examine the impact of mixing genders in HIV prevention intervention groups targeted toward HIV positive men and women. Men (N=310) and women (N=126) participated in a randomized clinical trial testing a behavioral risk reduction/ medication adherence intervention versus a general health control condition administered to small mixed gender groups. Gender composition of groups was examined in relation to participant group attendance and group satisfaction measures through correlations and logistic regression. Significant regression models were found for men in the risk reduction condition and for women in the general health condition, however, regression models were not significant for women in the risk reduction condition and men in the general health condition. The findings indicate that mixing genders in risk reduction interventions for men and women living with HIV/AIDS has no negative impact on women's group satisfaction and may positively impact men's group satisfaction. This calls into question the assumption that gender sensitive material will always make individuals uncomfortable within mixed gender groups. In practice, mixed gender intervention groups can be a helpful option for delivering programs to diverse populations especially when resources are limited within community-based services providers and AIDS service organizations. Although more thorough investigation is needed about the consequences and possible benefits of mixing genders within HIV prevention intervention groups, this study supports the idea that mixing genders may be a viable option, in practice, without sacrificing the integrity of the intervention.
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    ABSTRACT: This study sought to determine whether the presence of HIV testing inside a gay bathhouse reduced sexual risk behavior among patrons. A two-stage, time probability, cluster sample design recruited men exiting a northern California bathhouse in the last 5 weeks of 2001 (N=440), when no HIV testing was offered inside the bathhouse, and again in the last 5 weeks of 2002 (N=412) when HIV testing was offered 5 days a week. Separate logistic regression analyses compared a 2002 HIV testing exposure subgroup to both a 2001 non-exposure subgroup and a 2002 non-exposure subgroup for differences in sexual risk behavior during the bathhouse visit. Prevalence of unprotected insertive anal intercourse was significantly lower in the 2002 exposure subgroup than in the 2002 non-exposure subgroup. Similar results obtained when HIV-positive respondents were excluded. These results indicate on-site HIV testing has a preventive effect on some sexual risk behavior inside the bathhouse.
    Journal of HIV/AIDS & Social Services 08/2014; 13(3):306-323. DOI:10.1080/15381501.2013.864175
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    ABSTRACT: Women infected with human immunodeficiency virus (HIV) have unique needs. Treatment recommendations are the same for men and women, but in women, fertility desires, pregnancy, contraception, and aging must be taken into account in their medical care.
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