Impact of a computer-assisted, provider-delivered intervention on sexual risk behaviors in HIV-positive men who have sex with men (MSM) in a primary care setting.

Academic Article

Abstract

  • Innovative strategies are needed to assist providers with delivering secondary HIV prevention in the primary care setting. This longitudinal HIV clinic-based study conducted from 2004-2007 in a Birmingham, Alabama HIV primary care clinic tested a computer-assisted, provider-delivered intervention designed to increase condom use with oral, anal and vaginal sex, decrease numbers of sexual partners and increase HIV disclosure among HIV-positive men-who-have-sex-with-men (MSM). Significant declines were found for the number of unprotected insertive anal intercourse acts with HIV+ male partners during the intervention period (p = 0.0003) and with HIV-/UK male partners (p = 0.0007), as well as a 47% reduction in the number of male sexual partners within the preceding 6 months compared with baseline (p = 0.0008). These findings confirm and extend prior reports by demonstrating the effectiveness of computer-assisted, provider-delivered messaging to accomplish risk reduction in patients in the HIV primary care setting.
  • Published In

    Keywords

  • Alabama, Computers, Condoms, HIV Infections, Health Knowledge, Attitudes, Practice, Homosexuality, Male, Humans, Longitudinal Studies, Male, Patient Education as Topic, Primary Health Care, Professional-Patient Relations, Risk Factors, Risk-Taking, Self Disclosure, Sexual Partners, Surveys and Questionnaires, Unsafe Sex
  • Digital Object Identifier (doi)

    Pubmed Id

  • 23280445
  • Author List

  • Bachmann LH; Grimley DM; Gao H; Aban I; Chen H; Raper JL; Saag MS; Rhodes SD; Hook EW
  • Start Page

  • 87
  • End Page

  • 101
  • Volume

  • 25
  • Issue

  • 2