PREVENTING HIV INFECTION THROUGH BEHAVIOR CHANGE
Principal Investigator: Michael Carey
Affiliation: Syracuse University
Abstract: DESCRIPTION (Applicant's Abstract): The proposed research focuses on developing and evaluating interventions to prevent HIV transmission through behavior change; and investigating the relationship between sexual risk behavior and substance use. Five projects (11 studies) are planned. Project 1 (Study 1) will evaluate a HIV risk reduction intervention with adults who have a severe mental illness; and determine whether the Information-Motivation-Behavioral Skills model can account for variability in risk behavior in this population. Project 2 (Studies 2, 3, and 4) seeks to reduce drug abuse and its negative consequences by enhancing readiness-to-change in persons with schizophrenia. Project 3 (Studies 5 and 6) will evaluate the effects of acute alcohol intoxication on HIV risk perceptions and behavioral skills; data from these two studies will be used to conduct path analyses to determine the mechanism(s) by which alcohol influences risky sexual behavior. Project 4 (Studies 7, 8, and 9) will employ meta-analytic methods to determine the relationship between self-efficacy and HIV-risk reduction, the effectiveness of HIV-counseling and testing (CT) programs, and the effectiveness of group and community-level HIV-risk reduction programs. Project 5 (Studies 10 and 11) will evaluate the effectiveness of the applicant's motivational approach to HIV risk reduction with low-income urban women, and determine if the effectiveness of this intervention differs as a function of the treatment provider. The applicant's career developmental plan focuses on activities designed to facilitate continued progress toward senior status and leadership in the field. These activities include continuing education through formal courses and professional conferences; collaboration with community leaders as well as senior scientists; and involvement with science education provided to undergraduate and graduate students, postdoctoral fellows, and junior faculty.
Funding Period: 1998-07-01 - 2004-06-30
more information: NIH RePORT
- Group-based HIV risk reduction intervention for adolescent girls: evidence of feasibility and efficacyDianne Morrison-Beedy
School of Nursing, Center for High-Risk Children and Youth, The University of Rochester, 601 Elmwood Avenue, Rochester, NY 14642-8404, USA
Res Nurs Health 28:3-15. 2005..g., vaginal sex without a condom, giving oral sex, and alcohol and drug use before sex). Challenges to implementation and suggestions for intervention enhancement are discussed...
- Tobacco smoking among low-income Black women: demographic and psychosocial correlates in a community sampleMonica S Webb
Center for Health and Behavior, Syracuse University, Syracuse, NY 13244 2340, USA
Nicotine Tob Res 10:219-29. 2008..A more complete understanding of the demographic and psychosocial factors associated with smoking among Black women can inform prevention and cessation strategies aimed at this population...
- Behavioral HIV risk reduction among people who inject drugs: meta-analytic evidence of efficacyMichael M Copenhaver
Department of Psychology, Center for Health/HIV Intervention and Prevention, CHIP, University of Connecticut, Storrs, 06269, USA
J Subst Abuse Treat 31:163-71. 2006..Implications for future interventions are presented...
- Prevalence of HIV, Hepatitis B, syphilis, and chlamydia among adults seeking treatment for a mental disorder in southern IndiaMichael P Carey
Center for Health and Behavior, Syracuse University, 430 Huntington Hall, Syracuse, NY 13244 2340, USA
AIDS Behav 11:289-97. 2007..e., multiple partners, exchanging sex for money, and engagement in anal sex) were associated with infection status. Recommendations for the sexual health care of psychiatric patients in India are provided...
- Accuracy of audio computer-assisted self-interviewing (ACASI) and self-administered questionnaires for the assessment of sexual behaviorDianne Morrison-Beedy
School of Nursing, University of Rochester, Rochester, New York 14642, USA
AIDS Behav 10:541-52. 2006..Choice of assessment mode and frequency should be based upon the research question(s), population, resources, and context in which data collection will occur...
- Sexual risk reduction for persons living with HIV: research synthesis of randomized controlled trials, 1993 to 2004Blair T Johnson
Center for Health HIV Intervention and Prevention, University of Connecticut, 2006 Hillside Road, Storrs, CT 06269, USA
J Acquir Immune Defic Syndr 41:642-50. 2006..To conduct a meta-analytic review of interventions to reduce HIV individuals' sexual risk...
- Sexual risk reduction interventions do not inadvertently increase the overall frequency of sexual behavior: a meta-analysis of 174 studies with 116,735 participantsNatalie D Smoak
Center for Health HIV Intervention and Prevention, University of Connecticut, 2006 Hillside Road, Storrs, CT 06269 1248, USA
J Acquir Immune Defic Syndr 41:374-84. 2006..To the contrary, for some subgroups, interventions that include components recommended by behavioral science theory reduce the frequency of sexual events and partners...
- Anger as a moderator of safer sex motivation among low-income urban womenKerstin E E Schroder
Department of Psychology, Utah State University, Utah 84322 2810, USA
J Behav Med 28:493-506. 2005..In sum, the results suggest that rational knowledge- and risk-based decisions regarding safer sex may be limited to low-anger women...
- Screening for sexually transmitted infections at a DeAddictions service in south IndiaMichael P Carey
Center for Health and Behavior, Syracuse University, NY 13244 2340, USA
Drug Alcohol Depend 82:127-34. 2006..To estimate the lifetime prevalence of four sexually transmitted infections (STIs) and to identify correlates of these infections among patients seeking care for a substance use disorder at a specialized DeAddictions Unit in southern India...
- Prevalence and correlates of tobacco use and nicotine dependence among psychiatric patients in IndiaPrabha S Chandra
Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bangalore, India
Addict Behav 30:1290-9. 2005..The cultural context of these findings, and the implications for tobacco control among psychiatric patients, are discussed...