Meeting the Prevention Needs of People Living with HIV/AIDS  MOAC03
Organiser:
Type:
Oral Abstract Session Back
Venue: SR 1 (6090)
Interpretation: None
Time: 14:30 - 16:00, 04.08.2008
Code: MOAC03
Co-Chairs: Marge Berer, United Kingdom
Philippa Lawson, United States




Presentations in this session:

14:30
MOAC0301
Powerpoint (600 KB)		Overview: Issues in positive prevention
Philippa Lawson, United States


14:40
MOAC0302
Abstract		Providing prevention for HIV-positive persons during clinical care visits: results of the HIV intervention for providers (HIP) study
Presented by Carol Dawson Rose, United States
C. Dawson Rose1, G. Colfax2, K. Knight1, S. Shade1, C. Gomez1, P. Lum3, O. Bacon1, D. Eroglu4, C. Courtenay-Quirk4
1University of California, San Francisco, Center for AIDS Prevention Studies, San Francisco, United States, 2San Francisco Department of Health, San Francisco, United States, 3University of California, San Francisco, HIV/AIDS Division, Department of Medicine, San Francisco, United States, 4Center for Disease Control and Prevention, Atlanta, United States


14:55
MOAC0303
Abstract
Powerpoint (8.79 MB)		Successful implementation of a peer-administered secondary HIV prevention intervention for MSM in primary care
Presented by Conall O'Cleirigh, United States
C. O'Cleirigh1, S. Safren1, C. Covahey2, E. Leidolf2, M. Skeer3, R. Vanderwarker2, K. Mayer4
1Fenway Institute/Harvard Medical School, Boston, United States, 2Fenway Institute, Boston, United States, 3Fenway Institute/Harvard School of Public Health, Boston, United States, 4Fenway Institute/Brown School of Medicine, Boston, United States


15:10
MOAC0304
Abstract
Powerpoint (1.11 MB)		Sociodemographic, mental health and sexual behaviors of African-American serodiscordant couples: findings from a multisite trials
Presented by Willo Pequegnat, United States
W. Pequegnat, NIMH Multisite HIV/STD Prevention Trial for African-American Couples
National Institute of Mental Health, Center for Mental Health Research on AIDS, Division of Mental Disorders, Behavioral Research and AIDS, Bethesda, United States


15:25
MOAC0305
Abstract		Correlates of high-risk sexual behaviour among sexually active HIV-positive women and men in clinical care in KwaZulu-Natal, South Africa
Presented by Paul A Shuper, Canada
P.A. Shuper1, S.M. Kiene2, G. Mahlase3, S.P. MacDonald4, S. Christie5, D.H. Cornman5, B. Kistnasamy6, S. Pillay4, L. Shepherd5, G.H. Friedland7, U.G. Lalloo4, J.D. Fisher5, W.A. Fisher8
1Centre for Addiction and Mental Health, Social, Prevention and Health Policy Research, University of Toronto, Department of Psychology, Toronto, Canada, 2Brown University, Alpert Medical School, Providence, United States, 3Targeted AIDS Interventions, Pietermaritzburg, South Africa, 4Nelson Mandela School of Medicine, Enhancing Care Initiative, Durban, South Africa, 5University of Connecticut, Center for Health, Intervention, and Prevention, Storrs, United States, 6Nelson Mandela School of Medicine, Public Health Medicine, Durban, South Africa, 7Yale New Haven Hospital, Yale University School of Medicine, New Haven, United States, 8University of Western Ontario, Department of Psychology, Department of Obstetrics and Gynaecology, London, Canada


15:40
MOAC0306
Abstract
Powerpoint (544 KB)		Eurosupport V: understanding sexual risk behaviour among people living with HIV
Presented by Christiana Nöstlinger, Belgium
C. Nöstlinger1, T. Platteau1, M.C. Mueller2, M. Pozdal3, P. Csépe4, N. Dedes5, W. Schrooten1, R. Colebunders1, Eurosupport V Study Group
1Prince Leopold Institute of Tropical Medicine, Clinical Sciences, Antwerp, Belgium, 2LMU, Infektionsabteilung Med. Poliklinik, Munich, Germany, 3University Zielona Gora, Warsaw, Poland, 4Semmelweis University, Dept. of Public Health, Budapest, Hungary, 5Synthesis Awareness, Research HIV AIDS, Athens, Greece


Rapporteur report

Track C report by Patrick Sullivan



The abstract session on prevention for persons living with HIV addressed several important topics.  The speakers provided a perspective on issues in positive prevention, reported the results of a randomized trial of an intervention for providers, reported on the development of a peer-delivered intervention for risk reduction in MSM in primary care, reported baseline data from an ongoing HIV prevention trial for discordant African-American couples, and described data from a cross sectional retrospective survey of patients in care with HIV about sexual risk behavior.

A randomized trial of an intervention for HIV care providers to increase provision of HIV prevention services showed promise. A total of 44 providers were randomized to no intervention, or to a 4-hour intervention to increase comfort and skills to discuss risk behaviors, and help clients develop a plan to reduce risky behaviors for HIV transmission.  386 patients cared for by the providers were interviewed, as were the HIV providers themselves.  Patients of providers who received the intervention had a lower number of partners with whom they had risky sex (unprotected vaginal/anal sex with HIV-uninfected or unknown status sexual partner(s)), although there was no difference in the proportion who had any risky sex.  For providers, being assigned to the intervention was associated with increased comfort with discussing different types of sex, with increased knowledge about how to assess patients’ risks, and with increased proportion of client counseling discussions which included discussion of condoms.

The presentation describing the development of a peer-led intervention was important because it described an intervention in which HIV-positive persons were both involved in the development of the curriculum, and in which HIV-positive peers were involved in the delivery of the intervention.  The intervention included 7 modules, of which participants could choose 4.  All participants were required to choose the “Having Sex” module; the most commonly selected optional module was “Getting the Relationships You Want”, and the least commonly selected module was “Party Drugs”.  There was a significant decrease in risk behaviors, but the decrease was limited to those men with significant risks at study entry.  Also, it is important to note that there was no control group in this development phase, so firm conclusions about efficacy should await further randomized evaluations.

The report on baseline data from an ongoing randomized trial of HIV-discordant African American couples was most notable for the relatively high prevalence of baseline STIs (23% to 27% of couples had one or both partners with an STI), and for the high baseline proportion of unprotected vaginal sex in the past 90 days (nearly 2/3 of all couples).  The study will be unblended in November 2008, and will represent an important contribution to the field of couples’ interventions to reduce HIV transmission.


   

   

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