%0 Journal Article
%T Effects of a coping intervention on transmission risk behavior among people living with HIV/AIDS and a history of childhood sexual abuse
%J Journal of Acquired Immune Deficiency Syndromes
%D 2008
%A Sikkema, Kathleen J.
%A Wilson, Patrick A.
%A Hansen, Nathan B.
%A Kochman, Arlene
%A Neufeld, Sharon
%A Ghebremichael, Musie S.
%A Kershaw, Trace
%V 47
%N 4
%P 506-513
%X OBJECTIVES: To examine the effect of a 15-session coping group intervention compared with a 15-session therapeutic support group intervention among HIV-positive men and women with a history of childhood sexual abuse (CSA) on sexual transmission risk behavior. DESIGN: A randomized controlled behavioral intervention trial with 12-month follow-up. METHODS: A diverse sample of 247 HIV-positive men and women with histories of CSA was randomized to 1 of 2 time-matched group intervention conditions. Sexual behavior was assessed at baseline; immediately after the intervention; and at 4-, 8-, and 12-month follow-up periods (5 assessments). Changes in frequency of unprotected anal and vaginal intercourse by intervention condition were examined using generalized linear mixed models for all partners, and specifically for HIV-negative or serostatus unknown partners. RESULTS: Participants in the HIV and trauma coping intervention condition decreased their frequency of unprotected sexual intercourse more than participants in the support intervention condition for all partners (P < 0.001; d = 0.38, 0.32, and 0.38 at the 4-, 8-, and 12-month follow-up periods, respectively) and for HIV-negative and serostatus unknown partners (P < 0.001; d = 0.48, 0.39, and 0.04 at the 4-, 8-, and 12-month follow-up periods, respectively). CONCLUSION: A group intervention to address coping with HIV and CSA can be effective in reducing transmission risk behavior among HIV-positive men and women with histories of sexual trauma.<p /><p>Language: en</p>
%G en
%I Lippincott Williams and Wilkins
%@ 1525-4135
%U http://dx.doi.org/10.1097/QAI.0b013e318160d727