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American Journal of Public Health logoLink to American Journal of Public Health
. 1991 Dec;81(12):1586–1590. doi: 10.2105/ajph.81.12.1586

Behavior changes after notification of HIV infection.

P D Cleary 1, N Van Devanter 1, T F Rogers 1, E Singer 1, R Shipton-Levy 1, M Steilen 1, A Stuart 1, J Avorn 1, J Pindyck 1
PMCID: PMC1405297  PMID: 1746654

Abstract

BACKGROUND. To learn more about how people who did not volunteer for testing react to information about HIV infection, we assessed short-term behavior changes in HIV-positive blood donors. METHODS. Blood donors who were notified at the New York Blood Center that they were HIV positive were asked to participate in a study. A nurse elicited a medical history, performed a limited medical examination, and asked participants to complete a questionnaire that included questions about drug use, sexual behavior, and psychological characteristics. Participants were asked to return in 2 weeks to complete another questionnaire. RESULTS. Many fewer men and women reported engaging in unsafe sexual behaviors in the 2 weeks preceding the follow-up visit than had reported such behaviors prior to notification. These changes were greater than those other investigators have reported, but about 40% of the participants still reported unsafe sexual activity at the follow-up interview. CONCLUSIONS. To make nonvolunteer screening programs for HIV infection more effective in reducing the spread of HIV infection, we need to learn more about how to help people change their high-risk behaviors.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Becker M. H., Joseph J. G. AIDS and behavioral change to reduce risk: a review. Am J Public Health. 1988 Apr;78(4):394–410. doi: 10.2105/ajph.78.4.394. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Cates W., Jr, Handsfield H. H. HIV counseling and testing: does it work? Am J Public Health. 1988 Dec;78(12):1533–1534. doi: 10.2105/ajph.78.12.1533. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Cleary P. D., Barry M. J., Mayer K. H., Brandt A. M., Gostin L., Fineberg H. V. Compulsory premarital screening for the human immunodeficiency virus. Technical and public health considerations. JAMA. 1987 Oct 2;258(13):1757–1762. [PubMed] [Google Scholar]
  4. Cleary P. D., Rogers T. F., Singer E., Avorn J., van Devanter N., Perry S., Pindyck J. Health education about AIDS among seropositive blood donors. Health Educ Q. 1986 Winter;13(4):317–329. doi: 10.1177/109019818601300404. [DOI] [PubMed] [Google Scholar]
  5. Cleary P. D., Van Devanter N., Rogers T. F., Singer E., Avorn J., Pindyck J. Trends in sociodemographic and behavioral characteristics of HIV antibody-positive blood donors. AIDS Educ Prev. 1991 Spring;3(1):60–71. [PubMed] [Google Scholar]
  6. Coates T. J., Stall R. D., Kegeles S. M., Lo B., Morin S. F., McKusick L. AIDS antibody testing. Will it stop the AIDS epidemic? Will it help people infected with HIV? Am Psychol. 1988 Nov;43(11):859–864. [PubMed] [Google Scholar]
  7. Emmons C. A., Joseph J. G., Kessler R. C., Wortman C. B., Montgomery S. B., Ostrow D. G. Psychosocial predictors of reported behavior change in homosexual men at risk for AIDS. Health Educ Q. 1986 Winter;13(4):331–345. doi: 10.1177/109019818601300405. [DOI] [PubMed] [Google Scholar]
  8. Fox R., Odaka N. J., Brookmeyer R., Polk B. F. Effect of HIV antibody disclosure on subsequent sexual activity in homosexual men. AIDS. 1987 Dec;1(4):241–246. [PubMed] [Google Scholar]
  9. Francis D. P., Anderson R. E., Gorman M. E., Fenstersheib M., Padian N. S., Kizer K. W., Conant M. A. Targeting AIDS prevention and treatment toward HIV-1-infected persons. The concept of early intervention. JAMA. 1989 Nov 10;262(18):2572–2576. [PubMed] [Google Scholar]
  10. Gostin L. O., Cleary P. D., Mayer K. H., Brandt A. M., Chittenden E. H. Screening immigrants and international travelers for the human immunodeficiency virus. N Engl J Med. 1990 Jun 14;322(24):1743–1746. doi: 10.1056/NEJM199006143222411. [DOI] [PubMed] [Google Scholar]
  11. Kuiken C. L., van Griensven G. J., de Vroome E. M., Coutinho R. A. Risk factors and changes in sexual behavior in male homosexuals who seroconverted for human immunodeficiency virus antibodies. Am J Epidemiol. 1990 Sep;132(3):523–530. doi: 10.1093/oxfordjournals.aje.a115688. [DOI] [PubMed] [Google Scholar]
  12. Levy R. S., Tendler C., VanDevanter N., Cleary P. D. A group intervention model for individuals testing positive for HIV antibody. Am J Orthopsychiatry. 1990 Jul;60(3):452–459. doi: 10.1037/h0079192. [DOI] [PubMed] [Google Scholar]
  13. Martin J. L., Dean L., Garcia M., Hall W. Barbara Snell Dohrenwend memorial lecture. The impact of AIDS on a gay community: changes in sexual behavior, substance use, and mental health. Am J Community Psychol. 1989 Jun;17(3):269–293. doi: 10.1007/BF00931037. [DOI] [PubMed] [Google Scholar]
  14. McCusker J., Stoddard A. M., Mayer K. H., Zapka J., Morrison C., Saltzman S. P. Effects of HIV antibody test knowledge on subsequent sexual behaviors in a cohort of homosexually active men. Am J Public Health. 1988 Apr;78(4):462–467. doi: 10.2105/ajph.78.4.462. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Ostrow D. G., Joseph J. G., Kessler R., Soucy J., Tal M., Eller M., Chmiel J., Phair J. P. Disclosure of HIV antibody status: behavioral and mental health correlates. AIDS Educ Prev. 1989 Spring;1(1):1–11. [PubMed] [Google Scholar]
  16. Pindyck J., Waldman A., Zang E., Oleszko W., Lowy M., Bianco C. Measures to decrease the risk of acquired immunodeficiency syndrome transmission by blood transfusion. Evidence of volunteer blood donor cooperation. Transfusion. 1985 Jan-Feb;25(1):3–9. doi: 10.1046/j.1537-2995.1985.25185116497.x. [DOI] [PubMed] [Google Scholar]
  17. Wiktor S. Z., Biggar R. J., Melbye M., Ebbesen P., Colclough G., DiGioia R., Sanchez W. C., Grossman R. J., Goedert J. J. Effect of knowledge of human immunodeficiency virus infection status on sexual activity among homosexual men. J Acquir Immune Defic Syndr. 1990;3(1):62–68. [PubMed] [Google Scholar]
  18. van Griensven G. J., de Vroome E. M., Tielman R. A., Goudsmit J., de Wolf F., van der Noordaa J., Coutinho R. A. Effect of human immunodeficiency virus (HIV) antibody knowledge on high-risk sexual behavior with steady and nonsteady sexual partners among homosexual men. Am J Epidemiol. 1989 Mar;129(3):596–603. doi: 10.1093/oxfordjournals.aje.a115172. [DOI] [PubMed] [Google Scholar]

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