Reducing risky sexual behavior and substance use among currently and formerly homeless adults living with HIV

Mary Jane Rotheram-Borus, Katherine Desmond, W. Scott Comulada, Elizabeth Mayfield Arnold, Mallory Johnson, Margaret A. Chesney, Anke A. Ehrhardt, Jeffrey A. Kelly, Willo Pequegnat

Research output: Contribution to journalArticle

22 Scopus citations

Abstract

Objectives. We examined the efficacy of the Healthy Living Program in reducing risky sexual behavior and substance use among adults with HIV infection who were marginally housed (i.e., homeless at some point over a 37-month period). Methods. We had previously conducted a randomized controlled trial with 936 adults living with HIV infection. In that study, 3 intervention modules of 5 sessions each addressed different goals: reducing risky sexual acts and drug use, improving the quality of life, and adhering to healthful behaviors. Participants were interviewed at baseline and at 5, 10, 15, 20, and 25 months; 746 completed 4 or more assessments. In this study, we analyzed sexual behavior and drug use outcomes for the 35% (n=270 of 767) of participants who were considered marginally housed. Results. Among the marginally housed participants, there were significantly greater reductions in unprotected risky sexual acts, the number of sexual partners of HIV negative or unknown serostatus, alcohol or marijuana use, and hard drug use among the intervention group than among the control group. Conclusions. Intensive, skill-focused intervention programs may improve the lives of marginally housed adults living with HIV infection.

Original languageEnglish (US)
Pages (from-to)1100-1107
Number of pages8
JournalAmerican journal of public health
Volume99
Issue number6
DOIs
StatePublished - Jun 1 2009

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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    Rotheram-Borus, M. J., Desmond, K., Comulada, W. S., Arnold, E. M., Johnson, M., Chesney, M. A., Ehrhardt, A. A., Kelly, J. A., & Pequegnat, W. (2009). Reducing risky sexual behavior and substance use among currently and formerly homeless adults living with HIV. American journal of public health, 99(6), 1100-1107. https://doi.org/10.2105/AJPH.2007.121186