Efficacy of a preventive intervention for youths living with HIV

Objectives. HIV transmission behaviors and health practices of HIV-infected youths were examined over a period of 15 months after they received a prev entive intervention. Methods. HIV-infected youths aged 13 to 24 years (n = 310; 27% African Amer ican, 37% Latino) were assigned by small cohort to (1) a 2-module ("Stay He althy" and "Act Safe") intervention totaling 23 sessions or (2) a control c ondition. Among those in the intervention condition, 73% attended at least I session. Results. Subsequent to the "Stay Healthy" module, number of positive lifest yle changes and active coping styles increased more often among females who attended the intervention condition than among those in the control condit ion. Social support coping also increased significantly among males and fem ales attending the intervention condition compared with those attending the control condition. Following the "Act Safe" module, youths who attended th e intervention condition reported 82% fewer unprotected sexual acts, 45% fe wer sexual partners, 50% fewer HIV-negative sexual partners, and 31% less s ubstance use, on a weighted index, than those in the control condition. Conclusions. Prevention programs can effectively reduce risk acts among HIV -infected youths. Alternative formats need to be identified for delivering interventions (e.g., telephone groups, individual sessions).