An ecosystem-based intervention to reduce HIV transmission risk and increase medication adherence among inmates being released to the community.
An ecosystem-based intervention to reduce HIV transmission risk and increase medication adherence among inmates being released to the community.
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DOI：
10.1177/1078345813486442
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发表时间：
2013-07
期刊：
影响因子：
--
通讯作者：
Feaster DJ
中科院分区：
文献类型：
--
作者：
Reznick OG;McCartney K;Gregorich SE;Zack B;Feaster DJ
HIV+ prisoners reentering their communities are at increased risk for poor health outcomes and to transmit HIV. We report on a randomized trial comparing an ecosystem-based intervention and an individually-focused intervention for reducing HIV transmission risk and improving medication adherence. Reincarceration was considered as a secondary variable. Both groups decreased sexual risk behavior over the 12-month follow-up period. Unexpectedly, the ecosystem intervention group was less likely to be taking medication or to be adherent and more likely to have been reincarcerated. Failure to demonstrate a significant advantage of the ecosystem intervention may have resulted from the difficulty of engaging family and other ecosystem members in the intervention. Implications for developing and applying interventions for this population are discussed.
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