
AIDS Prevention and Mental Health
By: John L. Peterson (Editor), Ralph J. DiClemente (Editor)
Hardcover | 29 February 2000
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362 Pages
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| Theoretical and Methodological Issues | |
| Theoretical Approaches to Individual-Level Change in HIV Risk Behavior | |
| Introduction | p. 3 |
| The Health Belief Model | p. 5 |
| Fundamental Assumptions | p. 5 |
| Empirical Support | p. 6 |
| Conclusions/Critique | p. 8 |
| The AIDS Risk Reduction Model | p. 9 |
| Fundamental Assumptions | p. 10 |
| Empirical Support | p. 13 |
| Conclusions/Critique | p. 16 |
| The Transtheoretical Model | p. 17 |
| Fundamental Assumptions | p. 17 |
| Empirical Support | p. 21 |
| Conclusions/Critique | p. 22 |
| The Social Cognitive Theory | p. 23 |
| Fundamental Assumptions | p. 24 |
| Empirical Support | p. 26 |
| Changing HIV Preventive Behavior | p. 27 |
| Conclusions/Critique | p. 28 |
| The Theory of Reasoned Action | p. 29 |
| Fundamental Assumptions | p. 29 |
| Empirical Support | p. 31 |
| Conclusions/Critique | p. 34 |
| The Theory of Planned Behavior | p. 35 |
| Fundamental Assumptions | p. 35 |
| Empirical Support | p. 36 |
| Conclusions/Critique | p. 37 |
| The Information-Motivation-Behavioral Skills Model | p. 38 |
| Fundamental Assumptions | p. 39 |
| Empirical Support | p. 41 |
| Conclusions/Critique | p. 44 |
| Comparison and Critique of the Models Discussed | p. 45 |
| References | p. 48 |
| Diffusion Theory: A Theoretical Approach to Promote Community-Level Change | |
| Introduction | p. 57 |
| The Diffusion Model | p. 58 |
| The Diffusion of AIDS in the United States | p. 59 |
| Diffusion Strategies for HIV Prevention in San Francisco | p. 60 |
| Entertainment Education for HIV Prevention in Tanzania | p. 62 |
| Lessons Learned | p. 64 |
| Modifications in Diffusion Theory | p. 65 |
| References | p. 65 |
| Methodological Issues in HIV Behavioral Interventions | |
| Introduction | p. 67 |
| Experimental Design Issues | p. 67 |
| Selecting Comparison Conditions | p. 67 |
| Randomization | p. 69 |
| Sampling and Retention Issues | p. 69 |
| Sampling Issues | p. 69 |
| Retention Issues | p. 70 |
| Sample Size and Statistical Power | p. 70 |
| Measurement Issues | p. 71 |
| Outcome Evaluation | p. 71 |
| Domains of Outcome Variables | p. 71 |
| Truthfulness and Dissembling | p. 72 |
| Assessment Administration Format | p. 73 |
| Reactivity | p. 74 |
| The Need to Develop Hierarchical Measures of Multifactorial Risk | p. 75 |
| Analysis and Modeling Issues | p. 75 |
| Handling Dropouts and Attrition | p. 75 |
| Modeling Complex Causal Relationships | p. 76 |
| Integrating Qualitative with Quantitative Survey Responses | p. 77 |
| Summary and New Research Suggestions | p. 77 |
| References | p. 78 |
| Applications to Behavioral Interventions | |
| School-Based Interventions to Prevent Unprotected Sex and HIV among Adolescents | |
| Introduction | p. 83 |
| Antecedents of Adolescent Sexual and Contraceptive Behaviors | p. 84 |
| School-Based Programs | p. 85 |
| Studies under Review | p. 86 |
| Curriculum-Based Sex and HIV Education Programs | p. 87 |
| Abstinence-Only Programs | p. 87 |
| Sex and HIV Education Programs That Include Both Abstinence and Contraception | p. 87 |
| Effective Curricula and Their Common Characteristics | p. 89 |
| School-Based and School-Linked Health Centers | p. 92 |
| School Condom Availability Programs | p. 93 |
| Multicomponent Programs | p. 94 |
| Youth Development Programs | p. 95 |
| Summary and Conclusions | p. 95 |
| References | p. 97 |
| HIV Behavioral Interventions for Adolescents in Community Settings | |
| Introduction | p. 103 |
| The Risk of Sexually Transmitted HIV Infection among Adolescents | p. 103 |
| Factors Associated with Adolescents' HIV Risk-Associated Sexual Behavior | p. 104 |
| Behavioral Intentions | p. 105 |
| Self-Efficacy Beliefs | p. 105 |
| Behavioral Beliefs | p. 106 |
| Normative Beliefs | p. 106 |
| External Variables | p. 107 |
| Behavioral Interventions to Reduce the Risk of Sexually Transmitted HIV Infection: Key Characteristics of Studies | p. 109 |
| Study Designs | p. 109 |
| Sample Characteristics | p. 109 |
| Sample Sizes | p. 109 |
| Interventions | p. 112 |
| Theoretical Frameworks | p. 112 |
| Behavioral Outcomes | p. 112 |
| Mediator Variables | p. 113 |
| Effects of Interventions on Behavioral Outcomes | p. 113 |
| Long-term Follow-up | p. 114 |
| Effects of Interventions on Mediator Variables | p. 115 |
| Potential Moderators of Intervention Effects | p. 115 |
| Characteristics of Effective Interventions | p. 117 |
| Dose of Intervention | p. 117 |
| Spacing of Intervention Sessions | p. 118 |
| Theoretical Mediators of Behavior Change | p. 118 |
| Summary and Conclusions | p. 119 |
| References | p. 124 |
| Interventions for High-Risk Youth | |
| Introduction | p. 129 |
| Epidemiology | p. 130 |
| Gay and Bisexual Youth | p. 130 |
| Runaway and Homeless Youth | p. 130 |
| HIV-Seropositive Youth | p. 133 |
| Theoretical Basis for Behavior Change | p. 134 |
| Gay and Bisexual Youth | p. 135 |
| Runaway and Homeless Youth | p. 136 |
| HIV-Seropositive Youth | p. 137 |
| Other Considerations | p. 138 |
| Future Directions | p. 139 |
| Summary | p. 141 |
| References | p. 142 |
| The Role of Drug Abuse Treatment in the Prevention of HIV Infection | |
| Introduction | p. 147 |
| Treatment as Prevention | p. 147 |
| Reducing Injection Frequency | p. 148 |
| Access to a Hidden Population | p. 148 |
| Treatment Variability | p. 149 |
| Drug Treatment Participation and HIV Risk Reduction | p. 149 |
| Frequency of Injection Drug Use following Treatment Entry | p. 149 |
| Drug Use after Treatment | p. 150 |
| Risk Reduction and Treatment Participation | p. 151 |
| Treatment of Noninjection Drug Use and Risk Reduction | p. 152 |
| Prevention Interventions within Treatment Settings | p. 152 |
| Biological Outcomes: HIV Prevalence and Incidence and Treatment Participation | p. 153 |
| Conclusion | p. 155 |
| References | p. 156 |
| HIV/AIDS Prevention for Drug Users in Natural Settings | |
| Introduction | p. 159 |
| Epidemiology of HIV Infection among IDUs | p. 159 |
| Health Impacts of HIV Infection among IDUs | p. 160 |
| Transmission of HIV among IDUs | p. 160 |
| HIV/AIDS Prevention for IDUs | p. 161 |
| Stereotypes and Social Desirability in IDU Research | p. 161 |
| Strategies for Preventing HIV among IDUs | p. 162 |
| Tailoring Programs to Special Populations | p. 168 |
| Integrating Multiple Prevention Programs | p. 169 |
| Limitations of Prevention Research | p. 169 |
| Standards for Assessing HIV Prevention Programs for IDUs | p. 169 |
| Problematic Issues in Preventing HIV Infection among IDUs | p. 170 |
| Harm Reduction | p. 172 |
| References | p. 173 |
| Interventions for Sexually Active Heterosexual Women | |
| Introduction | p. 179 |
| Epidemiology of Women and AIDS | p. 180 |
| Cross-Sectional and Longitudinal Research | p. 180 |
| The Significance of Consistent Condom Use among Women | p. 180 |
| Correlates of Consistent Condom Use | p. 181 |
| Contextualizing Women's Risk for HIV | p. 182 |
| Correlates of HIV-Related Sexual Risk Taking | p. 182 |
| Prevention | p. 185 |
| Single-Session and Videotape Interventions for At-Risk Women | p. 186 |
| Multiple-Session Skill-Building Interventions for At-Risk Women | p. 188 |
| Community-Level Intervention | p. 191 |
| Studies Comparing Theoretical Approaches to Intervention | p. 192 |
| Studies Evaluated with Biological Outcomes | p. 193 |
| Summary and Conclusions | p. 195 |
| Methodological Issues: The Problem of Attrition | p. 196 |
| Conclusions | p. 196 |
| References | p. 197 |
| Interventions to Reduce HIV Transmission in Homosexual Men | |
| Risks Amenable to Intervention in Gay and Bisexual Men | p. 201 |
| Behavior Change | p. 201 |
| Risk Situations | p. 202 |
| Risk Cognitions | p. 203 |
| Attitudes toward Condom Use | p. 204 |
| Social Context | p. 205 |
| Norms | p. 205 |
| Relapse to Unsafe Sex | p. 206 |
| HIV Transmission within Couples | p. 206 |
| Alcohol and Drugs | p. 207 |
| Risk Reduction Interventions for Gay and Bisexual Men | p. 207 |
| Face-to-Face and Individual-Focused HIV Prevention Interventions for Gay and Bisexual Men | p. 208 |
| Community-Level HIV Prevention Interventions for Gay and Bisexual Men | p. 210 |
| Issues That Will Need To Be Addressed in the "Next Generation" of HIV Prevention Interventions for Gay and Bisexual Men | p. 212 |
| Summary | p. 214 |
| References | p. 214 |
| HIV Prevention among African-American and Latino Men Who Have Sex with Men | |
| Introduction | p. 217 |
| Cross-Sectional Studies with African-American MSM | p. 217 |
| Cross-Sectional Studies with Latino MSM | p. 218 |
| Prevention among African-American and Latino MSM | p. 220 |
| Conclusions | p. 221 |
| References | p. 223 |
| HIV Prevention in Developing Countries | |
| Epidemiology of HIV in Developing Countries | p. 225 |
| General Epidemiology | p. 225 |
| How the Epidemic Spreads | p. 226 |
| Impact on Health and Life Expectancy | p. 227 |
| Stages of the Epidemic | p. 228 |
| Evaluation of HIV/AIDS Prevention Interventions in Developing Countries | p. 232 |
| Behavioral Change at the Individual Level | p. 232 |
| STD Treatment: Alone and Combined with Targeted Condom Promotion | p. 233 |
| Structural and Environmental Interventions | p. 234 |
| National-Level Response: Combining Interventions | p. 235 |
| Implications for Prevention Strategies | p. 236 |
| Future Directions for Prevention Research | p. 239 |
| More Information on the Characteristics and Behaviors of Those at Highest Risk | p. 239 |
| Evaluation of the Effectiveness of Prevention Interventions | p. 240 |
| Assessment of the Costs of Prevention and Mitigation Efforts | p. 240 |
| Research to Improve Prevention Technologies | p. 240 |
| Training More Researchers from Developing Countries | p. 241 |
| References | p. 241 |
| HIV Prevention in Industrialized Countries | |
| Introduction | p. 245 |
| The Impact of HIV Infection in Industrialized Countries | p. 245 |
| Epidemiological Data from Selected Industrialized Countries | p. 246 |
| Strategies of Intervention | p. 247 |
| HIV-Related Health Promotion in Selected Industrialized Countries | p. 248 |
| The General Population and Mass Media Approaches | p. 248 |
| HIV-Related Risk Reduction with Gay Men | p. 250 |
| HIV-Related Risk Reduction with Injecting Drug Users | p. 252 |
| HIV-Related Risk Reduction with Sex Workers | p. 253 |
| HIV-Related Risk Reduction with Women | p. 254 |
| HIV-Related Risk Reduction with Young People | p. 255 |
| People Living with HIV Disease | p. 256 |
| Structural and Enabling Factors | p. 257 |
| Summary and Future Directions | p. 258 |
| References | p. 260 |
| Implications of HIV Intervention Research | |
| Technology Transfer: Achieving the Promise of HIV Prevention | |
| Challenges to Prevention Capacity | p. 267 |
| The Uptake of New Prevention Technology | p. 268 |
| Access to the New Technology | p. 269 |
| Credibility of the New Technology | p. 269 |
| Cost of the New Technology | p. 270 |
| Resistance to the New Technology | p. 270 |
| Public Attitudes about the New Technology | p. 271 |
| Technology Transfer versus Technology Uptake | p. 272 |
| A Typology of HIV Prevention Technologies | p. 273 |
| HIV Prevention Programs | p. 274 |
| Technologies Related to HIV Prevention Planning | p. 275 |
| Technologies Related to Setting HIV Prevention Priorities | p. 276 |
| Technologies Related to Obtaining HIV Prevention Resources | p. 277 |
| Technologies Related to Implementing HIV Prevention Activities | p. 277 |
| Technologies Related to Evaluating Program Outcomes | p. 279 |
| Facilitating the Uptake of HIV Prevention Technologies | p. 280 |
| References | p. 281 |
| The Economics of HIV Primary Prevention | |
| Overview of Research Literature | p. 286 |
| Pre-1995 | p. 286 |
| Post-1995 | p. 286 |
| Illustrative Study | p. 288 |
| Perinatal Studies | p. 289 |
| Needle and Syringe Exchange Study | p. 289 |
| The Advent of New Treatments | p. 289 |
| Postexposure Prophylaxis | p. 290 |
| Increasing Applications of Economic Evaluation | p. 290 |
| Other Research Needs | p. 291 |
| Implications for Decision Makers | p. 292 |
| Affordability | p. 292 |
| Investing in HIV Prevention versus Other Disease Areas | p. 292 |
| Which HIV Prevention Intervention Is Most Cost-Effective? | p. 293 |
| Conclusion | p. 294 |
| References | p. 294 |
| Selected, Additional Bibliography | p. 295 |
| Ethical Issues of Behavioral Interventions for HIV Prevention | |
| Background | p. 297 |
| The Nuremberg Code and the Helsinki Declaration | p. 297 |
| Confronting the Issues | p. 300 |
| Respect for Persons | p. 300 |
| Beneficence and Nonmaleficence | p. 303 |
| Justice | p. 307 |
| References | p. 308 |
| Looking Forward: Future Directions for HIV Prevention Research | |
| Introduction | p. 311 |
| HIV Prevention--Building a Science of Prevention from an Interdisciplinary Perspective | p. 312 |
| HIV Prevention Needs to Target Multiple Levels of Causality | p. 312 |
| Linking HIV Prevention with Sexually Transmitted Disease Detection and Treatment | p. 313 |
| Prevention Interventions for People Living with HIV Remains an Understudied Area | p. 315 |
| Identifying Strategies to Improve the Sustainability of HIV Prevention Program Effects | p. 315 |
| In Search of New and Promising Theoretical Orientations | p. 316 |
| The Need to Improve HIV Prevention Technology Transfer | p. 317 |
| Need for Public and Health Policy Supportive of HIV Prevention Research and Practice | p. 318 |
| The Need for Biological Outcomes in HIV Prevention Research | p. 319 |
| The Need to Measure Cost-Effectiveness in HIV Prevention Research | p. 320 |
| The Need for Structured Reporting of HIV Prevention Interventions | p. 320 |
| Interactions between Spheres of Influences: Lessons for the Future | p. 321 |
| Looking Forward: Summary of Future Directions for HIV Prevention | p. 322 |
| References | p. 323 |
| Index | p. 325 |
| Table of Contents provided by Syndetics. All Rights Reserved. |
ISBN: 9780306462238
ISBN-10: 0306462230
Series: AIDS Prevention And Mental Health
Published: 29th February 2000
Format: Hardcover
Language: English
Number of Pages: 362
Audience: General Adult
Publisher: Springer Nature B.V.
Country of Publication: US
Dimensions (cm): 26.67 x 18.42 x 2.54
Weight (kg): 0.84
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