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Intervention for Young People Living with HIV

Intervention for Young People Living with HIV. Mary Jane Rotheram-Borus, Ph.D. Youth Living with HIV (YLH), 2001. 500,000. 470,000. 280,000. 500,000. 210,000. 3,050,000. 220,000. 700,000. 14,200,000. 7,500. Total: 20 Million YLH. Source: UNAIDS. YLH – U.S.

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Intervention for Young People Living with HIV

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  1. Intervention for Young People Living with HIV Mary Jane Rotheram-Borus, Ph.D.

  2. Youth Living with HIV (YLH), 2001 500,000 470,000 280,000 500,000 210,000 3,050,000 220,000 700,000 14,200,000 7,500 Total: 20 Million YLH Source: UNAIDS

  3. YLH – U.S. 900,000 People w/ HIV110,000-250,000 YLH1 in 4 new infections Sources: www.niaid.nih.gov/factsheets/aidsstat.htm; Office of National AIDS Policy/Youth & HIV/AIDS; A Report to the President, 1996.

  4. Motivations for Youth Living with HIV • Enhance health acts – Self-preservation • Reduce transmission – Altruism • Enhance quality of life – Self actualization

  5. Module 1: Staying Healthy (10 Sessions) Disclosure/Stigma Drugs/Sex Medical Care

  6. Module 2: Act Safe(8 Sessions) Drugs Sex

  7. Module 3: Being Together (7 Sessions) Mental Health Quality of Life Relapse

  8. Youth Living with HIV New York City n = 101 Los Angeles n = 136 Miami n = 48 San Francisco n = 65 n = 350

  9. Developmentally Weighted Index of Substance Use HIV+ Youths Male Percentage Abstainer Marijuana/ Stimulants Halluci- Cocaine/ Heroin Injecting Alcohol nogens Crack

  10. Module 1: Stay Healthy Intervention Control Relative (n = 181) (n = 76) Effect Size # positive lifestyle changes 5.6 4.1 36% (female) Coping Positive action (female) 3.4 2.9 19% Positive styles (female) 3.2 2.7 18% Social support 2.5 2.3 7% (male & female) *Baseline, Race, and City controls

  11. Module 2: % Unprotected Sex

  12. Module 2: % High-Risk Pattern

  13. Youth in Intervention:Changes in Risk Acts • 78% Unprotected sex acts • 42% Sexual partners • 47% HIV-negative sexual partners • 31% Substance use

  14. Module 3: BSI Anxiety

  15. Module 3: BSI Somatization

  16. Cost Effectiveness HIV-Partners Pre Post M – F 35 4 M – M 72 56 Cost $511 Range $7,426-$31,729

  17. CLEAR: Choosing Life, Empowerment, Actions, Results

  18. Intervention Group

  19. Reduce Sessions # of Sessions Stay Healthy 6 Act Safe 6 Be Together 6

  20. CLEAR(n = 175) • LA, SF, NYC • 22% female • 26% African American • 42% Latino • 76% Gay/Lesbian/Bisexual • 50% HAART

  21. Summary • Prevention Y PLH • Small group, in-person, & telephone • Sexual risk • Substance use treatment necessary • Target risky

  22. Thank You George Ayala Henry Anaya Ron Brooks Coleen Cantwell Suzi Cantwell Scott Comulada Betty Crenshaw Fred Dechow Naihua Duan Amy Elkavich Mark Etzel Rise Goldstein Patricia Jones Ella Kelly Jae Lee Martha Lee Marguerita Lightfoot Kathy Mattes Norweeta Milburn Peter Newman Fen Rhodes Michael Bullock Dallas Swendeman Selina Tam Juwon Song Rob Weiss Andrea Witkin And all those involved with the project

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