A majority of new cases of HIV are a result of sexual transmission between an HIV negative and an HIV positive individual. To fully understand the context of HIV transmission, we need to understand the behavior of both parties. Yet most of is known about the sexual behavior of HIV positive people is based on small or unrepresentative samples recruited as part of larger samples of persons at risk. The HIV Cost and Services Utilization Study (HCSUS), now being conducted under a cooperative agreement between the Agency for Health Care Policy and Research and RAND, is currently studying a national probability sample of HIV positive persons who are receiving health care. The sample includes men and women from diverse backgrounds and multiple risk groups. Although designed for the purpose of obtaining nationally representative data on HIV positive persons in care and their providers, HCSUS provides an unprecedented, one-time opportunity to examine sexual behavior in a sample that has been carefully designed to provide unbiased estimates for the entire population of HIV positive people in care. This two-year study will examine the sexual and risk reduction behaviors reported by HCSUS participants to gain a better understanding of the prevalence of these behaviors and the context in which they occur. The study will examine sexual behaviors that can transmit HIV and safer sex practices that reduce risk; barriers and incentives to practicing safe sex; psychosocial dynamics; attitudes and perceptions relevant to risk reduction; fertility plans and attitudes. Data will be obtained from personal interviews with about 1,838 adults being followed as part of HCSUS. In addition, linked data from the core HCSUS study will be available for supplementary analysis.
| Collins, Rebecca L; Taylor, Stephanie L; Elliott, Marc N et al. (2010) Off-premise alcohol sales policies, drinking, and sexual risk among people living with HIV. Am J Public Health 100:1890-2 |
| Penniman, Typhanye V; Taylor, Stephanie L; Bird, Chloe E et al. (2007) The associations of gender, sexual identity and competing needs with healthcare utilization among people with HIV/AIDS. J Natl Med Assoc 99:419-27 |
| Eisenman, David; Bogart, Laura M; Bird, Chloe E et al. (2007) Differential diffusion of HIV technologies by gender: the case of highly active antiretroviral therapy. AIDS Patient Care STDS 21:390-9 |
| Galvan, Frank H; Collins, Rebecca L; Kanouse, David E et al. (2007) Religiosity, denominational affiliation and sexual behaviors among people with HIV in the United States. J Sex Res 44:49-58 |
| Bogart, Laura M; Collins, Rebecca L; Kanouse, David E et al. (2006) Patterns and correlates of deliberate abstinence among men and women with HIV/AIDS. Am J Public Health 96:1078-84 |
| Kanouse, David E; Collins, Rebecca L; Miu, Angela et al. (2005) HIV-infected population national data. J Acquir Immune Defic Syndr 38 Suppl 1:S6-7 |
| Bogart, Laura M; Collins, Rebecca L; Cunningham, William et al. (2005) The association of partner abuse with risky sexual behaviors among women and men with HIV/AIDS. AIDS Behav 9:325-33 |
| Galvan, Frank H; Collins, Rebecca; Kanouse, David E et al. (2004) Abuse in the close relationships of people with HIV. AIDS Behav 8:441-51 |
| Ciccarone, Daniel H; Kanouse, David E; Collins, Rebecca L et al. (2003) Sex without disclosure of positive HIV serostatus in a US probability sample of persons receiving medical care for HIV infection. Am J Public Health 93:949-54 |
| Wilson, Ira B; Ding, Lin; Hays, Ron D et al. (2002) HIV patients' experiences with inpatient and outpatient care: results of a national survey. Med Care 40:1149-60 |
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