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Journal of Health Psychology, Vol. 10, No. 2, 287-300 (2005)
DOI: 10.1177/1359105305048780
© 2005 SAGE Publications

Heterosexual Behavioral Maintenance and Change Following HIV Counseling and Testing

Hortensia Amaro

Allison C. Morrill

Jianyu Dai

Northeastern University School of Public Health, Boston University, USA

Howard Cabral

Anita Raj

Boston University School of Public Health, USA

This study investigated heterosexual HIV risk behaviors, changes in stage of change for safer sex and factors associated with such changes, among a diverse sample of 560 heterosexually active individuals presenting at publicly funded HIV C&T sites. Questionnaires were administrated before HIV C&T, and three months afterwards. Positive serostatus was the most significant predictor of safer behavior after C&T. Many seronegative participants stopped sex with non-main partners. Behaviors with main partners were particularly resistant to change. Predictors of change varied by stage at pre-test. C&T services should tailor approaches and referrals based on stage of change and other client characteristics.

Key Words: counseling and testing • heterosexual • HIV/AIDS • predictors of behavior change • stage of change


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