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Journal of Health Psychology
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HIV Risk Reduction in a Nurse Case-managed TB and HIV Intervention among Homeless Adults

Anja Schumann

Cambridge Health Alliance, Medford, USA, aschumann{at}challiance.org

Adeline Nyamathi

University of California, Los Angeles, USA

Judith A. Stein

University of California, Los Angeles, USA

This study evaluated a six-month nurse case-managed intervention against a standard care control program among 295 sheltered homeless adults from Los Angeles, USA. The primary aim of the intervention was encouraging latent tuberculosis infection treatment completion. The secondary aim was reducing HIV risk, the focus of this report. A longitudinal path model revealed that the intervention impacted cognitive factors of AIDS Knowledge, Perceived AIDS Risk and Self-efficacy for Condom Use, but did not impact substance use and risky sexual behaviors. The dual intervention program for HIV and TB provided promising synergistic effects by targeting risk factors common to both infections.

Key Words: HIV risk reduction • homelessness • injection drug use • nurse-managed intervention • randomized trial

Journal of Health Psychology, Vol. 12, No. 5, 833-843 (2007)
DOI: 10.1177/1359105307080618
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[Abstract] [PDF]