Sex, Drugs and Viral Load: Integrating HIV/AIDS Prevention and Treatment |
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| Air date: | Thursday, January 22, 2009, 3:00:00 PM |
| Category: | BSSR Lecture Series |
| Description: | Effective treatments for HIV infection demand high levels of adherence; people infected with HIV are expected to adhere to safer sex and drug use practices throughout their lives. Treatment non-adherence overlaps with continued unsafe sexual practices for some people living with HIV/AIDS. The co-occurrence of non-adherence and HIV transmission risk behavior poses particular risk for the spread of drug resistant variants of HIV. There are common correlates of both non-adherence and risk behavior, particularly substance use and depression. In addition, successful HIV treatment may reduce perceptions of HIV infectiousness, leading to increased risk behaviors and paradoxically greater infectiousness when patients are co-infected with other sexually transmitted infections. Interventions designed to address treatment non-adherence and those designed to reduce risk behavior also share common elements, particularly self-efficacy enhancement and behavioral skills training. The common correlates and shared intervention elements suggest that integrated intervention approaches that simultaneously address HIV treatment adherence and risk reduction may be feasible.
Seth C. Kalichman received his Ph.D. in Clinical-Community Psychology from the University of South Carolina in 1990. He is a Professor in the Psychology Department at the University of Connecticut and Director of the Southeast HIV/AIDS Research & Evaluation (SHARE) Project. His research focuses on social and behavioral aspects of AIDS, particularly sexual risk behavior intervention research in the US and South Africa and is supported by the NIMH and NIAAA. He was the recipient of the Distinguished Scientific Award for Early Career Contribution to Psychology in Health awarded by the American Psychological Association and Distinguished Scientist Award from the Society for Behavioral Medicine. He is the Editor of the journal AIDS and Behavior and the author of Denying AIDS: Conspiracy Theories, Pseudoscience, and Human Tragedy published by Springer/Copernicus Books with all royalties from the sale of Denying AIDS donated to purchase HIV treatments in Africa. This lecture is an installment of the Behavioral and Social Sciences Research Lecture Series sponsored by the NIH Office of Behavioral and Social Sciences Research and organized by the NIH Behavioral and Social Sciences Research Coordinating Committee. The Behavioral and Social Sciences Research Coordinating Committee (BSSR CC), with support from the Office of Behavioral and Social Sciences Research (OBSSR), convenes a series of guest lectures and symposia on selected topics in the behavioral and social sciences. These presentations by prominent behavioral and social scientists provide the NIH community with overviews of current research on topics of scientific and social interest. The lectures and symposia are approximately 50 minutes in length, with additional time for questions and discussion. All seminars are open to NIH staff and to the general public. |
| Author: | Seith Kalichman, Ph.D., University of Connecticut |
| Runtime: | 60 minutes |
| Download: | Download
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| CIT File ID: | 14870 |
| CIT Live ID: | 7390 |
| Permanent link: | http://videocast.nih.gov/launch.asp?14870 |