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Abstinence Reduces HIV For High-Risk Women - Even Those Who Relapse - Study,,Shows

in risk behavior. Although the break-even levels of risk behavior reduction are still relatively low for screening directed to women IDUs, the benefit of even these programs is markedly diminished by relapse."

This study and previous research have already improved the design and evaluation of HIV interventions, the authors point out. One benefit is on focus: Public health officials no longer limit their counseling to the initiation of safe behavior; now they continue working to maintain safe behavior over a period of time.

Another benefit is in improved attitude: Researchers now credit intervention, even if it doesn't completely change their subjects. Looking at the glass as half full rather than half empty, they look at programs that produce an incomplete change in risky behavior not as failures but as partial - and welcome - successes.

The study, "Effect of Relapse to High-Risk Behavior on the Costs and Benefits of a Program to Screen Women for Human Immunodeficiency Virus," was written by Dr. Brandeau; Dr. Douglas K. Owens of the Veterans Affairs Palo Alto Health Care System and Stanford University; and Carol H. Sox of Dartmouth Medical School. The Institute for Operations Research and the Management Sciences (INFORMS) is an international scientific society with 12,000 members, including Nobel Prize laureates, dedicated to applying scientific methods to help improve decision-making, management, and operations. Members of INFORMS work primarily in business, government, and academia. They are represented in fields as diverse as airlines, health care, law enforcement, the military, the stock market, and telecommunications.


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Contact: Barry List
barry.list@informs.org
410 691-7852
Institute for Operations Research and the Management Sciences
17-Jun-1998


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