Access to services and maintenance of safer sex practices among people living with HIV/AIDS

Thom Reilly, Grace Woo

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Access to services and their relationship to the maintenance of long-term safer sex practices are addressed in this study of 360 HIV+ adults recruited from outpatient medical facilities. Protease inhibitors, antiviral therapies, and entitlements were reported as the most needed services, while entitlements and money to pay for housing were reported as the largest unmet needs. Differences across ethnic and gender groups were observed. One-third of all respondents reported at least one occasion of unprotected anal or vaginal intercourse in the previous six months. The practice of unsafe sex was found to be significantly related to both the number of needed services and the number of unmet needs, even after controlling for demographic variables. In addition, a higher proportion of those who engaged in unsafe sex reported a higher need for psychological counseling and social support. These findings underscore the important linkage between access to services with avoidance of high-risk sexual behavior in HIV+ persons. Implications for the delivery of culturally appropriate, gender-specific and community-based interventions are discussed.

Original languageEnglish (US)
Pages (from-to)81-95
Number of pages15
JournalSocial Work in Health Care
Issue number3
StatePublished - 2003
Externally publishedYes


  • Access to services
  • Safer sex practices
  • Unmet needs

ASJC Scopus subject areas

  • Community and Home Care
  • Psychiatry and Mental health


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