caa a22 4500 606231196 CHVBK 20210128101218.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s10508-014-0455-3 doi (NATIONALLICENCE)springer-10.1007/s10508-014-0455-3 The Cost and Intensity of Behavioral Interventions to Promote HIV Treatment for Prevention Among HIV-Positive Men Who Have Sex with Men [Elektronische Daten] [Steven Safren, Nicholas Perry, Aaron Blashill, Conall O'Cleirigh, Kenneth Mayer] Recently, behavioral prevention interventions for HIV have been criticized as being ineffective, costly, or inefficient. In this commentary, using HIV-positive men who have sex with men (MSM) as an illustrative high-risk population, we argue that the opposite is true—that behavioral interventions for HIV prevention, if implemented with the populations who need them, are affordable and critical for future prevention efforts. We base this argument on recent evidence showing that (1) adherence to antiretroviral treatment (ART) for prevention purposes is necessary to suppress HIV replication and reduce transmissibility, (2) individuals living with HIV have multiple psychosocial concerns that impact self-care and moderate the potential effectiveness of health behavior interventions, and (3) intensive interventions targeting both concerns together (psychosocial and HIV care) can show clinically significant improvement. We follow by comparing the cost of these types of interventions to the cost of standard clinical treatment for HIV with ART and demonstrate a cost-savings of potential intensive behavioral interventions for, in this case, HIV-positive MSM who have uncontrolled virus. Keeping this evidence in mind, we conclude that individual intervention must remain a mainstay of HIV prevention for certain critical populations. Springer Science+Business Media New York, 2015 HIV nationallicence Intervention nationallicence Prevention nationallicence Cost nationallicence Syndemic nationallicence Sexual orientation nationallicence Safren Steven Behavioral Medicine Service, Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA aut Perry Nicholas Behavioral Medicine Service, Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA aut Blashill Aaron Behavioral Medicine Service, Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA aut O'Cleirigh Conall Behavioral Medicine Service, Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA aut Mayer Kenneth Fenway Health, Boston, MA, USA aut Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/7(2015-10-01), 1833-1841 0004-0002 44:7<1833 2015 44 10508 https://doi.org/10.1007/s10508-014-0455-3 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10508-014-0455-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Safren Steven Behavioral Medicine Service, Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA aut NATIONALLICENCE 700 1- Perry Nicholas Behavioral Medicine Service, Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA aut NATIONALLICENCE 700 1- Blashill Aaron Behavioral Medicine Service, Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA aut NATIONALLICENCE 700 1- O'Cleirigh Conall Behavioral Medicine Service, Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA aut NATIONALLICENCE 700 1- Mayer Kenneth Fenway Health, Boston, MA, USA aut NATIONALLICENCE 773 0- Archives of Sexual Behavior Springer US; http://www.springer-ny.com 44/7(2015-10-01), 1833-1841 0004-0002 44:7<1833 2015 44 10508