[Skip to Content]
[Skip to Content Landing]

October 2016 - January 1908

Decade

Year

Issue

September 27, 2010, Vol 170, No. 17, Pages 1519-1609

Article

Research LettersLESS IS MORE

Abstract Full Text
Arch Intern Med. 2010;170(17):1604-1609. doi:10.1001/archinternmed.2010.304
Editorial

Responding to Incidental Findings on Research Imaging StudiesNow What?

Abstract Full Text
Arch Intern Med. 2010;170(17):1522-1524. doi:10.1001/archinternmed.2010.306
Original Investigation

Incidental Findings in Imaging ResearchEvaluating Incidence, Benefit, and Burden

Abstract Full Text
free access has expired quiz
Arch Intern Med. 2010;170(17):1525-1532. doi:10.1001/archinternmed.2010.317

Racial Disparities in the Outcomes of Communication on Medical Care Received Near Death

Abstract Full Text
free access
Arch Intern Med. 2010;170(17):1533-1540. doi:10.1001/archinternmed.2010.322

No Beneficial Effects of Pine Bark Extract on Cardiovascular Disease Risk Factors

Abstract Full Text
free access
Arch Intern Med. 2010;170(17):1541-1547. doi:10.1001/archinternmed.2010.310

Long-term Outcomes of ExerciseFollow-up of a Randomized Trial in Older Women With Osteopenia

Abstract Full Text
free access
Arch Intern Med. 2010;170(17):1548-1556. doi:10.1001/archinternmed.2010.311

The Lack of Utility of Circulating Biomarkers of Inflammation and Endothelial Dysfunction for Type 2 Diabetes Risk Prediction Among Postmenopausal WomenThe Women's Health Initiative Observational Study

Abstract Full Text
free access
Arch Intern Med. 2010;170(17):1557-1565. doi:10.1001/archinternmed.2010.312

Long-term Effects of a Lifestyle Intervention on Weight and Cardiovascular Risk Factors in Individuals With Type 2 Diabetes MellitusFour-Year Results of the Look AHEAD Trial

Abstract Full Text
free access
Arch Intern Med. 2010;170(17):1566-1575. doi:10.1001/archinternmed.2010.334

Unintended Effects of a Computerized Physician Order Entry Nearly Hard-Stop Alert to Prevent a Drug InteractionA Randomized Controlled Trial

Abstract Full Text
free access
Arch Intern Med. 2010;170(17):1578-1583. doi:10.1001/archinternmed.2010.324

Pregabalin for the Treatment of Men With Chronic Prostatitis/Chronic Pelvic Pain SyndromeA Randomized Controlled Trial

Abstract Full Text
free access
Arch Intern Med. 2010;170(17):1586-1593. doi:10.1001/archinternmed.2010.319

National Institute of Mental Health Multisite Eban HIV/STD Prevention Intervention for African American HIV Serodiscordant CouplesA Cluster Randomized Trial

Abstract Full Text
free access
Arch Intern Med. 2010;170(17):1594-1601. doi:10.1001/archinternmed.2010.261
BackgroundHuman immunodeficiency virus (HIV) has disproportionately affected African Americans. Couple-level interventions may be a promising intervention strategy.MethodsTo determine if a behavioral intervention can reduce HIV/sexually transmitted disease (STD) risk behaviors among African American HIV serodiscordant couples, a cluster randomized controlled trial (Eban) was conducted in Atlanta, Georgia; Los Angeles, California; New York, New York; and Philadelphia, Pennsylvania; with African American HIV serodiscordant heterosexual couples who were eligible if both partners were at least 18 years old and reported unprotected intercourse in the previous 90 days and awareness of each other's serostatus. One thousand seventy participants were enrolled (mean age, 43 years; 40% of male participants were HIV positive). Couples were randomized to 1 of 2 interventions: couple-focused Eban HIV/STD risk-reduction intervention or attention-matched individual-focused health promotion comparison. The primary outcomes were the proportion of condom-protected intercourse acts and cumulative incidence of STDs (chlamydia, gonorrhea, or trichomonas). Data were collected preintervention and postintervention, and at 6- and 12-month follow-ups.ResultsData were analyzed for 535 randomized couples: 260 in the intervention group and 275 in the comparison group; 81.9% were retained at the 12-month follow-up. Generalized estimating equation analyses revealed that the proportion of condom-protected intercourse acts was larger among couples in the intervention group (0.77) than in the comparison group (0.47; risk ratio, 1.24; 95% confidence interval [CI], 1.09 to 1.41; P = .006) when adjusted for the baseline criterion measure. The adjusted percentage of couples using condoms consistently was higher in the intervention group (63%) than in the comparison group (48%; risk ratio, 1.45; 95% CI, 1.24 to 1.70; P < .001). The adjusted mean number of (log)unprotected intercourse acts was lower in the intervention group than in the comparison group (mean difference, −1.52; 95% CI, −2.07 to −0.98; P < .001). The cumulative STD incidence over the 12-month follow-up did not differ between couples in the intervention and comparison groups. The overall HIV seroconversion at the 12-month follow-up was 5 (2 in the intervention group, 3 in the comparison group) of 535 individuals, which translates to 935 per 100 000 population.ConclusionTo our knowledge, this is the first randomized controlled intervention trial to report significant reductions in HIV/STD risk behaviors among African American HIV serodiscordant couples.Trial Registrationclinicaltrials.gov Identifier: NCT00644163
Images From Our Readers

Images From Our Readers

Abstract Full Text
Arch Intern Med. 2010;170(17):1540-1540. doi:10.1001/archinternmed.2010.294

A rainbow over the bow of the USS Missouri, Pearl Harbor, Hawaii

Abstract Full Text
Arch Intern Med. 2010;170(17):1540-1540. doi:10.1001/archinternmed.2010.294
In This Issue of Archives of Internal Medicine

In This Issue of Archives of Internal Medicine

Abstract Full Text
Arch Intern Med. 2010;170(17):1521-1521. doi:10.1001/archinternmed.2010.315
From JAMA
Research Letters

Use of Proton Pump Inhibitors and Mortality Among Institutionalized Older People

Abstract Full Text
free access
Arch Intern Med. 2010;170(17):1604-1605. doi:10.1001/archinternmed.2010.304

Research Letters

Abstract Full Text
free access
Arch Intern Med. 2010;170(17):1604-1609. doi:10.1001/archinternmed.2010.303
Editor's Correspondence

Editor's CorrespondenceCOMMENTS AND OPINIONS

Abstract Full Text
Arch Intern Med. 2010;170(17):1604-1609. doi:10.1001/archinternmed.2010.328

Editor's CorrespondenceCOMMENTS AND OPINIONS

Abstract Full Text
Arch Intern Med. 2010;170(17):1604-1609. doi:10.1001/archinternmed.2010.329

Editor's CorrespondenceCOMMENTS AND OPINIONS

Abstract Full Text
Arch Intern Med. 2010;170(17):1604-1609. doi:10.1001/archinternmed.2010.330

Editor's CorrespondenceCOMMENTS AND OPINIONS

Abstract Full Text
Arch Intern Med. 2010;170(17):1604-1609. doi:10.1001/archinternmed.2010.331

Editor's CorrespondenceCOMMENTS AND OPINIONS

Abstract Full Text
Arch Intern Med. 2010;170(17):1604-1609. doi:10.1001/archinternmed.2010.332

Combined Influence of Health Behaviors on Total and Cause-Specific Mortality

Abstract Full Text
free access
Arch Intern Med. 2010;170(17):1605-1607. doi:10.1001/archinternmed.2010.303

Chocolate Intake, Depression, and Clinical Progression in HIV-HCV Coinfected Patients: Still More Questions Than Answers

Abstract Full Text
Arch Intern Med. 2010;170(17):1607-1607. doi:10.1001/archinternmed.2010.330

Chocolate Consumption and Effects on Serotonin Synthesis

Abstract Full Text
Arch Intern Med. 2010;170(17):1608-1609. doi:10.1001/archinternmed.2010.331

Chocolate Consumption and Effects on Serotonin Synthesis—Reply

Abstract Full Text
Arch Intern Med. 2010;170(17):1608-1609. doi:10.1001/archinternmed.2010.332

Benzodiazepine Use in Nursing Homes: Too Much or Too Little?

Abstract Full Text
Arch Intern Med. 2010;170(17):1609-1609. doi:10.1001/archinternmed.2010.328

Benzodiazepine Use in Nursing Homes: Too Much or Too Little?—Reply

Abstract Full Text
Arch Intern Med. 2010;170(17):1609-1609. doi:10.1001/archinternmed.2010.329
×