The shifting locus of risk-reduction: The critical role of HIV infected individuals

Debbie Indyk, Sarit A. Golub

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


This article discusses the shifting locus of control over risk-reduction and examines its implications for the care and support of HIV -positive individuals. We begin by presenting a brief history of the continuum of HIV related risk, illustrating the ways in which advances in risk-assessment and intervention have led to this important shift. Second, we discuss the current state of risk assessment and intervention as it relates to three factors: (a) the point along the continuum of risk at which risk assessment and intervention occurs; (b) the locus of control over risk reduction; and (c) the distinction between primary and secondary risk reduction efforts. Finally, we discuss the meaning of HIV risk and the role of HIV -positive individuals in the new geometry of care that integrates treatment and prevention.

Original languageEnglish
Title of host publicationThe Geometry of Care
Subtitle of host publicationLinking Resources, Research, and Community to Reduce Degrees of Separation Between HIV Treatment and Prevention
PublisherTaylor and Francis
Number of pages20
ISBN (Electronic)9781317954606
ISBN (Print)9780789032119
StatePublished - 1 Jan 2014


  • Acquisition
  • Continuum
  • Prevention
  • Primary and secondary risk reduction
  • Transmission


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