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

Debbie Indyk, Sarit A. Golub

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations


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. How is HIV-risk defined and understood? Who is of risk to whom? Who is responsible for reducing risk?

Original languageEnglish
Pages (from-to)112-132
Number of pages21
JournalSocial Work in Health Care
Issue number3-4
StatePublished - 25 Apr 2006


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


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