Prevention with Positives


The Benefits of Prevention with Positives

Most HIV-infected youth want to know how to avoid transmitting the virus to others. They also want to protect themselves from acquiring other sexually transmitted infections (STIs) or drug-resistant virus, but they frequently do not understand the risks associated with STIs and HIV transmission. Although information alone cannot be expected to change sexual and drug-use patterns, culturally competent providers can help patients understand the transmission risk of certain activities and provide guidance to help them reduce risky behaviors. This aspect of care is called prevention with positives (PWP).

Young people may benefit tremendously from PWP services. Many adolescents engage in risk-taking behaviors as a normal part of their development, and sexual experimentation is a common aspect of this process. Reducing the risk behaviors of young HIV-infected patients will not only benefit their own health but also contribute toward achieving the nation's longstanding public health goal of reducing the annual number of new infections.

Providers who have ongoing relationships with HIV-infected youth possess a unique opportunity to offer screening, deliver prevention information, and encourage and support positive behavior change as part of care and treatment. This module is designed to support providers by offering specific information and resources for engaging in customized risk-reduction counseling that is culturally and developmentally appropriate for youth.

Learning Objectives

Upon completion of this module, providers will be able to:

  1. Integrate culturally competent prevention counseling into their care for HIV-infected patients, especially youth from communities of color.
  2. Address the range of sexual risk-reduction behaviors specific to HIV-infected youth, including partner disclosure, abstinence, safer sex, and reducing substance use.
  3. Describe 3 ways that STIs can facilitate the transmission of HIV.
  4. Assess their own values and understand how personal values can affect the quality of prevention counseling delivered to HIV-infected patients.
  5. Describe aspects of culture that support sexual risk reduction among HIV-infected youth.


  • The course may be navigated either by selecting the "Next Page" button at the bottom of each screen, or by using the course outline buttons in the left navigation column.

  • All users will be asked to complete a final evaluation to help the sponsors assess the value of the course.