Prevention of sexually transmitted diseases and HIV in young military men: evaluation of a cognitive-behavioral skills-building intervention

Sex Transm Dis. 2001 Jun;28(6):349-55. doi: 10.1097/00007435-200106000-00009.


Background: Military personnel deployed to foreign countries with high endemic rates of sexually transmitted diseases (STDs) are at risk.

Goal: To evaluate a cognitive-behavioral, skills-building intervention to prevent STDs in junior, enlisted, male US Marines deployed to the Western Pacific aboard ships with periodic liberty visits to foreign ports.

Study design: This study, using a quasi-experimental design, assigned 584 men to a cardiopulmonary resuscitation training (n = 288) or a cognitive-behavioral intervention (n = 296). The intervention aimed to increase prevention knowledge, reduce high-risk psychosocial (motivation) factors, and build decision-making and communication skills to reduce risky sexual behaviors and alcohol consumption.

Results: Participation in the intervention was associated with increased knowledge regarding symptoms and treatment of STDs and HIV (P < 0.001), decreased alcohol use (P < 0.01), and sexual risk (P < 0.01) during liberty ports of call.

Conclusion: A multiple-session, cognitive-behavioral, skills-building intervention can be successfully implemented for deployed military personnel.

Publication types

  • Evaluation Study
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Behavior Therapy
  • HIV Infections / prevention & control
  • Humans
  • Male
  • Military Personnel / statistics & numerical data*
  • Patient Education as Topic*
  • Preventive Health Services / standards*
  • Program Evaluation*
  • Psychotherapy, Group / methods
  • Sexually Transmitted Diseases / blood
  • Sexually Transmitted Diseases / epidemiology*
  • Sexually Transmitted Diseases / prevention & control*
  • Sexually Transmitted Diseases / urine
  • Surveys and Questionnaires
  • United States / epidemiology