Feasibility and promise of a couple-based HIV/STI preventive intervention for methamphetamine-using, black men who have sex with men

AIDS Behav. 2011 Nov;15(8):1745-54. doi: 10.1007/s10461-011-9997-8.

Abstract

Accumulating evidence supports couple-based approaches for HIV/STI preventive interventions. Yet, to date, no studies have examined couple-based sexual risk reductions intervention specifically for men who have sex with men (MSM) from populations with elevated rates of HIV/STI transmission, such as black MSM and methamphetamine-involved MSM. We pilot tested-using a pre-/post-test design-a seven-session couple-based intervention for black, methamphetamine-using, black MSM couples engaging in sexual risk. Feasibility was assessed via recruitment and retention rates; potential efficacy relied on self-reported sexual risk and drug use prior to and two months following intervention delivery. We enrolled 34 couples (N = 68 men). Over 80% attended all seven intervention sessions, and retention exceeded 95% at two-month follow-up. At follow-up, participants reported significantly fewer sexual partners, fewer episodes of unprotected anal sex, and greater condom use with their main partner; participants also reported significantly less methamphetamine use, any illicit drug use, and number of illicit drugs used. These findings indicate that couple-based HIV/STI intervention is feasible and promising for at-risk black MSM couples.

Publication types

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

MeSH terms

  • Adult
  • Amphetamine-Related Disorders*
  • Blacks
  • Central Nervous System Stimulants / administration & dosage
  • Family Characteristics
  • Feasibility Studies
  • HIV Infections / prevention & control*
  • HIV Infections / transmission
  • Homosexuality, Male / psychology*
  • Humans
  • Male
  • Methamphetamine / administration & dosage
  • Middle Aged
  • Pilot Projects
  • Risk-Taking
  • Sexual Partners
  • Sexually Transmitted Diseases / prevention & control*
  • Sexually Transmitted Diseases / transmission
  • Unsafe Sex
  • Young Adult

Substances

  • Central Nervous System Stimulants
  • Methamphetamine