A randomized trial of a behavioral intervention for high risk substance-using MSM

AIDS Behav. 2013 Nov;17(9):2914-26. doi: 10.1007/s10461-013-0531-z.

Abstract

Substance-using men who have sex with men (MSM) are among the groups at highest risk for HIV infection in the United States. We report the results of a randomized trial testing the efficacy of a small group sexual and substance use risk reduction intervention based on empowerment theory compared to an enhanced efficacious control condition among 515 high risk not-in-treatment MSM substance users. Effect sizes for sexual risk and substance use outcomes were moderate to large: HIV transmission risk frequency, d = 0.71 in the control versus 0.66 in the experimental group; number of anal sex partners, d = 1.04 versus 0.98; substance dependence symptoms, d = 0.49 versus 0.53; significant differences were not observed between conditions. Black MSM reduced their risks at a greater rate than White or Latino men. The findings point to a critically important research agenda to reduce HIV transmission among MSM substance users.

Publication types

  • Comparative Study
  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Black or African American / statistics & numerical data*
  • Cognitive Behavioral Therapy / methods*
  • Condoms
  • Florida / epidemiology
  • Follow-Up Studies
  • HIV Infections / epidemiology
  • HIV Infections / prevention & control*
  • HIV Infections / psychology
  • Health Knowledge, Attitudes, Practice
  • Hispanic or Latino / statistics & numerical data
  • Homosexuality, Male*
  • Humans
  • Male
  • Patient Education as Topic
  • Power, Psychological
  • Risk Reduction Behavior*
  • Risk-Taking
  • Sexual Behavior / statistics & numerical data
  • Sexual Partners
  • Substance Abuse, Intravenous / epidemiology
  • Substance Abuse, Intravenous / prevention & control*
  • Substance Abuse, Intravenous / psychology
  • Surveys and Questionnaires
  • White People / statistics & numerical data