Feasibility and Promise of a Couple-Based HIV/STI Preventive Intervention for Methamphetamine-Using, Black Men Who have Sex with Men
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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.
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- Feasibility and Promise of a Couple-Based HIV/STI Preventive Intervention for Methamphetamine-Using, Black Men Who have Sex with Men
AIDS and Behavior
Volume 15, Issue 8 , pp 1745-1754
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Couples—Men who have sex with men
- African American
- Industry Sectors
- Author Affiliations
- 1. Social Intervention Group, Columbia University School of Social Work, 1255 Amsterdam Avenue, New York, NY, USA
- 2. Harlem United, New York, NY, USA
- 3. HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, New York, NY, USA
- 4. Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA