AIDS and Behavior

, 15:1745

Feasibility and Promise of a Couple-Based HIV/STI Preventive Intervention for Methamphetamine-Using, Black Men Who have Sex with Men

Authors

    • Social Intervention GroupColumbia University School of Social Work
  • Nabila El-Bassel
    • Social Intervention GroupColumbia University School of Social Work
  • L. Donald McVinney
    • Harlem United
  • Leona Hess
    • Social Intervention GroupColumbia University School of Social Work
  • Robert H. Remien
    • HIV Center for Clinical and Behavioral StudiesNew York State Psychiatric Institute and Columbia University
  • Mahnaz Charania
    • Division of HIV/AIDS PreventionCenters for Disease Control and Prevention
  • Gordon Mansergh
    • Division of HIV/AIDS PreventionCenters for Disease Control and Prevention
Original Paper

DOI: 10.1007/s10461-011-9997-8

Cite this article as:
Wu, E., El-Bassel, N., Donald McVinney, L. et al. AIDS Behav (2011) 15: 1745. 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.

Keywords

HIV Prevention Couples—Men who have sex with men African American Black Methamphetamine

Copyright information

© Springer Science+Business Media, LLC 2011