Journal of Behavioral Medicine

, Volume 33, Issue 2, pp 147–158

Effects of a behavioral intervention to reduce serodiscordant unsafe sex among HIV positive men who have sex with men: the Positive Connections randomized controlled trial study

  • B. R. Simon Rosser
  • Laura A. Hatfield
  • Michael H. Miner
  • Margherita E. Ghiselli
  • Brian R. Lee
  • Seth L. Welles
  • The Positive Connections Team
Article

DOI: 10.1007/s10865-009-9244-1

Cite this article as:
Simon Rosser, B.R., Hatfield, L.A., Miner, M.H. et al. J Behav Med (2010) 33: 147. doi:10.1007/s10865-009-9244-1

Abstract

Few behavioral interventions have been conducted to reduce high-risk sexual behavior among HIV-positive Men who have Sex with Men (HIV+ MSM). Hence, we lack well-proven interventions for this population. Positive Connections is a randomized controlled trial (n = 675 HIV+ MSM) comparing the effects of two sexual health seminars—for HIV+ MSM and all MSM—with a contrast prevention video arm. Baseline, 6-, 12- and 18-month follow-up surveys assessed psychosexual variables and frequency of serodiscordant unprotected anal intercourse (SDUAI). At post-test, intentions to avoid transmission were significantly higher in the sexual health arms. However, SDUAI frequency decreased equally across arms. HIV+ MSM engaging in SDUAI at baseline were more likely to leave the study. Tailoring interventions to HIV+ MSM did not increase their effectiveness in this study. A sexual health approach appeared as effective as an untailored video-based HIV prevention intervention in reducing SDUAI among HIV+ MSM.

Keywords

HIV+ MSM MSM HIV prevention Behavioral interventions Unsafe sex Prevention for positives 

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • B. R. Simon Rosser
    • 1
  • Laura A. Hatfield
    • 2
  • Michael H. Miner
    • 3
  • Margherita E. Ghiselli
    • 4
  • Brian R. Lee
    • 4
  • Seth L. Welles
    • 5
  • The Positive Connections Team
    • 1
  1. 1.Division of Epidemiology and Community HealthUniversity of MinnesotaMinneapolisUSA
  2. 2.Division of BiostatisticsUniversity of MinnesotaMinneapolisUSA
  3. 3.Program in Human SexualityUniversity of MinnesotaMinneapolisUSA
  4. 4.Minnesota Population CenterUniversity of MinnesotaMinneapolisUSA
  5. 5.Department of Epidemiology and BiostatisticsDrexel University School of Public HealthPhiladelphiaUSA