Original Article

Annals of Behavioral Medicine

, Volume 45, Issue 3, pp 318-328

First online:

The Impact of Substance Use, Sexual Trauma, and Intimate Partner Violence on Sexual Risk Intervention Outcomes in Couples: A Randomized Trial

  • Deborah L. JonesAffiliated withDepartment of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine Email author 
  • , Deborah KashyAffiliated withDepartment of Psychology, Michigan State University
  • , Olga M. Villar-LoubetAffiliated withDepartment of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine
  • , Ryan CookAffiliated withDepartment of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine
  • , Stephen M. WeissAffiliated withDepartment of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine

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Abstract

Background

Few HIV prevention interventions focus on sexual risk reduction as mutual process determined by couple members, though risk behaviors are inter-dependent.

Purpose

This trial examined the impact of substance use, history of sexual trauma, and intimate partner violence on sexual risk associated with participation in a risk reduction intervention.

Methods

HIV seroconcordant and serodiscordant multicultural couples in Miami, Florida (n = 216) were randomized to group (n = 112) or individual (n = 104) couple-based interventions.

Results

Group intervention participants increased condom use in couples in which women had a history of sexual trauma [F(2,221) = 3.39, p = 0.036] and by partners of alcohol users. History of sexual trauma was a determinant of conflict resolution, predicting negative communication and intimate partner violence.

Conclusions

Results emphasize the need for group sexual risk reduction interventions targeting sexual trauma, partner violence, and substance use among HIV seroconcordant and serodiscordant couples.

Keywords

Couples Behavioral intervention HIV Multicultural Sexual trauma Substance use Intimate partner violence