AIDS and Behavior

, 15:1745 | Cite as

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

  • Elwin Wu
  • Nabila El-Bassel
  • L. Donald McVinney
  • Leona Hess
  • Robert H. Remien
  • Mahnaz Charania
  • Gordon Mansergh
Original Paper

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 

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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Elwin Wu
    • 1
  • Nabila El-Bassel
    • 1
  • L. Donald McVinney
    • 2
  • Leona Hess
    • 1
  • Robert H. Remien
    • 3
  • Mahnaz Charania
    • 4
  • Gordon Mansergh
    • 4
  1. 1.Social Intervention GroupColumbia University School of Social WorkNew YorkUSA
  2. 2.Harlem UnitedNew YorkUSA
  3. 3.HIV Center for Clinical and Behavioral StudiesNew York State Psychiatric Institute and Columbia UniversityNew YorkUSA
  4. 4.Division of HIV/AIDS PreventionCenters for Disease Control and PreventionAtlantaUSA

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