AIDS and Behavior

, Volume 16, Issue 5, pp 1203–1216

The Impact of a Brief Motivational Intervention on Unprotected Sex and Sex While High Among Drug-Positive Emergency Department Patients Who Receive STI/HIV VC/T and Drug Treatment Referral as Standard of Care

  • Edward Bernstein
  • Desiree Ashong
  • Timothy Heeren
  • Michael Winter
  • Caleb Bliss
  • Guillermo Madico
  • Judith Bernstein
Original Paper

Abstract

This randomized, controlled trial, conducted among out-of-treatment heroin/cocaine users at an emergency department visit, tests the impact on sexual risk of adding brief motivational intervention (B-MI) to point-of-service testing, counseling and drug treatment referral. 1,030 enrollees aged 18–54 received either voluntary counseling/testing (VC/T) with drug treatment referral, or VC/T, referral, and B-MI, delivered by an outreach worker. We measured number and proportion of non-protected sex acts (last 30 days) at 6 and 12 months (n = 802). At baseline, 70% of past-30-days sex acts were non-protected; 35% of sex acts occurred while high; 64% of sexual acts involved main, 24% casual and 12% transactional sex partners; 1.7% tested positive for an STI, and 8.8% for HIV. At six or 12 month follow-up, 20 enrollees tested positive for Chlamydia and/or Gonorrhea, and 6 enrollees HIV sero-converted. Self-reported high-risk behaviors declined in both groups with no significant between-group differences in behaviors or STI/HIV incidence.

Keywords

HIV Emergency department Brief motivational intervention Sexual behavior risk 

Supplementary material

10461_2012_134_MOESM1_ESM.docx (91 kb)
Supplementary material 1 (DOCX 92 kb)

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Edward Bernstein
    • 1
    • 2
  • Desiree Ashong
    • 1
    • 2
  • Timothy Heeren
    • 3
  • Michael Winter
    • 4
  • Caleb Bliss
    • 4
  • Guillermo Madico
    • 5
  • Judith Bernstein
    • 6
    • 7
  1. 1.Department of Emergency MedicineBoston University School of Medicine, Boston Medical CenterBostonUSA
  2. 2.Department of Community Health SciencesBoston University School of Public HealthBostonUSA
  3. 3.Department of BiostatisticsBoston University School of Public HealthBostonUSA
  4. 4.The Data Coordinating CenterBoston University School of Public HealthBostonUSA
  5. 5.Department of Infectious DiseaseBoston University School of MedicineBostonUSA
  6. 6.Department of Community Health SciencesBoston University School of Public HealthBostonUSA
  7. 7.Department of Emergency MedicineBoston University School of MedicineBostonUSA

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