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AIDS and Behavior

, Volume 17, Issue 9, pp 2914–2926 | Cite as

A Randomized Trial of a Behavioral Intervention for High Risk Substance-Using MSM

  • Steven P. KurtzEmail author
  • Ronald D. Stall
  • Mance E. Buttram
  • Hilary L. Surratt
  • Minxing Chen
Original Paper

Abstract

Substance-using men who have sex with men (MSM) are among the groups at highest risk for HIV infection in the United States. We report the results of a randomized trial testing the efficacy of a small group sexual and substance use risk reduction intervention based on empowerment theory compared to an enhanced efficacious control condition among 515 high risk not-in-treatment MSM substance users. Effect sizes for sexual risk and substance use outcomes were moderate to large: HIV transmission risk frequency, d = 0.71 in the control versus 0.66 in the experimental group; number of anal sex partners, d = 1.04 versus 0.98; substance dependence symptoms, d = 0.49 versus 0.53; significant differences were not observed between conditions. Black MSM reduced their risks at a greater rate than White or Latino men. The findings point to a critically important research agenda to reduce HIV transmission among MSM substance users.

Keywords

MSM HIV Substance use Sexual risk Behavioral intervention 

Notes

Acknowledgments

This research was supported by DHHS Grant Number 5 R01 DA024579 from the National Institute on Drug Abuse. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute on Drug Abuse or the National Institutes of Health.

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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Steven P. Kurtz
    • 1
    Email author
  • Ronald D. Stall
    • 2
  • Mance E. Buttram
    • 1
  • Hilary L. Surratt
    • 1
  • Minxing Chen
    • 3
  1. 1.Center for Applied Research on Substance Use and Health Disparities (ARSH), Nova Southeastern UniversityFt. LauderdaleUSA
  2. 2.Department of Behavioral and Community Health SciencesGraduate School of Public Health, University of PittsburghPittsburghUSA
  3. 3.Department of BiostatisticsUniversity of Texas M.D. Anderson Cancer CenterHoustonUSA

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