Annals of Behavioral Medicine

, Volume 45, Issue 3, pp 318–328 | Cite as

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

  • Deborah L. Jones
  • Deborah Kashy
  • Olga M. Villar-Loubet
  • Ryan Cook
  • Stephen M. Weiss
Original Article

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 

Notes

Acknowledgments

This study was supported by grants from the National Institutes of Health, nos. K18DA031463 and R01MH63630. The authors and investigators would like to acknowledge the NOW2 study team, Arnetta Phillips, Jacqueline Gonzalez, Laura Bruscantini, Eliot Lopez, Jennifer Casani, and the men and women participating, without whom this study would not have been possible.

Conflict of Interest Statement

The authors report no real or perceived vested interests that relate to this article (including relationships with pharmaceutical companies, biomedical device manufacturers, grantors, or other entities whose products or services are related to topics covered in this manuscript) that could be construed as a conflict of interest.

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Copyright information

© The Society of Behavioral Medicine 2012

Authors and Affiliations

  • Deborah L. Jones
    • 1
  • Deborah Kashy
    • 2
  • Olga M. Villar-Loubet
    • 1
  • Ryan Cook
    • 1
  • Stephen M. Weiss
    • 1
  1. 1.Department of Psychiatry and Behavioral SciencesUniversity of Miami Miller School of MedicineMiamiUSA
  2. 2.Department of PsychologyMichigan State UniversityLansingUSA

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