Adapted Personalized Cognitive Counseling for Episodic Substance-Using Men Who Have Sex with Men: A Randomized Controlled Trial

作者：Coffin Phillip O^*; Santos Glenn Milo; Colfax Grant; Das Moupali; Matheson Tim; DeMicco Erin; Dilley James; Vittinghoff Eric; Raiford Jerris L; Carry Monique; Herbst Jeffrey H

来源：AIDS and Behavior, 2014, 18(7): 1390-1400.

DOI：10.1007/s10461-014-0712-4

• HIV prevention
• Evidence-based intervention
• Cognitive counseling
• Adaptation
• Substance use
• MSM

Episodic drug use and binge drinking are associated with HIV risk among substance-using men who have sex with men (SUMSM), yet no evidence-based interventions exist for these men. We adapted personalized cognitive counseling (PCC) to address self-justifications for high-risk sex among HIV-negative, episodic SUMSM, then randomized men to PCC (n = 162) with HIV testing or control (n = 164) with HIV testing alone. No significant between-group differences were found in the three primary study outcomes: number of unprotected anal intercourse events (UAI), number of UAI partners, and UAI with three most recent non-primary partners. In a planned subgroup analysis of non-substance dependent men, there were significant reductions in UAI with most recent non-primary partners among PCC participants (RR = 0.56; 95 % CI 0.34-0.92; P = 0.02). We did not find evidence that PCC reduced sexual risk behaviors overall, but observed significant reductions in UAI events among non-dependent SUMSM. PCC may be beneficial among SUMSM screening negative for substance dependence.

• 出版日期2014-7
• 单位中国疾病预防控制中心