Effects of a behavioral intervention to reduce serodiscordant unsafe sex among hiv positive men who have sex with men: The positive connections randomized controlled trial study

B. R.Simon Rosser, Laura A. Hatfield, Michael H. Miner, Margherita E. Ghiselli, Brian R. Lee, Seth L. Welles

Research output: Contribution to journalArticlepeer-review

36 Scopus citations

Abstract

Few behavioral interventions have been conducted to reduce high-risk sexual behavior among HIVpositive Men who have Sex with Men (HIV+ MSM). Hence, we lack well-proven interventions for this population. Positive Connections is a randomized controlled trial (n = 675 HIV+ MSM) comparing the effects of two sexual health seminars-for HIV+ MSM and all MSM-with a contrast prevention video arm. Baseline, 6-, 12- and 18-month follow-up surveys assessed psychosexual variables and frequency of serodiscordant unprotected anal intercourse (SDUAI). At post-test, intentions to avoid transmission were significantly higher in the sexual health arms. However, SDUAI frequency decreased equally across arms. HIV+ MSM engaging in SDUAI at baseline were more likely to leave the study. Tailoring interventions to HIV+ MSM did not increase their effectiveness in this study. A sexual health approach appeared as effective as an untailored video-based HIV prevention intervention in reducing SDUAI among HIV+ MSM.

Original languageEnglish (US)
Pages (from-to)147-158
Number of pages12
JournalJournal of Behavioral Medicine
Volume33
Issue number2
DOIs
StatePublished - Apr 2010

Keywords

  • Behavioral interventions
  • HIV prevention
  • HIV+ MSM
  • MSM
  • Prevention for positives
  • Unsafe sex

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