Randomized controlled trial of brief interventions to reduce college students' drinking and risky sex
Open accessAbstract
The present study tested the proposition that an intervention to reduce alcohol use among college students will also reduce their risky sexual behavior. In a randomized controlled trial, 154 heavy-drinking, predominantly White, heterosexual college students at behavioral risk for infection with HIV and other sexually transmitted diseases were assigned to receive no intervention or a two-session, in-person, motivational interviewing-based intervention focused on (a) reducing alcohol risk behavior, (b) reducing HIV risk behavior, or (c) reducing both alcohol and HIV risk behavior. Three-month retrospective assessments of alcohol use and sexual behavior were conducted at intake and at 3-, 6-, 9-, 12-, and 15-month follow-up appointments. During follow-up, participants who received the single-focus alcohol risk-reduction intervention drank less frequently and consumed fewer drinks per drinking day as compared with no-intervention control participants, but did not differ from control participants in their frequency of intercourse without a condom or number of sexual partners. Participants who received the single-focus HIV risk-reduction intervention evidenced fewer unprotected sex events during follow-up, as compared with control participants. The number of sexual partners reported during follow-up did not differ by condition. Effects of the interventions did not vary significantly over time and were not moderated by participant gender. Results suggest that intervening to reduce alcohol use may not reduce risky sexual behavior among nonminority college students, but that a brief motivational intervention targeting HIV risk behavior may have utility for reducing the frequency of unprotected sex in this population.
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- Authors
- Dermen, K. H., & Thomas, S. N.
- Affiliations
- University at Buffalo, State University of New York (US)
- ORCID
- Dermen, Kurt H.
- Venue
- Psychology of Addictive Behaviors
- Published
- 2011
- Volume
- 25
- Issue
- 4
- Pages
- 583-594
- ISSN
- 0893-164X (ISSN-L)
- 1939-1501
- PMC
- PMC3232340
- OpenAlex
- W1979509534
- Cited by
- 58
- References
- 81
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 5 · 2023: 2 · 2022: 2 · 2021: 3 · 2020: 3 · 2019: 5 · 2018: 6 · 2017: 5 · 2016: 6 · 2015: 10 · 2014: 5 · 2013: 3 · 2012: 1
- FWCI
- 2.17
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychology of Addictive Behaviors (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (R01 AA011714)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
- Keywords
- university students, alcohol consumption, sexual risk behavior, HIV risk behavior, unprotected sex, condom use, sexual partners, motivational interviewing, brief intervention, heavy drinking, sexually transmitted infections, HIV prevention
- MeSH terms
- Adolescent, Adult, Alcohol Drinking, Alcoholic Intoxication, Counseling, Female, Humans, Health Knowledge, Attitudes, Practice, Male, Motivation, Pregnancy, Psychotherapy, Brief, Risk-Taking, Sexual Behavior, Sex Factors, Sexual Partners, Sexually Transmitted Diseases, Students, HIV Infections, Outcome Assessment, Health Care, Condoms, Sexuality, Risk Reduction Behavior, Unsafe Sex, Young Adult
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