Cited by 137HIV, Drug Use, Sexual RiskSubstance Abuse Treatment and OutcomesHIV/AIDS Research and Interventions

A randomized controlled trial utilizing motivational interviewing to reduce HIV risk and drug use in young gay and bisexual men

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Parsons, Jeffrey T., Lelutiu-Weinberger, Corina, Botsko, Michael, Golub, Sarit A.·2014·Journal of Consulting and Clinical Psychology

Abstract

OBJECTIVE: Young gay and bisexual men (YGBM) are disproportionally at risk of HIV infection due to sexual risk behaviors, which are often exacerbated by recreational drug use. However, there have been no evidence-based interventions targeting substance-using YGBM. This study was designed to test a brief motivational interviewing (MI) intervention to reduce both risky sex and drug use among HIV-negative YGBM. METHOD: A total of 143 non-treatment-seeking YGBM (ages 18-29 years) who reported recent unprotected anal intercourse (UAI) and recreational drug use were randomized to 4 sessions of MI or 4 sessions of content-matched education. Participants were followed every 3 months for 1 year, and behavior change was examined across conditions and time for aggregated and day-level drug use and UAI. RESULTS: Regardless of condition, participants reported significant reductions in UAI and substance use over time. However, YGBM in the MI condition were 18% less likely to use drugs and 24% less likely to engage in UAI than YGBM in the education condition. CONCLUSIONS: The results support the utility of MI, compared with a content-matched education condition, to significantly reduce both UAI and drug use among YGBM. Interventions may benefit from an emphasis on substance use reductions, which might indirectly lead to less frequent UAI. Future research efforts should examine whether this type of brief MI intervention is effective when delivered by clinic or community settings utilized by YGBM.

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  1. Herbst JH Sherba RT Crepaz N DeLuca JB Zohrabyan L Stall RD Lyles CM 2005 A Meta-analytic review of HIV behavioral interventions for reducing sexual risk behavior of men who have sex with men Journal of Acquired Immune Deficiency Syndromes 39 2 228 241 15905741

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Authors
Parsons, J. T., Lelutiu-Weinberger, C., Botsko, M., & Golub, S. A.
Affiliations
City University of New York (US)
Venue
Journal of Consulting and Clinical Psychology
Published
2014
Volume
82
Issue
1
Pages
9-18
ISSN
  • 0022-006X (ISSN-L)
  • 1939-2117
OpenAlex
W2093186581
Cited by
137
References
39
Citations by year
2026: 5 · 2025: 3 · 2024: 5 · 2023: 10 · 2022: 23 · 2021: 12 · 2020: 18 · 2019: 9 · 2018: 16 · 2017: 13 · 2016: 15 · 2015: 2 · 2014: 5 · 2013: 1
FWCI
5.60
Type
journal article
Language
en
Open access
Locations
  • Journal of Consulting and Clinical Psychology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute on Drug Abuse (R01-DA020366)
Topics
  • Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Keywords
motivational interviewing, HIV risk reduction, unprotected anal intercourse, recreational drug use, substance use, sexual risk behavior, brief intervention, HIV prevention, HIV-negative men
MeSH terms
Adolescent, Adult, Bisexuality, Humans, Male, Risk Factors, Risk-Taking, Sexual Behavior, Sexual Partners, HIV Infections, Treatment Outcome, Homosexuality, Male, Substance-Related Disorders, Drug Users, Young Adult, Motivational Interviewing

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