A randomized controlled trial utilizing motivational interviewing to reduce HIV risk and drug use in young gay and bisexual men
Open accessAbstract
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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- 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
- PMC
- PMC3935799
- 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
- green
- www.ncbi.nlm.nih.gov
- 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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