Center for Alcohol and Addictions Studies, Brown University School of Public Health, 121 South Main Street, Providence, RI, 02912, USA.
AIDS Behav. 2019 Jun;23(6):1668-1679. doi: 10.1007/s10461-019-02396-w.
Alcohol use is a key risk factor for HIV infection among men who have sex with men (MSM). Past studies show that brief motivational interventions (BMI) can increase the use of prevention methods (e.g., condoms), reduce alcohol use, and can be adapted for web-based delivery. However, few studies have explored these interventions' effects in MSM. Forty high-risk, heavy drinking MSM who sought rapid HIV testing were randomly assigned to receive either (1) standard post-test counseling (SPC) alone, or (2) SPC plus Game Plan (GP), a tablet tablet-based BMI for alcohol use and HIV risk. Over three months of follow-up, GP participants reported 24% fewer heavy drinking days, 17% fewer alcohol problems, and 50% fewer new anal sex partners than controls. GP participants also reported fewer high-risk condomless anal sex events than controls, but these differences were not significant. These initial results suggest that web-based BMIs may be promising tools to help MSM reduce health risk behaviors.
饮酒是男男性行为者（MSM）感染艾滋病毒的一个关键风险因素。过去的研究表明，简短动机干预（BMI）可以增加预防方法的使用（例如，避孕套），减少饮酒量，并且可以适应基于网络的交付。然而，很少有研究探讨这些干预措施对 MSM 的影响。四十名寻求快速艾滋病毒检测的高风险、大量饮酒的 MSM 被随机分配接受以下两种治疗之一：（1）仅接受标准的检测后咨询（SPC），或（2）SPC 加游戏计划（GP），这是一种基于平板电脑的用于酒精使用和艾滋病毒风险的 BMI。在三个月的随访期间，与对照组相比，GP 组参与者报告的重度饮酒天数减少了 24%，酒精问题减少了 17%，新的肛交性伴侣减少了 50%。GP 组参与者报告的高风险无保护肛交事件也少于对照组，但这些差异没有统计学意义。这些初步结果表明，基于网络的 BMI 可能是帮助 MSM 减少健康风险行为的有前途的工具。
