一项针对经常参加私人性行为活动的有感染艾滋病风险的男男性行为者的小组式艾滋病风险降低干预的随机试点研究。
A Randomized Pilot Study of a Group-Delivered HIV Risk Reduction Intervention for At-Risk Urban Men Who Have Sex with Men Who Regularly Attend Private Sex Events.
机构信息
Center for Health Equity Research, Brown University, Providence, RI, USA.
Departments of Behavioral and Social Health Sciences and Epidemiology, Brown University School of Public Health, 121 South Main Street, Providence, RI, 02903, USA.
出版信息
Arch Sex Behav. 2019 May;48(4):1059-1071. doi: 10.1007/s10508-018-1326-0. Epub 2019 Feb 25.
Across HIV prevention studies, as many as 25% of men who have sex with men (MSM) report meeting male partners at private sex events and attendance is associated with increased number of sexual partners, condomless anal sex (CAS), and HIV infection. Despite the need for effective HIV prevention interventions, no risk reduction interventions have been tested to reduce HIV sexual risk of MSM that regularly engage in sexual risk at private sex events. This randomized pilot study assessed the feasibility and acceptability of an HIV risk reduction intervention to reduce CAS among urban MSM (N = 14) reporting risk at a private sex event in the prior 12 months. The intervention arm received four group sessions (2 h/session) focusing on HIV risk reduction education and skills building. Both the intervention (n = 8) and control (n = 6) conditions received HIV testing and pre- and posttest risk reduction counseling and completed a sexual risk and psychosocial assessment visit at baseline and 3 months post-intervention. In addition, intervention participants completed a brief exit interview post-intervention. Mean age was 37 years, and 57% were racial/ethnic minorities. At follow-up, the intervention group reported greater reductions in sexual risk behavior in the past 3 months including number of CAS episodes, number of partners at private sex events, and CAS episodes at private sex events. The intervention group also reported reduced sexual compulsivity, increases in HIV disclosure, and reduced drug use at private sex events over study follow-up. Exit interviews revealed that participants found the intervention to be highly acceptable. Findings demonstrate feasibility of procedures, participant acceptability, and initial promise of a group-delivered HIV risk reduction intervention for MSM who attend and engage in CAS at private sex events. Further testing of this intervention in a larger pilot randomized controlled trial is warranted.
在艾滋病毒预防研究中,多达 25%的男男性行为者 (MSM) 报告在私人性活动中结识男性伴侣,而参与此类活动与性伴侣数量增加、无保护肛交 (CAS) 和艾滋病毒感染有关。尽管需要有效的艾滋病毒预防干预措施,但尚未测试任何减少风险的干预措施来降低经常在私人性活动中参与性风险的 MSM 的艾滋病毒性风险。这项随机试点研究评估了一项艾滋病毒减少风险干预措施的可行性和可接受性,以减少在过去 12 个月内报告在私人性活动中存在风险的城市 MSM (n=14)的 CAS。干预组接受了四组小组课程(每组 2 小时),重点是艾滋病毒减少风险的教育和技能培养。干预组(n=8)和对照组(n=6)都接受了艾滋病毒检测以及前后艾滋病毒减少风险咨询,并在基线和干预后 3 个月完成了性风险和心理社会评估访问。此外,干预组的参与者在干预后完成了简短的退出访谈。参与者的平均年龄为 37 岁,57%是少数族裔。在随访中,干预组报告在过去 3 个月中性行为风险行为有更大的减少,包括 CAS 发作次数、私人性活动中的伴侣数量和私人性活动中的 CAS 发作次数。干预组还报告了性强迫性降低、艾滋病毒暴露增加以及在研究随访期间在私人性活动中减少药物使用。退出访谈显示,参与者认为该干预措施非常可接受。研究结果表明,该程序具有可行性、参与者的可接受性以及针对参加和参与私人性活动中的 CAS 的 MSM 的小组提供的艾滋病毒减少风险干预措施的初步前景。需要进一步在更大规模的试点随机对照试验中测试该干预措施。