Department of Psychology, Social Sciences Research Center, University of Rhode Island.
Department of Nutrition and Food Sciences, University of Rhode Island.
Psychol Serv. 2022 Feb;19(1):167-175. doi: 10.1037/ser0000498. Epub 2021 Jan 7.
Despite male youth taking more sexual risks that lead to unwanted partner pregnancy and/or sexually transmitted infections (STIs), research evaluating interventions for risky sex has focused almost exclusively on adolescent and adult females. With STIs among male youth on the rise, behavioral interventions that target risky sex among male youth are needed.
A randomized controlled pilot study was conducted to examine the feasibility and acceptability of two manualized behavioral interventions for sexually active male youth.
Sexually active at-risk male youth (N = 27) were recruited and randomized to receive one session of motivational interviewing (MI) or didactic educational counseling (DEC). Assessment interviews were conducted prior to and 3 months following the intervention session.
Support for the feasibility and acceptability of delivering behavioral interventions to reduce risky sexual behaviors among at-risk male youth was found. Compared to participants in DEC at follow-up, participants in MI reported having significantly fewer sexual encounters with casual partners, used substances at the time of sex significantly less often with all partners and casual partners, and reported fewer incidents of using substances at the time of sex without a condom with all partners. Conversely, participants who received MI used substances at the time of sex with main partners and used substances at the time of sex without a condom more often with main partners at follow-up compared to participants who received DEC.
Results of the pilot study support conducting a larger randomized controlled trial to examine treatment effects. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
尽管男性青年承担着更多导致意外伴侣怀孕和/或性传播感染（STIs）的风险行为，但评估风险性行为干预措施的研究几乎完全集中在青少年和成年女性身上。由于男青年中的性传播感染呈上升趋势，因此需要针对男青年的风险性行为进行行为干预。
本研究开展了一项随机对照试点研究，以检验两种针对活跃男青年的性行为的手册化行为干预措施的可行性和可接受性。
招募并随机分配有性行为的高风险男青年（N=27），接受一次动机性访谈（MI）或说教式教育咨询（DEC）。在干预前和干预后 3 个月进行评估访谈。
为向高危男青年提供减少风险性行为的行为干预措施提供了可行性和可接受性的支持。与 DEC 组的参与者相比，MI 组的参与者在随访时报告与偶然伴侣的性接触显著减少，与所有伴侣和偶然伴侣发生性行为时使用物质的频率显著降低，与所有伴侣发生性行为时未使用安全套使用物质的情况也显著减少。相反，与 DEC 组相比，接受 MI 的参与者在随访时与主要伴侣发生性行为时使用物质的频率更高，与主要伴侣发生性行为时未使用安全套的频率也更高。
试点研究的结果支持开展更大规模的随机对照试验，以检验治疗效果。
