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J Behav Med. 2010 Apr;33(2):147-58. doi: 10.1007/s10865-009-9244-1. Epub 2010 Jan 26.

Effects of a behavioral intervention to reduce serodiscordant unsafe sex among HIV positive men who have sex with men: the Positive Connections randomized controlled trial study.

Author information

  • 1Division of Epidemiology and Community Health, University of Minnesota, 300 WBOB, 1300 S. 2nd St., Minneapolis, MN 55454, USA. rosser@umn.edu

Abstract

Few behavioral interventions have been conducted to reduce high-risk sexual behavior among HIV-positive Men who have Sex with Men (HIV+ MSM). Hence, we lack well-proven interventions for this population. Positive Connections is a randomized controlled trial (n = 675 HIV+ MSM) comparing the effects of two sexual health seminars--for HIV+ MSM and all MSM--with a contrast prevention video arm. Baseline, 6-, 12- and 18-month follow-up surveys assessed psychosexual variables and frequency of serodiscordant unprotected anal intercourse (SDUAI). At post-test, intentions to avoid transmission were significantly higher in the sexual health arms. However, SDUAI frequency decreased equally across arms. HIV+ MSM engaging in SDUAI at baseline were more likely to leave the study. Tailoring interventions to HIV+ MSM did not increase their effectiveness in this study. A sexual health approach appeared as effective as an untailored video-based HIV prevention intervention in reducing SDUAI among HIV+ MSM.

PMID:
20101454
[PubMed - indexed for MEDLINE]
PMCID:
PMC3423322
Free PMC Article

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