Document Detail


The impact of substance use, sexual trauma, and intimate partner violence on sexual risk intervention outcomes in couples: a randomized trial.
MedLine Citation:
PMID:  23208648     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Few HIV prevention interventions focus on sexual risk reduction as mutual process determined by couple members, though risk behaviors are inter-dependent.
PURPOSE: This trial examined the impact of substance use, history of sexual trauma, and intimate partner violence on sexual risk associated with participation in a risk reduction intervention.
METHODS: HIV seroconcordant and serodiscordant multicultural couples in Miami, Florida (n = 216) were randomized to group (n = 112) or individual (n = 104) couple-based interventions.
RESULTS: Group intervention participants increased condom use in couples in which women had a history of sexual trauma [F(2,221) = 3.39, p = 0.036] and by partners of alcohol users. History of sexual trauma was a determinant of conflict resolution, predicting negative communication and intimate partner violence.
CONCLUSIONS: Results emphasize the need for group sexual risk reduction interventions targeting sexual trauma, partner violence, and substance use among HIV seroconcordant and serodiscordant couples.
Authors:
Deborah L Jones; Deborah Kashy; Olga M Villar-Loubet; Ryan Cook; Stephen M Weiss
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Annals of behavioral medicine : a publication of the Society of Behavioral Medicine     Volume:  45     ISSN:  1532-4796     ISO Abbreviation:  Ann Behav Med     Publication Date:  2013 Jun 
Date Detail:
Created Date:  2013-05-02     Completed Date:  2013-10-21     Revised Date:  2014-06-03    
Medline Journal Info:
Nlm Unique ID:  8510246     Medline TA:  Ann Behav Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  318-28     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Female
Florida
HIV Infections / prevention & control*
HIV Seropositivity / psychology
Humans
Interpersonal Relations
Male
Middle Aged
Questionnaires
Risk Factors
Risk Reduction Behavior*
Risk-Taking
Safe Sex / psychology
Sexual Behavior / psychology
Sexual Partners / psychology*
Spouse Abuse / psychology*
Substance-Related Disorders / psychology*
Violence / prevention & control
Grant Support
ID/Acronym/Agency:
K18 DA031463/DA/NIDA NIH HHS; K18DA031463/DA/NIDA NIH HHS; R01 MH063630/MH/NIMH NIH HHS; R01MH63630/MH/NIMH NIH HHS
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