Document Detail


Lifetime substance use and HIV sexual risk behaviors predict treatment response to contingency management among homeless, substance-dependent MSM.
MedLine Citation:
PMID:  22880545     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Homeless, substance-dependent men who have sex with men (MSM) continue to suffer health disparities, including high rates of HIV. One-hundred and thirty one homeless, substance-dependent MSM were randomized into a contingency management (CM) intervention to increase substance abstinence and health-promoting behaviors. Participants were recruited from a community-based, health education/risk reduction HIV prevention program and the research activities were also conducted at the community site. Secondary analyses were conducted to identify and characterize treatment responders (defined as participants in a contingency management intervention who scored at or above the median on three primary outcomes). Treatment responders were more likely to be Caucasian/White (p < .05), report fewer years of lifetime methamphetamine, cocaine, and polysubstance use (p < or = .05), and report more recent sexual partners and high-risk sexual behaviors than nonresponders (p < .05). The application of evidence-based interventions continues to be a public health priority, especially in the effort to implement effective interventions for use in community settings. The identification of both treatment responders and nonresponders is important for intervention development tailored to specific populations, both in service programs and research studies, to optimize outcomes among highly impacted populations.
Authors:
Cathy J Reback; James A Peck; Jesse B Fletcher; Miriam Nuno; Rhodri Dierst-Davies
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of psychoactive drugs     Volume:  44     ISSN:  0279-1072     ISO Abbreviation:  J Psychoactive Drugs     Publication Date:    2012 Apr-Jun
Date Detail:
Created Date:  2012-08-13     Completed Date:  2012-08-28     Revised Date:  2013-11-27    
Medline Journal Info:
Nlm Unique ID:  8113536     Medline TA:  J Psychoactive Drugs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  166-72     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Chi-Square Distribution
Community Health Services*
Drug Users / psychology*
HIV Infections / ethnology,  prevention & control*,  psychology,  transmission
Health Behavior*
Health Knowledge, Attitudes, Practice
Health Promotion
Homeless Persons / psychology*
Homosexuality, Male / ethnology,  psychology*
Humans
Logistic Models
Los Angeles / epidemiology
Male
Multivariate Analysis
Risk Assessment
Risk Factors
Risk Reduction Behavior
Risk-Taking*
Substance-Related Disorders / ethnology,  psychology,  rehabilitation*
Treatment Outcome
Unsafe Sex / ethnology,  psychology*
Grant Support
ID/Acronym/Agency:
R01 DA015990/DA/NIDA NIH HHS; R01 DA015990/DA/NIDA NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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