title: Effectiveness of Couple-Based HIV Counseling and Testing for Women Substance Users and Their Primary Male Partners: A Randomized Trial.
abstract: A randomized trial was conducted to test the effectiveness of couple-based HIV counseling and testing (CB-HIV-CT) and women-only relationship-focused HIV counseling and testing (WRF-HIV-CT) in reducing HIV risk compared to the National Institute on Drug Abuse HIV-CT standard intervention. Substance using HIV-negative women and their primary heterosexual partner (N = 330 couples) were randomized to 1 of the 3 interventions. Follow-up assessments measuring HIV risk behaviors and other relevant variables were conducted at 3- and 9-months postintervention. Repeated measures generalized linear mixed model analysis was used to assess treatment effects. A significant reduction in HIV risk was observed over the 9-month assessment in the CB-HIV-CT group compared to that of the control group (b = -0.51, t[527] = -3.20, P = 0.002) and compared to that of the WRF-HIV-CT group (b = -0.34, t[527] = -2.07, P = 0.04), but no significant difference was observed between WRF-HIV-CT and controls (b = -0.17, t[527] = -1.09, P = 0.28). A brief couple-based HIV counseling and testing intervention designed to address both drug-related and sexual risk behaviors among substance using women and their primary male partners was shown to be more effective at reducing overall HIV risk compared to a standard HIV-CT intervention in an urban setting.
authors.affiliation: School of Nursing, University of Rochester Medical Center, 601 Elmwood Avenue, BOX SON, Rochester, NY 14642, USA.
authors.forename: James M
authors.initials: JM
authors.lastname: McMahon
authors.forename: Stephanie
authors.initials: S
authors.lastname: Tortu
authors.forename: Enrique R
authors.initials: ER
authors.lastname: Pouget
authors.forename: Leilani
authors.initials: L
authors.lastname: Torres
authors.forename: William
authors.initials: W
authors.lastname: Rodriguez
authors.forename: Rahul
authors.initials: R
authors.lastname: Hamid
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