title: Adapted personalized cognitive counseling for episodic substance-using men who have sex with men: a randomized controlled trial.
abstract: Episodic drug use and binge drinking are associated with HIV risk among substance-using men who have sex with men (SUMSM), yet no evidence-based interventions exist for these men. We adapted personalized cognitive counseling (PCC) to address self-justifications for high-risk sex among HIV-negative, episodic SUMSM, then randomized men to PCC (n = 162) with HIV testing or control (n = 164) with HIV testing alone. No significant between-group differences were found in the three primary study outcomes: number of unprotected anal intercourse events (UAI), number of UAI partners, and UAI with three most recent non-primary partners. In a planned subgroup analysis of non-substance dependent men, there were significant reductions in UAI with most recent non-primary partners among PCC participants (RR = 0.56; 95 %CI 0.34-0.92; P = 0.02). We did not find evidence that PCC reduced sexual risk behaviors overall, but observed significant reductions in UAI events among non-dependent SUMSM. PCC may be beneficial among SUMSM screening negative for substance dependence.
authors: Substance Use Research Unit, San Francisco Department of Public Health, 25 Van Ness Ave, Suite 500, San Francisco, CA, 904102, USA, phillip.coffin@sfdph.org.
authors: Phillip O
authors: PO
authors: Coffin
authors: Glenn-Milo
authors: GM
authors: Santos
authors: Grant
authors: G
authors: Colfax
authors: Moupali
authors: M
authors: Das
authors: Tim
authors: T
authors: Matheson
authors: Erin
authors: E
authors: DeMicco
authors: James
authors: J
authors: Dilley
authors: Eric
authors: E
authors: Vittinghoff
authors: Jerris L
authors: JL
authors: Raiford
authors: Monique
authors: M
authors: Carry
authors: Jeffrey H
authors: JH
authors: Herbst
mesh_terms: D000328:Adult; D063425:Binge Drinking / Q000453:epidemiology / Q000523:psychology; D003071:Cognition; D037001:Directive Counseling; D005500:Follow-Up Studies; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology; D018451:Homosexuality, Male / Q000523:psychology; D006801:Humans; D008297:Male; D040242:Risk Reduction Behavior; D012309:Risk-Taking; D012725:Sexual Behavior / Q000523:psychology*; D012747:Sexual Partners; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology; D011795:Surveys and Questionnaires