Reducing the risk of HIV transmission among men who have sex with men: A feasibility study of the motivational interviewing counseling method.
HIV prevalence among Chinese men who have sex with men has rapidly increased in recent years. In this randomized, controlled study, we tested the feasibility and efficacy of motivational interviewing to reduce high-risk sexual behaviors among this population in Changsha, China. Eighty men who have sex with men were randomly assigned to either the intervention group, in which participants received a three-session motivational interviewing intervention over 4 weeks, or the control group, in which participants received usual counseling from peer educators. High-risk behavior indicators and HIV knowledge level were evaluated at baseline and 3 months after the intervention. Motivational interviewing significantly improved consistent anal condom use. However, there was no significant change in consistent condom use for oral sex or in the number of sexual partners over time. HIV knowledge scores improved equally in both groups. This study demonstrated that an intervention using motivational interviewing is feasible and results in increased condom use during anal sex for Chinese men who have sex with men. However, further work must be done to increase the use of condoms during oral sexual encounters.
Xiangya Nursing School, Central South University, Changsha, Hunan, China.
Jia
J
Chen
Xiangya Nursing School, Central South University, Changsha, Hunan, China.
Xianhong
X
Li
Xiangya Hospital, Central South University, Changsha, Hunan, China.
Yang
Y
Xiong
Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida.
Kristopher P
KP
Fennie
Xiangya Nursing School, Central South University, Changsha, Hunan, China.
Honghong
H
Wang
School of Nursing, Yale, New Haven, Connecticut, USA.
Ann Bartley
AB
Williams
D000293:Adolescent; D000328:Adult; D002681:China; D005240:Feasibility Studies; D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D008297:Male; D062405:Motivational Interviewing / Q000379:methods / Q000592:standards*; D040242:Risk Reduction Behavior; D011795:Surveys and Questionnaires
China; high-risk sexual behavior; men who have sex with men; motivational interviewing