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- Title
Couples-Focused Prevention Program to Reduce HIV Risk Among Transgender Women and Their Primary Male Partners: Feasibility and Promise of the Couples HIV Intervention Program.
- Authors
Operario, Don; Gamarel, Kristi; Iwamoto, Mariko; Suzuki, Sachico; Suico, Sabrina; Darbes, Lynae; Nemoto, Tooru
- Abstract
HIV risk among transgender women has been attributed to condomless sex with primary male partners. This study pilot tested a couples-focused HIV intervention program for transgender women and their primary male partners. We analyzed data from 56 transgender women and their male partners (n = 112 participants) who were randomized as a couple to one of two groups. Participants in the intervention group (27 couples) received 3 counseling sessions: 2 couples-focused sessions, which discussed relationship dynamics, communication, and HIV risk, and 1 individual-focused session on HIV prevention concerns. Participants in the control group (29 couples) received 1 session on general HIV prevention information delivered to both partners together. At 3-month follow-up, participants in the intervention reported lower odds of condomless sex with primary partners (OR 0.5, 95 % CI 0.3-1.0), reduced odds of engaging in sex with a casual partner (OR 0.3, 95 % CI 0.1-1.0), and reduction in the number of casual partners (B = −1.45, SE = 0.4) compared with the control group. Findings provide support for the feasibility and promise of a couples-focused HIV prevention intervention for transgender women and their primary male partners.
- Subjects
HIV prevention; AIDS education; CONDOMS; CONFIDENCE intervals; LONGITUDINAL method; STATISTICAL sampling; PILOT projects; TRANSGENDER people; RANDOMIZED controlled trials; CONTROL groups; COUPLES therapy; EVALUATION of human services programs; ODDS ratio
- Publication
AIDS & Behavior, 2017, Vol 21, Issue 8, p2452
- ISSN
1090-7165
- Publication type
Article
- DOI
10.1007/s10461-016-1462-2