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- Title
The Impact of Substance Use, Sexual Trauma, and Intimate Partner Violence on Sexual Risk Intervention Outcomes in Couples: A Randomized Trial.
- Authors
Jones, Deborah; Kashy, Deborah; Villar-Loubet, Olga; Cook, Ryan; Weiss, Stephen
- Abstract
Background: Few HIV prevention interventions focus on sexual risk reduction as mutual process determined by couple members, though risk behaviors are inter-dependent. Purpose: This trial examined the impact of substance use, history of sexual trauma, and intimate partner violence on sexual risk associated with participation in a risk reduction intervention. Methods: HIV seroconcordant and serodiscordant multicultural couples in Miami, Florida ( n = 216) were randomized to group ( n = 112) or individual ( n = 104) couple-based interventions. Results: Group intervention participants increased condom use in couples in which women had a history of sexual trauma [ F(2,221) = 3.39, p = 0.036] and by partners of alcohol users. History of sexual trauma was a determinant of conflict resolution, predicting negative communication and intimate partner violence. Conclusions: Results emphasize the need for group sexual risk reduction interventions targeting sexual trauma, partner violence, and substance use among HIV seroconcordant and serodiscordant couples.
- Subjects
HIV prevention; INTIMATE partner violence; COUPLES; SUBSTANCE abuse; EMOTIONAL trauma; HIV infection risk factors; HUMAN sexuality
- Publication
Annals of Behavioral Medicine, 2013, Vol 45, Issue 3, p318
- ISSN
0883-6612
- Publication type
Article
- DOI
10.1007/s12160-012-9455-5