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- Title
Personalized Cognitive Counseling Reduces Drinking Expectancy Among Men Who Have Sex with Men and Transgender Women in Lima, Peru: A Pilot Randomized Controlled Trial.
- Authors
Passaro, R. Colby; Chávez-Gomez, Susan; Castañeda-Huaripata, Angelica; Gonzales-Saavedra, Williams; Beymer, Matthew R.; Segura, Eddy R.; Nanclares, Francisco; Dilley, James; Cabello, Robinson; Clark, Jesse L.
- Abstract
Personalized cognitive counseling (PCC) is an evidence-based intervention designed to modify HIV-related risk behavior. We assessed the impact of PCC on sexual behavior, drinking expectancy, and incidence of sexually transmitted infections (STIs) in a 6-month randomized controlled trial among 153 HIV-uninfected men who have sex with men (MSM) and transgender women (TW) in Peru. Study retention was ≥ 90%, with three HIV infections (3 Control) and 19 cases of GC/CT (10 Control, 9 PCC) at 6 months. There was a decline in condomless receptive anal intercourse in the Control (0.74, 95% CI 0.60–0.91; p < 0.01) and PCC arms (0.72, 0.55–0.94; p = 0.02) at 6-month follow-up. There was a decrease in drinking expectancy at 6 months among participants endorsing alcohol use in the PCC arm (0.89, 0.83–0.96; p < 0.01), versus no change in the Control arm (0.98, 0.92–1.04; p = 0.54). PCC was efficacious in reducing drinking expectancy and HIV risk among MSM and TW in Peru.
- Subjects
PERU; ALCOHOLISM treatment; HIV infection risk factors; COGNITIVE therapy; CONFIDENCE intervals; COUNSELING; ALCOHOL drinking; RISK-taking behavior; HUMAN sexuality; SEXUALLY transmitted diseases; UNSAFE sex; RANDOMIZED controlled trials; DISEASE incidence; MEN who have sex with men; INDIVIDUALIZED medicine; ATTITUDES toward sex; DESCRIPTIVE statistics; ODDS ratio
- Publication
AIDS & Behavior, 2020, Vol 24, Issue 11, p3205
- ISSN
1090-7165
- Publication type
Article
- DOI
10.1007/s10461-020-02882-6