Erschienen in:
01.10.2014 | Original Paper
A Pilot RCT of an Intervention to Reduce HIV Sexual Risk and Increase Self-acceptance Among MSM in Chennai, India
verfasst von:
Steven A. Safren, Beena E. Thomas, Kenneth H. Mayer, Katie B. Biello, Jamuna Mani, Vijaylakshmi Rajagandhi, Murugesan Periyasamy, Soumya Swaminathan, Matthew J. Mimiaga
Erschienen in:
AIDS and Behavior
|
Ausgabe 10/2014
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Abstract
This is a 2-arm pilot randomized controlled trial (N = 96) of a behavioral intervention (4 group and 4 individual sessions) integrating risk reduction counseling with counseling to foster self-acceptance in MSM in India compared to enhanced standard of care (ESOC). Both conditions involved HIV and STI testing and counseling at baseline and 6-months, and assessments of condomless sex at baseline, 3-, and 6-months. A significant condition by time interaction suggested a difference in the rate of change in number of anal sex acts without condoms in the intervention versus ESOC (p < 0.0001). Post hoc contrasts suggested that the overall difference was due to intervention-response at 3-months. The incidence of bacterial STIs was 17.5 % in the intervention condition and a 28.6 % in ESOC. Addressing self-acceptance and related psychosocial concerns in the context sexual risk reduction counseling for MSM in India was feasible and acceptable. Testing the intervention for efficacy is justified.