Sexual risk reduction among non-injection drug users: Report of a randomized controlled trial

The Aaron Diamond AIDS Research Center, Rockefeller University, New York, NY, USA.
AIDS Care (Impact Factor: 1.6). 01/2010; 22(1):62-70. DOI: 10.1080/09540120903012510
Source: PubMed


We conducted a randomized controlled trial of a sexual risk-reduction intervention targeting non-injection drug users (NIDUs) and members of their drug-use/sexual networks (N=270). The intervention was based primarily on the social-influencing approach, and was delivered in four sessions. Sexual risk behaviors were examined at baseline, and 3, 6, 9, and 12 months after the completion of the intervention using the vaginal equivalent episodes (VEE), a weighted sexual risk behavior index. VEE scores decreased in both the active and control conditions in the first six months post-intervention and continued to decline in the control group. However, in the active condition, VEE scores increased after the nine-month assessment and approached baseline levels by the 12-month assessment. There was no evidence of significant differences in high-risk sexual behaviors between the intervention and control conditions. Future studies are needed to improve behavioral interventions in this population.

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    • "Recent studies have demonstrated that the overlap of sexual partnership between IDUs and NIDUs may be an important clue to understanding the increased prevalence (Howard and Latkin 2006, Jenness, Neaigus, Hagan, Murrill and Wendel 2010). Although sexual-risk reduction interventions targeting NIDUs and their sexual networks are emerging (Castor et al. 2010), it is possible that routine and frequent HIV testing may additionally contribute to elucidating the elevated HIV prevalence among NIDUs. However, the factors related to HIV testing among NIDUs are not clearly understood. "
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