TY - JOUR
T1 - Personalized Cognitive Counseling Reduces Drinking Expectancy Among Men Who Have Sex with Men and Transgender Women in Lima, Peru
T2 - A Pilot Randomized Controlled Trial
AU - Passaro, R. Colby
AU - Chávez-Gomez, Susan
AU - Castañeda-Huaripata, Angelica
AU - Gonzales-Saavedra, Williams
AU - Beymer, Matthew R.
AU - Segura, Eddy R.
AU - Nanclares, Francisco
AU - Dilley, James
AU - Cabello, Robinson
AU - Clark, Jesse L.
N1 - Publisher Copyright:
© 2020, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2020/11/1
Y1 - 2020/11/1
N2 - 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.
AB - 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.
KW - Drinking expectancy
KW - HIV prevention
KW - Men who have sex with men (MSM)
KW - Personalized cognitive counseling (PCC)
KW - Transgender women (TW)
UR - http://www.scopus.com/inward/record.url?scp=85084813196&partnerID=8YFLogxK
U2 - 10.1007/s10461-020-02882-6
DO - 10.1007/s10461-020-02882-6
M3 - Artículo
C2 - 32418164
AN - SCOPUS:85084813196
SN - 1090-7165
VL - 24
SP - 3205
EP - 3214
JO - AIDS and Behavior
JF - AIDS and Behavior
IS - 11
ER -