The Impact of Substance Use, Sexual Trauma, and Intimate Partner Violence on Sexual Risk Intervention Outcomes in Couples: A Randomized Trial |
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| Authors: | Deborah L Jones PhD Deborah Kashy PhD Olga M Villar-Loubet PsyD Ryan Cook BA Stephen M Weiss MPH PhD |
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| Institution: | 1. Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, 1400 NW 10th Avenue, #404 (D-80), Miami, FL, 33136, USA
2. Department of Psychology, Michigan State University, Lansing, MI, USA
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| 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. |
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