Receptive anal sex has high
human immunodeficiency virus (HIV) transmission risk, and heterosexual
substance-abusing individuals report higher anal sex rates compared to their
counterparts in the general population.
This secondary analysis evaluated the effectiveness
of two gender-specific, evidence-based HIV-prevention interventions (Real Men
Are Safe, or REMAS, for men; Safer Sex Skill Building, or SSSB, for women)
against an HIV education (HIV-Ed) control condition on decreasing unprotected
heterosexual anal sex (HAS) among substance abuse treatment-seeking men
(n = 171) and women (n = 105). Two variables, engagement in
any HAS and engagement in unprotected HAS, were assessed at baseline and
three months postintervention. Compared to the control group, women in the
gender-specific intervention did not differ on rates of any HAS at follow-up
but significantly decreased their rates of unprotected HAS. Men in both the
gender-specific and the control interventions reported less HAS and unprotected
HAS at three-month follow-up compared to baseline, with no treatment condition
effect.
The mechanism of action for SSSB compared to REMAS in decreasing
unprotected HAS is unclear. More attention to HAS in HIV-prevention
interventions for heterosexual men and women in substance abuse treatment is
warranted.
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By:
- 1 Alcohol and Drug Abuse Institute and the Department of Psychiatry and Behavioral Sciences , University of Washington.
- 2 School of Social Work , University of Washington.
- 3 Columbia University Medical Center, New York State Psychiatric Institute and Mount Sinai St. Luke's Hospital, Duke University.
- 4 Department of Psychiatry and Behavioral Sciences , Duke University.
- J Sex Res. 2016 Jan 28:1-9.
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