A Pilot RCT of an Intervention to Reduce HIV Sexual Risk and Increase Self-acceptance Among MSM in Chennai, India

Steven A. Safren, Beena E. Thomas, Kenneth H. Mayer, Katie B. Biello, Jamuna Mani, Vijaylakshmi Rajagandhi, Murugesan Periyasamy, Soumya Swaminathan, Matthew J. Mimiaga

Research output: Contribution to journalArticle

11 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)1904-1912
Number of pages9
JournalAIDS and Behavior
Volume18
Issue number10
DOIs
StatePublished - Sep 20 2014
Externally publishedYes

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Keywords

  • India
  • MSM
  • Risk reduction
  • Self-acceptance

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Safren, S. A., Thomas, B. E., Mayer, K. H., Biello, K. B., Mani, J., Rajagandhi, V., Periyasamy, M., Swaminathan, S., & Mimiaga, M. J. (2014). A Pilot RCT of an Intervention to Reduce HIV Sexual Risk and Increase Self-acceptance Among MSM in Chennai, India. AIDS and Behavior, 18(10), 1904-1912. https://doi.org/10.1007/s10461-014-0773-4