The impact of substance use, sexual trauma, and intimate partner violence on sexual risk intervention outcomes in couples: A randomized trial

Research output: Contribution to journalArticle

11 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)318-328
Number of pages11
JournalAnnals of Behavioral Medicine
Issue number3
StatePublished - Jun 1 2013



  • Behavioral intervention
  • Couples
  • HIV
  • Intimate partner violence
  • Multicultural
  • Sexual trauma
  • Substance use

ASJC Scopus subject areas

  • Psychology(all)
  • Psychiatry and Mental health
  • Medicine(all)

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