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Barriers to Condom Use: Results for Men and Women Enrolled in HIV Risk Reduction Trials in Outpatient Drug Treatment.

Journal of HIV/AIDS & Social Services 2016;15(2):130-146. [doi: 10.1080/15381501.2016.1166090]

Aimee N.C. Campbell, PhD, MSW (Columbia University, GNY Node), Audrey J. Brooks, PhD (University of Arizona), Martina Pavlicova, PhD (Trustees of Columbia University in the City of New York, GNY Node), Mei-Chen Hu, PhD (Columbia University, GNY Node), Mary A. Hatch-Maillette, PhD (University of Washington, PN Node), Donald A. Calsyn, PhD (University of Washington, PN Node), Susan Tross, PhD (New York State Psychiatric Institute, GNY Node).

HIV transmission often occurs through heterosexual high-risk sex. Even in the era of HIV combination prevention, promoting condom use and understanding barriers to consistent condom use remain priorities, especially among substance-dependent individuals.

This secondary analysis used data from CTN-0018 and CTN-0019, two NIDA Clinical Trials Network studies that compared a five-session gender-specific risk reduction group (Real Men Are Safe for men, Safer Sex Skills Building for women) to a one-session HIV Education Group for men and women (N=729) in outpatient drug treatment. Condom barriers (Motivation, Partner-Related, Access/Availability, Sexual Experience) were assessed at baseline and 6-month follow-up.

Intervention condition was not associated with condom barriers across any of the four domains; however, individuals who attended at least three of the five SSSB/REMAS sessions or the single session of HIV Education were more likely to report fewer motivation and partner-related barriers. Among women, reductions in motivation and sexual experience barriers were associated with less sexual risk with primary partners. For both men and women, reductions in partner-related barriers were associated with fewer unprotected vaginal/anal sex acts with primary partners.

Conclusions: Condom barriers are important to gender-specific HIV prevention; given limited resources, brief interventions maximizing active components are needed. (Article (Peer-Reviewed), PDF, English, 2016)

Keywords: Condom use | CTN platform/ancillary study | Gender differences | Gender-specific interventions | HIV/AIDS | Real Men Are Safe (REMAS) | Safer Sex Skills Building (SSSB) | Sexual risk behavior | Sexually transmitted diseases | Journal of HIV/AIDS & Social Services (journal)

Document No: 1204, PMID: 27766067, PMCID: PMC5067067.

Submitted by CTN Dissemination Librarians (5/11/2016).

Brooks, Audrey J.
Calsyn, Donald A.
Campbell, Aimee N. C. mail
Hatch-Maillette, Mary A. mail
Hu, Mei-Chen
Pavlicova, Martina mail
Tross, Susan mail
NIDA-CTN-0018 www
NIDA-CTN-0019 www

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Supported by a grant from the National Institute on Drug Abuse to the University of Washington Alcohol and Drug Abuse Institute.
The materials on this site have neither been created nor reviewed by NIDA.
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