Behavioral Activation May Reduce HIV Sexual-Risk Behaviors among Methamphetamine-using Men Who Have Sex with Men
Methamphetamine use is associated with high-risk sexual behavior among men who have sex with men (MSM). Researchers recruited 16 HIV-negative adult MSM who reported engaging in unprotected sex while using methamphetamine in the past 3 months. All subjects received 10 counseling sessions: an orientation, 2 sessions to enhance information-motivation-behavioral skills associated with sexual risk reduction, 6 sessions of behavioral activation* with risk-reduction counseling, and 1 session focused on relapse prevention. Subjects were assessed at baseline and at 3 and 6 months. The primary outcome measure was number of unprotected anal intercourse episodes in the past 3 months.
- Subjects reported a mean of 5.93 unprotected anal intercourse episodes in the past 3 months at baseline; this declined to 1.07 after 3 months and to 0.86 after 6 months. Episodes of unprotected anal intercourse while using methamphetamine declined from 4.43 at baseline to 0.86 and 0.14 at 3 and 6 months, respectively.
- Subjects reported a mean of 3.33 episodes of methamphetamine use in the past 3 months at baseline; this declined to 1.19 at 3 months and to 0.69 at 6 months.
- There was a significant reduction in depression scores after the intervention and at 6 months.