Substance use and drinking outcomes in Personalized Cognitive Counseling randomized trial for episodic substance-using men who have sex with men☆,☆☆

Details

• Alternative Title:
  Drug Alcohol Depend
• Personal Author:
  Santos, Glenn-Milo ; Coffin, Phillip O. ; Vittinghoff, Eric ; DeMicco, Erin ; Das, Moupali ; Matheson, Tim ; Raiford, Jerris L. ; Carry, Monique ; Colfax, Grant ; Herbst, Jeffrey H. ; Dilley, James W.
• Description:
  Background
  
  Non-dependent alcohol and substance use patterns are prevalent among men who have sex with men (MSM), yet few effective interventions to reduce their substance use are available for these men. We evaluated whether an adapted brief counseling intervention aimed at reducing HIV risk behavior was associated with secondary benefits of reducing substance use among episodic substance-using MSM (SUMSM).
  
  Methods
  
  326 episodic SUMSM were randomized to brief Personalized Cognitive Counseling (PCC) intervention with rapid HIV testing or to rapid HIV testing only control. Both arms followed over 6 months. Trends in substance use were examined using GEE Poisson models with robust standard errors by arm. Reductions in frequency of use were examined using ordered logistic regression.
  
  Results
  
  In intent-to-treat analyses, compared to men who received rapid HIV testing only, we found men randomized to PCC with rapid HIV testing were more likely to report abstaining from alcohol consumption (RR = 0.93; 95% CI = 0.89–0.97), marijuana use (RR = 0.84; 95% CI = 0.73–0.98), and erectile dysfunction drug use (EDD; RR = 0.51; 95% CI = 0.33–0.79) over the 6-month follow-up. PCC was also significantly associated with reductions in frequency of alcohol intoxication (OR = 0.58; 95% CI = 0.36–0.90) over follow-up. Furthermore, we found PCC was associated with significant reductions in number of unprotected anal intercourse events while under the influence of methamphetamine (RR = 0.26; 95% CI = 0.08–0.84).
  
  Conclusion
  
  The addition of adapted PCC to rapid HIV testing may have benefits in increasing abstinence from certain classes of substances previously associated with HIV risk, including alcohol and EDD; and reducing alcohol intoxication frequency and high-risk sexual behaviors concurrent with methamphetamine use.
  
  
• Subjects:
  Adult Alcohol Alcohol Drinking Article Behavioral Interventions Cognitive Therapy Counseling HIV Infections HIV Risk Homosexuality, Male Humans Male Methamphetamine MSM Personalized Cognitive Counseling Prevalence Psychotherapy, Brief Risk-Taking Risk Reduction Counseling San Francisco Substance-Related Disorders Substance Use Young Adult

  More +
• Source:
  Drug Alcohol Depend. 138:234-239.
• Pubmed ID:
  24641808
• Pubmed Central ID:
  PMC4673670
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHS/United States
• Volume:
  138
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:6b9d0c8774fa7fa2807744185861d572bde56d380987f1e0cde83497e9a6b5cd
• Download URL:
  https://stacks.cdc.gov/view/cdc/36781/cdc_36781_DS1.pdf
• File Type:
  [PDF - 543.39 KB ]