TY  - JOUR
PY  - 2013//
TI  - The impact of substance use, sexual trauma, and intimate partner violence on sexual risk intervention outcomes in couples: a randomized trial
JO  - Annals of behavioral medicine
A1  - Jones, Deborah L.
A1  - Kashy, Deborah
A1  - Villar-Loubet, Olga M.
A1  - Cook, Ryan
A1  - Weiss, Stephen M.
SP  - 318
EP  - 328
VL  - 45
IS  - 3
N2  - 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.<p />  <p>Language: en</p>
LA  - en
SN  - 0883-6612
UR  - http://dx.doi.org/10.1007/s12160-012-9455-5
ID  - ref1
ER  -