Title |
The Impact of a Brief Motivational Intervention on Unprotected Sex and Sex While High Among Drug-Positive Emergency Department Patients Who Receive STI/HIV VC/T and Drug Treatment Referral as Standard of Care
|
---|---|
Published in |
AIDS and Behavior, January 2012
|
DOI | 10.1007/s10461-012-0134-0 |
Pubmed ID | |
Authors |
Edward Bernstein, Desiree Ashong, Timothy Heeren, Michael Winter, Caleb Bliss, Guillermo Madico, Judith Bernstein |
Abstract |
This randomized, controlled trial, conducted among out-of-treatment heroin/cocaine users at an emergency department visit, tests the impact on sexual risk of adding brief motivational intervention (B-MI) to point-of-service testing, counseling and drug treatment referral. 1,030 enrollees aged 18-54 received either voluntary counseling/testing (VC/T) with drug treatment referral, or VC/T, referral, and B-MI, delivered by an outreach worker. We measured number and proportion of non-protected sex acts (last 30 days) at 6 and 12 months (n = 802). At baseline, 70% of past-30-days sex acts were non-protected; 35% of sex acts occurred while high; 64% of sexual acts involved main, 24% casual and 12% transactional sex partners; 1.7% tested positive for an STI, and 8.8% for HIV. At six or 12 month follow-up, 20 enrollees tested positive for Chlamydia and/or Gonorrhea, and 6 enrollees HIV sero-converted. Self-reported high-risk behaviors declined in both groups with no significant between-group differences in behaviors or STI/HIV incidence. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 4 | 80% |
Canada | 1 | 20% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 5 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 3 | 3% |
Portugal | 1 | <1% |
Brazil | 1 | <1% |
Unknown | 109 | 96% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 19 | 17% |
Student > Master | 16 | 14% |
Student > Ph. D. Student | 15 | 13% |
Student > Doctoral Student | 9 | 8% |
Student > Bachelor | 8 | 7% |
Other | 19 | 17% |
Unknown | 28 | 25% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 30 | 26% |
Psychology | 19 | 17% |
Social Sciences | 13 | 11% |
Nursing and Health Professions | 9 | 8% |
Agricultural and Biological Sciences | 3 | 3% |
Other | 6 | 5% |
Unknown | 34 | 30% |