Maintenance of safer sexual behaviours: evaluation of a theory‐based intervention for HIV seropositive men with haemophilia and their female partners

Abstract

A theory-based HIV risk-reduction intervention was developed for HIV-positive men with haemophilia and their HIV-negative female romantic partners. The intervention was based on Prochaska and DiClemente's Transtheoretical Model which describes behaviour change as an incremental, stage-based process. The intervention targeted both communication about safer sex and safer sex behaviours (consistent condom use or abstinence from vaginal intercourse). A total of 255 males and 158 females from six funded haemophilia treatment centres or patient organizations (and 27 associated subsites) participated in the study. Baseline and follow-up (15 months after baseline) measures were administered to assess safer sexual behaviours, communication about safer sex and condom self-efficacy. A quasi-experimental, repeated measures design was utilized to compare two naturally occurring groups; those who received the full intervention package and those who received incomplete or no intervention components. Significant intervention effects for safer sex behaviours, communication about safer sex and condom self-efficacy were identified for the male participants, with those receiving the full intervention package demonstrating better outcomes at follow-up. Women who received the full intervention package were more likely to report the use of a condom by their male partner during the last act of vaginal intercourse.

Men-centered Approaches for Primary and Secondary Prevention of HIV/ AIDS: A Scoping Review of Effective Interventions

“…This large study revealed lower reported rates of unprotected sexual intercourse with main partners in the enhanced intervention group. Two studies explored the effectiveness of interventions for HIV positive men with hemophilia and their female partners [30,31]. Parson et al [30] found significant differences with regards to safer sex behaviors, communication and condom selfefficacy after a mixed intervention (individual sessions and group sessions).…”

“…Two studies explored the effectiveness of interventions for HIV positive men with hemophilia and their female partners [30,31]. Parson et al [30] found significant differences with regards to safer sex behaviors, communication and condom selfefficacy after a mixed intervention (individual sessions and group sessions). Aggarwal and Duggal [31] tested a complex health-education intervention in a rural community.…”

Sexual Risk Reduction Among HIV-Positive Drug-Using Men Who Have Sex With Men

“…Parsons et al 13 compared the sexual risk behaviors of HIV-positive men who completed a full intervention package with men who received only a partial intervention. HIV-positive men with hemophilia who completed the full intervention package reported safer sex outcomes with their female partners at 15-month follow-up.…”

Impacto de intervenções no uso de preservativos em portadores do HIV

“…An intervention based on the transtheoretical model was used by Parsons et al 19 (USA), in 255 HIV+ hemophiliac men and their sexual partners (158). The study was conducted in 15 American states, and included multiple hemophiliac treatment facilities and organizations.…”

“…6,9,14 Five studies lacked comparison with a control group. 5,11,15,18,19 Follow-up time showed great variability between studies, ranging from three months to over three years. 18 The type of intervention was also widely variable, some interventions being much longer and more elaborate than others.…”