Cognitive-Behavioral Intervention Decreases High Risk Behavior and Reduces Distress Among HIV+ MSMW in Haiti
Methods: Baseline assessment included measures of risky sexual behavior, depression, post-traumatic stress disorder (PTSD), and alcohol use. A small sample of MSMW (n=10) participated in the pilot study. Paired sample t-test was performed among CB group to assess differences in means at 6-months.
Results: At 6-months post-intervention, the CB group participants showed significant increases in protected sexual activities. The difference in mean [SD] protected vaginal sex at 6-months was 40.2 [15.1, p< 0.0001], and 89.8 [27.8, p<0.0001] for protected anal sex. At 6-months, the CB group had lower mean [SD] differences in PTSD (-50 , p< 0.0001), depression (-9.7 [13.8], p>0.05), and alcohol problems (-7.3 [11.2], p > 0.05) scores.
Conclusion: A pilot test of a CB intervention was found to be effective in increasing safer sex and reducing distress among HIV+ MSMW in Haiti. More research is needed to further assess these preliminary findings.
Learning Areas:Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Social and behavioral sciences
Identify, evaluate, and discuss sexual risk behavior and mental health issues among msmw population in Haiti. Assess CB-intervention strategies to lower such risky behavior.
Keyword(s): HIV Interventions, Sexual Risk Behavior