Trial reportAmerican journal of public health2013
A sexual risk and stress reduction intervention designed for HIV-positive bisexual African American men with childhood sexual abuse histories.
Trial report in American journal of public health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01641146 (An HIV Intervention for Black Men at Risk), which is not on this map. Cited by 39 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
An HIV Intervention for Black Men at Risk
Who cites it
39 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- Evidence from high-income countries on the effectiveness of psychosocial interventions to improve mental health, wellbeing and quality of life for adults living with HIV: a systematic review and meta-analysis.Journal of the International AIDS Society · 2025Pooled it
- Efficacy of psychosocial interventions to reduce affective symptoms in sexual and gender minorities: a systematic review and meta-analysis of randomized controlled trials.BMC psychiatry · 2024Pooled it
- Pooled it
- Effectiveness of HIV Stigma Interventions for Men who have Sex with Men (MSM) With and Without HIV in the United States: A Systematic Review and Meta-Analyses.AIDS and behavior · 2022Pooled it
- A Systematic Review and Meta-Analysis of Combination Behavioral Interventions Co-Targeting Psychosocial Syndemics and HIV-Related Health Behaviors for Sexual Minority Men.Journal of sex research · 2020Pooled it
- The Benefits of Psychosocial Interventions for Mental Health in People Living with HIV: A Systematic Review and Meta-analysis.AIDS and behavior · 2018Pooled it
- Treating Posttraumatic Stress Symptoms Among People Living with HIV: a Critical Review of Intervention Trials.Current psychiatry reports · 2016Pooled it
- Equality in sexual health promotion: a systematic review of effective interventions for black and minority ethnic men who have sex with men.BMC public health · 2016Pooled it
- Black Women Living with HIV: A Latent Profile Analysis of Intersectional Adversities, Resilience, and Mental Health.AIDS patient care and STDs · 2022Trial
- A Randomized Trial of an Online Risk Reduction Intervention for Young Black MSM.AIDS and behavior · 2019Trial
- Efficacy of a Small-Group Intervention for Post-Incarcerated Black Men Who Have Sex with Men and Women (MSMW).Journal of urban health : bulletin of the New York Academy of Medicine · 2018Trial
- Understanding Black and Latino sexual minority men's perspectives on assessment of sexual history in diverse health care settings.Psychological trauma : theory, research, practice and policy · 2025Article
- Comprehensive Review of Chronic Stress Pathways and the Efficacy of Behavioral Stress Reduction Programs (BSRPs) in Managing Diseases.International journal of environmental research and public health · 2024Review
- Mental Health Treatment Experiences among Sexual and Gender Minority Individuals: Trauma Exposure, Barriers, Microaggressions, and Treatment Satisfaction.Journal of gay & lesbian mental health · 2024Article
- Interventions, Barriers, and Facilitators to Address the Sexual Problems of Gay, Bisexual and Other Men Who Have Sex with Men Living with HIV: A Rapid Scoping Review.AIDS and behavior · 2024Article
- Health Education Initiatives for People Who Have Experienced Prison: A Narrative Review.Healthcare (Basel, Switzerland) · 2024Review
- Piloting Safety and Stabilization: A Multi-component Trauma Intervention to Improve HIV Viral Suppression, Retention in Care, and Post-traumatic Stress Disorder in a Southern United States HIV Service Organization.AIDS and behavior · 2024Observational
- Adapting an evidence-based mindfulness-based intervention for sheltered youth experiencing homelessness.BMC complementary medicine and therapies · 2023Article
- Cultural interventions addressing disparities in the HIV prevention and treatment cascade among Black/African Americans: a scoping review.BMC public health · 2023Article
- Transgenerational Cycle of Traumatization and HIV Risk Exposure among Crack Users.International journal of environmental research and public health · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectivesHIV transmission risk is high among men who have sex with men and women (MSMW), and it is further heightened by a history of childhood sexual abuse (CSA) and current traumatic stress or depression. Yet, traumatic stress is rarely addressed in HIV interventions. We tested a stress-focused sexual risk reduction intervention for African American MSMW with CSA histories.
methodsThis randomized controlled trial compared a stress-focused sexual risk reduction intervention with a general health promotion intervention. Sexual risk behaviors, psychological symptoms, stress biomarkers (urinary cortisol and catecholamines), and neopterin (an indicator of HIV progression) were assessed at baseline and at 3- and 6-month follow-ups.
resultsBoth interventions decreased and sustained reductions in sexual risk and psychological symptoms. The stress-focused intervention was more efficacious than the general health promotion intervention in decreasing unprotected anal insertive sex and reducing depression symptoms. Despite randomization, baseline group differences in CSA severity, psychological symptoms, and biomarkers were found and linked to subsequent intervention outcomes.
conclusionsAlthough interventions designed specifically for HIV-positive African American MSMW can lead to improvements in health outcomes, future research is needed to examine factors that influence intervention effects.
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Registered trials
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