@article{ref1,
title="The impact of substance use, sexual trauma, and intimate partner violence on sexual risk intervention outcomes in couples: a randomized trial",
journal="Annals of behavioral medicine",
year="2013",
author="Jones, Deborah L. and Kashy, Deborah and Villar-Loubet, Olga M. and Cook, Ryan and Weiss, Stephen M.",
volume="45",
number="3",
pages="318-328",
abstract="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>",
language="en",
issn="0883-6612",
doi="10.1007/s12160-012-9455-5",
url="http://dx.doi.org/10.1007/s12160-012-9455-5"
}