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Advances in Preventive Medicine
Volume 2013, Article ID 286207, 15 pages
Research Article

Effectiveness of Couple-Based HIV Counseling and Testing for Women Substance Users and Their Primary Male Partners: A Randomized Trial

1School of Nursing, University of Rochester Medical Center, 601 Elmwood Avenue, BOX SON, Rochester, NY 14642, USA
2School of Public Health, Health Sciences Center, Louisiana State University, 2020 Gravier Street, 3rd Floor, New Orleans, LA 70112, USA
3National Development and Research Institutes, 71 West 23rd Street, 8th Floor, New York, NY 10010, USA

Received 17 August 2012; Accepted 30 January 2013

Academic Editor: Marie-Claude Boily

Copyright © 2013 James M. McMahon et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


A randomized trial was conducted to test the effectiveness of couple-based HIV counseling and testing (CB-HIV-CT) and women-only relationship-focused HIV counseling and testing (WRF-HIV-CT) in reducing HIV risk compared to the National Institute on Drug Abuse HIV-CT standard intervention. Substance using HIV-negative women and their primary heterosexual partner ( couples) were randomized to 1 of the 3 interventions. Follow-up assessments measuring HIV risk behaviors and other relevant variables were conducted at 3- and 9-months postintervention. Repeated measures generalized linear mixed model analysis was used to assess treatment effects. A significant reduction in HIV risk was observed over the 9-month assessment in the CB-HIV-CT group compared to that of the control group ( ) and compared to that of the WRF-HIV-CT group ( ), but no significant difference was observed between WRF-HIV-CT and controls ( ). A brief couple-based HIV counseling and testing intervention designed to address both drug-related and sexual risk behaviors among substance using women and their primary male partners was shown to be more effective at reducing overall HIV risk compared to a standard HIV-CT intervention in an urban setting.