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Reducing the risk of HIV transmission among men who have sex with men: A feasibility study of the motivational interviewing counseling method

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  • Jia Chen
  • Xianhong Li
  • Yang Xiong
  • Kristopher P. Fennie
  • Honghong Wang
  • Ann Bartley Williams

Abstract

HIV prevalence among Chinese men who have sex with men has rapidly increased in recent years. In this randomized, controlled study, we tested the feasibility and efficacy of motivational interviewing to reduce high‐risk sexual behaviors among this population in Changsha, China. Eighty men who have sex with men were randomly assigned to either the intervention group, in which participants received a three‐session motivational interviewing intervention over 4 weeks, or the control group, in which participants received usual counseling from peer educators. High‐risk behavior indicators and HIV knowledge level were evaluated at baseline and 3 months after the intervention. Motivational interviewing significantly improved consistent anal condom use. However, there was no significant change in consistent condom use for oral sex or in the number of sexual partners over time. HIV knowledge scores improved equally in both groups. This study demonstrated that an intervention using motivational interviewing is feasible and results in increased condom use during anal sex for Chinese men who have sex with men. However, further work must be done to increase the use of condoms during oral sexual encounters.

Suggested Citation

  • Jia Chen & Xianhong Li & Yang Xiong & Kristopher P. Fennie & Honghong Wang & Ann Bartley Williams, 2016. "Reducing the risk of HIV transmission among men who have sex with men: A feasibility study of the motivational interviewing counseling method," Nursing & Health Sciences, John Wiley & Sons, vol. 18(3), pages 400-407, September.
    • Handle: RePEc:wly:nuhsci:v:18:y:2016:i:3:p:400-407
    DOI: 10.1111/nhs.12287
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    References listed on IDEAS

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    1. Nongyao Kasatpibal & Nongkran Viseskul & Wimonsiri Srikantha & Warunee Fongkaew & Natthakarn Surapagdee & Richard M. Grimes, 2014. "Effects of Internet‐based instruction on HIV‐prevention knowledge and practices among men who have sex with men," Nursing & Health Sciences, John Wiley & Sons, vol. 16(4), pages 514-520, December.
    2. Geir Smedslund & Rigmor C. Berg & Karianne T. Hammerstrøm & Asbjørn Steiro & Kari A. Leiknes & Helene M. Dahl & Kjetil Karlsen, 2011. "Motivational interviewing for substance abuse," Campbell Systematic Reviews, John Wiley & Sons, vol. 7(1), pages 1-126.
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    1. Yan Shen & Ci Zhang & Lloyd A. Goldsamt & Wenwen Peng & Run Wang & Xianhong Li, 2023. "Condom-Related Stigma Scale among Men Who Have Sex with Men in China: Development and Psychometric Tests," IJERPH, MDPI, vol. 20(6), pages 1-20, March.

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