This webinar is part of a series on research-based integrated health care topics of interest to American Indian and Alaska Native behavioral healthcare professionals. The webinar “Introduction to the National American Indian & Alaska Native ATTC ” will be presented by Anne Helene Skinstad on April 3, from 1:00-2:00 EDT (10 am Pacific Time). This session focuses on the new National American Indian & Alaska Native Addiction Technology Transfer Center. NAADAC CEU’s are available upon request for $ 10 per session.
Archive for March, 2013
This article in-press in AIDS & Behavior, by Pacific Northwest Node researchers Don Calsyn, Mary Hatch-Maillette, and Blair Beadnell, with additional colleagues from the CTN, examined data from two CTN studies that evaluated gender-specific interventions for reducing HIV/STD risk behaviors (protocols CTN-0018 and -0019) to determine what the rates of heterosexual anal intercourse (HAI) were in a population of drug abuse treatment seekers, and what, if any, differences in HAI practices existed between men and women.
HAI is an understudied risk behavior among women and men in substance abuse treatment, yet it is known to carry a high seroconversion risk for HIV. This study found that more men than women in the treatment population reported engaging in HAI, but that the rates of HAI for both genders were higher than rates reported by the general population.
In a logistic regression model generated to identify associations between HAI and variables previously shown to be related to high risk sexual behavior, being younger, bisexual, and white were significantly associated with HAI. For men, having more sex partners was also a significant correlate.
Conclusions: These data show that more substance abuse treatment-seeking women and men participate in HAI than in the general population and that condom use is low for both genders. Given that heterosexual transmission is a primary means of contracting HIV, and that receptive AI increases risk of seroconversion, it is vital that any HIV prevention program include material on HAI.
Citation: Calsyn DA, Hatch-Maillette MA, Meade CS, et al. Gender Differences in Heterosexual Anal Sex Practices among Woman and Men in Substance Abuse Treatment. AIDS and Behavior 2013 (in press).
The National Drug Abuse Treatment Clinical Trials Network (CTN) recently completed a randomized clinical trial evaluating the utility of Real Men Are Safe (REMAS), an HIV prevention intervention for men in substance abuse treatment (protocol CTN-0018) lead by Donald Calsyn, PhD, of the Pacific Northwest Node.
Analysis of the data with a focus on racial/ethnicity-related differences found a differential effect for white versus minority men and led to the development of a culturally adapted version of the intervention, REMAS-CA.
This ancillary/platform study, by Dr. Calsyn, Ann Kathleen Burlew, Mary Hatch-Maillette, and colleagues, compared minority attendees of REMAS-CA sessions with those who attended REMAS sessions in the original study, and found found that minority REMAS-CA participants were more likely to have attended 3 or more sessions than those in REMAS.
Additionally, REMAS-CA participants with casual partners significantly reduced the number of unprotected sexual occasions in the past 90 days; minority participants in the REMAS intervention did not.
Conclusions: REMAS-CA was effective across ethnic groups and appears to be more appealing to minorities than the original REMAS intervention. The finding that REMAS-CA was appealing across ethnic groups is especially important because many HIV risk reduction programs serve a diverse clientele and lack the resources to target an intervention solely to one ethnic group.
We miss you, Dr. Calsyn.
Citation: Calsyn DA, Burlew AK, Hatch-Maillette MA, et al. An HIV Prevention Intervention for Ethnically Diverse Men in Substance Abuse Treatment: Pilot Study Findings. Am J Public Health 2013 (in press).