A Clinic-based Motivational Intervention Improves Condom Use Among Subgroups of Youth Living With HIV
More than half of youth living with HIV (YLH) have unprotected sex. In previous studies, these authors reported effects of Healthy Choices, a motivational interviewing-based multi-risk reduction intervention, in improving motivation, depression, and viral load in YLH. In this study, they examined the effect of the intervention on increasing condom use. Six waves of longitudinal data (n = 142) from baseline through 15 months post-intervention were analyzed with developmental trajectory modeling. Three groups with distinct sexual risks were detected: persistent low sexual risk (PLSR), delayed high sexual risk (DHSR), and high and growing sexual risk (HGSR) with regard to levels and time trajectories of condom use throughout the trial. Healthy Choices increased the likelihood of being in the PLSR group and reduced the likelihood of being in the DHSR group. It was also associated with progressive reductions in no-condom sex for PLSR and HGSR youth. Results suggest that Healthy Choices, when delivered in clinic settings, can reduce unprotected sex in subgroups of YLH. Modified Author Abstract.