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Abstract
Use of methamphetamine and cocaine has been shown to contribute to risky sexual behaviors among men who have sex with men (MSM). Intensive research is under way to develop behavioral interventions to reduce sexual risk behavior among MSM stimulant users. We developed a 10-session small-group intervention based on social-cognitive theory and group process techniques and with a healthy sexuality curriculum. We conducted an uncontrolled pilot study with 87 men who had had unprotected anal intercourse (UAI) while using stimulants within the past 6 months. Of the 70 men who attended at least 1 session intervention, 64% attended 6 or more sessions. Significant declines were seen between baseline and follow-up in both stimulant use and UAI while using stimulants. In the absence of pharmacological therapies for stimulant addiction, and given the difficulty in breaking the association between stimulant use and sex, group interventions are a promising approach for reducing risky sex and stimulant use.