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Cognitive-Behavioral Counseling Aimed at Self-Justifications for High-Risk Sexual Behavior Found Effective

A single-session of behavioral counseling aimed at examining justifications for high-risk sexual behavior was shown to be useful in decreasing such behavior and limiting community-level HIV transmission.

 Specifically, the intervention was focused on the thoughts, attitudes and beliefs motivating men who engaged in unprotected anal intercourse.

Researchers at the University of California San Francisco School of Medicine, the San Francisco Department of Public Health, and two local AIDS organizations enrolled 248 men in a test of the intervention. The men had a history of at least one negative HIV test, and a self-reported history of unprotected anal intercourse in the preceding 12 months with partners of known or unknown HIV status.

 The men were randomized into two intervention groups that received standard HIV test counseling plus a cognitive-behavioral intervention, and two control groups that received only standard HIV test counseling. The intervention was conducted at an anonymous testing site in San Francisco, California, between May 1997 and January 2000.

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