Heterosexual Anal Sex Among Men and Women in Substance Abuse Treatment: Secondary Analysis of Two Gender-Specific HIV-Prevention Trials.


Journal Article

Receptive anal sex has high human immunodeficiency virus (HIV) transmission risk, and heterosexual substance-abusing individuals report higher anal sex rates compared to their counterparts in the general population. This secondary analysis evaluated the effectiveness of two gender-specific, evidence-based HIV-prevention interventions (Real Men Are Safe, or REMAS, for men; Safer Sex Skill Building, or SSSB, for women) against an HIV education (HIV-Ed) control condition on decreasing unprotected heterosexual anal sex (HAS) among substance abuse treatment-seeking men (n = 171) and women (n = 105). Two variables, engagement in any HAS and engagement in unprotected HAS, were assessed at baseline and three months postintervention. Compared to the control group, women in the gender-specific intervention did not differ on rates of any HAS at follow-up but significantly decreased their rates of unprotected HAS. Men in both the gender-specific and the control interventions reported less HAS and unprotected HAS at three-month follow-up compared to baseline, with no treatment condition effect. The mechanism of action for SSSB compared to REMAS in decreasing unprotected HAS is unclear. More attention to HAS in HIV-prevention interventions for heterosexual men and women in substance abuse treatment is warranted.

Full Text

Duke Authors

Cited Authors

  • Hatch-Maillette, MA; Beadnell, B; Campbell, ANC; Meade, CS; Tross, S; Calsyn, DA

Published Date

  • January 2017

Published In

Volume / Issue

  • 54 / 1

Start / End Page

  • 33 - 41

PubMed ID

  • 26820608

Pubmed Central ID

  • 26820608

Electronic International Standard Serial Number (EISSN)

  • 1559-8519

Digital Object Identifier (DOI)

  • 10.1080/00224499.2015.1118426


  • eng

Conference Location

  • United States