{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T04:42:29Z","timestamp":1789879349790,"version":"4.0.1"},"reference-count":29,"publisher":"BMJ","issue":"1","funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R01MH094230"],"award-info":[{"award-number":["R01MH094230"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R01MH109409"],"award-info":[{"award-number":["R01MH109409"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000060","name":"National Institute of Allergy and Infectious Diseases","doi-asserted-by":"publisher","award":["P30AI050409"],"award-info":[{"award-number":["P30AI050409"]}],"id":[{"id":"10.13039\/100000060","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Sex Transm Infect"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Novel interventions to address sexual risk taking and slow rates of STIs are urgently needed, in particular among black men who have sex with men (MSM) in the USA. Serosorting, or limiting condomless sex acts to partners of the same HIV status, is commonly practised among MSM, yet can lead to STI and remains largely unaddressed by public health agencies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A two-arm, randomised controlled trial was conducted from 2012 to 2015. This trial assessed the effects of a single-session, sexual partner selection and risk decision intervention (experimental arm) versus a single-session, Centers for Disease Control and Prevention-based, sexual risk reduction intervention (control arm) on psychosocial measures, sexual risk taking and STI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At study follow-ups, multiple beneficial changes were observed on sexual risk beliefs measures (ie, changes in serosorting and condom use beliefs, and HIV risk perceptions) and sexual risk taking among the experimental arm relative to the control arm. Overall main effects, however, of the intervention on STI outcomes on year-long follow-ups were non-significant. There was evidence for short-term effects on STI outcomes, and self-report of multiple STIs and STI symptoms demonstrated positive effects over the follow-up period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Brief interventions to address sexual risk taking can result in short-term beneficial outcomes and can be incorporated into currently existing infrastructure at healthcare agencies. Additional intervention will be necessary for demonstrating long-term results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Trial registration number<\/jats:title><jats:p><jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/clinicaltrials.gov\/ct2\/show\/NCT02128594?term=NCT02128594&amp;rank=1\" ext-link-type=\"uri\">NCT02128594<\/jats:ext-link>.<\/jats:p><\/jats:sec>","DOI":"10.1136\/sextrans-2016-052835","type":"journal-article","created":{"date-parts":[[2017,4,13]],"date-time":"2017-04-13T01:00:21Z","timestamp":1492045221000},"page":"40-45","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":21,"title":["Randomised controlled trial of a sexual risk reduction intervention for STI prevention among men who have sex with men in the USA"],"prefix":"10.1136","volume":"94","clinical-trial-number":[{"clinical-trial-number":"nct02128594","registry":"10.18810\/clinical-trials-gov"}],"author":[{"given":"Lisa A","family":"Eaton","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seth C","family":"Kalichman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moira O","family":"Kalichman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel D","family":"Driffin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Baldwin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Larissa","family":"Zohren","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Conway-Washington","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,4,12]]},"reference":[{"key":"2020050723322996000_94.1.40.1","unstructured":"CDC. HIV among gay and bisexual men. 2015. https:\/\/www.cdc.gov\/nchhstp\/newsroom\/docs\/factsheets\/cdc-msm-508.pdf"},{"key":"2020050723322996000_94.1.40.2","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1007\/s10461-015-1158-z","article-title":"Running backwards: consequences of current HIV Incidence rates for the next generation of black MSM in the United States","volume":"20","author":"Matthews","year":"2016","journal-title":"AIDS Behav"},{"key":"2020050723322996000_94.1.40.3","doi-asserted-by":"crossref","first-page":"e22","DOI":"10.2196\/publichealth.5684","article-title":"Rates of prevalent HIV infection, prevalent diagnoses, and new diagnoses among men who have sex with men in US states, metropolitan statistical areas, and counties, 2012\u20132013","volume":"2","author":"Rosenberg","year":"2016","journal-title":"JMIR Public Health Surveill"},{"key":"2020050723322996000_94.1.40.4","unstructured":"CDC. 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CDC HIV Prevention Funding Policy is Hurting the Hard-Hit Southern U.S. TheBody.com. 2015."},{"key":"2020050723322996000_94.1.40.8","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2012.300968"},{"key":"2020050723322996000_94.1.40.9","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1097\/QAI.0000000000000947","article-title":"Trends in serosorting and the association with HIV\/STI risk over time among men who have sex with men","volume":"72","author":"Khosropour","year":"2016","journal-title":"J Acquir Immune Defic Syndr"},{"key":"2020050723322996000_94.1.40.10","doi-asserted-by":"publisher","DOI":"10.1071\/SH10053"},{"key":"2020050723322996000_94.1.40.11","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e3181b35549"},{"key":"2020050723322996000_94.1.40.12","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0012662"},{"key":"2020050723322996000_94.1.40.13","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1097\/QAI.0000000000000051","article-title":"Is serosorting effective in reducing the risk of HIV infection among men who have sex with men with casual sex partners?","volume":"65","author":"van den Boom","year":"2014","journal-title":"J Acquir Immune Defic Syndr"},{"key":"2020050723322996000_94.1.40.14","first-page":"583627","article-title":"Serosorting and HIV\/STI Infection among HIV-negative MSM and transgender people: a systematic review and meta-analysis to inform WHO guidelines","volume":"2013","author":"Kennedy","year":"2013","journal-title":"J Sex Transm Dis"},{"key":"2020050723322996000_94.1.40.15","doi-asserted-by":"crossref","first-page":"935","DOI":"10.1097\/QAD.0b013e328337b029","article-title":"Available evidence does not support serosorting as an HIV risk reduction strategy","volume":"24","author":"Heymer","year":"2010","journal-title":"AIDS"},{"key":"2020050723322996000_94.1.40.16","doi-asserted-by":"publisher","DOI":"10.1080\/09540120902803208"},{"key":"2020050723322996000_94.1.40.17","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0b013e32814db7bf"},{"key":"2020050723322996000_94.1.40.18","unstructured":"Janis I , Mann L . 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