Personalized cognitive counseling (PCC) is an evidence-based intervention designed to modify HIV-related risk behavior. We assessed the impact of PCC on sexual behavior, drinking expectancy, and incidence of sexually transmitted infections (STIs) in a 6-month randomized controlled trial among 153 HIV-uninfected men who have sex with men (MSM) and transgender women (TW) in Peru. Study retention was ≥ 90%, with three HIV infections (3 Control) and 19 cases of GC/CT (10 Control, 9 PCC) at 6 months. There was a decline in condomless receptive anal intercourse in the Control (0.74, 95% CI 0.60-0.91; p < 0.01) and PCC arms (0.72, 0.55-0.94; p = 0.02) at 6-month follow-up. There was a decrease in drinking expectancy at 6 months among participants endorsing alcohol use in the PCC arm (0.89, 0.83-0.96; p < 0.01), versus no change in the Control arm (0.98, 0.92-1.04; p = 0.54). PCC was efficacious in reducing drinking expectancy and HIV risk among MSM and TW in Peru.

中文翻译：

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秘鲁利马的个性化认知咨询降低了男男性行为者和跨性别女性的饮酒预期：一项随机对照试验。


个性化认知咨询（PCC）是一种循证干预措施，旨在改变与艾滋病毒相关的危险行为。我们在一项为期 6 个月的随机对照试验中评估了 PCC 对性行为、饮酒预期和性传播感染 (STI) 发病率的影响，该试验的参与者为 153 名未感染 HIV 的男男性行为者 (MSM) 和变性女性 (TW)在秘鲁。研究保留率≥ 90%，6 个月时有 3 例 HIV 感染者（3 例对照）和 19 例 GC/CT（10 例对照，9 例 PCC）。在 6 个月的随访中，对照组（0.74，95% CI 0.60-0.91；p < 0.01）和 PCC 组（0.72，0.55-0.94；p = 0.02）的无套接受性肛交有所下降。 PCC 组中支持饮酒的参与者在 6 个月时的饮酒预期有所下降 (0.89, 0.83-0.96; p < 0.01)，而对照组则没有变化 (0.98, 0.92-1.04; p = 0.54) 。 PCC 可有效降低秘鲁 MSM 和 TW 的饮酒预期和 HIV 风险。