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Motivational Interviewing Targeting Risky Sex in HIV-Positive Young Thai Men Who Have Sex with Men

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Abstract

Motivational interviewing (MI) has been shown to reduce sexual risks among HIV-positive men who have sex with men (HMSM) in the US. We conducted a randomized trial of Healthy Choices, a 4-session MI intervention, targeting sexual risks among 110 HIV-positive youth ages 16–25 years in Thailand. Risk assessments were conducted at baseline, 1 month, and 6 months post-intervention. This report presents the analysis of 74 HMSM in the study. There were 37 HMSM in the Intervention group and 37 in the control group. The proportions of participants having anal sex and having sex with either HIV-uninfected or unknown partners in past 30 days were significantly lower in Intervention group than in Control group at 6 months post-intervention (38 vs. 65 %, p = .04; and 27 vs. 62 %, p < .01, respectively). There were no significant differences in general mental health scores and HIV stigma scores between the two groups at any study visit. Thirty-five (95 %) HMSM in the Intervention group vs. 31 (84 %) in control group attended ≥ 3 sessions. Loss to follow-up was 8 and 30 %, respectively (p = .04). Healthy Choices for young Thai HMSM was associated with sexual risk reduction. Improvements in mental health were noted in Intervention group. Healthy Choices is a promising behavioral intervention and should be further developed to serve the needs of young HMSM in resource-limited countries.

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References

  • Baggaley, R. F., White, R. G., & Boily, M. C. (2010). HIV transmission risk through anal intercourse: Systematic review, meta-analysis and implications for HIV prevention. International Journal of Epidemiology, 39, 1048–1063. doi:10.1093/ije/dyq057.

    Article  PubMed Central  PubMed  Google Scholar 

  • Balaji, A. B., Bowles, K. E., Le, B. C., Paz-Bailey, G., & Oster, A. M. (2013). High HIV incidence and prevalence and associated factors among young MSM, 2008. AIDS, 27, 269–278. doi:10.1097/QAD.0b013e32835ad489.

    Article  PubMed  Google Scholar 

  • Baral, S., Burrell, E., Scheibe, A., Brown, B., Beyrer, C., & Bekker, L. G. (2011). HIV risk and associations of HIV infection among men who have sex with men in peri-urban Cape Town. South Africa. BMC Public Health, 11, 766. doi:10.1186/1471-2458-11-766.

    Article  PubMed  Google Scholar 

  • Barnes, W., D’Angelo, L., Yamazaki, M., Belzer, M., Schroeder, S., Palmer-Castor, J., … Ellen, J. M. (2010). Identification of HIV-infected 12- to 24-year-old men and women in 15 US cities through venue-based testing. Archives of Pediatrics & Adolescent Medicine, 164, 273–276. doi:10.1001/archpediatrics.2009.278.

  • Berger, B. E., Ferrans, C. E., & Lashley, F. R. (2001). Measuring stigma in people with HIV: Psychometric assessment of the HIV stigma scale. Research in Nursing & Health, 24, 518–529.

    Article  Google Scholar 

  • Blashill, A. J., O’Cleirigh, C., Mayer, K. H., Goshe, B. M., & Safren, S. A. (2012). Body mass index, depression and sexual transmission risk behaviors among HIV-positive MSM. AIDS and Behavior, 16, 2251–2256. doi:10.1007/s10461-011-0056-2.

    Article  PubMed Central  PubMed  Google Scholar 

  • Carey, M. P., & Schroder, K. E. (2002). Development and psychometric evaluation of the brief HIV Knowledge Questionnaire. AIDS Education and Prevention, 14, 172–182.

    Article  PubMed Central  PubMed  Google Scholar 

  • Cassels, S., Menza, T. W., Goodreau, S. M., & Golden, M. R. (2009). HIV serosorting as a harm reduction strategy: Evidence from Seattle, Washington. AIDS, 23, 2497–2506. doi:10.1097/QAD.0b013e328330ed8a.

    Article  PubMed Central  PubMed  Google Scholar 

  • Centers for Disease Control and Prevention. (1992). 1993 revised classification system for HIV infection and expanded surveillance case definition for AIDS among adolescents and adults. MMWR Recommendations and Reports, 41(RR-17), 1–19.

    Google Scholar 

  • Chen, X., Murphy, D. A., Naar-King, S., & Parsons, J. T. (2011). A clinic-based motivational intervention improves condom use among subgroups of youth living with HIV. Journal of Adolescent Health, 49, 193–198. doi:10.1016/j.jadohealth.2010.11.252.

    Article  PubMed Central  PubMed  Google Scholar 

  • Chin-Hong, P. V., Deeks, S. G., Liegler, T., Hagos, E., Krone, M. R., Grant, R. M., et al. (2005). High-risk sexual behavior in adults with genotypically proven antiretroviral-resistant HIV infection. Journal of Acquired Immune Deficiency Syndromes, 40, 463–471.

    Article  PubMed  Google Scholar 

  • Clifford, P. R., & Davis, C. M. (2012). Alcohol treatment research assessment exposure: A critical review of the literature. Psychology of Addictive Behaviors, 26, 773–781. doi:10.1037/a0029747.

    Article  PubMed Central  PubMed  Google Scholar 

  • Cosio, D., Heckman, T. G., Anderson, T., Heckman, B. D., Garske, J., & McCarthy, J. (2010). Telephone-administered motivational interviewing to reduce risky sexual behavior in HIV-infected rural persons: A pilot randomized clinical trial. Sexually Transmitted Diseases, 37, 140–146. doi:10.1097/OLQ.0b013e3181c18975.

    Article  PubMed  Google Scholar 

  • Crepaz, N., Marks, G., Liau, A., Mullins, M. M., Aupont, L. W., Marshall, K. J., … Wolitski, R. J. (2009). Prevalence of unprotected anal intercourse among HIV-diagnosed MSM in the United States: A meta-analysis. AIDS, 23, 1617–1629. doi:10.1097/QAD.0b013e32832effae.

  • Dowshen, N., Binns, H. J., & Garofalo, R. (2009). Experiences of HIV-related stigma among young men who have sex with men. AIDS Patient Care & STDs, 23, 371–376. doi:10.1089/apc. 2008.0256.

    Article  Google Scholar 

  • Du Bois, S. N., & McKirnan, D. J. (2012). A longitudinal analysis of HIV treatment adherence among men who have sex with men: A cognitive escape perspective. AIDS Care, 24, 1425–1431. doi:10.1080/09540121.2011.650676.

    Article  PubMed  Google Scholar 

  • Fisher, J. D., & Fisher, W. A. (1992). Changing AIDS-risk behavior. Psychological Bulletin, 111, 455–474.

    Article  PubMed  Google Scholar 

  • Gorbach, P. M., Weiss, R. E., Jeffries, R., Javanbakht, M., Drumright, L. N., Daar, E. S., et al. (2011). Behaviors of recently HIV-infected men who have sex with men in the year postdiagnosis: Effects of drug use and partner types. Journal of Acquired Immune Deficiency Syndromes, 56, 176–182. doi:10.1097/QAI.0b013e3181ff9750.

    Article  PubMed Central  PubMed  Google Scholar 

  • Hatzenbuehler, M. L., O’Cleirigh, C., Mayer, K. H., Mimiaga, M. J., & Safren, S. A. (2011). Prospective associations between HIV-related stigma, transmission risk behaviors, and adverse mental health outcomes in men who have sex with men. Annals of Behavioral Medicine, 42, 227–234. doi:10.1007/s12160-011-9275-z.

    Article  PubMed Central  PubMed  Google Scholar 

  • Johnson, W. D., Diaz, R. M., Flanders, W. D., Goodman, M., Hill, A. N., Holtgrave, D., … McClellan, W. M. (2008). Behavioral interventions to reduce risk for sexual transmission of HIV among men who have sex with men. Cochrane Database of Systematic Reviews, CD001230. doi:10.1002/14651858.CD001230.pub2.

  • Kelly, J. A., Murphy, D. A., Bahr, G. R., Kalichman, S. C., Morgan, M. G., Stevenson, L. Y., … Bernstein, B. M. (1993). Outcome of cognitive-behavioral and support group brief therapies for depressed, HIV-infected persons. American Journal of Psychiatry, 150, 1679-1686

    Google Scholar 

  • Koken, J. A., Naar-King, S., Umasa, S., Parsons, J. T., Saengcharnchai, P., Phanuphak, P., et al. (2012). A cross-cultural three-step process model for assessing motivational interviewing treatment fidelity in Thailand. Health Education & Behavior, 39, 574–582. doi:10.1177/1090198111423679.

    Article  Google Scholar 

  • Lovejoy, T. I. (2012). Telephone-delivered motivational interviewing targeting sexual risk behavior reduces depression, anxiety, and stress in HIV-positive older adults. Annals of Behavioral Medicine, 44, 416–421. doi:10.1007/s12160-012-9401-6.

    Article  PubMed  Google Scholar 

  • Macdonell, K. E., Naar-King, S., Murphy, D. A., Parsons, J. T., & Harper, G. W. (2010). Predictors of medication adherence in high risk youth of color living with HIV. Journal of Pediatric Psychology, 35, 593–601. doi:10.1093/jpepsy/jsp080.

    Article  PubMed Central  PubMed  Google Scholar 

  • Mausbach, B. T., Semple, S. J., Strathdee, S. A., Zians, J., & Patterson, T. L. (2007). Efficacy of a behavioral intervention for increasing safer sex behaviors in HIV-positive MSM methamphetamine users: Results from the EDGE study. Drug and Alcohol Dependence, 87, 249–257. doi:10.1016/j.drugalcdep.2006.08.026.

    Article  PubMed Central  PubMed  Google Scholar 

  • McFarland, W., Chen, Y. H., Raymond, H. F., Nguyen, B., Colfax, G., Mehrtens, J., … Truong, H. M. (2011). HIV seroadaptation among individuals, within sexual dyads, and by sexual episodes, men who have sex with men, San Francisco, 2008. AIDS Care, 23, 261–268. doi:10.1080/09540121.2010.507748.

  • Miller, W. R., & Rollnick, S. (2013). Motivational interviewing: Helping people change (3rd ed.). New York: Guilford Press.

    Google Scholar 

  • Morin, S. F., Shade, S. B., Steward, W. T., Carrico, A. W., Remien, R. H., Rotheram-Borus, M. J., … Chesney, M. A. (2008). A behavioral intervention reduces HIV transmission risk by promoting sustained serosorting practices among HIV-infected men who have sex with men. Journal of Acquired Immune Deficiency Syndromes, 49, 544–551. doi:10.1097/QAI.0b013e31818d5def.

  • Moyers, T. B., Martin, T., Manuel, J. K., Miller, W. R., & Ernst, D. (2007). Revised Global Scales: Motivational Interviewing Treatment Integrity 3.0 (MITI 3.0) Retrieved from http://casaa.unm.edu/codinginst.html.

  • Murphy, D. A., Chen, X., Naar-King, S., & Parsons, J. T. (2012). Alcohol and marijuana use outcomes in the Healthy Choices motivational interviewing intervention for HIV-positive youth. AIDS Patient Care & STDs, 26, 95–100. doi:10.1089/apc. 2011.0157.

    Article  Google Scholar 

  • Naar-King, S., Parsons, J. T., Murphy, D. A., Chen, X., Harris, D. R., & Belzer, M. E. (2009). Improving health outcomes for youth living with the human immunodeficiency virus: A multisite randomized trial of a motivational intervention targeting multiple risk behaviors. Archives of Pediatrics and Adolescent Medicine, 163, 1092–1098. doi:10.1001/archpediatrics.2009.212.

    Article  PubMed Central  PubMed  Google Scholar 

  • Naar-King, S., Parsons, J. T., Murphy, D., Kolmodin, K., & Harris, D. R. (2010). A multisite randomized trial of a motivational intervention targeting multiple risks in youth living with HIV: Initial effects on motivation, self-efficacy, and depression. Journal of Adolescent Health, 46, 422–428. doi:10.1016/j.jadohealth.2009.11.198.

    Article  PubMed Central  PubMed  Google Scholar 

  • Naar-King, S., Rongkavilit, C., Wang, B., Wright, K., Chuenyam, T., Lam, P., et al. (2008). Transtheoretical model and risky sexual behaviour in HIV+ youth in Thailand. AIDS Care, 20, 198–204. doi:10.1080/09540120701506812.

    Article  PubMed  Google Scholar 

  • Naar-King, S., & Suarez, M. (2011). Motivational interviewing with adolescents and young adults. New York: Guilford Press.

    Google Scholar 

  • Naar-King, S., Wright, K., Parsons, J. T., Frey, M., Templin, T., & Ondersma, S. (2006a). Transtheoretical model and condom use in HIV-positive youths. Health Psychology, 25, 648–652. doi:10.1037/0278-6133.25.5.648.

    Article  PubMed  Google Scholar 

  • Naar-King, S., Wright, K., Parsons, J. T., Frey, M., Templin, T., & Ondersma, S. (2006b). Transtheoretical model and substance use in HIV-positive youth. AIDS Care, 18, 839–845. doi:10.1080/09540120500467075.

    Article  PubMed  Google Scholar 

  • Nilchaikovit, T., Sukying, C., & Silpakit, C. (1996). Reliability and validity of the Thai version of the General Health Questionnaire. Journal of the Psychiatric Association of Thailand, 41, 1–17.

    Google Scholar 

  • O’Cleirigh, C., Skeer, M., Mayer, K. H., & Safren, S. A. (2009). Functional impairment and health care utilization among HIV-infected men who have sex with men: The relationship with depression and post-traumatic stress. Journal of Behavioral Medicine, 32, 466–477. doi:10.1007/s10865-009-9217-4.

    Article  PubMed Central  PubMed  Google Scholar 

  • Parsons, J. T., Halkitis, P. N., Wolitski, R. J., & Gomez, C. A. (2003). Correlates of sexual risk behaviors among HIV-positive men who have sex with men. AIDS Education and Prevention, 15, 383–400.

    Article  PubMed  Google Scholar 

  • Parsons, J. T., Schrimshaw, E. W., Wolitski, R. J., Halkitis, P. N., Purcell, D. W., Hoff, C. C., et al. (2005). Sexual harm reduction practices of HIV-seropositive gay and bisexual men: Serosorting, strategic positioning, and withdrawal before ejaculation. AIDS, 19(Suppl. 1), S13–S25.

    Article  PubMed  Google Scholar 

  • Patel, P., Bush, T., Mayer, K., Milam, J., Richardson, J., Hammer, J., … Brooks, J. T. (2012). Routine brief risk-reduction counseling with biannual STD testing reduces STD incidence among HIV-infected men who have sex with men in care. Sexually Transmitted Diseases, 39, 470–474. doi:10.1097/OLQ.0b013e31824b3110.

  • Philip, S. S., Yu, X., Donnell, D., Vittinghoff, E., & Buchbinder, S. (2010). Serosorting is associated with a decreased risk of HIV seroconversion in the EXPLORE Study Cohort. PLoS ONE, 5(9), e12662. doi:10.1371/journal.pone.0012662.

    Article  PubMed Central  PubMed  Google Scholar 

  • Rongkavilit, C., Naar-King, S., Chuenyam, T., Wang, B., Wright, K., & Phanuphak, P. (2007). Health risk behaviors among HIV-infected youth in Bangkok, Thailand. Journal of Adolescent Health, 40, e351–e358. doi:10.1016/j.jadohealth.2006.11.004.

    Article  Google Scholar 

  • Rongkavilit, C., Naar-King, S., Koken, J. A., Bunupuradah, T., Chen, X., Saengcharnchai, P., … Parsons, J. T. (2014). A feasibility study of motivational interviewing for health risk behaviors among Thai youth living with HIV. Journal of the Association of Nurses in AIDS Care, 25, 92–97. doi:10.1016/j.jana.2012.02.008.

  • Rongkavilit, C., Naar-King, S., Wang, B., Panthong, A., Bunupuradah, T., Parsons, J. T., … Phanuphak, P. (2013). Motivational interviewing targeting risk behaviors for youth living with HIV in Thailand. AIDS and Behavior, 17, 2063–2074. doi:10.1007/s10461-013-0407-2.

  • Rongkavilit, C., Wright, K., Chen, X., Naar-King, S., Chuenyam, T., & Phanuphak, P. (2010). HIV stigma, disclosure and psychosocial distress among Thai youth living with HIV. International Journal of STD and AIDS, 21, 126–132. doi:10.1258/ijsa.2009.008488.

    Article  PubMed  Google Scholar 

  • Rosser, B. R., Hatfield, L. A., Miner, M. H., Ghiselli, M. E., Lee, B. R., & Welles, S. L. (2010). Effects of a behavioral intervention to reduce serodiscordant unsafe sex among HIV positive men who have sex with men: The Positive Connections randomized controlled trial study. Journal of Behavioral Medicine, 33, 147–158. doi:10.1007/s10865-009-9244-1.

    Article  PubMed  Google Scholar 

  • Semple, S. J., Strathdee, S. A., Zians, J., & Patterson, T. L. (2010). Factors associated with sex in the context of methamphetamine use in different sexual venues among HIV-positive men who have sex with men. BMC Public Health, 10, 178. doi:10.1186/1471-2458-10-178.

    Article  PubMed Central  PubMed  Google Scholar 

  • Semple, S. J., Zians, J., Grant, I., & Patterson, T. L. (2006). Methamphetamine use, impulsivity, and sexual risk behavior among HIV-positive men who have sex with men. Journal of Addictive Diseases, 25, 105–114. doi:10.1300/J069v25n04_10.

    Article  PubMed  Google Scholar 

  • Sikkema, K. J., Hansen, N. B., Kochman, A., Santos, J., Watt, M. H., Wilson, P. A., … Mayer, G. (2011). The development and feasibility of a brief risk reduction intervention for newly HIV-diagnosed men who have sex with men. Journal of Community Psychology, 39(6), 717–732. doi:10.1002/jcop.20463.

  • Sirivongrangson, P., Lolekha, R., Charoenwatanachokchai, A., Siangphoe, U., Fox, K. K., Jirarojwattana, N., … McConnell, M. (2012). HIV risk behavior among HIV-infected men who have sex with men in Bangkok, Thailand. AIDS and Behavior, 16, 618–625. doi:10.1007/s10461-011-9884-3.

  • Smith, A. D., Tapsoba, P., Peshu, N., Sanders, E. J., & Jaffe, H. W. (2009). Men who have sex with men and HIV/AIDS in sub-Saharan Africa. Lancet, 374, 416–422. doi:10.1016/S0140-6736(09)61118-1.

    Article  PubMed  Google Scholar 

  • Sobell, L. C., & Sobell, M. B. (1992). Timeline follow-back: A technique for assessing self-reported alcohol consumption. In R. Z. Litten & J. Allen (Eds.), Measuring alcohol consumption: Psychosocial and biological methods (pp. 41–72). Totowa, NJ: Humana Press.

    Chapter  Google Scholar 

  • Stott, N. C., Rollnick, S., Rees, M. R., & Pill, R. M. (1995). Innovation in clinical method: Diabetes care and negotiating skills. Family Practice, 12, 413–418.

    Article  PubMed  Google Scholar 

  • Tanney, M. R., Naar-King, S., & MacDonnel, K. (2012). Depression and stigma in high-risk youth living with HIV: A multi-site study. Journal of Pediatric Health Care, 26, 300–305. doi:10.1016/j.pedhc.2011.02.014.

    Article  PubMed Central  PubMed  Google Scholar 

  • Tieu, H. V., Xu, G., Bonner, S., Spikes, P., Egan, J. E., Goodman, K., … Koblin, B. A. (2011). Sexual partner characteristics, serodiscordant/serostatus unknown unprotected anal intercourse and disclosure among human immunodeficiency virus-infected and uninfected black men who have sex with men in New York City. Sexually Transmitted Diseases, 38, 548–554. doi:10.1097/OLQ.0b013e318203e2d7.

  • Traeger, L., O’Cleirigh, C., Skeer, M. R., Mayer, K. H., & Safren, S. A. (2012). Risk factors for missed HIV primary care visits among men who have sex with men. Journal of Behavioral Medicine, 35, 548–556. doi:10.1007/s10865-011-9383-z.

    Article  PubMed Central  PubMed  Google Scholar 

  • United Nations Program on AIDS. (2012). UNAIDS World AIDS Day Report 2012. Retrieved from http://www.unaids.org/en/media/unaids/contentassets/documents/epidemiology/2012/gr2012/JC2434_WorldAIDSday_results_en.pdf.

  • van Griensven, F., Thienkrua, W., McNicholl, J., Wimonsate, W., Chaikummao, S., Chonwattana, W., … Tappero, J. W. (2013). Evidence of an explosive epidemic of HIV infection in a cohort of men who have sex with men in Thailand. AIDS, 27, 825–832. doi:10.1097/QAD.0b013e32835c546e.

  • Velasquez, M. M., von Sternberg, K., Johnson, D. H., Green, C., Carbonari, J. P., & Parsons, J. T. (2009). Reducing sexual risk behaviors and alcohol use among HIV-positive men who have sex with men: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 77, 657–667. doi:10.1037/a0015519.

    Article  PubMed Central  PubMed  Google Scholar 

  • Walsh, J. C., Mandalia, S., & Gazzard, B. G. (2002). Responses to a 1 month self-report on adherence to antiretroviral therapy are consistent with electronic data and virological treatment outcome. AIDS, 16, 269–277.

    Article  PubMed  Google Scholar 

  • Wei, C., Guadamuz, T. E., Lim, S. H., & Koe, S. (2012). Sexual transmission behaviors and serodiscordant partnerships among HIV-positive men who have sex with men in Asia. Sexually Transmitted Diseases, 39, 312–315. doi:10.1097/OLQ.0b013e31824018e8.

    Article  PubMed Central  PubMed  Google Scholar 

  • Wohl, A. R., Galvan, F. H., Myers, H. F., Garland, W., George, S., Witt, M., … Lee, M. L. (2011). Do social support, stress, disclosure and stigma influence retention in HIV care for Latino and African American men who have sex with men and women? AIDS and Behavior, 15, 1098–1110. doi:10.1007/s10461-010-9833-6.

  • Wolitski, R. J., Gomez, C. A., & Parsons, J. T. (2005). Effects of a peer-led behavioral intervention to reduce HIV transmission and promote serostatus disclosure among HIV-seropositive gay and bisexual men. AIDS, 19(Suppl. 1), S99–S109.

    Article  PubMed  Google Scholar 

  • World Health Organization. (2013). Consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection: Recommendations for a public health approach. Geneva: Author.

    Google Scholar 

  • Zhang, L., Chow, E. P., & Wilson, D. P. (2012). Distributions and trends in sexual behaviors and HIV incidence among men who have sex with men in China. BMC Public Health, 12, 546. doi:10.1186/1471-2458-12-546.

    Article  PubMed Central  PubMed  Google Scholar 

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Acknowledgments

The authors thank Supalak Klungkang, R.N., Theshinee Chuenyam, R.N., Supaporn Pengsuma, R.N., Pairat Seekam, R.N., Wanida Thainsanguankul, R.N., the staff at HIV-NAT and CHEST, and all study participants. The study was funded by the U.S. National Institute of Mental Health (R34MH077523).

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Authors and Affiliations

  1. The Carman and Ann Adams Department of Pediatrics, Wayne State University School of Medicine, 3901 Beaubien Blvd., Detroit, MI, 48201, USA

    Chokechai Rongkavilit, Bo Wang & Sylvie Naar-King

  2. HIV Netherlands-Australia-Thailand Research Collaboration (HIV-NAT), Thai Red Cross AIDS Research Centre, Bangkok, Thailand

    Torsak Bunupuradah, Apirudee Panthong & Praphan Phanuphak

  3. Department of Psychology and Public Health, Hunter College and the Graduate Center of the City University of New York, New York, NY, USA

    Jeffrey T. Parsons

  4. Center for HIV Education Studies and Training (CHEST), New York, NY, USA

    Juline A. Koken

  5. Department of Psychiatry, Phramongkutklao College of Medicine, Bangkok, Thailand

    Pichai Saengcharnchai

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Appendix

Appendix

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Table 5 HIV sexual risk scoring
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Rongkavilit, C., Wang, B., Naar-King, S. et al. Motivational Interviewing Targeting Risky Sex in HIV-Positive Young Thai Men Who Have Sex with Men. Arch Sex Behav 44, 329–340 (2015). https://doi.org/10.1007/s10508-014-0274-6

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