Enhancing help-seeking behaviour among men who have sex with men at risk for sexually transmitted infections: the syn.bas.in randomised controlled trial.

Autor:	Achterbergh RCA; STI Outpatient Clinic, Infectious Diseases Department, Public Health Sevice of Amsterdam, Amsterdam, North Holland, The Netherlands., van Rooijen MS; STI Outpatient Clinic, Infectious Diseases Department, Public Health Sevice of Amsterdam, Amsterdam, North Holland, The Netherlands., van den Brink W; Department of Psychiatry, Amsterdam UMC Location AMC, Amsterdam, North Holland, The Netherlands., Boyd A; Department of Infectious Diseases Research and Prevention, Public Health Service of Amsterdam, Amsterdam, Noord-Holland, The Netherlands.; Stichting HIV Monitoring, Amsterdam, Noord-Holland, The Netherlands., de Vries HJC; STI Outpatient Clinic, Infectious Diseases Department, Public Health Sevice of Amsterdam, Amsterdam, North Holland, The Netherlands h.j.devries@amc.nl.; Department of Dermatology, Amsterdam Institute for Infection and Immunity (AI&II), location Academic Medical Centre, Amsterdam UMC, University of Amsterdam, Amsterdam, North Holland, The Netherlands.
Jazyk:	angličtina
Zdroj:	Sexually transmitted infections [Sex Transm Infect] 2021 Feb; Vol. 97 (1), pp. 11-17. Date of Electronic Publication: 2020 Jul 31.
DOI:	10.1136/sextrans-2020-054438
Abstrakt:	Objectives: Men who have sex with men (MSM) are at increased risk for STIs and mental disorders. Syndemic theory holds that psychosocial issues co-occur and interact, and thus increase sexual risk behaviour. Psychosocial issue identification, referral and management might reduce risk behaviour. Methods: In the syndemic-based intervention study, an open-label randomised controlled trial, MSM were enrolled at the STI outpatient clinic of the Public Health Service of Amsterdam. We screened participants using validated questionnaires on the following problem domains: alcohol and substance use, sexual compulsivity, anxiety, depression, attention deficit hyperactivity disorder, alexithymia, intimate partner violence and childhood sexual abuse. Individuals were randomly assigned (1:1) to receive either tailored, face-to-face feedback and help-seeking advice on mental health screening, or no feedback and no help-seeking advice. Participants were followed trimonthly for a year. The primary outcomes were self-reported and confirmed help-seeking behaviour. Results: We included 155 MSM: 76 in the intervention group and 79 in the control group. At inclusion, 128 participants (83.1%) scored positive in at least one problem domain. We found no significant differences in self-reported or confirmed help-seeking behaviour between the intervention and the control group: 41% vs 29% (p=0.14) and 28% vs 22% (p=0.44), respectively. There were also no differences in STI incidence and condomless anal sex acts between the two groups. Conclusion: Screening showed high prevalence of problems related to mental health and substance use, while tailored feedback, advice and referral did not significantly increase help-seeking behaviour. Other interventions are needed to tackle the high burden of mental disorders among MSM. Trial Registration Number: NCT02859935. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ.)
Databáze:	MEDLINE
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