| Risk Behaviors | Intervention Needs |
|---|---|
| Unprotected anal intercourse is common among methamphetamine-using MSM | Reduce unprotected anal intercourse |
| Methamphetamine-using MSM often engage in unprotected anal intercourse with nonprimary partners when using methamphetamine | Reduce unprotected intercourse with non-primary partners when using methamphetamine |
| Reduce methamphetamine | |
| Barriers to reducing risk | |
| Men are not ready to reduce their methamphetamine use | Increase readiness to reduce methamphetamine use |
| Men do not feel that they are able to use condoms when they are using methamphetamine | Increase self-efficacy for using condoms when using methamphetamine |
| Men do not feel that they can use methamphetamine and not have sex | Increase self-efficacy for avoiding sex when using methamphetamine |
| Intervention format, content and delivery | |
| Men are unwilling to attend multisession interventions | Develop a single-session intervention |
| Intervention should be delivered by someone with whom men feel comfortable | Develop an intervention that can be delivered by former methamphetamine-using MSM or similar person |
| Intervention should offer options for reducing risk | Develop an intervention that provides a menu of options for reducing sexual risk associated with methamphetamine use |
| Many HIV prevention providers do not have the resources to deliver multisession interventions that are delivered by highly trained professionals | Develop a brief intervention that can be delivered |