Multicomponent Intervention to Reduce Sexual Risk and Substance Use

Multicomponent Intervention to Reduce Sexual Risk and Substance Use

The objective is to expand and refine an intervention for transgender women (TW) into a 7-session individual- and group-based intervention that is scalable for community settings to reduce sexual risk and substance use and to increase stigma-coping and risk-buffering behaviors among TW in NYC. The investigators will pilot test the intervention with 20 TW and subsequently, conduct a randomized controlled trial with 240 TW to compare the intervention to a wait list control condition.

Inclusion Criteria:

• 18 years of age or older
• Identify as a transgender woman (assigned male at birth and currently identify as female)
• Report 3 or more acts of unprotected anal or vaginal sex in the past 90 days and at least 1 in the past 30 days
• Report 5 or more days of illicit drug use in the past 90 days and at least 2 in the past 30
• Provide contact information
• Reside in the NYC metropolitan area
• Able to complete a survey in English (Spanish-language assistance can be provided by bilingual staff)
• Provide informed consent

Exclusion Criteria:

• Unstable, serious psychiatric symptoms
• Current suicidal/homicidal ideation
• Evidence of gross cognitive impairment
• Currently enrolled in a drug abuse treatment or enrolled in an HIV risk or drug use intervention study