Wilton L, Herbst JH, Coury-Doniger P, Painter TM, English G, Alvarez ME, et al. Efficacy of an HIV/STI prevention intervention for black men who have sex with men: findings from the Many Men, Many Voices (3MV) project

Department of Human Development, College of Community and Public Affairs, State University of New York at Binghamton, P.O. Box 6000, Binghamton, NY 13902, USA.
AIDS and Behavior (Impact Factor: 3.49). 04/2009; 13(3):532-44. DOI: 10.1007/s10461-009-9529-y
Source: PubMed


Black men who have sex with men (MSM) in the United States experience disproportionately high rates of HIV and other sexually transmitted infections (STIs); however, the number of evidence-based interventions for Black MSM is limited. This study evaluated the efficacy of Many Men, Many Voices (3MV), a small-group HIV/STI prevention intervention developed by Black MSM-serving community-based organizations and a university-based HIV/STI prevention and training program. The study sample included 338 Black MSM of HIV-negative or unknown HIV serostatus residing in New York city. Participants were randomly assigned to the 3MV intervention condition (n = 164) or wait-list comparison condition (n = 174). Relative to comparison participants, 3MV participants reported significantly greater reductions in any unprotected anal intercourse with casual male partners; a trend for consistent condom use during receptive anal intercourse with casual male partners; and significantly greater reductions in the number of male sex partners and greater increases in HIV testing. This study is the first randomized trial to demonstrate the efficacy of an HIV/STI prevention intervention for Black MSM.

Download full-text


Available from: Thomas M Painter, Aug 26, 2014
1 Follower
90 Reads
  • Source
    • "Teen ) , an evidence - based treatment model that was successful in reducing sexual risk behaviors with African American adolescents in the South ( St . Lawrence et al . , 1995 ) , might serve as models for interventions for these family communities . Other interventions that have targeted Black MSM , including the Many Men , Many Voices project ( Wilton et al . , 2009 ) , which both increased testing behaviors and safe - sex behaviors , might also provide a foundation for intervention efforts with family members who are HIV negative or unknown - serostatus MSM . This study suggests that gay families may serve as a valuable entry point for HIV intervention , which multilevel approaches to HIV interven"
    [Show abstract] [Hide abstract]
    ABSTRACT: Gay families are constructed support networks that gay, bisexual, and transgender individuals of color form, often in response to societal marginalization and rejection from biological families. Research on these family structures has been scarce, with little focus on the experience of African American gay family networks in the South. The current grounded theory qualitative study focused on the experiences of 10 African American male and transgender individuals between the ages of 18 and 29 from gay families in the Mid-South, and explored the ways these families addressed safe-sex issues and human immunodeficiency virus (HIV) risk prevention. Results revealed that families can play a role in either increasing HIV risk (e.g., ignoring HIV issues, encouraging such unsafe behaviors as exchanging sex for money or drugs, stigmatizing HIV-positive people) or decreasing it (e.g., intensive, family-level prevention efforts at safe-sex practices and family support for HIV treatment adherence). The potential of these family networks for HIV prevention and adherence efforts is considered.
    The Journal of Sex Research 07/2014; 52(7):1-14. DOI:10.1080/00224499.2014.901285 · 2.70 Impact Factor
  • Source
    • "Of the 17 studies identified through the search strategy, only three studies specifically targeted black MSM (Jones et al. 2008; Wilton et al. 2009; Outlaw et al. 2010) and one targeted non-gay-identified black MSM who also have sex with women (Operario et al. 2010). Outside of these four studies "
    [Show abstract] [Hide abstract]
    ABSTRACT: Evidence-based interventions have been developed and used to prevent HIV infections among black men who have sex with men (MSM) in Canada and the United States; however, the degree to which interventions address racism and other interlocking oppressions that influence HIV vulnerability is not well known. We utilize integrative antiracism to guide a review of HIV prevention intervention studies with black MSM and to determine how racism and religious oppression are addressed in the current intervention evidence base. We searched CINAHL, PsychInfo, MEDLINE and the CDC compendium of evidence-based HIV prevention interventions and identified seventeen interventions. Three interventions targeted black MSM, yet only one intervention addressed racism, religious oppression, cultural assets and religious assets. Most interventions' samples included low numbers of black MSM. More research is needed on interventions that address racism and religious oppression on HIV vulnerability among black MSM. Future research should focus on explicating mechanisms by which multiple oppressions impact HIV vulnerability. We recommend the development and integration of social justice tools for nursing practice that aid in addressing the impacts of racism and other oppressions on HIV vulnerability of black MSM.
    Nursing Inquiry 06/2014; 21(4). DOI:10.1111/nin.12055 · 1.44 Impact Factor
  • Source
    • "In an effort to reduce the incidence of HIV, a broad range of interventions have been developed by the Centers for Disease Control (CDC) with the primary objective of providing knowledge and information about HIV/ AIDS, sexual risk-reduction resources, safe sexual behavior, and HIV testing (Effective Interventions 2013a). Many CDC directly funded AIDS Service Organizations (ASOs), and agencies have also adapted these interventions to target specific demographic and atrisk groups, e.g., Safety Counts—injecting drug users; Many Men, Many voices (3MV)— African American Men who have sex with men (Wilton et al. 2009; Effective Interventions 2013b). While many of these interventions have been implemented within the African American community (Darbes et al. 2008; Crepaz et al. 2009), the disproportionate impact of HIV/ AIDS in these communities continues (CDCa 2013). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Though race and region are not by themselves risk factors for HIV infection, regional and racial disparities exist in the burden of HIV/AIDS in the US. Specifically, African Americans in the southern US appear to bear the brunt of this burden due to a complex set of upstream factors like structural and cultural influences that do not facilitate HIV/AIDS awareness, HIV testing, or sexual risk-reduction techniques while perpetuating HIV/AIDS-related stigma. Strategies proposed to mitigate the burden among this population have included establishing partnerships and collaborations with non-traditional entities like African American churches and other faith-based organizations. Though efforts to partner with the African American church are not necessarily novel, most of these efforts do not present a model that focuses on building the capacity of the African American church to address these upstream factors and sustain these interventions. This article will describe Project Fostering AIDS Initiatives That Heal (F.A.I.T.H), a faith-based model for successfully developing, implementing, and sustaining locally developed HIV/AIDS prevention interventions in African American churches in South Carolina. This was achieved by engaging the faith community and the provision of technical assistance, grant funding and training for project personnel. Elements of success, challenges, and lessons learned during this process will also be discussed.
    Journal of Religion and Health 10/2013; 54(1). DOI:10.1007/s10943-013-9789-8 · 1.02 Impact Factor
Show more