Article

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

ABSTRACT

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.

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Available from: Thomas M Painter, Aug 26, 2014
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    • "According to this analysis, structural factors can affect the pool of available sex partners and the context of sexual behaviour, which might be concentrated in communities with a high HIV viral load. Researchers have called attention to social-psychological factors that contribute to HIV risk among African American MSM, including racial discrimination, homophobia, family rejection and community isolation (Brooks, Etzel, Hinojos, Henry, & Perez, 2005;Mays, Cochran, & Zamudio, 2004;Wilton et al., 2009). Stigmatised social identities (e.g. "
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    ABSTRACT: Previous research has suggested a need to understand the social-psychological factors contributing to HIV risk among African American men who have sex with men (MSM). We conducted individual in-depth interviews with 34 adult African American MSM to examine their personal experiences about: (i) sources of social support, (ii) psychological responses to the presence or absence of social support, and (iii) influences of social support on sexual behaviors. The majority of participants described limited positive encouragement and lack of emotional support from family, as well as few meaningful personal relationships. Feelings of isolation and mistrust about personal relationships led many participants to avoid emotional intimacy and seek physical intimacy through sexual encounters. Findings highlight a need for multi-level interventions that enhance social support networks and address the social-psychological, emotional, and interpersonal factors that contribute to HIV risk among African American MSM.
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    • "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 "
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    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.
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    • "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). "
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    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.
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