Efficacy of a culturally congruent HIV risk-reduction intervention for behaviorally bisexual black men: Results of a randomized trial

摘要: Author(s): Harawa, Nina T; Williams, John K; McCuller, WJ; Ramamurthi, Hema C; Lee, Martin; Shapiro, Martin F; Norris, Keith Cunningham, William E | Abstract: ObjectivesBlack men who have sex with and women (MSMW) experience high HIV rates may not respond to interventions targeting gay-identified men. We tested the efficacy of Men African American Legacy Empowering Self (MAALES), a multisession, small-group holistically framed intervention designed build skills, address sociocultural issues, reduce risk behaviors in black MSMW.DesignFrom 2007 2011, we enrolled 437 MSMW into parallel randomized controlled trial that compared MAALES control condition, single, individualized risk-reduction session.MethodsParticipants completed surveys at baseline, 3 months, 6 months postintervention. used multiple regressions compare follow-up between groups while adjusting for baseline behaviors, time assessments, other covariates, clustering. inverse probability weighting (IPW) adjust loss-to-follow-up carrying out these 291 (76.4%) participants least one follow-up.ResultsParticipants were largely low-income (55% reported monthly incomes l$1000); nearly half had previously positive. At follow-up, unadjusted within-group analyses demonstrated reduced but group. Adjusted results indicated significant intervention-associated reductions numbers total anal or vaginal acts [risk ratio = 0.61; 95% confidence interval (CI) 0.49–0.76], unprotected (risk 0.50; CI 0.37–0.66), female partners 0.56; 0.44–0.72). Near observed number male intercourse partners.ConclusionThe was efficacious reducing MSMW.