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Description:Many Men, Many Voices (3MV) is a group-level intervention that addresses behavioral and social determinants and other factors influencing the HIV/STI risk and protective behaviors of black MSM. The other factors include cultural, social, and religious norms, identity of black MSM and their degree of connectedness to the black and gay communities, HIV/STI interactions, sexual relationship dynamics, and the social influences of racism and homophobia. The intervention consists of 6 consecutive 2- to 3-hour sessions delivered during a weekend retreat (half-day Friday and all-day Saturday and Sunday). Rather than a singular emphasis on condom use, 3MV uses a menu of behavior change options for HIV/STI prevention. Session 1 (The Culture of black MSM) helps participants recognize how racism and homophobia are related to sexual and substance use risk behaviors. Session 2 (STI/HIV Prevention for black MSM) describes the roles of ‘‘Tops’’ and ‘‘Bottoms’’ as they relate to sexual relationship dynamics and the risk of STI and HIV transmission. Session 3 (STI/HIV Risk Assessment and Prevention Options) helps participants personalize their own risk by building a menu of behavioral options (e.g., abstinence, mutual monogamy between 2 HIVseronegative partners, consistent condom use) to reduce HIV/STI transmission risk. Session 4 (Intentions to Act & Capacity for Change) enhances participants’ intentions to change their own risky behaviors and guides them toward safer sex behaviors. During Session 5 (Relationship issues: Partner selection, Communication & Negotiation), participants recognize power and control dynamics in their relationships, and are encouraged to select and implement a relationship-focused risk-reduction behavior change option with their partner(s). Session 6 (Social Support & Problem Solving to Maintain Change) involves participants role-playing communication and negotiation strategies, provides peer support to promote problem solving, and identifies effective risk-reduction strategies if relapse should occur.
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