A randomized trial of a behavioral intervention for Black men who have sex with men: The DiSH Study

Details

• Alternative Title:
  AIDS
• Personal Author:
  Koblin, Beryl A. ; Bonner, Sebastian ; Powell, Borris ; Metralexis, Peter ; Egan, James E. ; Patterson, Jocelyn ; Xu, Guozhen ; Hoover, Donald R. ; Goodman, Krista ; Chin, John ; Van Tieu, Hong ; Spikes, Pilgrim
• Description:
  Objective
  
  To test a new behavioral intervention for Black men who have sex with men in reducing sexual risk and increasing social support and intentions to use condoms.
  
  Design
  
  A single site, unblinded randomized trial in New York City with 3-month follow-up.
  
  Methods
  
  Participants (n = 283) reporting at least 2 sexual partners and unprotected anal intercourse with a man in the past 3 months were enrolled and randomized to a social-cognitive theory based intervention or control comparison. Men in the intervention group participated in five 2-hour group sessions focused on creating a group environment with sexual risk-reduction information and exercises woven into joint meal preparation and sharing activities, while exploring self-efficacy perceptions and outcome expectancies. Intervention (n = 142) and control (n = 141) groups received standard HIV counseling and testing at baseline.
  
  Results
  
  No significant differences were found between study arms at 3 months in number of male partners, number of unprotected anal intercourse partners, proportion reporting unprotected sex, number of acts protected by condoms, self-efficacy, condom attitudes, condom intentions, social isolation and psychological distress. In both arms combined, declines from baseline to 3-months were observed in sexual risk behaviors, social isolation and psychological distress while self-efficacy, condom attitudes and condom intentions improved.
  
  Conclusions
  
  As the HIV epidemic continues to have a dramatic impact on Black MSM in the US, the urgency to design innovative interventions continues.
  
  
• Subjects:
  Acquired Immunodeficiency Syndrome Adolescent Adult Aged Black Or African American Cognitive Therapy Condoms Health Knowledge, Attitudes, Practice Homosexuality, Male Humans Male Middle Aged Risk-Taking Sexual Behavior Sexual Partners Treatment Outcome Young Adult

  More +
• Source:
  AIDS. 26(4):483-488.
• Pubmed ID:
  22156967
• Pubmed Central ID:
  PMC4633031
• Document Type:
  Journal Article
• Funding:
  3UR6PS000437-03W1/PS/NCHHSTP CDC HHS/United States ; UR6 PS000437/PS/NCHHSTP CDC HHS/United States
• Place as Subject:
  New York City, NY
• Volume:
  26
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:a4795f603b68f8dbc4f40b6262fc598fbb7b43ae62cec695218953052d5602f7
• Download URL:
  https://stacks.cdc.gov/view/cdc/36410/cdc_36410_DS1.pdf
• File Type:
  [PDF - 193.97 KB ]