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Title

A Randomized Trial of a Behavioral Intervention for Black Men who have Sex with Men: The DiSH Study

Authors

BA Koblin, S. Bonner, B. Powell, et al.

Network Affiliation

 

Organization

 

Journal Name

AIDS

Publication Date

12/7/2011

PubMed Search

 

Link to full-text

 

PMID

 

Abstract

Abstract

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.

Keywords

 

Topic

Adherence; Behavior; Black; Intervention; MSM

Attachments

Created at 12/22/2011 11:31 AM by Davis, Gregory P
Last modified at 12/22/2011 11:31 AM by Davis, Gregory P