Unsafe Sex
Conditions
Keywords
Gay men, African American males, Unprotected anal sex, HIV risk, behavioral intervention, group-level intervention
Brief summary
The purpose of the MyLife MyStyle Evaluation Project is to determine whether the MyLife MyStyle group-level intervention reduces HIV sexual-risk behaviors among 18- to 29-year-old African American men who have sex with men (MSM). Specifically, the project will test whether participants of the MyLife MyStyle program will report at least a 15% absolute decrease in frequency of unprotected anal sex with male partners at three and six months post-intervention compared with the wait-list control participants.
Detailed description
In Los Angeles County, as well as nationally, the primary mode of HIV transmission for African American men is sexual contact with another man. According to national data from 45 states with name-based HIV surveillance in 2006, the majority of all new HIV infections among African American males were associated with sex with other men. The disproportionate impact of HIV in AAMSM in Los Angeles County is also observed in provisional HIV surveillance data. Between 2002 and 2004, AAMSM composed 16.3% of the new HIV diagnoses among males in Los Angeles County, with an average annual HIV diagnosis rate 2.0 and 2.5 times greater than the rates of new HIV diagnosis for White and Latino MSM, respectively. In addition to demonstrating the highest HIV prevalence and incidence estimates, AAMSM also had the highest proportion of previously unrecognized HIV infection (67%) compared with all other racial/ethnic groups. Given significant and continuing disparities in HIV infection among African Americans in the United States, and specifically among AAMSM, more intervention programs must be planned, implemented, and tested in order to reduce the heavy toll of HIV/AIDS in this population. Components of these intervention programs must be culturally competent and should include promotion of HIV counseling and testing to reduce the high prevalence of unrecognized HIV infection in AAMSM. Interventions should also take into consideration the many co-factors that may hinder AAMSM from addressing their HIV risk such as racism, poverty, stigma, and homophobia. The MyLife MyStyle Evaluation Project aims to implement and evaluate the efficacy of a homegrown group-level intervention to reduce HIV risk (unprotected anal sex with male partners) among young African American MSM in Los Angeles County, CA.
Interventions
BEHAVIORALMyLife MyStyle group-level intervention
Three 1.5-hour HIV behavioral risk-reduction group sessions conducted with up to 12 young African American/Black men (ages 18-29 years) over a 1-3 week period.
Sponsors
Centers for Disease Control and Prevention
In The Meantime Men's Group, Inc.
Los Angeles County Department of Public Health
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
MALE
Age
18 Years to 29 Years
Healthy volunteers
Yes
Inclusion criteria
* Identify as African American or Black * Identify as male * Age 18 to 29 years * Reside within Los Angeles County * Self-reported anal sex with a male partner in the past 12 months * Has not participated in an HIV prevention intervention in the past 3 months * Able to complete ACASI and MyLife sessions in English
Exclusion criteria
* Identify as a transgender female * Plan to move out of Los Angeles County before the end of their follow-up period (within 7 months)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Reduced unprotected anal sex with male partners | up to 6 months following Intervention groups' third (final) session | Proportion of intervention participants reporting any unprotected anal intercourse (either insertive or receptive) with male partners at six-month follow-up (and three months for short-term effects) compared with those in the wait-list control arm. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Increased communication with partners | 3 months and 6 months following intervention groups' third (final) session | Increase frequency of communication with partner(s) about safer sex, HIV status, STI status |
| Decrease unprotected sex because condom was not available | 3 months and 6 months following Intervention groups' third (final) session | Proportion of intervention participants reporting episodes of unprotected anal sex when a condom is not available at six-month follow-up (and three months for short-term effects) compared with those in the wait-list control arm. |
| Decrease number of sexual partners | 3 months and 6 months following Intervention groups' third (final) session | Number of sexual partners reported by intervention participants at six-month follow-up (and three months for short-term effects) compared with the number reported by the wait-list control participants. |
| Increase help-seeking behaviors for sexual health, e.g., STI testing, HIV testing, health screenings | 3 months and 6 months following Intervention groups' third (final) session | Proportion of intervention participants reporting help-seeking behaviors for sexual health at six-month follow-up (and three months for short-term effects) compared with those in the wait-list control arm. |
Countries
United States
Outcome results
None listed