Efficacy of an HIV/STI Prevention Intervention for Black Men Who Have Sex with Men: Findings from the Many Men, Many Voices (3MV) Project
Efficacy of an HIV/STI Prevention Intervention for Black Men Who Have Sex with Men: Findings from the Many Men, Many Voices (3MV) Project
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DOI：
10.1007/s10461-009-9529-y
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发表时间：
2009-06-01
影响因子：
4.4
通讯作者：
Carey, James W.
中科院分区：
文献类型：
--
作者：
Wilton, Leo;Herbst, Jeffrey H.;Carey, James W.
在美国，男男性行为者(MSM)的黑人男性感染艾滋病毒和其他性传播感染(STI)的比例高得不成比例；然而，针对黑人MSM的循证干预措施的数量有限。这项研究评估了多男人、多声音(3 MV)的效果，这是一种由黑人MSM服务的社区组织开发的小群体艾滋病毒/性传播感染预防干预措施，以及基于大学的艾滋病毒/性传播感染预防和培训计划。研究样本包括居住在纽约市的338名HIV阴性或未知HIV血清状态的黑人MSM。参与者被随机分配到3 MV干预条件(n=164)或等待名单比较条件(n=174)。与对照参与者相比，3MV参与者报告说，与临时男性伴侣发生无保护肛交的次数显著减少；在与临时男性伴侣进行接受性肛交时一致使用安全套的趋势；男性性伴侣数量显著减少，艾滋病毒检测增加。这项研究是第一个证明HIV/STI预防干预对黑人MSM的有效性的随机试验。
Black men who have sex with men (MSM) in the United States experience disproportionately high rates of HIV and other sexually transmitted infections (STIs); however, the number of evidence-based interventions for Black MSM is limited. This study evaluated the efficacy of Many Men, Many Voices (3MV), a small-group HIV/STI prevention intervention developed by Black MSM-serving community-based organizations and a university-based HIV/STI prevention and training program. The study sample included 338 Black MSM of HIV-negative or unknown HIV serostatus residing in New York city. Participants were randomly assigned to the 3MV intervention condition (n = 164) or wait-list comparison condition (n = 174). Relative to comparison participants, 3MV participants reported significantly greater reductions in any unprotected anal intercourse with casual male partners; a trend for consistent condom use during receptive anal intercourse with casual male partners; and significantly greater reductions in the number of male sex partners and greater increases in HIV testing. This study is the first randomized trial to demonstrate the efficacy of an HIV/STI prevention intervention for Black MSM.