Development of an HIV Prevention Intervention for African American Young Men Who Have Sex With Men (Y2Prevent): Study Protocol.
Development of an HIV Prevention Intervention for African American Young Men Who Have Sex With Men (Y2Prevent): Study Protocol.
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DOI：
10.2196/36718
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发表时间：
2022-09-29
影响因子：
1.7
通讯作者：
Kipke, Michele D.
中科院分区：
文献类型：
--
作者：
Azucar, Danny;Hidalgo, Marco A.;Wright, Deja;Slay, Lindsay;Kipke, Michele D.
与男性发生性关系的非裔美国青年具有多种交叉身份，这可能会增加他们对社会污名化和歧视的脆弱性，从而对他们的幸福感和行为产生负面影响。这些经历通常表现为增加的一般和性冒险行为，使这一特定群体感染艾滋病毒的风险增加。这种情况加剧了艾滋病毒预防干预措施的缺乏专门为非洲裔美国YMSM设计的。在本文中，我们讨论了研究的发展，旨在完善，试点，并评估的可行性，可接受性和初步疗效的行为干预，旨在建立弹性和减少药物使用和艾滋病毒的风险行为之间的非洲裔美国人YMSM。这项由美国国立卫生研究院资助的研究的总体目标是进一步完善和试点测试一种名为“年轻男性成人身份监测”（YM-AIM）的干预措施。YM-AIM是一种理论驱动的团体层面干预，旨在帮助非裔美国人YMSM通过定义教育，健康，家庭和亲密关系领域的一系列短期和长期目标，为他们的未来（或可能的未来自我）制定健康的愿景。通过与社区成员和社区组织的伙伴关系，我们将进一步加强和完善YM-AIM，以包括3个新的组成部分：生物医学艾滋病毒预防战略（暴露前预防和暴露后预防）;艾滋病毒和性传播感染（STI）检测和艾滋病毒护理转诊，药物筛查和药物治疗转诊;以及青年辅导部分。我们将招募18至24岁的非裔美国人YMSM，分为两个工作组;每个工作组将由6至8名成员组成，每周召开一次会议，每次会议将专注于一个特定的YM-AIM主题。这些反馈将用于进一步完善干预措施，然后对其可行性和可接受性进行评估。干预结果包括过去30天和3个月内的药物使用情况、酒精使用情况、无安全套性行为、性伴侣数量、增加安全套使用意愿、安全套使用自我效能、艾滋病毒和性传播感染检测的近期和频率以及与护理的联系。截至2022年6月，我们已完成Y2 Prevent的第一阶段，并启动Y2 Prevent的第二阶段，开始招募工作组参与者。Y2 Prevent的第三阶段预计将于9月推出，并预计将于2022年12月该项目期结束前完成。很少有以青年为重点的干预措施试图帮助青年确定和发展必要的技能，以驾驭有助于性少数青年在个人层面参与预防的社会和结构因素。这项研究旨在促进年轻男性采用和维持艾滋病毒保护行为（例如，安全性行为，暴露前预防使用，艾滋病毒和性传播感染检测，以及医疗保健使用）。DERR1-10.2196/36718
African American young men who have sex with men (YMSM) possess many intersecting identities that may increase their vulnerability to social stigmatization and discrimination, which yields a negative influence on their well-being and behaviors. These experiences often manifest as increased general and sexual risk-taking behaviors that place this particular group at an increased risk for HIV. This scenario is exacerbated by the lack of HIV prevention interventions specifically designed for African American YMSM. In this paper, we discuss the development of research designed to refine, pilot, and evaluate the feasibility, acceptability, and preliminary efficacy of a behavioral intervention designed to build resilience and reduce substance use and HIV risk behaviors among African American YMSM. The overarching aim of this research, funded by the National Institutes of Health, is to further refine and pilot test an intervention called Young Men’s Adult Identity Monitoring (YM-AIM). YM-AIM is a theory-driven, group-level intervention designed to help African American YMSM develop a healthy vision for their future (or possible future self) by defining a set of short-term and long-term goals in the areas of education, health, family, and intimate relationships. Through partnerships with community members and community-based organizations, we will further strengthen and refine YM-AIM to include 3 new components: biomedical HIV prevention strategies (pre-exposure prophylaxis and postexposure prophylaxis); HIV and sexually transmitted infection (STI) testing and HIV care referral, drug screening, and drug treatment referral; and a youth mentoring component. We will recruit African American YMSM, aged 18 to 24 years, into 2 working groups; each group will consist of 6 to 8 members and will convene on a weekly basis, and each meeting will focus on one specific YM-AIM topic. This feedback will be used to further refine the intervention, which will then be evaluated for its feasibility and acceptability. Intervention outcomes include drug use in the past 30 days and 3 months, alcohol use, condomless sex, number of sex partners, and increasing condom use intention, condom use self-efficacy, HIV and STI testing recency and frequency, and linkage to care. As of June 2022, we completed phase 1 of Y2Prevent and launched phase 2 of Y2Prevent to begin recruitment for working group participants. Phase 3 of Y2Prevent is anticipated to be launched in September and is expected to be completed by the end of this project period in December 2022. Few youth-focused interventions have sought to help youth identify and develop the skills needed to navigate the social and structural factors that contribute to individual-level engagement in prevention among sexual minority youth. This research seeks to promote young men’s adoption and maintenance of HIV-protective behaviors (eg, safer sex, pre-exposure prophylaxis use, HIV and STI testing, and health care use). DERR1-10.2196/36718
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