PS08-002, THE HJ MILE HIV PREVENTION INTERVENTION

描述（由申请人提供）：我们建议评估生活环境中的健康正义男性（MILE）干预措施的有效性-改编自非裔美国人遗产赋予自我（MAALES）项目的男性-一种新开发的，文化上一致的干预措施，以减少与艾滋病毒风险相关的行为，并改善与男性和女性发生性关系的监禁后男性（MSMW）的心理社会结果。MILE小组干预包括六个两小时的小组会议，由两名种族匹配的共同协调人领导。此外，控制和干预参与者将不断获得成功重返的支持服务。在拟议的研究中，我们将对干预措施进行2a期试验，共有260名MSMW，平均随机分配到干预和对照条件。调查评估将在基线和干预结束后立即和3个月进行，并在基线和3个月进行性病检测。该项目将是第一个开发和测试专门为非洲裔美国人监禁后MSMW设计的艾滋病毒风险降低干预措施的项目之一。研究目的如下：（1）描述最近被监禁的双性恋非裔美国人的社会和性网络，并检查影响因素 （2）评估健康公正MILE干预措施对安全套使用率、受影响时的性行为和性伴侣数量的影响;（3）评估健康公正MILE对艾滋病毒污名化和种族/文化自豪感的影响;以及（4）评估健康公正MILE对最近被监禁的双性恋、非裔美国人中性病发病率的影响。 该干预措施将由健康正义中心与研究人员合作实施，该中心是一个以社区为基础的艾滋病毒预防和护理倡导组织，自1997年以来一直与监禁和监禁后人群合作。这种快速调整和实施的方法应增加传播和适用性的干预措施，以其他地方和设置，如果它被证明是有效的。铺设说明：降低与男性和女性发生性关系的非洲裔美国男性（MSMW）感染艾滋病毒和性病的风险需要采取干预措施，解决监禁和双性恋问题。 该项目旨在评估一种新的干预措施-健康正义英里-以减少风险行为和性病最近被监禁的非洲裔美国MSMW使用文化一致，小组干预。

DESCRIPTION (provided by applicant): We propose to evaluate the effectiveness of the Health Justice Men in Life Environments (MILE) Intervention -- adapted from the Men of African American Legacy Empowering Self (MAALES) Project -- a newly developed, culturally congruent intervention to reduce HIV risk-related behaviors and improve psychosocial outcomes among post-incarcerated men who have sex with men and women (MSMW). The small group MILE intervention involves six two-hour group sessions, lead by two ethnically matched co-facilitators. In addition, control and intervention participants will received ongoing access to support services for successful reentry. In the proposed study, we will conduct a Phase 2a test of the intervention with a total of 260 MSMW, evenly randomized to intervention and control conditions. Survey assessments will occur at baseline and immediately and 3-months post intervention conclusion, with STD testing at baseline and three months. This project will be among the first to develop and test an HIV risk-reduction intervention designed specifically for African American post-incarcerated MSMW. Study aims are as follows: (1) to describe the social and sexual networks of recently incarcerated, bisexual African American men and examine factors associated HIV risk in this population; and (2) to evaluate the impact of the Health Justice MILE intervention on rates of condom use, sex while under the influence, and number of sex partners; (3) to evaluate the impact of the Health Justice MILE on HIV stigma and racial/cultural pride; and (4) to evaluate the impact of the Health Justice MILE on STD incidence among recently incarcerated bisexual, African American men. The intervention will be implemented by The Center for Health Justice - a community-based HIV prevention and care advocacy organization that has worked with incarcerated and post-incarcerated populations since 1997 - in collaboration with study investigators. This rapid adaptation and implementation approach should increase the dissemination and applicability of the intervention to other locales and settings should it prove to be effective. LAY DESCRIPTION: Reducing HIV and STD infection risk among African American men who have sex with men and women (MSMW) requires interventions that address incarceration and bisexuality. This project aims to evaluate a new intervention - Health Justice MILE - to reduce risk behavior and STDs among recently incarcerated African American MSMW using a culturally congruent, small group intervention.