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健康正义男性（MILE）干预措施的有效性，该干预措施改编自非洲裔美国人遗产赋权自我（MAALES）项目，这是一项新开发的文化一致性干预措施，旨在减少艾滋病风险相关行为，改善监禁后与男性和女性发生性关系的男性（MSMW）的社会心理结果。小组MILE干预包括六个两小时的小组会议，由两名种族匹配的共同调解人领导。此外，控制和干预参与者将不断获得成功重返社会的支助服务。在本研究中，我们将进行干预的2a期试验，共260 MSMW，均匀随机分配到干预和对照条件。调查评估将在基线、立即和干预结束后3个月进行，性病检测将在基线和3个月进行。该项目将是首批开发和测试专门为非裔美国人被监禁后的MSMW设计的降低艾滋病毒风险干预措施的项目之一。研究目的如下：(1)描述近期被监禁的非洲裔双性恋男性的社会和性网络，并研究其影响因素

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.