PS08-002, THE HJ MILE HIV PREVENTION INTERVENTION

描述(由申请人提供)：我们建议评估健康正义男性在生活环境中的干预(MILE)的有效性--改编自非裔美国人遗产赋予自我(MAALES)项目--一种新开发的、文化上一致的干预措施，旨在减少与艾滋病毒风险相关的行为，并改善监禁后与男性和女性发生性行为的男性(MSMW)的心理社会结果。小组英里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大气层的支助服务。在拟议的研究中，我们将进行2a阶段的干预测试，总共260毫微瓦，平均随机分为干预和对照条件。调查评估将在基线和干预结束后立即和3个月进行，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被监禁后的非裔美国人设计的降低艾滋病毒风险干预措施之一。研究目的如下：(1)描述最近被监禁的双性恋非洲裔美国男性的社会和性网络，并检查影响因素 (2)评估健康正义英里干预措施对避孕套使用率、受影响的性行为和性伴侣数量的影响；(3)评估健康正义英里干预措施对艾滋病毒污名和种族/文化自豪感的影响；以及(4)评估健康正义英里干预措施对最近入狱的双性恋、非裔美国男性中性病发病率的影响。干预措施将由健康正义中心与研究调查人员合作实施。健康正义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年以来一直与被监禁和被监禁后的人口合作。这一快速适应和实施办法应增加干预措施在其他地点和环境的传播和适用性，如果它被证明是有效的。非裔美国男性和女性性行为(MSMW)患者要想减少感染艾滋病毒和性传播疾病的风险，就需要针对监禁和双性恋问题进行干预。该项目旨在评估一种新的干预措施-健康正义英里-使用文化契合的小团体干预来减少最近被监禁的非裔美国人MSMW中的危险行为和性传播疾病。

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.