评估针对黑人男性的结构和行为艾滋病毒风险降低计划-猫眼课题宝

评估针对黑人男性的结构和行为艾滋病毒风险降低计划

批准号：

8672679

负责人：

Ingrid Alisa Bowleg

金额：

$60.33万

依托单位：

UNIVERSITY OF CALIFORNIA, SAN DIEGO

依托单位国家：

美国

项目类别：

财政年份：

2012

资助国家：

美国

项目状态：

已结题

起止时间：

2012-08-06 至 2017-05-31

来源：

https://reporter.nih.gov/project-details/8672679

关键词：

AIDS prevention AIDS/HIV problem Acquired Immunodeficiency Syndrome Address Adherence Adopted Adult Affect African Alcohol or Other Drugs use Attention Behavioral Boston Case Management Case Manager Chlamydia Clinic Cognitive Collaborations Communities Community Developments Community Services Counseling Diet and Nutrition Education Effectiveness Employment Ensure Epidemic Evaluation Evaluation Research Exercise Female Funding Gender Gender Role Goals Gonorrhea HIV HIV Infections HIV risk Heterosexuals Homelessness Housing Incidence Infection Intervention Intervention Studies Interview Low income Masculine Measures Mediating Mediator of activation protein Modeling National Childhood Cancer Foundation Outcome Participant Philadelphia Population Prevention Research Prevention program Preventive Intervention Primary Health Care Prisons Process Randomized Randomized Controlled Trials Recording of previous events Relative (related person)Reporting Research Research Methodology Research Personnel Risk Risk Behaviors Risk Factors Risk Reduction Sexual Partners Stress Structure Surveys Syphilis Testing Training Unemployment United States United States National Institutes of Health Unsafe Sex Woman Work arm base behavior change behavioral/social science community based participatory research community based service community setting comparison group computerized condoms design diet and exercise efficacy testing follow-up health care service utilization health disparity high risk innovation intervention program male male health meetings men nutrition peer programs protective behavior quality assurance response risk perception sexual risk taking skills social social science research theories

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DESCRIPTION (provided by applicant): The purpose of this study is to evaluate the efficacy of the MEN Count intervention, an HIV intervention and prevention program for heterosexual Black men. The MEN Count model integrates HIV risk reduction and gender-equity counseling with housing and employment case management via multiple one-on-one sessions delivered by a peer case manager over 60-90 day period. MEN Count was developed and pilot tested using a CBPR approach via funding from an NIH R21, in Boston, MA. Similar CBPR methods accompanied by a more rigorous evaluation design (i.e., a randomized controlled trial- RCT) will be used to test MEN Count in an employment training community service agency for Black men in Philadelphia (NCCF). Study participants (N=504) will be Black men reporting heterosexual risk for HIV [unprotected sex with a woman in the past 30 days and 2+ female sex partners in the past 6 months] and either current unemployment or homeless in the past 6 months. To evaluate the effectiveness of MEN Count, a two-armed RCT will be conducted in which participants will be randomized to receive either MEN Count or an attention comparison program similar to MEN Count in structure but focused on general men's health- nutrition, exercise and primary health care utilization. We will assess program impact on reduction in number of unprotected sex episodes and incident cases of STI (Chlamydia, gonorrhea, syphilis) via survey and STI testing, respectively, at baseline and 6 and 12 month follow-ups. Additionally, quality assurance and process evaluation efforts will be conducted to ensure high quality program adherence and delivery, as well as to support program replication should the model prove effective.

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