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An HIV intervention tailored for black young men who have sex with men in the House Ball Community

机译:针对在House Ball Community中与男人发生性关系的黑人年轻人量身定制的HIV干预措施

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Black young men who have sex with men (BYMSM) are the group most disproportionately impacted by HIV in the USA and most in need of efficacious interventions to address community-level factors that increase their vulnerability to HIV. The House Ball Community (HBC) is a distinct social network within the larger BYMSM community that may be particularly vulnerable to social norms and stigma around HIV. This study tailored an evidence-based, community-level popular opinion leader (OL) intervention for use within the HBC. The intervention, called Promoting Ovahness through Safer Sex Education (POSSE), was then piloted to evaluate feasibility, acceptability, and preliminary efficacy. Recruiting OLs from the community and training them to deliver risk reduction messages were found to be feasible and highly acceptable. Community-level surveys (n = 406) were completed over five waves of data collection. Overall exposure to the intervention increased across waves. Statistically significant (p < .05) declines were observed for multiple sexual partners, condomless anal intercourse with any male partners, and with male partners of unknown HIV status. HIV stigma declined as well, but the trend was not statistically significant.
机译:与美国发生性关系的黑人青年(BYMSM)是美国受艾滋病毒影响最严重的群体,最需要有效的干预措施来解决社区层面增加艾滋病毒易感性的因素。豪斯舞会社区(HBC)是较大的BYMSM社区中一个独特的社交网络,可能特别容易受到社会规范和围绕艾滋病毒的污名化。这项研究针对HBC量身定制了基于证据的社区级民意领袖(OL)干预措施。然后,该干预措施被称为“通过更安全的性教育促进卵子发育”(POSSE),以评估可行性,可接受性和初步疗效。从社区招聘OL并对其进行培训以传递降低风险的信息被认为是可行的,并且是高度可接受的。在五次数据收集浪潮中完成了社区级调查(n = 406)。整个干预措施的总体暴露程度不断提高。多个性伴侣,与任何男性伴侣以及与艾滋病毒状况不明的男性伴侣进行无避孕套的肛门交往均观察到统计学显着性下降(p <.05)。艾滋病毒的污名也有所减少,但趋势没有统计学意义。

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