Adaptation and National Dissemination of a Brief, Evidence-Based, HIV Prevention Intervention for High-Risk Men Who Have Sex with Men

Herbst, Jeffrey H.; Raiford, Jerris L.; Carry, Monique; Wilkes, Aisha L.; Ellington, Renata D.; Whittier, David Knapp

doi:10.15585/mmwr.su6501a7

Cited by 15 publications

(13 citation statements)

References 42 publications

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“…Indeed, behavioral interventions that have been most effective at achieving sustained outcomes in Black MSM have incorporated and addressed the social determinants that contribute to HIV inequities and disparities experienced by this population. One notable example is Many Men, Many Voices (3MV), which was developed by and for Black MSM to specifically address the impact of racism, stigma, homophobia, familial, cultural, and religious norms on HIV risk behaviors and sexual relationship dynamics [58,59]. 3MV is a CDC-designated evidence-based intervention that has also been tested specifically among YBMSM and was found to be effective for decreasing condomless sex acts [60].…”

Section: Behavioral Approachesmentioning

confidence: 99%

“…Furthermore, given the challenges with heightened risk and effective implementation of TasP and PrEP among YBMSM, nonjudgmental behavioral approaches that focus on effective risk mitigation may have even greater importance. Whatever the behavioral target, behavioral interventions should also address complexities YBMSM face at the intersection of race, sexuality, and development, with reinforcement of affirming approaches to sexual health that acknowledge and target racial and sexual identification [58,116].…”

Section: Behavioral Approaches Foster Synergies Between Behavioral Anmentioning

confidence: 99%

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Mind the Gap: HIV Prevention Among Young Black Men Who Have Sex with Men

2020

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Purpose of Review Young Black men who have sex with men (YBMSM) suffer profound health inequities in new HIV diagnoses and clinical outcomes. While the evolution of HIV prevention options has become increasingly biomedical, inequities in access and uptake of these modalities persist. Recent Findings Studies suggest that while YBMSM display interest and acceptability of varied HIV prevention options, uptake lags due to the lingering effects of intersectional oppression from racism and sexual prejudice, HIV stigma, institutional and provider bias, and unresolved health policy barriers. Promising avenues to address these barriers have yet to be fully explored. Summary We have the tools to effectively prevent HIV transmission and acquisition among YBMSM, but we have not yet effectively implemented these tools for this priority population. To end the epidemic, we must tailor and adapt HIV prevention strategies to meet the unique intersecting needs, identities, and social contexts of YBMSM. Keywords Young Black MSM. Sexual minority youth. HIV prevention. Adolescent and young adult. Sexual minority men. LGBTQ health This article is part of the Topical Collection on The Science of Prevention

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Section: Behavioral Approachesmentioning

confidence: 99%

Section: Behavioral Approaches Foster Synergies Between Behavioral Anmentioning

confidence: 99%

Mind the Gap: HIV Prevention Among Young Black Men Who Have Sex with Men

2020

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“…During the intervention, a counselor encourages the client to consider ways he might manage similar sexual encounters differently in the future (7). While PCC has been successfully employed in the United States (U.S.) (2,6,(8)(9)(10)(11)(12)(13), it has not previously been implemented with MSM or TW in Latin America.…”

Section: Introductionmentioning

confidence: 99%

Personalized Cognitive Counseling Reduces Drinking Expectancy Among Men Who Have Sex with Men and Transgender Women in Lima, Peru: A Pilot Randomized Controlled Trial

et al. 2020

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Personalized cognitive counseling (PCC) is an evidence-based intervention designed to modify HIV-related risk behavior. We assessed the impact of PCC on sexual behavior, drinking expectancy, and incidence of sexually transmitted infections (STIs) in a six-month randomized controlled trial among 153 HIV-uninfected men who have sex with men (MSM) and transgender women (TW) in Peru. Study retention was ≥90%, with three HIV infections (3 Control) and 19 cases of GC/CT (10 Control, 9 PCC) at six months. There was a decline in condomless receptive anal intercourse in the Control (0.74, 95% CI: 0.60-0.91; p<0.01) and PCC arms (0.72, 0.55-0.94; p=0.02) at six-month follow-up. There was a decrease in drinking expectancy at six months among participants endorsing alcohol use in the PCC arm (0.89, 0.83-0.96; p<0.01), versus no change in the Control arm (0.98, 0.92-1.04; p=0.54). PCC was efficacious in reducing drinking expectancy and HIV risk among MSM and TW in Peru.

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“…According to the CDC in 2015-2019, YMSM (ages 15-24 years) had higher rates of sexually transmitted infection and newly diagnosed HIV compared with other groups ("CDC HIV in the United States. At a Glance"; Herbst et al, 2014). Given the health disparities among YMSM (Beyrer et al, 2013) and the increased awareness that young sexual minorities experience discrimination (Cook et al, 2017), and limited data examining this relationship, more research is needed to understand racial discrimination and its impacts on HIV-related outcomes.…”

mentioning

confidence: 99%

A Cross-sectional Study of Perceived Stress and Racial Discrimination Among a National Sample of Young Men Who Have Sex With Men

Cordoba¹,

Garofalo²,

Kuhns³

et al. 2023

J Assoc Nurses AIDS Care

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Research regarding the impact of racism on stress among young men who have sex with men (YMSM) is sparse. Secondary data were assessed from a 2018-2020 national mHealth prevention trial for YMSM aged 13-18 years (N 5 542). Linear regression models examined associations between perceived stress and interpersonal and vicarious racism, adjusting for covariates. Stratified models by race/ethnicity were included. A subanalysis (n 5 288) examined associations between nine interpersonal racial discriminatory events and perceived stress. Over 50% of participants experienced racial discrimination. In the multivariable models, exposure to interpersonal (b 5 1.43, p-value: .038) and vicarious (b 5 1.77, p-value: .008) racism was associated with perceived stress because there were four interpersonal racial discriminatory events. Stratified analysis by race/ethnicity found significant associations between interpersonal and vicarious racism and perceived stress among some racial/ethnic groups. Racial discrimination was common among YMSM, making them susceptible to the possible effects of vicarious and interpersonal racism on stress.

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Adaptation and National Dissemination of a Brief, Evidence-Based, HIV Prevention Intervention for High-Risk Men Who Have Sex with Men

Abstract: Summary CDC's high-impact human immunodeficiency virus (HIV) prevention approach calls for targeting the most cost-effective and

Cited by 15 publications

References 42 publications

Mind the Gap: HIV Prevention Among Young Black Men Who Have Sex with Men

Mind the Gap: HIV Prevention Among Young Black Men Who Have Sex with Men

Personalized Cognitive Counseling Reduces Drinking Expectancy Among Men Who Have Sex with Men and Transgender Women in Lima, Peru: A Pilot Randomized Controlled Trial

A Cross-sectional Study of Perceived Stress and Racial Discrimination Among a National Sample of Young Men Who Have Sex With Men

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