Are psychosocial interventions effective at increasing condom use among Black men? A systematic review

Nwaosu, Uzochi; Raymond-Williams, Rianna; Meyrick, Jane

doi:10.1177/09564624211024785

Cited by 4 publications

(2 citation statements)

References 62 publications

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“…It is well known that condoms are one of the most effective HIV prevention methods, and condom use skills can directly affect MSM's consistent use of condoms (102)(103)(104). Higher scores of CUSS represent stronger condom use negotiation skills and unprotected sex refusal skills (39,105).…”

Section: Psychometric Measurements In the Prediction Nomogrammentioning

confidence: 99%

Predicting the risk of HIV infection among internal migrant MSM in China: An optimal model based on three variable selection methods

Liu

Xia²,

Wang³

et al. 2022

Front. Public Health

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IntroductionInternal migrant Men who have sex with men (IMMSM), which has the dual identity of MSM and floating population, should be more concerned among the vulnerable groups for HIV in society. Establishing appropriate prediction models to assess the risk of HIV infection among IMMSM is of great significance to against HIV infection and transmission.MethodsHIV and syphilis infection were detected using rapid test kits, and other 30 variables were collected among IMMSM through questionnaire. Taking HIV infection status as the dependent variable, three methods were used to screen predictors and three prediction models were developed respectively. The Hosmer-Lemeshow test was performed to verify the fit of the models, and the net classification improvement and integrated discrimination improvement were used to compare these models to determine the optimal model. Based on the optimal model, a prediction nomogram was developed as an instrument to assess the risk of HIV infection among IMMSM. To quantify the predictive ability of the nomogram, the C-index measurement was performed, and internal validation was performed using bootstrap method. The receiver operating characteristic (ROC) curve, calibration plot and dynamic component analysis (DCA) were respectively performed to assess the efficacy, accuracy and clinical utility of the prediction nomogram.ResultsIn this study, 12.52% IMMSMs were tested HIV-positive and 8.0% IMMSMs were tested syphilis-positive. Model A, model B, and model C fitted well, and model B was the optimal model. A nomogram was developed based on the model B. The C-index of the nomogram was 0.757 (95% CI: 0.701–0.812), and the C-index of internal verification was 0.705.ConclusionsThe model established by stepwise selection methods incorporating 11 risk factors (age, education, marriage, monthly income, verbal violence, syphilis, score of CUSS, score of RSES, score of ULS, score of ES and score of DS) was the optimal model that achieved the best predictive power. The risk nomogram based on the optimal model had relatively good efficacy, accuracy and clinical utility in identifying internal migrant MSM at high-risk for HIV infection, which is helpful for developing targeted intervention for them.

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Section: Psychometric Measurements In the Prediction Nomogrammentioning

confidence: 99%

Predicting the risk of HIV infection among internal migrant MSM in China: An optimal model based on three variable selection methods

Liu

Xia²,

Wang³

et al. 2022

Front. Public Health

View full text Add to dashboard Cite

show abstract

“…RMCs are under-represented in SRH research; for example, in the IMPACT trial exploring the need for pre-exposure prophylaxis in England, only 1.5% of the participants were Black African 4. A systematic review exploring the effectiveness of psychosocial interventions at increasing condom use among Black men highlighted that, unlike in the USA, there was an absence of condom use interventions trialled among Black British men 10. Potential areas for exploration include why RMCs are less likely to use remote STI testing services,11 despite being identified as a subgroup with greater SRH need,1 and qualitative data on Black and other RMC experiences within SRH services in the UK 9.…”

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confidence: 99%

Sexual health in the UK: the experience of racially minoritised communities and the need for stakeholder input

et al. 2023

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The impact of Chatbot-Assisted Self Assessment (CASA) on intentions for sexual health screening in people from minoritised ethnic groups at risk of sexually transmitted infections

Nadarzynski,

Knights,

Husbands

et al. 2024

Sex. Health

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Background Sexually transmitted infections (STIs) present a significant global public health issue, with disparities in STI rates often observed across ethnic groups. The study investigates the impact of Chatbot-Assisted Self Assessment (CASA) on the intentions for sexual health screening within minoritised ethnic groups (MEGs) at risk of STIs as well as the subsequent use of a chatbot for booking STI screening. Methods A simulation within-subject design was utilised to evaluate the effect of CASA on intentions for STI/HIV screening, concern about STIs, and attitudes towards STI screening. Screening intentions served as the dependent variable, while demographic and behavioural factors related to STI/HIV risk were the independent variables. ANCOVA tests were conducted to measure the impact of CASA on these perceptions. Results Involving 548 participants (54% women, 66% black, average age = 30 years), the study found that CASA positively influenced screening intentions t(547) = −10.3, P < 0.001], concerns about STIs t(544) = −4.96, P < 0.001, and attitudes towards sexual health screening [t(543) = −4.36, P < 0.001. Positive attitudes towards CASA were observed (mean, 13.30; s.d., 6.73; range, −17 to 21). About 72% of users who booked STI screening appointments via chatbot were from MEGs. Conclusion CASA increased motivations for STI screening intentions among ethnically diverse communities. The intervention’s non-judgemental nature and the chatbot’s ability to emulate sexual history-taking were critical in fostering an environment conducive to behavioural intention change. The study’s high acceptability indicates the potential for broader application in digital health interventions. However, the limitation of not tracking actual post-intervention behaviour warrants further investigation into CASA’s real-world efficacy.

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Are psychosocial interventions effective at increasing condom use among Black men? A systematic review

Cited by 4 publications

References 62 publications

Predicting the risk of HIV infection among internal migrant MSM in China: An optimal model based on three variable selection methods

Predicting the risk of HIV infection among internal migrant MSM in China: An optimal model based on three variable selection methods

Sexual health in the UK: the experience of racially minoritised communities and the need for stakeholder input

The impact of Chatbot-Assisted Self Assessment (CASA) on intentions for sexual health screening in people from minoritised ethnic groups at risk of sexually transmitted infections

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