Efficacy of an HIV/STI Prevention Intervention for Black Men Who Have Sex with Men: Findings from the Many Men, Many Voices (3MV) Project

Abstract

Black men who have sex with men (MSM) in the United States experience disproportionately high rates of HIV and other sexually transmitted infections (STIs); however, the number of evidence-based interventions for Black MSM is limited. This study evaluated the efficacy of Many Men, Many Voices (3MV), a small-group HIV/STI prevention intervention developed by Black MSM-serving community-based organizations and a university-based HIV/STI prevention and training program. The study sample included 338 Black MSM of HIV-negative or unknown HIV serostatus residing in New York city. Participants were randomly assigned to the 3MV intervention condition (n = 164) or wait-list comparison condition (n = 174). Relative to comparison participants, 3MV participants reported significantly greater reductions in any unprotected anal intercourse with casual male partners; a trend for consistent condom use during receptive anal intercourse with casual male partners; and significantly greater reductions in the number of male sex partners and greater increases in HIV testing. This study is the first randomized trial to demonstrate the efficacy of an HIV/STI prevention intervention for Black MSM.

Men-centered Approaches for Primary and Secondary Prevention of HIV/ AIDS: A Scoping Review of Effective Interventions

“…Indeed, 6 articles were conducted for specific MSM from ethnic and/or racial minority populations in the United States of America (USA). Four HIV prevention interventions for black and African American men led in USA were selected [14][15][16][17]. Taken together, these interventions, which consisted of either counseling sessions and/or group educational sessions, were found effective in increasing condom use and decreasing risky sexual behaviors.…”

The Process of Adaptation of a Community-Level, Evidence-Based Intervention for HIV-Positive African American Men Who Have Sex With Men in Two Cities

“…Evidence-based behavioral interventions (EBIs) for the prevention of HIV/AIDS have been shown to reduce HIV-related sex and drug risk behaviors in a variety of at-risk populations (Centers for Disease Control and Prevention, 2010a; Choi et al, 2008;Sikkema et al, 2007;Warner et al, 2008;Wilton et al, 2009;Wu et al, 2003), and are important tools in the battle against HIV/AIDS in the United States. The CDC has developed a three-phase research-to-practice framework for identifying, packaging, and disseminating EBIs (Fenton, Wolitski, Lyles, & Aral, 2009).…”

Syndemic Health Disparities and Resilience Processes Related to HIV Transmission Risk among African American/Black Men in South Florida

“…Among African American/Black MSM, intervention RCTs to reduce HIV transmission risk have shown mixed results (Coleman et al 2009;Koblin et al 2012;Peterson et al 1996;Williams et al 2013;Wilton et al 2009) A strength of the present study is that it does examine reasons why risk reductions occurred using qualitative data collected from 21 African American/Black MSM who completed the Project ROOM study. As seen in the data, participation in the study enhanced men's resilience processes though increased mindfulness and self-realization, with nearly all men describing these phenomena as occurring during the baseline and follow-up assessments.…”

“…To date, there are 5 published reports of HIV risk reduction interventions for African American/Black MSM using an RCT design, of which two were for HIV-positive African American/Black MSM (Coleman et al 2009;Williams et al 2013), one was for HIV-negative and HIV-positive men (Koblin et al 2012), one was for HIVnegative men or men with unknown HIV status (Wilton et al 2009), and one was for HIV-negative men (Peterson et al 1996). None of these RCTs of interventions for African American/Black MSM were specifically targeted toward substance-users or included substance use as an outcome measure.…”

“…For HIV-negative or unknown African American/Black MSM, the Many Men, Many Voices (3MV) Project (Wilton et al 2009) included 338 men randomly assigned to either the 3MV intervention or to a wait-list comparison condition.…”